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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Cognitive Interview Data Collections for DOL Research
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
Other-Screener
Appendix D Screener_4_3.docx
https://forms.office.com/r/yaksEqb6PH
Yes
Yes
Fillable Fileable
Other-Interview Guide
Appendix F National Worker Survey CI Guide_4_8.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
35
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
35
0
35
0
0
0
Annual IC Time Burden (Hours)
24
0
24
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
WesInfo Advertisement
Appendix A WesInfo Advertisement.docx
04/08/2024
Social Media Advertisement
Appendix B Social Media Advertisement.docx
04/08/2024
E-mail to Worker Rights Organizations for Recruitment
Appendix C E-mail to Worker Rights Organizations for Recruitment.docx
04/08/2024
Confirmation Email
Appendix E Confirmation Email.docx
04/08/2024
Informed Consent
Appendix G Informed Consent_4_3.docx
04/08/2024
Supporting Statement Part A
SSA Cognitive Interviews_Generic OMB_DOL Worker Survey_Westat edits.docx
04/08/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.