CE Globals Cognitive Study

Cognitive and Psychological Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0141 can be found here:

Documents and Forms

Document Name Document Type
Form Background Questio CE Globals Cognitive Study Form and Instruction
Background Questio CE Globals Study Background Questions Attachment A - Background Questions.docx Form and Instruction
Attachment B Interviewer Administered Cognitive Protocol Attachment B - Interviewer Administered Cognitive Protocol.docx Form and Instruction
Attachment C Self Administered Survey for lab and web participants Attachment C - Self Administered Survey for lab and web participants.docx Form and Instruction
Attachment D Self Administered Web Survey Attachment D - Self Administered Web Survey.docx Form and Instruction
Globals 2012 OMB Package 2.docx CE Globals Cognitive Study Request IC Document

Information Collection (IC) Details

IC Title:	CE Globals Cognitive Study	Agency IC Tracking Number:	21208

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Background Questions	CE Globals Study Background Questions	Attachment A - Background Questions.docx	No		Paper Only
Form and Instruction	Attachment B	Interviewer Administered Cognitive Protocol	Attachment B - Interviewer Administered Cognitive Protocol.docx	Yes	No	Fillable Printable
Form and Instruction	Attachment C	Self Administered Survey for lab and web participants	Attachment C - Self Administered Survey for lab and web participants.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Attachment D	Self Administered Web Survey	Attachment D - Self Administered Web Survey.docx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CE Globals Cognitive Study Request	Globals 2012 OMB Package 2.docx	06/28/2012

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