Information Collection

2003 National Census Test

IC 3641 under ICR 200208-0607-002 · OMB 0607-0900.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

2003 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	DA-1D	Yes	Yes
Form	DA-1(RH-2)	Yes	Yes
Form	DA-1(RH-1)	Yes	Yes
Form	DA-1(RH-3)	Yes	Yes
Form	DA-1B	Yes	Yes
Form	DA-1DD	Yes	Yes
Form	DA-1(RH-6)	Yes	Yes
Form	DA-11A	Yes	Yes
Form	DA-1C	Yes	Yes
Form	DA-1(RH-4)	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 21 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240,000	240,000
Annual IC Time Burden (Hours)	40,000	40,000
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.

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