2004 Census Test

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
3654	2004 Census Test Form	Migrated

ICR Details

OMB Control No: 0607-0906	ICR Reference No: 200310-0607-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: 2004 Census Test
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/02/2003
	Date Received in OIRA: 10/08/2003
Terms of Clearance: Approval is given under the following conditions: (1) If Census does not receive the FY04 Budget Request for this test, a revised plan should be submitted (via email) to OMB for approval; (2) Census should analyze and report to OMB (via email) the results of testing a race question without 'some other race' as a category. In addition, Census should report to OMB the results of responses to the Hispanic origin question; of particular interest is the number of respondents who provided more than one detailed Hispanic origin response; (3) Census should analyze the effects of the number of call back visits prior to obtaining proxy data and report to OMB (via email) this analysis. In addition, Census is encouraged to continue evaluation work that is examining the Census 2000 call back visits; (4) Census should provide to OMB the final respondent letters (email or fax).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2004	12/31/2004
Responses	205,800	0	0
Time Burden (Hours)	33,530	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Census 2000 taught us important lessons emphasizing the need to begin planning and development early in the decade. The 2004 Census Test, which is a significant component of the advanced planning, will evaluate new methods, procedures, wording, ques- tions and instructions designed to reduce cots while improving coverage and data quality. The Census Bureau will select the most promising changes and innovations for use in Census 2010. This test will be limited to NW Queens and three counties in SW Georgia. Every housing unit in these two sites will receive a questinnaire.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
2004 Census Test	DB-1-DB-1(F), DB-5-DB-5(L), DB-6A-DB-6C, DB-6C, DB-8, DB-31, DB-16(L), DB-16(L)(UL), DB-17(L), DB-9

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ICR Summary of Burden

	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	205,800	0	0	205,800	0	0
Annual Time Burden (Hours)	33,530	0	0	33,530	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/08/2003

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