View Information Collection (IC)

View Information Collection (IC)

IC Title:	CPS Disability Supplement	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-Questionnaire.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: COMMERCE/Census-3	FR Citation: 77 FR 18205

Number of Respondents: 55,000	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	106,000	0	106,000	0	0	0
Annual IC Time Burden (Hours)	8,833	0	8,833	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment D - Advance Letter	Attachment D_Advance Letter.pdf	03/06/2019
Attachment E - Confidentiality Brochure	Attachment_E-Confidentiality_Brochure.pdf	02/25/2019

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