Information Collection

Various Pretesting Activities (see attached list)

IC 189404 under ICR 200902-0607-002 · OMB 0607-0725.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
omb0901CPEXraceethnicityenc.wpd.pdf Other-Cognitive Testing -- 2010 Cens
omb0902AFFwebsiteenc1.doc Other-Usability Test -- American Fac
omb0902AFFwebsiteenc2.wpd Other-Usability Test -- American Fac
omb0902AFFwebsiteenc3wpd.doc Other-Usability Test -- American Fac
ombCPEXovercountenc0903.doc.pdf Other-Cognitive Testing -- 2010 Alte
omb0904Unbanked2enc.doc Other-Additional Cognitive Interview
OMBNISfocus groups0906enc1revised3.wpd Other-Focus Group -- National Immuni
OMBNISfocusgroups0906enc2revised3.doc Other-Focus Group -- National Immuni
OMBNISfocus groups0906enc3revised2.doc Other-Focus Group -- National Immuni
OMBNISfocusgroups0906enc4revised3.doc Other-Focus Group -- National Immuni
OMBNISfocus groups0906enc5revised2.wpd.pdf Other-Focus Group -- National Immuni
OMBNISfocus groups0906enc6revised2.doc Other-Focus Group -- National Immuni
OMBNISfocus groups0906enc7revised2.wpd.pdf Other-Focus Group -- National Immuni
OMBNISfocus groups0906enc8revised2.doc Other-Focus Group -- National Immuni
omb2008pfu0907enc1.pdf Other-Field Test -- 2008 Person Foll
omb2008pfu0907enc2.pdf Other-Field Test -- 2008 Person Foll
mini-PFU respondent debriefing probes.doc Other-Field Test -- 2008 Person Foll
omb2010GQEicr0908enc1.pdf Other-Cognitive Interviews -- 2010 I
omb2010GQEicr0908enc2.pdf Other-Cognitive Interviews -- 2010 I
omb2010GQEicr0908enc3.doc Other-Cognitive Interviews -- 2010 I
omb0909CPEXraceethnicity2enc1.doc Other-Additional Cognitive Testing -
omb0909CPEXraceethnicity2enc2.doc Other-Additional Cognitive Testing -
omb0909CPEXraceethnicity2enc3.doc Other-Additional Cognitive Testing -
omb0909CPEXraceethnicity2enc4.doc Other-Additional Cognitive Testing -
omb0910ACS2010materialsround2enc1.pdf Other-Cognitive Testing -- ACS Envel
omb0910ACS2010materialsround2enc2.pdf Other-Cognitive Testing -- ACS Envel
omb0910ACS2010materialsround2enc3.pdf Other-Cognitive Testing -- ACS Envel
omb0910ACS2010materialsround2enc4.pdf Other-Cognitive Testing -- ACS Envel
omb0910ACS2010materialsround2enc5.pdf Other-Cognitive Testing -- ACS Envel
omb0910ACS2010materialsround2enc6.pdf Other-Cognitive Testing -- ACS Envel
omb0910ACS2010materialsround2enc7.pdf Other-Cognitive Testing -- ACS Envel
omb0910ACS2010materialsround2enc8.pdf Other-Cognitive Testing -- ACS Envel
omb0910ACS2010materialsround2enc9.doc Other-Cognitive Testing -- ACS Envel
omb0911cpexdeadlinemessagesround2enc1.pdf Other-Cognitive Testing -- 2010 Cens
omb0911cpexdeadlinemessagesround2enc2.pdf Other-Cognitive Testing -- 2010 Cens
omb0911cpexdeadlinemessagesround2enc3.pdf Other-Cognitive Testing -- 2010 Cens
omb0911cpexdeadlinemessagesround2enc4.pdf Other-Cognitive Testing -- 2010 Cens
omb0911cpexdeadlinemessagesround2enc5.pdf Other-Cognitive Testing -- 2010 Cens
omb0911cpexdeadlinemessagesround2enc6.pdf Other-Cognitive Testing -- 2010 Cens
omb0911CPEXdeadlinemessagesround2enc7.pdf Other-Cognitive Testing -- 2010 Cens
