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Common Form Info.
Certification
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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:
202209-0607-002
Status:
Active
Previous ICR Reference No:
201909-0607-002
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:
12/01/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/14/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2025
36 Months From Approved
12/31/2022
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:
87 FR 38703
06/29/2022
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 62363
10/14/2022
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
46
IC Title
Form No.
Form Name
2023 CBAMS Testing
1
Questionnaire
2024 Census Survey Pretest
2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 1
Enclosure 7a
,
Enclosure 7b
,
Enclosure 7c
,
Enclosure 7d
,
Enclosure 7e
,
Enclosure 7f
,
Enclosure 7g
,
Enclosure 7h
,
Enclosure 7i
,
Enclosure 7j
,
Enclosure 7k
,
Enclosure 7l
,
Enclosure 7m
,
Enclosure 7n
2030 Decennial Admin Data Research Cognitive Interviews
1
Interview Protocol
2030 Decennial Uses of Administrative Data
1, 2
Moderator Guide
,
Recruitment Screener
Addendum to FoodAPS-2 Pilot Study
1
Updated Screener
CPS Annual Social and Economic Supplement (ASEC) Exploratory Interviews
2, 1
HI Exploratory Interviews Protocol
,
Income Exploratory Interviews Protocol
Cognitive Interviewing for Race and Ethnicity Interagency Technical Working Group (R/E ITWG): SAMHSA Study
1
Recruitment Email Text
Cognitive Testing of 2024 National Survey of Children's Health Questionnaire
1
Questionnaire
Cognitive Testing of 2025 NSCH Questionnaire – EPA Items
1
Protocol
Cognitive Testing of 2025 NSCH Questionnaire – EPA Items addendum
1
Protocol
Cognitive Testing of Select Items from the SIPP Redesign Questionnaire
1
Screener
Cognitive Testing of Sexual Orientation and Gender Identity (SOGI) Questions on the American Community Survey (ACS)
2, 1
Question wording by treatment
,
Questionnaire
Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging
4, 1, 2, 3, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15
PA Exhibit 1. Informational Flyer
,
PA Exhibit 2. EBT Brochure
,
PA Exhibit 3. Social Media Posting on Scams
,
PA Exhibit 4. SNAP FAQ
,
PA Exhibit 5. SNAP Application
,
PA Exhibit 6. Excessive Card Letter
,
PA Exhibit 7. Fraud FAQs
,
AL Exhibit 1. AL SNAP Integrity flyer
,
AL Exhibit 2. AL Application
,
DC Exhibit 1. Protecting Benefits Guide
,
DC Exhibit 2. SNAP Approval Notice
,
DC Exhibit 3. Out of State Travel Flyer
,
DC Exhibit 4. DC SNAP Website
,
DC Exhibit 5. SNAP Integrated Application
,
DC Exhibit 6. Multiple Card Replacement Letter
Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2
1, 2, 3, 4, 5, 6
Program info
,
ebt info
,
dss info
,
food assistance info
,
fraud website
,
fraud flyer
Cognitive Testing of Supplemental Nutrition Assistance Program Messaging for Able-Bodied Adults without Dependents
1, 2
Minnesota Protocol and Materials
,
Wisconsin Protocol and Materials
Cognitive Testing of the 2023 NSCH Longitudinal Cohort Mail Materials
1
Letters
Cognitive and Usability Testing of a Self-Administered Current Population Survey (CPS)
2, 1
Questionnaire
,
UX Satisfaction
Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household
Version A, Version B, Screener, Consent, Protocol
Protocol
,
Version A
,
Version B
,
Screener
,
Consent
Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household - Addendum
1
Instrument
ECON - Cognitive Testing for the Annual Integrated Economic Survey
7, 1, 2, 3, 4, 5, 6, 8, 9, 10
Letter - Advanced
,
Letter - Initial Request
