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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
0607-0725
ICR Reference No:
201909-0607-002
Status:
Historical Active
Previous ICR Reference No:
201606-0607-003
Agency/Subagency:
DOC/CENSUS
Agency Tracking No:
Title:
Generic Clearance for Questionnaire Pretesting Research
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/03/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/30/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2022
36 Months From Approved
12/31/2019
Responses
16,500
0
16,500
Time Burden (Hours)
16,500
0
16,500
Cost Burden (Dollars)
0
0
0
Abstract:
The research will be used by the Census Bureau and the survey sponsors to improve questionnaires and procedures, reduce respondent burden, and ultimately increase the quality of data collected in Census Bureau censuses and surveys. The clearance will be used to conduct pretesting of decennial, demographic, and economic census and survey questionnaires prior to fielding them. Pretesting activities will involve one of the following methods for identifying measurement problems with the questionnaire or survey procedure: cognitive interviews, focus groups, respondent debriefing, behavior coding of respondent/interviewer interaction, and split panel tests.
Authorizing Statute(s):
US Code:
13 USC 131, 141, 161, 181, 182, 193,
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
84 FR 21750
05/15/2019
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 47239
09/09/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
84
IC Title
Form No.
Form Name
SmaRT Program testing
2, 3, 5, 6, 1, 4, 7
AdRecHeavy_ FAQ Insert_English_Spanish_D3-FL-XC(ES)
,
Control_ FAQ Insert_English_Spanish_D3-FL(ES)
,
Draft Paper Questionnaire_8_11_D3-Q(ES)
,
Enclosure 8d AdRecHeavy_Invitation Letter_English_Spanish_D3-L1-XC(ES)_083122b
,
AdRecHeavy_Reminder Letter_English_Spanish_D3-L4-XC(ES)
,
AdRecHeavy_Reminder Postcard_English_Spanish_D3-P3-XC(ES)
,
Enclosure 8g AdRecHeavy_Reminder Letter_English_Spanish_D3-L2-XC(ES)_090122
2018 ASM COS debriefings
1, 2
2018 ASM COS Instrument
,
2019 ASM COS Instrument
2020 ACES with COVID questions Content Test Cognitive Interviews
1, 2
2019 ACES
,
ACES COVID Questions
2020 ACS Respondent Burden Testing
1
Research Goals, Recruiting Requirements, Research Questions, Mail Materials
2020 MOPS Pretesting
1
New Content for 2020 MOPS
2021 ABS Cognitive Testing
2, 1
2021 ABS Draft Content
,
2019 ABS worksheet
2021 AHS Cognitive Testing
1, 2
Protocol and Questionnaire for Cognitive Interviews
,
Qualtrics Survey Questionnaire
2022 ACS Content Test Cognitive Interviews
1, 2, 3, 4, 6, 7, 8, 5
ACS English Paper Questionnaire V1
,
ACS English Paper Questionnaire V2
,
ACS English CAI Script Group 1 V1
,
ACS English CAI Script Group 1 V2
,
ACS English CAI Script Group 2 V1
,
ACS English CAI Script Group 2 V2
,
ACS English CAI Script Group 3 V1
,
ACS English CAI Script Group 3 V2
2022 ACS Content Test Cognitive Interviews Addendum
1
Screener Script
2022 ACS Group Quarters/Puerto Rico Community Survey Content Test Cognitive Interviews – Round 3
9, 2, 3, 1, 4, 5, 6, 7, 8
GQ Paper Questionnaire
,
GQ Institutional CAI script
,
GQ Noninstitutional CAI script
,
PRCS paper - group 1
,
PRCS paper - group 2
,
PRCS paper - group 3
,
PRCS CAI - group 1
,
PRCS CAI - group 2
,
PRCS CAI - group 3
2022 American Community Survey (ACS)/Puerto Rico Community Survey (PRCS) Content Test Cognitive Interviews Round 3
1, 2, 3
Screener questions
,
GQ recruitment script
,
PR recruitment script
2022 CPS Public Participation in the Arts Supplement Cog Testing
1, 2
CPS PPA protocol - target respondent
,
CPS PPA protocol - proxy respondent
2022 Economic Census NAPCS usability evaluation
2, 1
NAPCS Screenshots
,
Computer use and Internet Experience questionnaire
2022 Economic Census NAPCS usability evaluation Addendum
1, 2
NAPCS Screenshots
,
Computer use and Internet Experience questionnaire
2022 NSCH Cognitive Interviewing
1, 2, 4, 3
Cognitive Interviewing Version T1