omb0911cpexdeadlinemessagesround2enc8.doc Other-Cognitive Testing -- 2010 Cens
OMB0912englishchinesecognitiveinterviewsenc1.doc Other-Cognitive Interviews -- Health
OMB0912englishchinesecognitiveinterviewsenc2.doc Other-Cognitive Interviews -- Health
OMB0913vignettesenc1.doc Other-Qualitiaive Interviews -- Vign
OMB0913vignettesenc2.doc Other-Qualitiaive Interviews -- Vign
OMB0913vignettesenc3.wpd Other-Qualitiaive Interviews -- Vign
OMB0913vignettesenc4.wpd Other-Qualitiaive Interviews -- Vign
OMB0914ACSloginstudyenc1.pdf Other-Split Panel Test -- ACS Intern
OMB0914ACSloginstudyenc2.pdf Other-Split Panel Test -- ACS Intern
OMB0914ACSloginstudyenc3.pdf Other-Split Panel Test -- ACS Intern
OMB0914ACSloginstudyenc4.pdf Other-Split Panel Test -- ACS Intern
OMB0914ACSloginstudyenc5.pdf Other-Split Panel Test -- ACS Intern
OMB0914ACSloginstudyenc6.pdf Other-Split Panel Test -- ACS Intern
OMB0914ACSloginstudyenc7.pdf Other-Split Panel Test -- ACS Intern
OMB0914ACSloginstudyenc8.pdf Other-Split Panel Test -- ACS Intern
omb0915cpsasecenc1.wpd Other-Field Test -- CPS ASEC Measure
omb0915cpsasecenc2.wpd Other-Field Test -- CPS ASEC Measure
OMB0916ACSfoodstampsenc1.wpd Other-Cognitive Interviews -- ACS Fo
OMB0916ACSfoodstampsenc2.wpd.pdf Other-Cognitive Interviews -- ACS Fo
omb0916ACSfoodstampsenc3.doc Other-Cognitive Interviews -- ACS Fo
OMB09182010ACSContent testenc1.pdf Other-Cognitive Research -- 2010 ACS
omb09182010ACScontent testenc2.pdf Other-Cognitive Research -- 2010 ACS
omb09182010ACScontent testenc3.pdf Other-Cognitive Research -- 2010 ACS
questions for Content Test_to OMB_rev 041309.pdf Other-Cognitive Research -- 2010 ACS
omb0920ACS2010materialsround3enc1.pdf Other-Cognitive Testing -- ACS Flyer
omb0920ACS2010materialsround3enc2.doc Other-Cognitive Testing -- ACS Flyer
omb0920ACS2010materialsround3enc3.pdf Other-Cognitive Testing -- ACS Flyer
omb0920ACS2010materialsround3enc4.pdf Other-Cognitive Testing -- ACS Flyer
omb0920ACS2010materialsround3enc5.pdf Other-Cognitive Testing -- ACS Flyer
omb0920ACS2010materialsround3enc6.pdf Other-Cognitive Testing -- ACS Flyer
omb0920ACS2010materialsround3enc7.pdf Other-Cognitive Testing -- ACS Flyer
omb0920ACS2010materialsround3enc8.pdf Other-Cognitive Testing -- ACS Flyer
omb0920ACS2010materialsround3enc9.doc Other-Cognitive Testing -- ACS Flyer
omb0920ACS2010materialsround3enc10.doc Other-Cognitive Testing -- ACS Flyer
omb09232010CPEXracereinterviewenc1rev.doc Other-Cognitive Testing -- Hispanic
omb09232010CPEXrace reinterviewenc2rev.doc Other-Cognitive Testing -- Hispanic
gen ic list.xls
List of ICs Included in this Batch
IC Document
omb0901CPEXraceethnicity.wpd
Cognitive Testing Plan -- 2010 Census Race & Hispanic Origin Questions Test Plan
IC Document
omb0902AFFwebsite.wpd
Usability Test Plan -- American Fact Finder
IC Document
ombCPEXovercount0903.doc
Cognitive Testing Plan -- 2010 Alternative Questionnaire Experiment (Overcount Questions)
IC Document
omb0904Unbanked2.wpd
Additional Cognitive Interviewing Plan -- CPS Underbanked and Unbanked Supplement
