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The American Community Survey
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-First Mailing -- Multilingual Brochure Attachment A - ACS-9(2013)(6-2012) - ACS Multilingual Brochure.pdf Yes Yes Fillable Fileable
Other-First Mailing -- Prenotice Letter Attachment A - ACS-12(L)S 2013 (6-2012) - ACS Prenotice letter.pdf Yes Yes Fillable Fileable
Other-First Mailing -- Prenotice Letter Envelope Attachment A - ACS-40(2012) (6-2011) - ACS Prenotice Envelope.pdf Yes Yes Fillable Fileable
Other-Second Mailing -- ACS HU FAQ Brochure Attachment B - ACS-10SM(2013) (July-2012) - ACS FAQ Brochure.pdf Yes Yes Fillable Fileable
Other-Second Mailing -- ACS HU Introductory Letter Attachment B - ACS-13(L)SM (2013) (6-12) - ACS Intro Letter.pdf Yes Yes Fillable Fileable
Other-Second Mailing -- ACS HU Instruction Card Attachment B - ACS-34(2013)IM (6-27-12) - ACS Into Card.pdf Yes Yes Fillable Fileable
Other-Second Mailing -- ACS HU Outgoing Envelope Attachment B - ACS-46(2012) (5-2011) - ACS Outgoing Envelope.pdf Yes Yes Fillable Fileable
Form ACS Internet Screen Capture Guide ACS Internet Screen Capture Guide Attachment C - ACS Internet Screen Capture Guide.pdf Yes Yes Fillable Fileable
Other-Stateside Reminder Card Attachment D - ACS-20S(2013) (5-2012) ACS Reminder Postcard.pdf Yes Yes Fillable Fileable
Other-Stateside HU Questionnaire Package - Reply Envelope Attachment E - 5385-47 (9-2010) Business Reply Envelope.pdf Yes Yes Fillable Fileable
Form ACS-1 Stateside HU Questionnaire Package - ACS Form Attachment E - ACS-1(2014) (02-21-2013)KFI - ACS Stateside Eng.pdf Yes Yes Fillable Fileable
Other-Stateside HU Questionnaire Package - FAQ Brochure Attachment E - ACS-10SM(2013) (July-2012) - ACS FAQ Brochure.pdf Yes Yes Fillable Fileable
Other-Stateside HU Questionnaire Package - ACS Replacement Letter Attachment E - ACS-14(L)SM (2013) (6-2012) ACS Follow Up Letter.pdf Yes Yes Fillable Fileable
Other-Stateside HU Questionnaire Package - Instruction Guide Attachment E - ACS-30(2014)(2-2013)-ACS HU Instruction Guide.pdf Yes Yes Fillable Fileable
Other-Stateside HU Questionnaire Package - Replacement Instruction Card Attachment E - ACS-34(2013)RM (10-17-12) ACS Instruc Card.pdf Yes Yes Fillable Fileable
Other-Stateside HU Questionnaire Package - Outgoing Envelope Attachment E - ACS-46(2012) (5-2011) - ACS Outgoing Envelope.pdf Yes Yes Fillable Fileable
Other-ACS HU New Reminder Postcard Attachment F - ACS-23(2013) (5-2012) - Reminder Postcard.pdf Yes Yes Fillable Fileable
Other-Additional Mailing Postcard, Stateside, English Attachment G - ACS-29(2013) (5-2012) - 2nd Reminder Postcard.pdf Yes Yes Fillable Fileable
Other-American Community Survey HU Questionnaire Mail Package (Spanish) -- Reply Envelope Attachment H - 5385-47 (9-2010) Business Reply Envelope.pdf Yes Yes Fillable Fileable
Form ACS-1(SP) American Community Survey HU Questionnaire (Spanish) Attachment H - ACS-1(2014)(SP)KFI (02-28-2013) Stateside SP.pdf Yes Yes Fillable Fileable
Other-American Community Survey HU Questionnaire Mail Package (Spanish) -- FAQ Brochure Attachment H - ACS-10SM(2013)(SP) (7-2012) - FAQ-StSide Spanish.pdf Yes Yes Fillable Fileable
Other-American Community Survey HU Questionnaire Mail Package (Spanish) -- Outgoing Envelope Attachment H - ACS-46(2012)SP (6_2011) - StSide SP Outgoing Enve.pdf Yes Yes Fillable Fileable
Other-American Community Survey HU Questionnaire Mail Package (Spanish) -- Introductory Letter Attachment H - ACS-13(L)SP (2013) (8-2012) - ACS Intro Letter SP.pdf Yes Yes Fillable Fileable
Other-American Community Survey HU Questionnaire Mail Package (Spanish) -- Instruction Card Attachment H - ACS-34(2013)RM (10-17-12) ACS Instru Card.pdf Yes Yes Fillable Fileable
Other-American Community Survey HU Questionnaire Mail Package (Spanish) -- Instruction Guide Booklet Attachment H - ACS-30(2014)SP (2-2013) Instru Guide-StSide SP.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Pre-notice letter Attachment I - ACS-12(L)PR (2013) (6-2012) PRCS Prenotice Letter.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Pre-notice Envelope Attachment I - ACS-40(2012)PR (6-2011) Prenotice Envelope.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Outgoing Envelope Attachment I - ACS-46(2012)PR (6-2011) PRCS Outgoing Envelope.pdf Yes Yes Fillable Fileable
