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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Decennial Language Research
Agency IC Tracking Number:
IC Status:
New
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
DC3309
2014 Census Test Language Flashcard
OMB1510_2015_Census_Focus_Grps_enc2.pdf
Yes
Yes
Fillable Fileable
Other-Moderator's Guide
OMB1510_2015_Census_Focus_Grps_enc3.docx
Yes
Yes
Fillable Fileable
Other-Moderator's Guide Self Administered Materials
OMB1510_2015_Census_Focus_Grps_enc4.docx
Yes
Yes
Fillable Fileable
Other-Your Answers Are Confidential Card
OMB1510_2015_Census_Focus_Grps_enc6.pdf
Yes
Yes
Fillable Fileable
Other-Important Information From the U.S. Census Bureau Brochure
OMB1510_2015_Census_Focus_Grps_enc7.pdf
Yes
Yes
Fillable Fileable
Other-Study Screener
OMB1510_2015_Census_Focus_Grps_enc10.docx
Yes
Yes
Fillable Fileable
Other-Focus Group Consent Form
OMB1510_2015_Census_Focus_Grps_enc11.docx
Yes
Yes
Fillable Fileable
Other-Information Collected At The End of the Focus Group
OMB1510_2015_Census_Focus_Grps_enc12.docx
Yes
Yes
Fillable Fileable
Other-Internet Security Message Terms & Conditions
OMB1510_2015_Census_Focus_Grps_enc13.docx
Yes
Yes
Fillable Fileable
Other-Video Scripts To Be Shown to NRFU Focus Groups Participants
OMB1510_2015_Census_Focus_Grps_enc14.docx
Yes
Yes
Fillable Fileable
Form and Instruction
Dy-1 (CT4B0
2015 National Content Test
OMB1510_2015_Census_Focus_Grps_enc15.pdf
Yes
Yes
Fillable Fileable
Other-2015 National Census Test with Please provide your 13 digit Census ID
OMB1510_2015_Census_Focus_Grps_enc16.pdf
Yes
Yes
Fillable Fileable
Instruction
OMB1510_2015_Census_Focus_Grps_enc5.pdf
Yes
Yes
Fillable Fileable
Other-Message from the Director
OMB1510_2015_Census_Focus_Grps_enc8.pdf
Yes
Yes
Fillable Fileable
Other-Information from 2010 Census
OMB1510_2015_Census_Focus_Grps_enc9.pdf
Yes
Yes
Fillable Fileable
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:
1,050
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
1,050
0
1,050
0
0
0
Annual IC Time Burden (Hours)
675
0
675
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Plans to conduct additional research - OMB Justification
OMB1508_RO_ASM debriefings.docx
05/13/2015
2014 Ro-ASM Surveyor Respondent Debriefings
OMB1508_RO_ASM debriefings_enc.doc
05/12/2015
Memo regarding moble device
OMB1512_ACS_mobile.doc
05/12/2015
Usability Study of the online ACS
OMB1512_ACS_mobile_enc1.doc
05/12/2015
Participant # Demographic Information
OMB1512_ACS_Mobile_enc2.docx
05/12/2015
Questionnaire for user Interaction Satisfaction
OMB1512_ACS_Mobile_enc3.docx
05/12/2015
Debriefing Questions
OMB1512_ACS_Mobile_enc4.docx
05/12/2015
Usabililty Testing Protocol
OMB1512_ACS_Mobile_enc5.docx
05/12/2015
OMB Memo for Decennial Language Research
OMB1510_2015_Census_Focus_Grps_Memo_rev.docx
05/14/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.