IC Document
OMBNISfocus groups0906revised2.wpd
Focus Group Plan -- National Immunization Survey Pilot Test
IC Document
omb2008pfu0907.wpd
Field Test Plan -- 2008 Person Followup Form
IC Document
omb2010GQEicr0908.wpd
Cognitive Interview Plan -- 2010 Individual Census Form
IC Document
omb0909CPEXraceethnicity2.doc
Additional Cognitive Testing Plan -- 2010 Census Race Questions
IC Document
OMB0910ACS2010materialsround2.doc
Cognitive Testing Plan -- ACS Envelopes
IC Document
omb0911cpexdeadlinemessagesround2.wpd
Cognitive Testing Plan -- 2010 Census Deadline Messages
IC Document
OMB0912englishchinesecognitiveinterviews.doc
Cognitive Interviewing Plan -- Health & Demographic Topics for National Cancer Institute
IC Document
OMB0913vignettes.wpd
Qualitiaive Interviewing Plan -- Vignettes
IC Document
omb0914acsloginstudy.pdf
Split Panel Test Plan -- ACS Internet Version
IC Document
OMB0915cpsasec.wpd
Field Test Plan -- CPS ASEC Measurement Error
IC Document
omb0916ACSfoodstamps.wpd
Cognitive Interviewing Plan -- ACS Foodstamp Question
IC Document
omb09182010ACScontent test.doc
Cognitive Research Plan -- 2010 ACS
IC Document
omb0920ACS2010materialsround3.doc
Cognitive Testing Plan -- ACS Flyer
IC Document
omb09232010CPEXracereinterview.wpd
Cognitive Testing Plan -- Hispanic & Race Questions on 2010 Census Reinterview
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Other-Cognitive Testing -- 2010 Alternative Questionnaire Experiment (Overcount Questions) Enclosure 1 ombCPEXovercountenc0903.doc.pdf No   Paper Only
Other-Additional Cognitive Interviews -- CPS Underbanked and Unbanked Supplement Enclosure 1 omb0904Unbanked2enc.doc No   Paper Only
Other-Focus Group -- National Immunization Survey Pilot Test Enclosure 1 OMBNISfocus groups0906enc1revised3.wpd No   Paper Only
Other-Focus Group -- National Immunization Survey Pilot Test Enclosure 2 OMBNISfocusgroups0906enc2revised3.doc No   Paper Only
Other-Focus Group -- National Immunization Survey Pilot Test Enclosure 3 OMBNISfocus groups0906enc3revised2.doc No   Paper Only
Other-Focus Group -- National Immunization Survey Pilot Test Enclosure 4 OMBNISfocusgroups0906enc4revised3.doc No   Paper Only
Other-Focus Group -- National Immunization Survey Pilot Test Enclosure 5 OMBNISfocus groups0906enc5revised2.wpd.pdf No   Paper Only
Other-Focus Group -- National Immunization Survey Pilot Test Enclosure 6 OMBNISfocus groups0906enc6revised2.doc No   Paper Only
Other-Focus Group -- National Immunization Survey Pilot Test Enclosure 7 OMBNISfocus groups0906enc7revised2.wpd.pdf No   Paper Only
Other-Focus Group -- National Immunization Survey Pilot Test Enclosure 8 OMBNISfocus groups0906enc8revised2.doc No   Paper Only
Other-Field Test -- 2008 Person Followup Form Enclosure 1 omb2008pfu0907enc1.pdf No   Paper Only
Other-Field Test -- 2008 Person Followup Form Enclosure 2 omb2008pfu0907enc2.pdf No   Paper Only
Other-Field Test -- 2008 Person Followup Form Enclosure 3 mini-PFU respondent debriefing probes.doc No   Paper Only
