Information Collection

Instruments

IC 189290 under ICR 200912-0607-001 · OMB 0607-0955.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 2010 Census ICP Ev
2010 Census ICP Evaluation Questionnaire Wave 1 Instruments
Form
Form 2010 Census ICP Ev
2010 Census ICP Evaluation Questionnaire Wave 2 Instruments
Form
Form 2010 Census ICP Ev
2010 Census ICP Evaluation Questionnaire Wave 3 Instruments
Form
Appendix A CICPE Advance Letter (No Phone)_071409.doc Other-Advance letter sent to core sa
Appendix B CICPE Advance Letter (matched phone) 071409.doc Other-Advance letter sent to oversam
Appendix C CICPE Advance Letter Conversion_SAQ_071409.doc Other-Advance letter sent to core sa
Appendix D CICPE Advance Letter Panel_071909.doc Other-Advance letter sent to oversam
Appendix E Participant Thank You Letter_071909.doc Other-Conversion reminder letter sen
Appendix F_Conversion SAQ Letter_HTC.doc Other-Conversion reminder letter sen
Appendix G_Advance letter panel participant.doc Other-Advance letter for panel parti
Appendix H Postcard For Phone Number_072209.doc Other-Postcard for address/phone upd
Appendix I_Informed Consent Statement_general.doc Other-General Informed Consent state
Appendix J_Thank you letter.doc Other-Thank you letter mailed to par
2010 Census ICP Ev 2010 Census ICP Evaluation Questionnaire Wave 1
2010 Census ICP Evaluation Questionnaire WAVE1 072109.DOC
Form
2010 Census ICP Ev 2010 Census ICP Evaluation Questionnaire Wave 2
CICPE_WAVE2_CATI_111609.doc
Form
2010 Census ICP Ev 2010 Census ICP Evaluation Questionnaire Wave 3
2010 Census ICP Evaluation Questionnaire WAVE3 052709.doc
Form

Information Collection (IC) Details

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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-Advance letter sent to core sample households with matched phone number No   Paper Only
Other-Advance letter sent to oversample households with matched phone number No   Paper Only
Other-Advance letter sent to core sample households without a phone number match No   Paper Only
Other-Advance letter sent to oversample households without a phone number match No   Paper Only
Other-Conversion reminder letter sent to core sample households after CATI dialing No   Paper Only
Other-Conversion reminder letter sent to oversample households after CATI dialing No   Paper Only
Other-Advance letter for panel participants No   Paper Only
Other-Postcard for address/phone updates No   Paper Only
Other-General Informed Consent statement to be included in interviewer scripts No   Paper Only
Other-Thank you letter mailed to participants following interview No   Paper Only
Form 2010 Census ICP Evaluation Questionnaire Wave 1 Yes Yes Fillable Fileable
Form 2010 Census ICP Evaluation Questionnaire Wave 2 Yes Yes Fillable Fileable
Form 2010 Census ICP Evaluation Questionnaire Wave 3 Yes Yes Fillable Fileable

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 44,347 0 0 33,147 0 11,200
Annual IC Time Burden (Hours) 8,611 0 -500 2,011 0 7,100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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