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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
CPS Debriefing Interviews Study - amended
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 and Instruction
Attachment C -
Debriefing Interview Protocol amended - updates highlighted
Attachment C Debriefing Interview Protocol_amended_OMB_highlights.docx
Yes
No
Printable Only
Form
Attachment D
Screener Survey
Attachment D Screener survey_amended_highlights.docx
Yes
No
Printable Only
Form and Instruction
Attachment B
Self Response Questionnaire
Attachment B Self-response questionnaire.xlsx
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:
1
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
1
0
1
0
0
0
Annual IC Time Burden (Hours)
1
0
1
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 Amended
Note to Reviewer CPS Debriefing Interviews_amended_highlights2.docx
02/28/2023
Attachment A - Email message
Attachment A Message with survey link.docx
02/28/2023
Attachment E - Recruiting advertisement
Attachment E Recruiting advertisement.docx
02/28/2023
Attachment F - reminder message
Attachment F Reminder message .docx
02/28/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.