,
Cognitive Interviewing Version T2
,
Cognitive Interviewing Version T3
,
Protocol
2022 NSSRN Cog Testing
1
NSSRN Questions
2024 NTEWS Cognitive Interviews
1
Content and Probes
ACES Robotics Respondent Debriefings
1
Debriefing Protocol
Ask U.S. Panel Cognitive Testing
1, 2
Spanish Instrument
,
English Instrument
CEDSCI Cognitive Testing Addendum 4
1
Protocol
CEDSCI addendum for remote data collection
3, 1, 2, 4
Demo Questionnaire
,
Internet experience questionnaire
,
Modified debriefing questionnaire
,
Modified satisfaction questionnaire
CFS Pilot Test Debriefings
1, 2
CFS Instrument Screenshots
,
CFS Paper
Census Roster Omission Study
1, 2, 4, 3
Demographics Questionnaire
,
Internet Use Questionnaire
,
Experimental Task Questionnaire
,
Debriefing Questionnaire
Cog interviews for ASM - Payroll, Employment and Coronavirus
ASM protocol
ASM protocol
Cognitive Interviewing for the Content Harmonization and Collection Unit Determination Instrument
1, 2
Protocol
,
Card Sort
Cognitive Interviews for the ASM Unfilled Orders Question
1, 2, 3
Draft question
,
Current Surveys
,
Manufacturing Activities List
Cognitive Interviews for the CFS & PHSMA
2, 1
PHMSA Data Collection Questionnaire Screenshots
,
2017 Commodity Flow Survey Paper Questionnaire
Cognitive Testing for COVID-19 Questions on the MEPS – IC
1
Protocol
Cognitive Testing of NSCH Questionnaire
1, 2, 3, 4
NSCH 2021 Screener Survey
,
NSCH 2021 Topical V1
,
NSCH 2021 Topical V2
,
NSCH 2021 Topical V3
Cognitive Testing of National Survey of College Graduates Questionnaire
1
Content Screenshots
Cognitive Testing of Select Questions from the Upcoming 2024 Survey of Income and Program Participation
1
SIPP Instrument
Cognitive Testing of the 2023 National Survey of Children's Health Longitudinal Cohort Questionnaire
1, 2, 3
Version LC1
,
Version LC2 and LC3
,
Version LC4
Cognitive and Usability Evaluation of PHMSA 5800 Form
3, 2, 1
Revised form
,
Existing Form
,
Online version of existing form
Cognitive testing for the 2021 Rental Housing Finance Survey
2021 RHFS Protocol
2021 RHFS Protocol
Current Population Survey (CPS) Online Self-Response Questionnaire Design Research
1
Questionnaire
Development of Language Questions for National Surveys
1, 2
Cognitive Interview Protocl
,
Focus Group Moderator Guide
ECON - 2020 ABS Debriefings
1
2020 ABS Questionnaire
ECON - 2020 MOPS MFG pretesting addendum
1
Draft Questions for Evaluation
ECON - 2021 M3 and QSS Cognitive Testing
1, 2, 3
M3 Uncertainty Questions Version A
,
M3 Uncertainty Questions Version B
,
Additional Expectations and Uncertainty Questions for QSS and M3
ECON - 2022 Economic Census Content Testing
1
Draft Questions
ECON - 2022 MEPS IC
1, 2
Telephone protocol
,
Online questionnaire
ECON - 2022 SBLS Cognitive Testing
1
Draft Instrument
ECON - 2023 ABS Cognitive Testing
1, 2, 3, 4, 5
Sustainability Management Module
,
Technology and Intellectual Property Module
,
Technology Transfer Module Draft
,
Innovation Module Draft
,
Labor Related Questions Draft
ECON - AIES content cognitive testing
1
Questions to be Tested
ECON - CFS 2022 Cognitive Interviews
1, 2
2022 CFS Screenshots
,
Paper Commodity Flow Survey 2017
ECON - Cognitive Interviews for the Annual Integrated Economic Survey
1, 2, 3
Questions
,
Protocol
,
Mockup
ECON - Cognitive Interviews for the Commodity Flow Survey & PHMSA: Expanded Hazardous Materials Data Collection
3, 1, 2
Usability Screenshots of questionnaire
,
Usability Tasks that participant will complete
,
Paper form of questionnaire
ECON - Cognitive Testing on the Medical Expenditure Panel Survey – Insurance Component
1, 2
Form 1
,
Form 2
ECON - Cognitive testing for the 2022 Annual Business Survey
1, 2
Worksheet
,
Draft content
ECON - Commodity Flow Survey Debriefing Interviews
1, 2
Screenshots from Production Instrument - CFS
,
Screenshots from Production Instrument - EHM
ECON - Debriefing Interviews for ARTS, AWTS, SAS, ASM, and ACES
1
Form
ECON - Debriefings for the Coordinated Contact Pilot Experiment
1
Mail materials
