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Agenda
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
American Community Survey (ACS) Respondent Comment/Feedback
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
13 CFR U.S.C. ยงยง 141 and 193 (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
Instruction
Enclosure 3-Round 2 Protocol.docx
Yes
Yes
Printable Only
Form
2017 ACS form
2017 ACS form
Enclosure 4 - informational copy of 2017 questionnaire.pdf
Yes
Yes
Printable Only
Form
Comment and Feedback Question
Comment and Feedback Question
Enclosure 5-Respondent Comment and Feedback Questions.pdf
Yes
Yes
Printable Only
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:
35
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
35
0
35
0
0
0
Annual IC Time Burden (Hours)
21
0
21
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Memo
ACS Respondent-Comment Feedback_Cover Memo.docx
01/19/2018
Enclosure 1
Enclosure 1-Round 1 Protocol with ACS Burden Questions.docx
01/19/2018
Enclosure 2
Enclosure 2- Round 1 Protocol with Respondent Comment-Feedback Questions.docx
01/19/2018
Enclosure 6
Enclosure 6 - Additional Screener Question.docx
01/19/2018
Enclosure 7
Enclosure 7 - Recruitment advertisement text.docx
01/19/2018
Enclosure 8
Enclosure 8 - Consent Form.docx
01/19/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.