Information Collection

The 1995 National Census Test

IC 105440 under ICR 199504-0607-001 · OMB 0607-0808.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

THE 1995 NATIONAL 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.	Available Electronically?	Can Be Submitted Electronically?
Form	DH-1A	No	No
Form	DH-1B	No	No
Form	DH-1C	No	No
Form	DH-1D	No	No
Form	DH-1E	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,000

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	1	1
Annual IC Time Burden (Hours)	2,550	2,550
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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