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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2016 Census Test - Self and Enumerator Response
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DF-1(E/S)
English/Spanish paper questionnaire
DF-1(ES)_2016.pdf
Yes
Yes
Fillable Fileable
Instruction
DF-33(ES)_2016.pdf
No
Paper Only
Other-Cover Letter
DF-16(L2)(ES)_2016.pdf
No
Paper Only
Other-Cover Letter
DF-16(L4)(ES)_2016.pdf
No
Paper Only
Other-Cover Letter
DF-17(L2)(ES)_2016.pdf
No
Paper Only
Other-Postcard/Reminder
DF-9L(ES)_2016.pdf
No
Paper Only
Other-Postcard/Reminder
DF-9B(ES)_2016.pdf
No
Paper Only
Other-Postcard/Reminder
DF-9(2B)(ES)_2016.pdf
No
Paper Only
Other-Postcard/Reminder
DF-9C(ES)_2016.pdf
No
Paper Only
Other-Postcard/Reminder
DF-9(2C)(ES)_2016.pdf
No
Paper Only
Other-Postcard/Reminder
DF-9(AR)(1)_2016.pdf
No
Paper Only
Other-Languages Brochure
DF-12_2016.pdf
No
Paper Only
Other-Languages Brochure
DF-14_2016.pdf
No
Paper Only
Other-Field Materials
DF-26B_2016.pdf
No
Paper Only
Other-Field Materials
DF-28(ES)_2016.pdf
No
Paper Only
Other-Information Insert
DF-17I(ES)_2016.pdf
No
Paper Only
Other-Envelope
DF-6A(1)(IN)(ES)_2016.pdf
No
Paper Only
Other-Envelope
DF-6A(IN)(ES)_2016.pdf
No
Paper Only
Other-Envelope
DF-8A(ES)_2016.pdf
No
Paper Only
Other-Envelope
DF-5(ES)_2016.pdf
No
Paper Only
Other-Specification for electronic instrument
2016CT COMPASS SPEC Sprint 12.docx
Yes
Yes
Fillable Fileable
Other-Specification for electronic instrument
2016 CT Internet Spec-Primus-Baseline.docx
Yes
Yes
Fillable Fileable
Other-Specification for help text in electronic instrument
2016 CT Internet Spec-Primus Help Text.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Science and Innovation
Subfunction:
Scientific and Technological Research and Innovation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
370,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
80 %
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
370,000
0
0
0
0
370,000
Annual IC Time Burden (Hours)
61,667
0
0
0
0
61,667
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
2016 Census Test Index of Forms
2016 Census Test - Index of Forms.docx
11/02/2015
2016 Census Test Panel Design
2016 Census Test Mail Materials and Panel Design Matrix w Form Assignment.docx
11/02/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.