Information Collection

2015 Text-to-Speech Pretest

IC 212195 under ICR 201407-0930-001 · OMB 0930-0290.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0290 can be found here:

Documents and Forms

Document Name Document Type
Form Cognitive Intervie 2015 Text-to-Speech Pretest Form and Instruction
Cognitive Intervie Cognitive Interviews PDF 1 CI Protocol.pdf Form and Instruction
Pilot Test Pilot Test PDF 2 Pilot Test QRE.pdf Form and Instruction
TTS Pretest_OMB Supporting Statement_FINAL07012014.docx Justification IC Document
PDF 3 Other Attachments.pdf Other Documents IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2015 Text-to-Speech Pretest	Agency IC Tracking Number:	1

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	Cognitive Interviews	Cognitive Interviews	PDF 1 CI Protocol.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	Pilot Test	Pilot Test	PDF 2 Pilot Test QRE.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 124	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	124	124
Annual IC Time Burden (Hours)	76	76
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	TTS Pretest_OMB Supporting Statement_FINAL07012014.docx	07/02/2014
Other Documents	PDF 3 Other Attachments.pdf	07/02/2014

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