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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