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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
13 CFR 131, 141, 182, 193, 196 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
Protocol
Protocol
Attachment A Cognitive Interview Protocol - 2023 Race-Ethnicity Question Testing_03242023_rev.docx
Yes
Yes
Fillable Fileable
Form
Version A
Version A
Attachment B RE_Vertical_Question_Testing_Instrument_rev.docx
Yes
Yes
Fillable Fileable
Form
Version B
Version B
Attachment C RE_Two_Page_Question_Testing_Instrument-1_rev.docx
Yes
Yes
Fillable Fileable
Form
Screener
Screener
Attachment E RE_Testing_ENGLISH_Draft Screener Specs_032722_rev.docx
Yes
Yes
Fillable Fileable
Form and Instruction
Consent
Consent
Attachment D Draft Consent Form_rev.docx
Yes
Yes
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:
115
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
115
0
115
0
0
0
Annual IC Time Burden (Hours)
132
0
132
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Memo
2023 Race and Ethnicity Testing OMB Request Letter-1_rev.docx
03/29/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.