Census 2010 Confidentiality/Privacy Notification Experiment

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

OMB: 0607-0952

IC ID: 188820

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0952 can be found here:

2011-03-25 - No material or nonsubstantive change to a currently approved collection
2010-07-13 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
D-5(L) MOMB Advance Letter D5 12-12-08.pdf Other-Standard 2010 Advance Letter
D-5 Advance letter Env D4 03-30-09.pdf Other-Standard 2010 Advance Letter E
D-6A(IN) Initial MOMB Outgoing Env Draft 5 03-24-09.pdf Other-Standard 2010 IQ Outgoing Enve
D-8A(X1) Return Envelope for CPEX D2 040309.pdf Other-2010 CPEX IQ Return Envelope (
D-16(L) MOMB Cover Letter D9 121208.pdf Other-Standard 2010 IQ Cover Letter
D-16(L)(X9) CPEX Cover Letter D2 03302009.pdf Other-2010 Experimental IQ Cover Let
D-16(L)(X10) CPEX Cover Letter D2 03302009.pdf Other-2010 Experimental IQ Cover Let
D-9 MOMB Reminder Postcard D6 121608.pdf Other-Standard 2010 Reminder Postcar
D-6C(IN) Replacement Mail Outgoing Env Draft 4 03-24-09.pdf Other-Standard 2010 RQ Outgoing Enve
D-8C(IN) UL and Repl Return Env Draft 7 040309.pdf Other-2010 CPEX RQ Return Envelope (
D-17(L) MOMB Replacement Cover Ltr D9 121208.pdf Other-Standard 2010 RQ Cover Letter
D-17(L)(X2) CPEX Replacement Mailing Letter D2 03302009.pdf Other-2010 Experimental RQ Cover Let
D-17(L)(X3) CPEX Replacement Mailing Letter D1 03-30-09.pdf Other-2010 Experimental RQ Cover Let
D-1 XA Control A: Standard 2010 Questionnaire (including help l D-1(XA)_1_3_040209.pdf Form
CPEX OMB Census 2010 Confidentiality-Privacy Notification_detailed OMB_041609_v2.doc Confidentiality/Privacy Notification Experiment Plan IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Census 2010 Confidentiality/Privacy Notification Experiment	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Other-Standard 2010 Reminder Postcard			D-9 MOMB Reminder Postcard D6 121608.pdf	No	Paper Only
Other-Standard 2010 RQ Outgoing Envelope			D-6C(IN) Replacement Mail Outgoing Env Draft 4 03-24-09.pdf	No	Paper Only
Other-2010 Experimental RQ Cover Letter Version 3 (Privacy Message 2)			D-17(L)(X3) CPEX Replacement Mailing Letter D1 03-30-09.pdf	No	Paper Only
Other-2010 CPEX IQ Return Envelope (no postal tracking)			D-8A(X1) Return Envelope for CPEX D2 040309.pdf	No	Paper Only
Other-Standard 2010 Advance Letter			D-5(L) MOMB Advance Letter D5 12-12-08.pdf	No	Paper Only
Other-Standard 2010 Advance Letter Envelope			D-5 Advance letter Env D4 03-30-09.pdf	No	Paper Only
Other-Standard 2010 IQ Outgoing Envelope			D-6A(IN) Initial MOMB Outgoing Env Draft 5 03-24-09.pdf	No	Paper Only
Other-2010 Experimental IQ Cover Letter Version 9 (Privacy Message 1)			D-16(L)(X9) CPEX Cover Letter D2 03302009.pdf	No	Paper Only
Other-2010 CPEX RQ Return Envelope (no postal tracking)			D-8C(IN) UL and Repl Return Env Draft 7 040309.pdf	No	Paper Only
Other-Standard 2010 RQ Cover Letter			D-17(L) MOMB Replacement Cover Ltr D9 121208.pdf	No	Paper Only
Other-2010 Experimental RQ Cover Letter Version 2 (Privacy Message 1)			D-17(L)(X2) CPEX Replacement Mailing Letter D2 03302009.pdf	No	Paper Only
Other-2010 Experimental IQ Cover Letter Version 10 (Privacy Message 2)			D-16(L)(X10) CPEX Cover Letter D2 03302009.pdf	No	Paper Only
Form	D-1 XA	Control A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases)	D-1(XA)_1_3_040209.pdf	No	Paper Only
Other-Standard 2010 IQ Cover Letter			D-16(L) MOMB Cover Letter D9 121208.pdf	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Confidentiality/Privacy Notification Experiment Plan	CPEX OMB Census 2010 Confidentiality-Privacy Notification_detailed OMB_041609_v2.doc	05/11/2009

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