Form ACS-1PR(SP) Puerto Rico Community Survey Questionnaire (Spanish) Attachment I - ACS-1(2014)PR(SP)KFI (02-28-2013)-PRCS Quest SP.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Introductory Letter Attachment I - ACS-13(L)PR PRCS (6-14-12) Intoductory Letter.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- FAQ Brochure Attachment I - ACS-10SMPR(2013) (7-2012) PRCS FAQ Brochure.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Instruction Guide Booklet in Spanish Attachment I - ACS-30(2014)PR(SP) (2-2013) PRCS Instr Gudie SP.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Return Envelope Attachment I - 5385-47 (9-2010) Business Reply Envelope.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Reminder/Thank You Postcard Attachment I -- ACS-1(2013)SP Stateside Spanish Questionnaire.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Follow up Letter Attachment I - ACS-14(L)PR (2013)(11-2012) PRCS Follow-up.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Reminder Postcard Attachment I - ACS-23PR(2013) (6-2012) PRCS Reminder Postcard.pdf Yes Yes Fillable Fileable
Other-Language Assistance Guide -- Simplified Chinese Attachment J - ACS-1(INFO)(2012)(SIMPLIFIED CHINESE) - LAG.pdf Yes Yes Fillable Fileable
Other-Language Assistance Guide -- Korean Attachment K - ACS-1(INFO)(2012)(KOREAN) - LAG.pdf Yes Yes Fillable Fileable
Other-Questions for HU CATI Failed Edit Follow Up Attachment M - HU Failed Edit Follow Up Qts.pdf Yes Yes Fillable Fileable
Other-Questions for Vacant Units Attachment N - ACS 2014 Vacant Units Questions.pdf Yes Yes Fillable Fileable
Other-Questions for Quality Control -- Household Reinterview Attachment O - ACS 2014 HU Reinterview Questions.pdf Yes Yes Fillable Fileable
Other-American Community Survey HU Detailed Language Materials: ACS-50 Language Brochures Attachment P - ACS-50(HU) January 2013, Informational Brochure.pdf Yes Yes Fillable Fileable
Other-American Community Survey HU Detailed Language Materials; ACS-16(L) ACS language introductory letters Attachment P - ACS-16(L) (01-2013) ACS Introduction Letters.pdf Yes Yes Fillable Fileable
Other-American Community Survey HU Detailed Language Materials: ACS-51(HU) ACS language questions and answers Attachment P - ACS-51(HU) January 2013, Q&A Brochure.pdf Yes Yes Fillable Fileable
Other-American Community Survey HU Detailed Language Materials: ACS language reluctant respondent letters Attachment P - ACS-613R(L)June 2008&ACS-15(L)(6-2011)Rel Resp.pdf Yes Yes Fillable Fileable
Other-American Community Survey HU Detailed Language Materials: ACS language thank you letters Attachment P - ACS-26(L)(01-2013) Thank You-Multiple Lang.pdf Yes Yes Fillable Fileable
Form GQ Facilities Questionnaire GQ Facilities Questionnaire Attachment R - GQFQ facilities questionnaire for OMB 2014.pdf Yes Yes Fillable Fileable
Other-American Community Survey Group Quarters -- Listing Sheet Attachment R - ACS-290(GQ) (7-14-2011) ACS GQ Listing Sheet.pdf Yes Yes Fillable Fileable
Other-American Community Survey Group Quarters -- Control List Attachment R - ACS-290B(GQ) (8-1-2011) ACS GQ Control Sheet.pdf Yes Yes Fillable Fileable
Other-American Community Survey Group Quarters -- PRCS GQ Listing Sheet Attachment R - ACS-290(GQ)(PR)(SP)(7-14-2011) PRCS GQ List Sheet.pdf Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- Reply Envelope attachment S - 5385-46(GQ) (7-2012) ACS GQ Envelope.pdf Yes Yes Fillable Fileable
Form ACS-1GQ American Community Survey Group Quarters Questionnaire Attachment S - ACS-1(GQ)(2014)(2-21-2013)Facilities Quest EN SP.pdf Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- Resident Introductory Letter Attachment S - ACS-17(L)(GQ)(2013)(8-2012)GQ Resident Letter.pdf Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- Resident Introductory Letter (Spanish) Attachment S - ACS-17(L)(GQ)(S)(2013)(8-2012) GQ Resident SP.pdf Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- Confidentiality Notice Attachment S - ACS-21GQ (7-2011), GQ Confidentiality Notice.pdf Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- Instruction Guide Attachment S - ACS-30(GQ)(2014) (2-2013) GQ Instruction Guide.pdf Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- FAQ Brochure Attachment S - ACS-50(GQ) (January 2012) GQ Resident FAQ.pdf Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- GQ Remote Alaska FAQ Brochure Attachment S - ACS-51(GQ)RA(January 2012) GQ Remote Alaska FAQ.pdf Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- Resident Thank You Letter Attachment S - ACS-26(L)(GQ)(R)(2013)(8-2012)GQ Resid Thank You.