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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2019 ACS POW-HOA Cognitive Testing to Reduce Burden
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
Modified ACS Paper Form
Attachment E The American Community Survey, paper survey form ACS-1(X).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:
12
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
12
0
12
0
0
0
Annual IC Time Burden (Hours)
21
0
21
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 2019.docx
01/16/2019
Research Goals, Recruiting Requirements, Question Wording
Attachment A 2019 ACS POW-HOA Cognitive Testing Research Goals, Recruiting Requirements, Question Wording.docx
01/16/2019
Recruiting Plan, Screener, and Ad Templates
Attachment B ACS Respondent Burden Testing_Recruitment Plan FINAL_121418.docx
01/16/2019
Consent Form
Attachment C ACS Respondent Burden Testing_Consent Form_FINAL.doc
01/16/2019
Protocol
Attachment D ACS Respondent Burden Testing_Protocol_FINAL121418.docx
01/16/2019
Alt Version of Condo Fee Question
Attachment F Alternative Version of the Condominium Fee question.docx
01/16/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.