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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Well-being Supplement to the American Time Use Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-CATI
A - WBM questionnaire.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
12,800
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
12,800
0
0
-6,400
0
19,200
Annual IC Time Burden (Hours)
1,067
0
0
-533
0
1,600
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment C1 - Advance Letter
C1 Advance letter.pdf
01/03/2013
Attachment C2 - Advance Letter, Incentive
C2 Advance letter_incentive cases.pdf
01/03/2013
Attachment C3 - Advance Brochure
C3 Advance Brochure.pdf
01/03/2013
Attachment J1 - Refusal Conversion, Confidentiality
J1 refusal conv_confidentiality.doc
01/03/2013
Attachment J2 - Refusal Conversion, Why Me
J2 refusal conv_why me.doc
01/03/2013
Attachment J3 - Refusal Conversion, Tired CPS
J3 refusal conv_tired CPS.doc
01/03/2013
Attachment J4 - Refusal Conversion, Too Busy
J4 refusal conv_too busy.doc
01/03/2013
Attachment J5 - Refusal Conversion, Gatekeeper
J5 refusal conv_gatekeeper.doc
01/03/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.