Information Collection

CPS Displaced Worker, Job Tenure, and Occupational Mobility Supplement

IC 14615 under ICR 201706-1220-003 · OMB 1220-0104.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0104 can be found here:

Documents and Forms

Document Name Document Type
Attachment A-DW Tenure Questionnaire Jan 2018.doc Other-CATI/CAPI
Attachment D-CPS-Advance_letter_(02-2017).pdf Attachment D - Advance Letter IC Document
Attachment E-Confidentiality Brochure-(07-2012).pdf Attachment E - Confidentiality Brochure IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CPS Displaced Worker, Job Tenure, and Occupational Mobility Supplement	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-DW Tenure Questionnaire Jan 2018.doc		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: 53,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	53,000	53,000
Annual IC Time Burden (Hours)	7,067	7,067
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment D - Advance Letter	Attachment D-CPS-Advance_letter_(02-2017).pdf	06/08/2017
Attachment E - Confidentiality Brochure	Attachment E-Confidentiality Brochure-(07-2012).pdf	06/08/2017

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