View Information Collection (IC)

View Information Collection (IC)

IC Title:	Veterans Supplement to the CPS	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/CAPI			Attachment A- Veterans Questionnaire 2016.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: Special Censuses, Surveys, and Other Studies	FR Citation: 77 FR 18205

Number of Respondents: 9,000	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	9,000	0	0	-1,000	0	10,000
Annual IC Time Burden (Hours)	300	0	0	-33	0	333
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment D - CPS Advance Letter	Attachment D- CPS Advance Letter (8-2015).pdf	12/18/2015
Attachment E - Confidentiality Brochure	Attachment E- (July 2012)The US Census Bureau Respects Your Privacy and Protects Your Personal Informaltion.pdf	01/04/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.