The 1997 American Community Survey (ACS) Group Quarters Facility Questionnaire

ICR 199612-0607-001

OMB: 0607-0836

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0607-0836 199612-0607-001
Historical Active
DOC/CENSUS
The 1997 American Community Survey (ACS) Group Quarters Facility Questionnaire
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/03/1997
Retrieve Notice of Action (NOA) 12/05/1996
Approved with the revisions agreed to on 2/3/97 (submitted for the record on 2/4/97).
  Inventory as of this Action Requested Previously Approved
10/31/1999 10/31/1999
100 0 0
17 0 0
0 0 0

We will conduct enumeration at Group Quarters (GQs) during the 1997 American Community Survey (ACS) test. A requirement for enumerating individuals at a GQ is to establish contact with the facility beforehand to obtain some information about the facility and the people who stay there. This is the purpose of the GQ Facility Questionnaire operation. Staff from the Detriot Regional Office (RO) will conduct the facility questionnaire by telephone with each sample facility to learn more about the facility, its residents and the types of records it maintains on its residents.

None
None


No

1
IC Title Form No. Form Name
The 1997 American Community Survey (ACS) Group Quarters Facility Questionnaire ACS-2(GQ)

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 100 0 0 100 0 0
Annual Time Burden (Hours) 17 0 0 17 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/05/1996


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