Information Collection

Cognitive Testing of the 2008 Be Counted Questionnaire

IC 182831 under ICR 200704-0607-002 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DX-10 Cognitive Testing of the 2008 Be Counted Questionnaire	Form
DX-10 2008 Census Dress Rehearsal Be Counted Form omb2007BeCountedenc.pdf	Form
omb2007BeCounted.wpd Justification & Description of 2008 Be Counted Form Cognitive Testing	IC Document

IC Title:

Cognitive Testing of the 2008 Be Counted Questionnaire

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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	DX-10	2008 Census Dress Rehearsal Be Counted Form	omb2007BeCountedenc.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

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 New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	30	0	0	0	0	0
Annual IC Time Burden (Hours)	30	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification & Description of 2008 Be Counted Form Cognitive Testing	omb2007BeCounted.wpd	11/26/2007

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