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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
The Diary
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
Form and Instruction
CE 801
CE Diary Form
Attachment A (7) CED 2019 Paper DIary.pdf
No
Paper Only
Other-Specifications
Attachment F - CED RI Specifications for a CATI-CAPI Instrument .docx
Yes
No
Fillable Fileable
Instruction
Attachment H - 2020 Diary Information Booklet.pdf
No
Paper Only
Other-Specificatins
Attachment C - Diary Instrument Specifications.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
Attachment 6a
LSF Online Diary Desktop Screenshots
Attachment A (6a) LSF Online Diary Desktop Screenshots.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
Attachment 6b
Online Diary mobile app screenshots
Attachment A (6b) LSF Online Diary Mobile Screenshots.pdf
Yes
Yes
Fillable Fileable
Other-Specifications
Attachment A (8) LSF CAPI Instrument Specifications.pdf
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:
7,734
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
25 %
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
32,356
0
0
9,348
0
23,008
Annual IC Time Burden (Hours)
23,539
0
0
6,922
0
16,617
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Diary Thank you letter
Attachment K(a) - CE-803-L6 Diary Thank you Letter.pdf
04/26/2019
Diary Informational Flyer
Attachment O - Diary Informational Flyer.pdf
04/26/2019
Certificate of Appreciation
Attachment L - certificate of appreciation, CE-900.pdf
04/26/2019
Large Scale Feasibility Test Overview
Attachment A - LSF Study Overview.docx
05/02/2019
Attachment 1 (a) - LSF postcard incentive
Attachment A (1a) LSF postcard incentive group.pdf
05/02/2019
Attachment 1(b) LSF Postcard no incentive
Attachment A (1b) LSF postcard no incentives.pdf
05/02/2019
Attachment 3 - LSF Participant emails
Attachment A (3) LSF Participant Emails.docx
05/02/2019
Attachment 5 Online Video Webscript
Attachment A (5) LSF Online Diary video tutorial script.docx
05/02/2019
Attachment I(e)
Attachment I (e) - Diary Advance Letter - CE 803L 1 2019 OMB Package.pdf
05/23/2019
Attachment A(2a)
Attachment A (2a) LSF advance letter incentive group.pdf
05/23/2019
Attachment A(2b)
Attachment A (2b) LSF advance letter no incentives.pdf
05/23/2019
Attachment A(4) - LSF Online User Guide
Attachment A (4) LSF Online Diary User Guide.pdf
07/01/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.