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey - Group Quarters Questionnaire Package -- Reply Envelope Attachment T - 5385-46(GQ)(PR) (8-2011) PRCS GQ Envelope.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey - Group Quarters Questionnaire Package -- Resident Introductory Letter (English/Spanish) Attachment T - ACS-17(L)(GQ)(PR)(2013)(8-2012) PRCS GQ Resident.pdf Yes Yes Fillable Fileable
Form ACS-1GQ(PR) Puerto Rico Community Survey - GQ Resident Questionnaire Attachment T - ACS-1(GQ)(PR)(2014)(2-21-2013) PRCS GQ Fac Quest.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey - Group Quarters Questionnaire Package -- Confidentiality Notice Attachment T - ACS-21(GQ)(PR)(7-2011) PRCS Confid Notice.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey - Group Quarters Questionnaire Package -- Resident Thank You Letter Attachment T - ACS-26(L)(GQ)(PR)(R)(8-2012) PRCS Resi Thank You.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey - Group Quarters Questionnaire Package -- Instruction Guide Attachment T - ACS-30(GQ)(PR)(2014)(3-2013) PRCS GQ Instr Guide.pdf Yes Yes Fillable Fileable
Other-Questions for Quality Control -- Group Quarters Facility Reinterview Attachment U - GQ Reinterview Questions .pdf Yes Yes Fillable Fileable
Other-Affordable Care Act - American Community Survey Insurance Exchange Testing Final Report Attachment V - ACA-ACS Insurance Exchange Testing Final Report.pdf Yes Yes Fillable Fileable
Other-ACS Housing Questions Justification Attachment W - Why We Ask - Housing 2014.pdf Yes Yes Fillable Fileable
Other-ACS Person Questions Justification Attachment W - Why We Ask - Person 2014.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Mailing Package (English) -- Introductory Letter Attachment L - ACS-13(L)PR PRCS (6-14-12) Intoductory Letter.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Mailing Package (English) -- FAQ Brochure Attachment L - ACS-10SMPR(2013) (7-2012) PRCS FAQ Brochure.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Mailing Package (English) -- Return Envelope Attachment L - 5385-47 (9-2010) Business Reply Envelope.pdf Yes Yes Fillable Fileable
Form ACS-1(PR) Puerto Rico Community Survey Questionnaire (English) Attachment L - ACS-1(2014)PR KFI (02-28-2013)-PRCS Quest EN.pdf Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Mailing Package (English) -- Instruction Guide Booklet in English Attachment L - ACS-30(2014)PR (2-2013) PRCS Quest Instr Guide EN.pdf Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- ACS GQ Student Housing Introductory Letter Attachment Q - ACS-18(L)(C)(RO)(2013)(7-2012) GQ Stud Intro.pdf Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- ACS GQ Health Care Introductory Letter Attachment Q - ACS-18(L)(H)(RO)(2013)(7-2012)GQ Health Intro.pdf Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- PRCS GQ Introductory Letter (English) Attachment Q - ACS-18(L)(GQ)(PR)(2013)(8-2012) PRCS GQ Intro.pdf Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- PRCS GQ Introductory Letter (Spanish) Attachment Q - ACS-18(L)(GQ)(PR)(S)(2013)(8-2012) PRCS IntroSP.pdf Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- ACS GQ Facility FAQ Attachment Q - ACS-51(GQ)(F) (January 2012) ACS GQ Facility FAQ.pdf Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- ACS Facility Thank You Letter (English/Spanish) Attachment Q - ACS-26(L)(GQ)(F)(2013)(8-2012)GQ Fac Thank You.pdf Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- PRCS Facility Thank You Letter (English/Spanish) Attachment Q - ACS-26(L)(GQ)(PR)(F)(8-2012) PRCS Fac Thank You.pdf Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

3,760,000 0
   
Individuals or Households
 
   56 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,805,200 0 0 0 0 3,805,200
Annual IC Time Burden (Hours) 2,455,868 0 0 0 0 2,455,868
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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