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ACS Respondent Burden Cognitive Testing
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Survey Questions Attachment F ACS Respondent Burden Testing Interviewer Administered Survey Questions.doc No   Fillable Fileable
Form and Instruction 2 Roster Questions for Group 1 Attachment G Interviewer Administered Roster Questions (Group 1).doc No   Fillable Fileable
Form and Instruction 3 Roster Questions for Group 2 Attachment H Interviewer Administered Roster Questions (Group 2).doc No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

24 0
   
Individuals or Households
 
   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 24 0 24 0 0 0
Annual IC Time Burden (Hours) 58 0 58 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo OMB Memo Weeks Worked, Income, YRNAT, YOE Spanish 06122017 .docx 06/12/2017
Recruitment Plan, Recruitment Screener, and Recruitment Advertising Flyer Attachment A ACS Respondent Burden Testing Spanish Language Recruitment Plan_Screener_ Ad Flyer.docx 06/12/2017
Consent Form Attachment B ACS Respondent Burden Testing Spanish Language Consent Form.doc 06/12/2017
Cognitive Interview Protocol (Group 1, Version 1) Attachment C ACS Respondent Burden Testing Spanish Language Protocol Group 1 Version 1.docx 06/12/2017
Cognitive Interview Protocol (Group 1, Version 2) Attachment D ACS Respondent Burden Testing Spanish Language Protocol Group 1 Version 2 (1).docx 06/12/2017
Cognitive Interview Protocol (Group 2) Attachment E ACS Respondent Burden Testing Spanish Language Protocol Group 2.docx 06/12/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.