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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2018 ACS 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 and Instruction
1
ACS Questionnaire Up to Q28
Attachment F ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP1.pdf
No
Fillable Fileable
Form and Instruction
2
ACS Questionnaire From Q29 V1
Attachment G ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP2V1.pdf
No
Fillable Fileable
Form and Instruction
3
ACS Questionnaire From Q29 V2
Attachment H ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP2V2.pdf
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:
24
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
24
0
24
0
0
0
Annual IC Time Burden (Hours)
40
0
40
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo
ACS Cognitive Testing to Reduce Burden OMB Memo 2018.docx
04/24/2018
Research Goals, Recruiting, Question Wording
Attachment A ACS Cognitive Testing to Reduce Burden Research Goals, Recruiting Requirements, Question Wording.docx
04/25/2018
Recruitment Plan and Ads
Attachment B ACS Cognitive Testing Recruitment Plan, Screener, Ad Template.docx
04/25/2018
Consent Form
Attachment C ACS Cognitive Testing Consent Form.doc
04/25/2018
Protocol V1
Attachment D ACS Cognitive Testing Protocol Verson 1.docx
04/25/2018
Protocol V2
Attachment E ACS Cognitive Testing Protocol Version 2.docx
04/25/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.