View Information Collection (IC)

View Information Collection (IC)

IC Title:	Conjoint Analysis	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 13 CFR Chapter 5 Sections 141 and 193 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Conjoint Study 1	Conjoint Study 1	Census Conjoint _1 Questionnaire.8.21.15 rcq.docx		Yes	Yes	Paper Only
Form and Instruction	Conjoint Study 2	Conjoint Study 2	Census Conjoint _2 Questionnaire.8.21.15 RCQ.docx		Yes	Yes	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200	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	1,200	0	1,200	0	0	0
Annual IC Time Burden (Hours)	1,200	0	1,200	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Emails	Emails.docx	08/28/2015
Memo	OMB0607-0978_Conjoint_Rev (2).docx	10/12/2015

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