View Information Collection (IC)

View Information Collection (IC)

IC Title:	Veterans Supplement to the CPS	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- Redesigned Veterans Supplement 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: Special Censuses, Surveys, and Other Studies	FR Citation: 77 FR 18205

Number of Respondents: 7,100	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	7,100	0	-700	0	0	7,800
Annual IC Time Burden (Hours)	503	0	80	0	0	423
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment F - CPS Advance Letter	Attachment F- Advance Letter.pdf	01/15/2021
Attachment G - Confidentiality Brochure	Attachment G_Census Confidentiality brochure.pdf	01/15/2021
Attachment B- Questions Removed from Redesigned Veterans Supplement Questionnaire	Attachment B- Questions Removed from Redesigned Veterans Supplement Questionnaire.docx	01/15/2021

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