View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Custom Tables Request Form for American Community Survey data products already available on data.census.gov	Agency IC Tracking Number:	Census

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Attachment A	ACS Custom Tables Form	2A. Attachment A_ACS_Custom_Tables_Form-2-24-2021.docx		Yes	Yes	Fillable Fileable
Form	None	Custom Tabulation Form	Custom Tabulation Form 210309.pdf		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: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	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	60	0	60	0	0	0
Annual IC Time Burden (Hours)	30	0	30	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
ACS Custom Tables Request Form Privacy Act Statement	Custom Tables Request Form for ACS Privacy Statement.docx	03/09/2021
Generic Clearance Custom Tables Request Form for American Community Survey data products already available on data.census.gov Fast Track Request	Generic Clearance Custom Tables Request Form for ACS data products already available on data.census.gov Fast Track Request.docx	03/09/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.