,
Letter - Past Due
,
Email - Advanced
,
Email - DDR
,
Email - Initial Request
,
Email - Past Due
,
Welcome and Thank you Emails
,
Content Canister
,
AIES Website
ECON - Cognitive testing for the 2023 Race and Ethnicity Questions on the Annual Business Survey
1, 2
Attachment C_Questions for Testing for 2023 Race and Ethnicity on ABS
,
Attachment D_2022 ABS worksheet
ECON - Cognitive testing for the 2024 Annual Business Survey
1, 2, 3, 4, 5, 6, 7
Sustainability Management Module
,
Technology Transfer Module
,
Labor Related Questions
,
Reshoring Questions
,
Research and Development Questions
,
Entrepreneurship Questions
,
Sexual Orientation and Gender Identity Questions
ECON - Cognitive testing for the 2024 Rental Housing Finance Survey
1, 2
Content
,
Item Booklet
ECON - Community Based Interview Study for the Annual Business Study 2025
1, 2
SOGI Protocol
,
Disability Protocol
ECON - EC22 Content Respondent Debriefing Research
2, 1
EC22 Content Respondent Debriefing Sample Economic Census Instrument for Non-Agriculture Industry Groups
,
EC22 Content Respondent Debriefing Sample Economic Census Instrument for New Agriculture Industry Groups
ECON - Exploratory Research for the Commodity Flow Survey
1
2022 CFS Survey Screenshots
ECON - Participant Debriefing Research for the 2023 Annual Integrated Economic Survey
1, 2, 3, 4
Letters for testing
,
Emails for testing
,
Websites for testing
,
Screenshots for Testing
ECON - Usability Evaluation for the 2024 Annual Business Survey
1, 2
Instrument Screenshots
,
2022 ABS Survey
ECON - Usability Testing for the Annual Integrated Economic Survey
3, 4, 1, 2
Attachment B pdf
,
Attachment B ppt
,
Attachment C pdf
,
Attachment C ppt
ECON - Usability Testing for the Annual Integrated Economic Survey
1
AIES Screenshots
ECON - Usability evaluation for the 2022 Annual Business Survey (0607-0725)
1, 2
Instrument Screens
,
ABS Worksheet
Focus groups for an Internet Self-Response Instrument for Group Quarters
1
Screens
Focus groups with Soup Kitchen Administrators to Inform 2030 Decennial Data Collection
1, 2
Moderator Guide
,
Display of Definitions
GQ ISR pretesting
1, 2, 3
Protocol
,
ICQ questions
,
Knowledge check
Group Quarters Focus groups Addendum
1, 2
moderator's guide
,
focus group screens
Health Care Group Quarters Addendum
1
Recruitment emails
NHIS Teen Cognitive Testing
1
Questionnaire
National Telecommunications and Information Administration (NTIA) Internet Use Survey Cognitive Interviews
1, 2
Roster
,
Survey
Pretesting Questionnaires and Definitions Used to Classify Health Care Group Quarters
1
Protocol
Pretesting Questionnaires and Definitions Used to Classify Lodging Facility and Transitional Shelter Group Quarters
1
Flashcards
SNAP Program Integrity Message Testing Addendum
SmaRT Program Testing Round 2
8, 9, 10, 1, 3, 2, 4, 5, 6, 7
2023 ISR Specification
,
Invitation Letter
,
Reminder Letter
,
Reminder Postcard
,
Final Letter
,
FAQ Insert 1
,
FAQ Insert 2
,
Fall 2023 SMS Text Options
,
Outgoing Package Envelope
,
Notional Draft Questionnaire
Usability Testing for the Interactive Question Preview Tool for the Annual Integrated Economic Survey
1
AIES Interactive Question Preview Tool Screenshots
Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study
4, 1, 2, 3
Income and Profile Questionnaire
,
Initial Interview
,
Food Log Questionnaire
,
Debriefing Interview
Web Survey Design Standards Eye Tracking Research
1
Questionnaire
Wireframe Usability Testing of GQ Electronic Instruments
1
GQAC and ISR Dashboard Wireframes
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?
No
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:
10/14/2022