ECON - EC 22 NAICS NAPCS Usability evalutaion
1, 2
V1 Screenshots
,
V2 Screenshots
ECON - Question Bank for Emergency Economic Information Collections Cognitive Testing
1, 2
Initial Questions for Question Bank
,
Draft Questions for Round 1 QxBank Cognitive Testing (Waves 1 and 2)
ECON - Question Bank for Emergency Economic Information Collections Cognitive Testing Addendum
1
questions
ECON - Question Bank for Emergency Economic Information Collections Cognitive Testing Full Round 1 Addendum
1
Round 1 Questions final
ECON - Respondent Debriefings for F-29 Annual Survey of State and Local Government Finances
1
Questionnaire
ECON - Respondent Debriefings for the 2020 Annual Business Survey
1
2020 ABS Instrument
ECON - Respondent Debriefings for the Management and Organizational Practices Survey - Hospitals (MOPSHP)
1, 2
Form
,
Screenshots
ECON - Usability Evaluation for the 2022 Economic Census
1
Usability Eval
ECON - Usability Testing for the 2021 Management and Organizational Practices Survey
1, 2
Form
,
MOPS Instrument Screen Shots
ECON - Usability Testing for the 2022 FDIC Small Business Lending Survey
1
Survey
ECON - Usability Testing for the Vehicle Inventory and Use Survey (VIUS)
5, 1, 2, 3, 4
Usability Protocol
,
Spreadsheet 9501
,
Spreadsheet 9502
,
9501 Paper form
,
9502 Paper form
FNS ABAWD message testing
1
Protocol and Testing Materials
Group Quarters Census
1
Debriefing Protocol
Household Pulse March 2021 Pretesting Survey
1
Protocol and Questions
IOE Web Design Standards Addendum 3
1, 2
study 7
,
study 6
MEPS – IC Cognitive Testing
1
Protocol
NSCH Crowdsourcing Cognitive Interviews
3, 1, 2
Survey Content for Participants with a Child Aged 0-5
,
Survey Content for Participants with a Child Age
,
Qualtrics Screenshots
NSCH cognitive interviewing
1, 2, 3
NSCH 2023 T1
,
NSCH 2023 T2
,
NSCH 2023 T3
Research on Public Opinion of Administrative Records (RoPOAR) Cognitive Interviews
1, 2
Web Questionnaire
,
Protocol
Respondent Debriefings for Odyssey Coordinated Contact Pilot
1
Protocol, Letters, and Instruments
Small Business Pulse Survey Phase 2
1
Draft Questions
Supplemental Computer and Internet Use Questionnaire (CIU) Cognitive Interviews
1
Test Questionnaire
Usability Evaluation for the 2022 Economic Census
1, 2, 3
Economic Census - Screenshots of Instrument
,
Satisfaction questionnaire
,
Computer use and Internet Experience questionnaire
Usability Evaluation of the American Community Survey (ACS) Roster Screens
1
Rostering Spec
Usability Evaluation of the Commodity Flow Survey Portal
4, 2, 1, 3, 5
CFS 2017 Paper
,
Usability Tasks
,
Demographic Questionnaire and Computer use and Internet experience questionnaire
,
Satisfaction questionnaire
,
CFS Web pilot screenshots
Usability evaluation of the ACS Login screen
1, 2
ACS Log In Screen Versions
,
ACS Postcard Versions
Vaccine Question Pretesting Survey for Household Pulse Survey
1
Vaccine Questionnaire
Web Design IOE Study 5 Addendum
Enclosure 3 - Study 5 Questions - revised, 1
Study 5 Questions
,
Enclosure 3 - Study 5 Questions - revised
Web Survey Design Standards IOE
9, 5, 7, 8, 10, 6, 1, 2, 3, 4
Study Questions
,
American Community Survey
,
2018 Census Test
,
2018 National Sample Survey of Registered Nurses
,
National Household Education Survey -PFI
,
National Household Education Survey -ECPP
,
National Survey of College Graduates - Form 21
,
National Survey of College Graduates - Form 22
,
Annual Survey of Businesses (select questions)
,
Satisfaction and Preference Questions from IOE
Web Survey Design Standards IOE Addendum
1, 2, 3
Study 2 questionnaire
,
Study 2 questionnaire
,
Study 3 questionnaire
Web Survey Design Standards Online Research Fourth Addendum
1
Study 8 Survey questions
Web Survey Design Standards Online Research: Study 9
Study 9
Study 9
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
16,500
16,500
0
0
0
0
Annual Time Burden (Hours)
16,500
16,500
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Jennifer Childs 301 763-4927
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
09/30/2019