View Information Collection (IC)

View Information Collection (IC)

IC Title:	Quarterly Interview	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-Specifications			Attachment B (a) - July 2016 CEQ Specifications.docx		Yes	Yes	Fillable Fileable
Other-Specifications			Attachment E - CEQ RI Instrument Specs and Attachments .pdf		Yes	Yes	Fillable Fileable
Other-Specifications			Attachment B (b) CEQ July 2016 - Incentives and Outlet test requirements 2015-11-04 (FINAL).docx		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: 6,900	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	30,630	0	-387	0	0	31,017
Annual IC Time Burden (Hours)	26,175	0	49	0	0	26,126
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Information Booklet	Attachment G - Information Booklet CE 305.pdf	01/06/2016
Advance Letters	Attachment I(a) - CEQ Advance Letter, the CE 303L1, 2 or 5.pdf	01/06/2016
Interview Information Flyer	Attachment M - Interview Informational Flyer.pdf	01/06/2016
Attachment A - Incentives/Outlets Test Overview	Attachment A - Incentives Outlets Test Overview.docx	01/12/2016
Treatment Group 1 CEQ Advance Letter	Attachment I(a.1) - Treatement Group 1 CEQ Advance Letter.pdf	01/12/2016
Treatment Group 2 CEQ Advance Letter	Attachment I(a.2) - Treatement Group 2 CEQ Advance Letter.pdf	01/12/2016
Treatment Group 3 Advance Letter	Attachment I(a.3) - Treatement Group 3 CEQ Advance Letter.pdf	01/12/2016
CE 303 - Interview Thank you letter	Attachment K(b) - CE-303-L6 Interview Thank you Letter.pdf	01/12/2016
CE I&O Pin Letter	Attachment O - CE I&O Pin Letter.pdf	01/12/2016
Attachment W - CE I&O Debit Card Sleeve	Attachment W - CE I&O Debit Card Sleeve - Final.pdf	01/12/2016

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