CHP Topicals 10, 11, and 12

Census Household Panel Topical 10, 11, and 12

Documents and Forms

Document Name Document Type
Form Part A, Attachment CHP Topicals 10, 11, and 12 Form
Part A, Attachment Part A, Attachment A_CHP Topical 10, 11, 12 Questionnair Part A, Attachment A_CHP Topical 10, 11, 12 Questionnaires_rev3.docx Form
Part A, Attachment Part A, Attachment A_CHP Topical 10, 11, 12 Questionnair Part A, Attachment A_CHP Topical 10, 11, 12 Questionnaires_rev3.docx Form

Information Collection (IC) Details

IC Title:	CHP Topicals 10, 11, and 12	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	Part A, Attachment A_CHP Topical 10, 11, 12	Part A, Attachment A_CHP Topical 10, 11, 12 Questionnaires	Part A, Attachment A_CHP Topical 10, 11, 12 Questionnaires_rev3.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 124,248	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	124,248	124,248
Annual IC Time Burden (Hours)	41,375	41,375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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