Other-Cognitive Interviews -- 2010 Individual Census Form Enclosure 1 omb2010GQEicr0908enc1.pdf No   Paper Only
Other-Cognitive Interviews -- 2010 Individual Census Form Enclosure 2 omb2010GQEicr0908enc2.pdf No   Paper Only
Other-Cognitive Interviews -- 2010 Individual Census Form Enclosure 3 omb2010GQEicr0908enc3.doc No   Paper Only
Other-Additional Cognitive Testing -- 2010 Census Race Questions Enclosure 1 omb0909CPEXraceethnicity2enc1.doc No   Paper Only
Other-Additional Cognitive Testing -- 2010 Census Race Questions Enclosure 2 omb0909CPEXraceethnicity2enc2.doc No   Paper Only
Other-Additional Cognitive Testing -- 2010 Census Race Questions Enclosure 3 omb0909CPEXraceethnicity2enc3.doc No   Paper Only
Other-Additional Cognitive Testing -- 2010 Census Race Questions Enclosure 4 omb0909CPEXraceethnicity2enc4.doc No   Paper Only
Other-Cognitive Testing -- ACS Envelopes Enclosure 1 omb0910ACS2010materialsround2enc1.pdf No   Paper Only
Other-Cognitive Testing -- ACS Envelopes Enclosure 2 omb0910ACS2010materialsround2enc2.pdf No   Paper Only
Other-Cognitive Testing -- ACS Envelopes Enclosure 3 omb0910ACS2010materialsround2enc3.pdf No   Paper Only
Other-Cognitive Testing -- ACS Envelopes Enclosure 4 omb0910ACS2010materialsround2enc4.pdf No   Paper Only
Other-Cognitive Testing -- ACS Envelopes Enclosure 5 omb0910ACS2010materialsround2enc5.pdf No   Paper Only
Other-Cognitive Testing -- ACS Envelopes Enclosure 6 omb0910ACS2010materialsround2enc6.pdf No   Paper Only
Other-Cognitive Testing -- ACS Envelopes Enclosure 7 omb0910ACS2010materialsround2enc7.pdf No   Paper Only
Other-Cognitive Testing -- ACS Envelopes Enclosure 8 omb0910ACS2010materialsround2enc8.pdf No   Paper Only
Other-Cognitive Testing -- ACS Envelopes Enclosure 9 omb0910ACS2010materialsround2enc9.doc No   Paper Only
Other-Cognitive Testing -- 2010 Census Deadline Messages Enclosure 1 omb0911cpexdeadlinemessagesround2enc1.pdf No   Paper Only
Other-Cognitive Testing -- 2010 Census Deadline Messages Enclosure 2 omb0911cpexdeadlinemessagesround2enc2.pdf No   Paper Only
Other-Cognitive Testing -- 2010 Census Deadline Messages Enclosure 3 omb0911cpexdeadlinemessagesround2enc3.pdf No   Paper Only
Other-Cognitive Testing -- 2010 Census Deadline Messages Enclosure 4 omb0911cpexdeadlinemessagesround2enc4.pdf No   Paper Only
Other-Cognitive Testing -- 2010 Census Deadline Messages Enclosure 5 omb0911cpexdeadlinemessagesround2enc5.pdf No   Paper Only
Other-Cognitive Testing -- 2010 Census Deadline Messages Enclosure 6 omb0911cpexdeadlinemessagesround2enc6.pdf No   Paper Only
Other-Cognitive Testing -- 2010 Census Deadline Messages Enclosure 7 omb0911CPEXdeadlinemessagesround2enc7.pdf No   Paper Only
Other-Cognitive Testing -- 2010 Census Deadline Messages Enclosure 8 omb0911cpexdeadlinemessagesround2enc8.doc No   Paper Only
Other-Cognitive Interviews -- Health & Demographic Topics for National Cancer Institute Enclosure 1 OMB0912englishchinesecognitiveinterviewsenc1.doc No   Paper Only
