Information Collection

Well-being Supplement to the American Time Use Survey

IC 198728 under ICR 202004-1220-002 · OMB 1220-0185.

Documents and Forms

Document Name Document Type
A - 2021 Well-being Module questionnaire.docx Other-CATI
D - ATUS Debit Card Mailer.pdf Attachment D - ATUS Debit Card Mailer IC Document
E - Advance Letters.pdf Attachment E - Advance Letters IC Document
F - Advance brochure.pdf Attachment F - Advance brochure IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Well-being Supplement to the American Time Use Survey	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			A - 2021 Well-being Module questionnaire.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: 7,860	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	7,860	7,860
Annual IC Time Burden (Hours)	734	734
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment D - ATUS Debit Card Mailer	D - ATUS Debit Card Mailer.pdf	12/16/2020
Attachment E - Advance Letters	E - Advance Letters.pdf	12/16/2020
Attachment F - Advance brochure	F - Advance brochure.pdf	12/16/2020

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