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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
SmaRT Program 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
AdRecHeavy_ FAQ Insert_English_Spanish_D3-FL-XC(ES)
Enclosure 8a AdRecHeavy_ FAQ Insert_English_Spanish_D3-FL-XC(ES)_09012022.pdf
No
Fillable Fileable
Form and Instruction
2
Control_ FAQ Insert_English_Spanish_D3-FL(ES)
Enclosure 8b Control_ FAQ Insert_English_Spanish_D3-FL(ES)_090122.pdf
No
Fillable Fileable
Form and Instruction
3
Draft Paper Questionnaire_8_11_D3-Q(ES)
Enclosure 8c Incentive Invitation Letter_English_Spanish_D3-L1-XB(ES)_083122.pdf
No
Fillable Fileable
Form and Instruction
4
Enclosure 8d AdRecHeavy_Invitation Letter_English_Spanish_D3-L1-XC(ES)_083122b
Enclosure 8d AdRecHeavy_Invitation Letter_English_Spanish_D3-L1-XC(ES)_083122b.pdf
No
Fillable Fileable
Form and Instruction
5
AdRecHeavy_Reminder Letter_English_Spanish_D3-L4-XC(ES)
Enclosure 8e AdRecHeavy_Reminder Letter_English_Spanish_D3-L4-XC(ES)_090122.pdf
No
Fillable Fileable
Form and Instruction
6
AdRecHeavy_Reminder Postcard_English_Spanish_D3-P3-XC(ES)
Enclosure 8f AdRecHeavy_Reminder Postcard_English_Spanish_D3-P3-XC(ES)_090122.pdf
No
Fillable Fileable
Form and Instruction
7
Enclosure 8g AdRecHeavy_Reminder Letter_English_Spanish_D3-L2-XC(ES)_090122
Enclosure 8g AdRecHeavy_Reminder Letter_English_Spanish_D3-L2-XC(ES)_090122.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:
20
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
20
0
20
0
0
0
Annual IC Time Burden (Hours)
36
0
36
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo
omb letter 9-28.docx
09/29/2022
Additional screener questions
Enclosure 1_additional screener questions.docx
09/29/2022
2023 ISR Specification 08222022
Enclosure 2_2023_ISR_Specification 08222022 v1.6.docx
09/29/2022
SmaRT Testing of Decennial Mail Materials - Protocol
Enclosure 3_SmaRT Testing of Decennial Mail Materials - Protocol Sept 28.docx
09/29/2022
SmaRT Testing of Decennial Instrument Protocol
Enclosure 4_SmaRT Testing of Decennial Instrument Protocol.docx
09/29/2022
Satisfaction questions
Enclosure 5_satisfaction questions.docx
09/29/2022
Quizlette final
Enclosure 6_Quizlette final.docx
09/29/2022
Consent form and privacy notice
Enclosure 7_ consent form and privacy notice_091622_clean.docx
09/29/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.