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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2017 American Community Survey Respondent Burden Testing
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
Paper Survey Questions
Paper Survey Questions
Attachment G_Paper Survey Questions.pdf
Yes
No
Fillable Fileable
Form
Interviewer-Administered Survey Questions
Interviewer-Administered Survey Questions
Attachment E_Interviewer-Administered Survey Questions.doc
Yes
No
Fillable Fileable
Form
Interviewer-Administered Roster Questions
Interviewer-Administered Roster Questions
Attachment F_Interviewer-Administered Roster Questions.doc
Yes
No
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:
48
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
48
0
48
0
0
0
Annual IC Time Burden (Hours)
46
0
46
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Research Goals, Recruiting Requirements, and Question Wording for the Second Round of Testing
Attachment A_ACS Cognitive Testing to Reduce the Burden and Difficulty of Questions Research Goals, Recruiting Requirements, and Question Wordi.docx
10/27/2016
Recruitment Screener and Advertisements
Attachment B_ACS Respondent Burden Testing - Recruitment Screener and Advertisements.docx
10/27/2016
Cognitive Interview Protocol (Paper)
Attachment C_ACS Cognitive Testing Protocol (Paper).docx
10/27/2016
Cognitive Testing Protocol (CAI)
Attachment D_ACS Cognitive Testing Protocol (CAI).docx
10/27/2016
OMB Memo Weeks Worked and Income Testing
OMB Memo Weeks Worked and Income 10242016.docx
10/27/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.