View Information Collection (IC)

View Information Collection (IC)

IC Title:	2016 Service-Based Enumeration (SBE) Census Test	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 13 CFR 141, 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	DF-20	DF-20	DF-20_021716.pdf		Yes	Yes	Paper Only
Other-Recruiting Script			OMB_In-Office Advance Contact Calling Scripts(3) for 2016 SBE_v1 - Feb 19 2016.docx		Yes	Yes	Paper Only
Other-Debriefing Script			Post Service Based Enumeration Test Respondent and Administrator Debrief_March17jhc.docx		Yes	Yes	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: 1,440	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	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	1,440	0	1,440	0	0	0
Annual IC Time Burden (Hours)	122	0	122	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Memo	SBE Test Memo.Updated Jenny_Dora.docx	04/14/2016
Compass Screenshots	COMPASS Screenshots for OMB_Feb2016.docx	04/14/2016
Revised Memo	SBE Test Memo.Updated Jenny_Dora_5-13_16.docx	05/18/2016

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