Information Collection

Dual System Estimation Followup Questionnaire, Integrated Coverage Measurement, 1995 Census Test

IC 105438 under ICR 199503-0607-003 · OMB 0607-0806.

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IC Title:

DUAL SYSTEM ESTIMATION FOLLOWUP QUESTIONNAIRE, INTEGRATED COVERAGE MEASUREMENT, 1995 CENSUS TEST

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DG-1301				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,100	2,100
Annual IC Time Burden (Hours)	525	525
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Title	Document	Date Uploaded

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