View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

QR Code usability testing for mobile surveys Census
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Enclosure 1 1. Recruitment Flyer - Census.pdf Yes Yes Fillable Fileable
Other-Enclosure 2 2. Screener Questions - Census.docx Yes Yes Fillable Fileable
Other-Enclosure 3 3. Informed Consent - Census.docx Yes Yes Fillable Fileable
Other-Enclosure 4 4. Protocol - Census.docx Yes Yes Fillable Fileable
Other-Enclosure 5 5. Demographic Questionnaire - Census.docx Yes Yes Fillable Fileable
Other-Enclosure 6 6. PC Task - Census.docx Yes Yes Fillable Fileable
Other-Enclosure 7 7. Smartphone Task - Census.docx Yes Yes Fillable Fileable
Other-Enclosure 8 8. Satisfaction Questionnaire - Census.docx Yes Yes Fillable Fileable
Other-Enclosure 9 9. Debriefing Questions - Census.docx Yes Yes Fillable Fileable
Other-Enclosure 10 10. Incentive Form - Census.docx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

60 0
   
Individuals or Households
 
   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) 13 0 13 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB letter QR Code – Census OMB letter QR Code - Census.docx 01/25/2022
Fast Track Generic Clearance Request - Census Fast Track Generic Clearance Request for the Collection of Routine Customer Feedback - Census.docx 01/25/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.