View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	2010, 2011 & 2012 Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-ACS-12(L)S - Prenotice Letter			Attachment A ACS-0012(L)S - Prenotice Letter.pdf		No		Paper Only
Other-ACS-13(L)SM - Introductory Letter			Attachment B ACS-0013(L)SM - Introductory Letter.pdf		No		Paper Only
Form	ACS-1	American Community Survey	Attachment C ACS-0001 - Questionnaire.pdf		No		Paper Only
Other-ACS-10SM - Frequently Asked Question Brochure			Attachment D ACS-0010SM - Frequently Asked Question Brochure.pdf		No		Paper Only
Instruction			Attachment E ACS-0030 - Instruction Guide Booklet.pdf		No		Paper Only
Other-ACS-20S - Reminder Card			Attachment F ACS-0020S - Reminder Card.pdf		No		Paper Only
Other-ACS-14(L)SM - Followup Letter			Attachment G ACS-0014(L)SM - Followup Letter.pdf		No		Paper Only
Other-2010 ACS Content Test Cognitive Interviewing Final Report			Attachment H 2010 ACS Content Test Cognitive Interviewing Final Report.pdf		No		Paper Only
Other-2010 ACS Content Test Proposed Field Test Question Wording			Attachment I Content Test Questions 112509.xls		No		Paper Only
Other-Internet Mode Test Proposed Sample Screen Shots			Attachment J Internet Screen Shots.doc		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: 169,667	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 49 %

	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	196,333	0	0	0	0	196,333
Annual IC Time Burden (Hours)	92,422	0	0	0	0	92,422
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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