View Information Collection (IC)

View Information Collection (IC)

Cognitive Testing of ATUS Eldercare Questions for the Web
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Attachment B Cognitive Testing Protocol Appendix B Cognitive Testing Protocol 12-3-2021.docx Yes No Printable Only
Form and Instruction Appendix E Eligibility and Scheduling Screener Appendix E Eligibility and Scheduling Screener 12-3-2021.docx Yes No Printable Only
Form and Instruction Appendix F AmeriSpeak Omnibus Materials Appendix F AmeriSpeak Omnibus Materials.docx Yes Yes Fillable Fileable
Form and Instruction Appendix A ATUS Eldercare Wireframe Appendix A ATUS Eldercare Wireframe 12-3-2021.docx Yes No Printable Only
Instruction Appendix C Consent Statement 12-8-2021.docx Yes No Printable Only

General Government Central Records & Statistical Mgt

 

1,000 0
   
Individuals or Households
 
   0 %

  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 1,000 0 1,000 0 0 0
Annual IC Time Burden (Hours) 110 0 110 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Note to Reviewer - Cognitive Testing of the ATUS Eldercare Questions for the Web Note to Reviewer - ATUS Eldercare OMB Clearance Package 12-7-2021.docx 12/08/2021
Appendix D Eldercare FAQ Appendix D Eldercare FAQ 12-8-2021.docx 12/08/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.