Other-Cognitive Interviews -- Health & Demographic Topics for National Cancer Institute Enclosure 2 OMB0912englishchinesecognitiveinterviewsenc2.doc No   Paper Only
Other-Cognitive Testing -- 2010 Census Race & Hispanic Origin Questions Enclosure 1 omb0901CPEXraceethnicityenc.wpd.pdf No   Paper Only
Other-Usability Test -- American Fact Finder Enclosure 1 omb0902AFFwebsiteenc1.doc No   Paper Only
Other-Usability Test -- American Fact Finder Enclosure 2 omb0902AFFwebsiteenc2.wpd No   Paper Only
Other-Usability Test -- American Fact Finder Enclosure 3 omb0902AFFwebsiteenc3wpd.doc No   Paper Only
Other-Qualitiaive Interviews -- Vignettes Enclosure 1 OMB0913vignettesenc1.doc No   Paper Only
Other-Qualitiaive Interviews -- Vignettes Enclosure 2 OMB0913vignettesenc2.doc No   Paper Only
Other-Qualitiaive Interviews -- Vignettes Enclosure 3 OMB0913vignettesenc3.wpd No   Paper Only
Other-Qualitiaive Interviews -- Vignettes Enclosure 4 OMB0913vignettesenc4.wpd No   Paper Only
Other-Split Panel Test -- ACS Internet Version Enclosure 1 OMB0914ACSloginstudyenc1.pdf No   Paper Only
Other-Split Panel Test -- ACS Internet Version Enclosure 2 OMB0914ACSloginstudyenc2.pdf No   Paper Only
Other-Split Panel Test -- ACS Internet Version Enclosure 3 OMB0914ACSloginstudyenc3.pdf No   Paper Only
Other-Split Panel Test -- ACS Internet Version Enclosure 4 OMB0914ACSloginstudyenc4.pdf No   Paper Only
Other-Split Panel Test -- ACS Internet Version Enclosure 5 OMB0914ACSloginstudyenc5.pdf No   Paper Only
Other-Split Panel Test -- ACS Internet Version Enclosure 6 OMB0914ACSloginstudyenc6.pdf No   Paper Only
Other-Split Panel Test -- ACS Internet Version Enclosure 7 OMB0914ACSloginstudyenc7.pdf No   Paper Only
Other-Split Panel Test -- ACS Internet Version Enclosure 8 OMB0914ACSloginstudyenc8.pdf No   Paper Only
Other-Field Test -- CPS ASEC Measurement Error Enclosure 1 omb0915cpsasecenc1.wpd No   Paper Only
Other-Field Test -- CPS ASEC Measurement Error Enclosure 2 omb0915cpsasecenc2.wpd No   Paper Only
Other-Cognitive Interviews -- ACS Foodstamp Question Enclosure 1 OMB0916ACSfoodstampsenc1.wpd No   Paper Only
Other-Cognitive Interviews -- ACS Foodstamp Question Enclosure 2 OMB0916ACSfoodstampsenc2.wpd.pdf No   Paper Only
Other-Cognitive Interviews -- ACS Foodstamp Question Enclosure 3 omb0916ACSfoodstampsenc3.doc No   Paper Only
Other-Cognitive Research -- 2010 ACS Enclosure 1 OMB09182010ACSContent testenc1.pdf No   Paper Only
Other-Cognitive Research -- 2010 ACS Enclosure 2 omb09182010ACScontent testenc2.pdf No   Paper Only
Other-Cognitive Research -- 2010 ACS Enclosure 3 omb09182010ACScontent testenc3.pdf No   Paper Only
Other-Cognitive Research -- 2010 ACS Enclosure 4 questions for Content Test_to OMB_rev 041309.pdf No   Paper Only
Other-Cognitive Testing -- ACS Flyer Enclosure 1 omb0920ACS2010materialsround3enc1.pdf No   Paper Only
Other-Cognitive Testing -- ACS Flyer Enclosure 2 omb0920ACS2010materialsround3enc2.doc No   Paper Only
Other-Cognitive Testing -- ACS Flyer Enclosure 3 omb0920ACS2010materialsround3enc3.pdf No   Paper Only
Other-Cognitive Testing -- ACS Flyer Enclosure 4 omb0920ACS2010materialsround3enc4.pdf No   Paper Only
