American Housing Survey Cognitive Interviews

Generic Clearance for Questionnaire Pretesting Research

Documents and Forms

Document Name Document Type
Form 1 American Housing Survey Cognitive Interviews Form and Instruction
1 Questions and Protocol Enclosure 3 Cognitive Interview Protocol.docx Form and Instruction
OMB Memo_AHS 2025 Cognitive Testing 20240523.docx OMB Memo IC Document
Enclosure 1 Recruitment Advertisement Text.docx Recruitment Advertisement Text IC Document
Enclosure 2 Recruitment Screener_clean_052024.docx Recruitment Screener IC Document
Enclosure 4 Consent Form and Incentive Voucher.docx Consent Form and Incentive Voucher IC Document

Information Collection (IC) Details

IC Title:	American Housing Survey Cognitive Interviews	Agency IC Tracking Number:

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 and Instruction	1	Questions and Protocol	Enclosure 3 Cognitive Interview Protocol.docx		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	43	43
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB Memo_AHS 2025 Cognitive Testing 20240523.docx	05/24/2024
Recruitment Advertisement Text	Enclosure 1 Recruitment Advertisement Text.docx	05/24/2024
Recruitment Screener	Enclosure 2 Recruitment Screener_clean_052024.docx	05/24/2024
Consent Form and Incentive Voucher	Enclosure 4 Consent Form and Incentive Voucher.docx	05/24/2024

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