View Information Collection (IC)

IC Title:	The American Community Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Questions for CATI/CAPI/TQA That Differ From the A	Questions for CATI/CAPI/TQA That Differ From the ACS-1	Attachment H - HU CATI CAPI TQA Qts REV.doc	Yes	Yes	Fillable Fileable
Other-American Community Survey HU Detailed Language Brochure: Korean			Attachment J-ACS Q and A Korean.pdf	No		Paper Only
Other-American Community Survey HU Detailed Language Brochure: Vietnamese			Attachment J-ACS Q and A Vietnamese.pdf	No		Paper Only
Other-American Community Survey HU Detailed Language Brochure (Chinese)			Attachment J-ACS Q and A Chinese.pdf	No		Paper Only
Other-ACS-12(L)S, ACS Pre-notice Letter; and ACS-40, Letter Envelope			Attachment A.pdf	No		Paper Only
Other-American Community Survey HU Detailed Language Brochure (English)			Attachment J-ACS Q and A English.pdf	No		Paper Only
Form and Instruction	ACS-1(2009)(SP)	American Community Survey HU Questionnaire Mail Package (Spanish)	Attachment E.pdf	No		Paper Only
Form	Questions for CATI Failed Edit Follow Up	Questions for CATI Failed Edit Follow Up	Attachment G.pdf	Yes	Yes	Fillable Fileable
Form	ACS-1(GQ)	American Community Survey ? Group Quarters Questionnaire Package	Attachment M.pdf	No		Paper Only
Other-ACS-18(L)(GQ), GQ Introductory Letter; ACS-50(GQ) FAQ Brochure; ACS-18(L)(GQ), PR GQ Introductory Letter ? Spanish; ACS-18(L)(GQ)E, PR GQ Introductory Letter ? English			Attachment L.pdf	No		Paper Only
Form	ACS-1(GQ)(PR)	Puerto Rico Community Survey ? Group Quarters Questionnaire Package	Attachment N.pdf	No		Paper Only
Form	Questions for Quality Control - Group Quarters Fac	Questions for Quality Control - Group Quarters Facility Reinterview	Attachment O - GQ RI Qts.doc	Yes	Yes	Fillable Fileable
Other-American Community Survey HU Detailed Language Brochure: Spanish			Attachment J-ACS Q and A Spanish.pdf	No		Paper Only
Form	Quality Control Questions, Household Reinterview	Quality Control Questions, Household Reinterview	Attachment I - HU RI Qts.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ACS-1(2009)PR(SP)	Puerto Rico Community Survey HU Questionnaire Mail Package (Spanish/English)	Attachment F.pdf	No		Paper Only
Form	Questions for Vacant Units (2009 ACS CATI/CAPI/TQA	Questions for Vacant Units (2009 ACS CATI/CAPI/TQA)	Attachment P - GQFQ US & PR Qts.doc	Yes	Yes	Fillable Fileable
Form and Instruction	ASC-1(2009)	American Community Survey Household (HU) Initial Questionnaire Package	Attachment B.pdf	No		Paper Only
Other-ACS-20S, ACS HU Reminder/Thank you Postcard			Attachment C.pdf	No		Paper Only
Other-Replacement HU Questionnaire Package Letters: ACS-14(L)SM, ACS U.S. English; ACS-14(L)(SP), ACS U.S. Spanish; ACS-14(L)PR, PRCS PR English; and ACS-14(L)PR(SP), PRCS PR Spanish			Attachment D.pdf	No		Paper Only
Form	Group Quarters Facility Questionnaire (U.S) and Gr	Group Quarters Facility Questionnaire (U.S) and Group Quarters Facility Questionnaire (PR) (English/Spanish)	Attachment K.pdf	Yes	Yes	Fillable Fileable
Other-American Community Survey HU Detailed Language Brochure: Russian			Attachment J-ACS Q and A Russian.pdf	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,220,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 35 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,257,000	3,257,000
Annual IC Time Burden (Hours)	1,994,500	1,994,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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