Information Collection Request

Generic Clearance for 2010 Census Program for Evaluations & Experiments (CPEX)

ICR 200902-0607-007 · OMB 0607-0952 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2010 AQE Reintervi 2010 AQE Reinterview Evaluation Questionnaire Form New Available
Form D-20(X1) Census 2010 Individual Census Report Form New Available
Form Content Reintervie Content Reinterview -- Interviewer Protocol Form New Available
Form D-1 X17 2010 Experimental Questionnaire Version 17 (Race) Form New Available
Form D-1 X16 2010 Experimental Questionnaire Version 16 (Race) Form New Available
Form D-1 X15 2010 Experimental Questionnaire Version 15 (Race) Form New Available
Form D-1 X14 2010 Experimental Questionnaire Version 14 (Race) Form New Available
Form D-1 X13 2010 Experimental Questionnaire Version 13 (Coverage) Form New Available
Form D-1 X12 2010 Experimental Questionnaire Version 12 (Hispanic Origin) Form New Available
Form D-1 X11 2010 Experimental Questionnaire Version 11 (Race and Hispanic Origin) Form New Available
Form D-1 X10 2010 Experimental Questionnaire Version 10 (Race and Hispanic Origin) Form New Available
Form D-1 X9 2010 Experimental Questionnaire Version 9 (Race and Hispanic Origin) Form New Available
Form D-1 X8 2010 Experimental Questionnaire Version 8 (Hispanic Origin) Form New Available
Form D-1 X7 2010 Experimental Questionnaire Version 7 (Hispanic Origin) Form New Available
Form D-1 X6 2010 Experimental Questionnaire Version 6 (Race) Form New Available
Form D-1 X5 2010 Experimental Questionnaire Version 5 (Combined Race/Hispanic Origin) Form New Available
Form D-1 X4 2010 Experimental Questionnaire Version 4 (Combined Race/Hispanic Origin) Form New Available
Form D-1 X3 2010 Experimental Questionnaire Version 3 (Combined Race/Hispanic Origin) Form New Available
Form D-1 X2 2010 Experimental Questionnaire Version 2 (Combined Race/Hispanic Origin) Form New Available
Form D-1 X1 2010 Experimental Questionnaire Version 1 (Census 2000 form) Form New Available
Form D-1 XB Control B: Standard 2010 Questionnaire without the overcount detection question (including help line telephone number only for experimental cases) Form New Available
Form D-1 XA Control A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases) Form New Available
Form D-1 XA Control A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases) Form New Available
Form D-1 XA Control A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases) Form New Available
Form DRIS DRIS 2010 IVR System Customer Satisfaction Survey Form New Available
Form Census 2010 Enumer D-1(E)(X2) Form New Available
Form Census 2010 Enumer D-1(E)(X1) Form New Available
Form Census 201 Enumera D-1(E) Form New Available
Form D-20(X1) Census 2010 Individual Census Report Form New Available
omb83-i ATTACHMENT - Generic Clearance for the 2010 Census Program for Evaluations and Experiments - Form Numbers - 02-17-09.doc Supplementary Document Uploaded 2009-02-23 Available
OMB CPEX SUPPORTING STATEMENT PART B -05-11-09 - Final Draft For DMD Review_v2.doc Supporting Statement B Uploaded 2009-05-12 Available
OMB CPEX SUPPORTING STATEMENT PART A - 05-11-09 - Final Draft For OMB Review_v2.doc Supporting Statement A Uploaded 2009-05-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
190437 2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation Form New2010 AQE Reinterview Evaluation Questionnaire
190088 Changes to Census 2010 Alternative Group Quarters Evaluation Form NewCensus 2010 Individual Census Report
189914 2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation and 2010 Content Reinterview Evaluation Other-Prenotice Letter New
189914 2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation and 2010 Content Reinterview Evaluation Form NewContent Reinterview -- Interviewer Protocol
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 17 (Race)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 16 (Race)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 15 (Race)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 14 (Race)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 13 (Coverage)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 12 (Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 11 (Race and Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 10 (Race and Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 9 (Race and Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 8 (Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 7 (Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 6 (Race)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 5 (Combined Race/Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 4 (Combined Race/Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 3 (Combined Race/Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 2 (Combined Race/Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form New2010 Experimental Questionnaire Version 1 (Census 2000 form)
188914 201 Census Alternative Questionnaire Experiment Form NewControl B: Standard 2010 Questionnaire without the overcount detection question (including help line telephone number only for experimental cases)
188914 201 Census Alternative Questionnaire Experiment Form NewControl A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases)
188914 201 Census Alternative Questionnaire Experiment Other-Standard 2010 Advance Letter New
188822 Census 2010 Deadline Messaging/Compressed Schedule Experiment Form NewControl A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases)
188822 Census 2010 Deadline Messaging/Compressed Schedule Experiment Other-Standard 2010 Advance Letter New
188820 Census 2010 Confidentiality/Privacy Notification Experiment Form NewControl A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases)
188820 Census 2010 Confidentiality/Privacy Notification Experiment Other-Standard 2010 Advance Letter New
188782 Census 2010 IVR Customer Satisfaction Survey Evaluation Form NewDRIS 2010 IVR System Customer Satisfaction Survey
188713 Census 2010 Nonresponse Followup (NRFU) Experiment Form NewD-1(E)(X2)
188713 Census 2010 Nonresponse Followup (NRFU) Experiment Form NewD-1(E)(X1)
188713 Census 2010 Nonresponse Followup (NRFU) Experiment Form NewD-1(E)
188712 Census 2010 Alternative Group Quarters (GQ) Evaluation Form NewCensus 2010 Individual Census Report

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2011 12/31/2011
1,155,016 0 0
11,130 0 0
0 0 0





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9
table that charts list of burden
IC Title Form No. Form Name
201 Census Alternative Questionnaire Experiment D-1 X5, D-1 X7, D-1 XA, D-1 XB, D-1 X10, D-1 X12, D-1 X11, D-1 X9, D-1 X2, D-1 X4, D-1 X8, D-1 X1, D-1 X3, D-1 X6, D-1 X14, D-1 X15, D-1 X16, D-1 X17, D-1 X13 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation 2010 AQE Reinterview Evaluation Questionnaire
2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation and 2010 Content Reinterview Evaluation Content Reinterview -- Interviewer Protocol
Census 2010 Alternative Group Quarters (GQ) Evaluation D-20(X1)
Census 2010 Confidentiality/Privacy Notification Experiment D-1 XA
Census 2010 Deadline Messaging/Compressed Schedule Experiment D-1 XA
Census 2010 IVR Customer Satisfaction Survey Evaluation DRIS
Census 2010 Nonresponse Followup (NRFU) Experiment Census 201 Enumerator Questionnaire, Census 2010 Enumerator Questionnaire, Census 2010 Enumerator Questionnaire ,   ,  
Changes to Census 2010 Alternative Group Quarters Evaluation D-20(X1)

table that charts list 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 1,155,016 0 0 1,155,016 0 0
Annual Time Burden (Hours) 11,130 0 0 11,130 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No