Other-Cognitive Testing -- ACS Flyer Enclosure 5 omb0920ACS2010materialsround3enc5.pdf No   Paper Only
Other-Cognitive Testing -- ACS Flyer Enclosure 6 omb0920ACS2010materialsround3enc6.pdf No   Paper Only
Other-Cognitive Testing -- ACS Flyer Enclosure 7 omb0920ACS2010materialsround3enc7.pdf No   Paper Only
Other-Cognitive Testing -- ACS Flyer Enclosure 8 omb0920ACS2010materialsround3enc8.pdf No   Paper Only
Other-Cognitive Testing -- ACS Flyer Enclosure 9 omb0920ACS2010materialsround3enc9.doc No   Paper Only
Other-Cognitive Testing -- ACS Flyer Enclosure 10 omb0920ACS2010materialsround3enc10.doc No   Paper Only
Other-Cognitive Testing -- Hispanic & Race Questions on 2010 Census Reinterview Enclosure 1 omb09232010CPEXracereinterviewenc1rev.doc No   Paper Only
Other-Cognitive Testing -- Hispanic & Race Questions on 2010 Census Reinterview Enclosure 2 omb09232010CPEXrace reinterviewenc2rev.doc No   Paper Only

Federal Enterprise Architecture Business Reference Module


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 1,188 0 1,188 0 0 0
Annual IC Time Burden (Hours) 835 0 835 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
List of ICs Included in this Batch gen ic list.xls 06/02/2009
Cognitive Testing Plan -- 2010 Census Race & Hispanic Origin Questions Test Plan omb0901CPEXraceethnicity.wpd 06/02/2009
Usability Test Plan -- American Fact Finder omb0902AFFwebsite.wpd 06/02/2009
Cognitive Testing Plan -- 2010 Alternative Questionnaire Experiment (Overcount Questions) ombCPEXovercount0903.doc 06/02/2009
Additional Cognitive Interviewing Plan -- CPS Underbanked and Unbanked Supplement omb0904Unbanked2.wpd 06/02/2009
Focus Group Plan -- National Immunization Survey Pilot Test OMBNISfocus groups0906revised2.wpd 06/02/2009
Field Test Plan -- 2008 Person Followup Form omb2008pfu0907.wpd 06/02/2009
Cognitive Interview Plan -- 2010 Individual Census Form omb2010GQEicr0908.wpd 06/02/2009
Additional Cognitive Testing Plan -- 2010 Census Race Questions omb0909CPEXraceethnicity2.doc 06/02/2009
Cognitive Testing Plan -- ACS Envelopes OMB0910ACS2010materialsround2.doc 06/02/2009
Cognitive Testing Plan -- 2010 Census Deadline Messages omb0911cpexdeadlinemessagesround2.wpd 06/02/2009
Cognitive Interviewing Plan -- Health & Demographic Topics for National Cancer Institute OMB0912englishchinesecognitiveinterviews.doc 06/02/2009
Qualitiaive Interviewing Plan -- Vignettes OMB0913vignettes.wpd 06/02/2009
Split Panel Test Plan -- ACS Internet Version omb0914acsloginstudy.pdf 06/02/2009
Field Test Plan -- CPS ASEC Measurement Error OMB0915cpsasec.wpd 06/02/2009
Cognitive Interviewing Plan -- ACS Foodstamp Question omb0916ACSfoodstamps.wpd 06/02/2009
Cognitive Research Plan -- 2010 ACS omb09182010ACScontent test.doc 06/02/2009
Cognitive Testing Plan -- ACS Flyer omb0920ACS2010materialsround3.doc 06/02/2009
Cognitive Testing Plan -- Hispanic & Race Questions on 2010 Census Reinterview omb09232010CPEXracereinterview.wpd 06/02/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.