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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
CPS Debriefing Interviews Study
Agency IC Tracking Number:
IC Status:
New
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
Attachment B
Self response questionnaire
Attachment B Self-response questionnaire.xlsx
Yes
Yes
Fillable Fileable
Form and Instruction
Attachment D -
Screener Survey
Attachment D Screener survey_revised.docx
Yes
No
Printable Only
Form and Instruction
Attachment C
Debriefing Interview Protocol
Attachment C Debriefing Interview Protocol.docx
Yes
No
Printable Only
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:
150
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
7 %
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
150
0
150
0
0
0
Annual IC Time Burden (Hours)
106
0
106
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Note to Reviewer - CPS Debriefing Interviews
Note to Reviewer CPS Debriefing Interviewers .docx
10/11/2022
Attachment A - Message with survey link
Attachment A Message with survey link.docx
10/11/2022
Attachment E - Recruitment Advertisement
Attachment E Recruiting advertisement.docx
10/11/2022
Attachment F - Reminder Message
Attachment F Reminder message .docx
10/11/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.