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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
2010 Census Questionnaire Language Testing
New
120
120
0
Form
D-1(TEST)
2008 Census Test
Business Research and Development Survey Additional In-depth Interviews
New
20
160
0
Form
BRD-1
2008 Business Research & Development Survey
Cognitive & Usability Testing of the 2010 Enumerator Questionnaire
New
60
100
0
Form
DY-1(E)
Census 2010 Enumerator Questionnaire
Other-Information Sheet
Form
Satisfaction Questionnaire
Satisfaction Questionnaire
Cognitive Interviews for M3, Department of Defense
New
40
40
0
Form
M-3DOD
Manufacturers' Shipments, Inventories, and Orders (M3) To The Department of Defense Supplement: 2006-2007
Cognitive Interviews for Spanish ACS CATI/CAPI Version
New
180
225
0
Other-First Segment of ACS Questions to be Tested
Other-Second Segment of ACS Questions to be Tested
Other-Third Segment of ACS Questions to be Tested
Cognitive Interviews for the Annual Wholesale Trade Report, Agents, Broker, and Electronic Markets Form
New
35
35
0
Form
SA-42(AGBR)
Annual Wholesale Trade Report, Agents, Brokers, and Electronic Markets
Cognitive Interviews for the Quarterly Financial Report
New
90
90
0
Form
QFR-300(S)
Quarterly Financial Report
Cognitive Interviews to Evaluate Segments of the 2009 AHS Spanish Version
New
128
192
0
Other-Phase 1 (English)
Other-Phase 1 (Spanish)
Other-Phase 2 (English)
Other-Phase 2 (Spanish)
Cognitive Research on Experimental CPS Health Insurance Questions
New
40
40
0
Other-Experimental CPS Health Insurance Questions
Other-Household Roster & Demographics
Other-Demographic Questions
Other-Flashcards
Cognitive Research on the National Crime Victimization Survey, Internet Predation Questions
New
15
15
0
Form
NCVS Internet Predation Questions
NCVS Internet Predation Questions
Other-Consent Form
Form
NCVS-1
National Crime Victimization Survey
Cognitive Research on the National Crime Victimization Survey, School Crime Supplement
New
15
15
0
Form
SCS-1
School Crime Supplement to the NCVS
Other-Consent Form
Other-Consent Form
Cognitive Testing of ACS Postcards & Cover Letter
New
15
12
0
Other-ACS Revised Reminder Postcards & Letter for Testing
Cognitive Testing of the 2008 Be Counted Questionnaire
New
30
30
0
Form
DX-10
2008 Census Dress Rehearsal Be Counted Form
Debriefing Interviews for Survey of Construction, One-Unit Nonconstruction Cost Evaluation (OUNCE)
New
1000
250
0
Form
OUNCE-S
One-Unit Nonconstruction Cost Evaluation
Form
OUNCE-C
One-Unit Nonconstruction Cost Evaluation
Field Test of Survey of Income & Program Participation, Event History Calendar
New
4095
2048
0
Other-Control Card
Form
EHC
Event History Calendar questions
Form
Respondent Debriefing Questions
Respondent Debriefing Questions
Field Test of the 2010 Census Enumeration of Transitory Locations (ETL) Questionnaire
New
200
27
0
Form
D-15
Census 2010 Transitory Location Questionnaire
Other-Handout & Flashcard Lists
Other-Respondent Debriefing Probes
Focus Groups to Develop Messages for the Census 2010 Public Information Campaign, Phase II
New
1
0
0
Other-moderators guide
Other-Test Materials
Focus Groups to Identify Issues & Obstacles to Responding to the Census
New
536
1072
0
Other-PHASE 2 Discussion Outline (Creative Development)
Other-PHASE 1 Discussion Outline (Benefits & Messages)
In -depth interviews to support development of a redesigned Survey of Industrial Research & Development
New
