Instruments

2010 Census Integrated Communication Program (ICP) Evaluation

OMB: 0607-0955

IC ID: 189290

Information Collection (IC) Details

View Information Collection (IC)

Instruments
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2010 Census ICP Evaluation Questionnaire Wave 3 2010 Census ICP Evaluation Questionnaire Wave 3 2010 Census ICP Evaluation Questionnaire WAVE3 052709.doc Yes Yes Fillable Fileable
Other-Advance letter for panel participants Appendix G_Advance letter panel participant.doc No   Paper Only
Other-Advance letter sent to core sample households with matched phone number Appendix A CICPE Advance Letter (No Phone)_071409.doc No   Paper Only
Other-Advance letter sent to oversample households with matched phone number Appendix B CICPE Advance Letter (matched phone) 071409.doc No   Paper Only
Form 2010 Census ICP Evaluation Questionnaire Wave 1 2010 Census ICP Evaluation Questionnaire Wave 1 2010 Census ICP Evaluation Questionnaire WAVE1 072109.DOC Yes Yes Fillable Fileable
Form 2010 Census ICP Evaluation Questionnaire Wave 2 2010 Census ICP Evaluation Questionnaire Wave 2 2010 Census ICP Evaluation Questionnaire WAVE2 052709.doc Yes Yes Fillable Fileable
Other-General Informed Consent statement to be included in interviewer scripts Appendix I_Informed Consent Statement_general.doc No   Paper Only
Other-Thank you letter mailed to participants following interview Appendix J_Thank you letter.doc No   Paper Only
Other-Advance letter sent to core sample households without a phone number match Appendix C CICPE Advance Letter Conversion_SAQ_071409.doc No   Paper Only
Other-Advance letter sent to oversample households without a phone number match Appendix D CICPE Advance Letter Panel_071909.doc No   Paper Only
Other-Conversion reminder letter sent to core sample households after CATI dialing Appendix E Participant Thank You Letter_071909.doc No   Paper Only
Other-Postcard for address/phone updates Appendix H Postcard For Phone Number_072209.doc No   Paper Only
Other-Conversion reminder letter sent to oversample households after CATI dialing Appendix F_Conversion SAQ Letter_HTC.doc No   Paper Only

General Government Central Records & Statistical Mgt

 

11,200 0
   
Individuals or Households
 
   71 %

  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 11,200 0 11,200 0 0 0
Annual IC Time Burden (Hours) 7,100 0 7,100 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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