40
60
0
Form
BRDS Intellectual Property Section
BRDS Intellectual Property Section
Form
BRDS Financial Module
BRDS Financial Module
Form
BRDS Human Resources Module
BRDS Human Resources Module
Pretesting of CPS Unbanked & Underbanked Supplement
New
50
38
0
Other-Unbanked & Underbanked Questions
Pretesting of Redesigned Survey of Industrial Research & Development
New
60
120
0
Form
none
Survey of Industrial R&D (Personnel Section)
Form
none
Survey of Industrial R&D (Manager Section)
Pretesting of Respondent Letters for the Survey of Industrial Research & Development
New
40
40
0
Other-SIRD - Pre-survey Notice Letter
Other-SIRD - Initial Mailout Letter
Other-SIRD - Nonresponse Letter (pre-due date)
Other-SIRD - Nonresponse Letter (post-due date)
Pretesting of Services Annual Survey, Internet Reporting Application
New
40
40
0
Other-Various Screen Shots from SAS Internet Application
Research on Alternative Methods of Collecting Think-Aloud Protocols
New
100
100
0
Other-Proposed Tasks for Study
Other-Questionnaire on Computer Use & Internet Experience
Other-Questionnaire for User Interaction Satisfaction
Research on VCE Supplement to the CPS
New
100
83
0
Other-Version A -- VCE Questions
Other-Version B -- VCE Questions
Research on the proposed Voting and Civic Engagement (VCE) supplement to the Current Population Survey
New
40
40
0
Form
VCE-1
VCE Cognitive Testing -- Version A
Form
VCE-2
VCE Cognitive Testing -- Version B
Respondent Debriefings for CCM Independent Listing Book
New
280
9
0
Form
DX-1302
Listing Page 1
Form
DX-1302
Listing Page 2
Form
DX-1302
Listing Page 3
Respondent Debriefings for SURVEYOR Electronic Data Collection Tool in 2007 Economic Census
New
100
120
0
Other-SURVEYOR Screen Shots
Other-Debriefing Protocol
Testing of American Community Survey Translations
New
140
140
0
Other-Introductory Letter
Other-Thank You Letter
Other-Brochure
Other-Brochure
Testing of: NHAMCS, NAMCS, 2010 "Itsinourhands" web site, 2010 CFU, 2010 ACS, and 2010 Mailout Materials
New
130
150
0
Form
NHAMCS-101
National Hospital AmbulatoryMedical Care Survey -- 2009 Panel
Form
NHAMCS-101(C)
National Hospital Ambulatory Medical Care Survey -- 2009 Panel Control Card
Form
NMACS-101(U)
Ambulatory Unit Record, National Hospital Ambulatory Medical Care Survey -- 2009 Panel
Form
NMACS-100(ASC)
National Hospital Ambulatory Medical Care Survey -- 2009 Ambulatory Surgery Center Patient Record Folio
Other-NHMACS Draft ASC Respondent Debriefing
Other-Lipoprotien Cholesterol Values Worksheet
Other-Debriefing Questionnaire
Other-Letter of Explanation
Other-User Interview Discussion Outline
Form
DD-1302 (CFU)
Coverage Followup Questionnaire
Other-Experimental Questions for Undercount Situation
Other-Mailing 1
Other-Mailing 2
Other-Mailing 3
Other-Mailing 4
Other-Mailing 5
Other-Mailing 6
Other-Mailing 7
Other-Mailing 8
Other-envelope
Other-envelope
Other-letter
Other-letter
Other-envelope
Other-envelope
Other-postcard
Other-postcard
Other-postcard
Other-postcard
Other-letter
Other-letter
Other-letter
Other-letter
Form
DY-1(X)
Census 2010
Other-envelope
Usability Testing of SBO Internet Reporting Application
New
40
40
0
Form
SBO-1 (Internet Reporting Application)
Survey of Business Owners and Self-Employed Persons
Total Burden Actually Used for Information Collections Under Currently Approved ICR:
7780
5451
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
0
0
0
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