2010 Census Quality Survey

Documents and Forms

Document Name Document Type
Attachment C - Draft 2010 CQS Letters.pdf Other-Draft 2010 CQS Letters
Attachment D - Draft Internet Instruction Card.pdf Other-Internet Access Instruction Ca
Attachment E - Draft 2010 CQS Help and FAQ Text.pdf Other-FAQ and Help Test for 2010 CQS
D-1 R1 2010 Census Quality Survey (DRAFT) Attachment A - Draft 2010 CQS Mail Qnnaire.pdf Form
Screen Shots from Screen Shots from 2010 CQS Internet Instrument (DRAFT) Attachment B - Draft 2010 CQS Screen Shots_Rev.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2010 Census Quality Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Access Instruction Card for Internet Push Panel			Attachment D - Draft Internet Instruction Card.pdf	No		Paper Only
Other-FAQ and Help Test for 2010 CQS Internet Application (DRAFT)			Attachment E - Draft 2010 CQS Help and FAQ Text.pdf	Yes	Yes	Fillable Fileable
Other-Draft 2010 CQS Letters			Attachment C - Draft 2010 CQS Letters.pdf	No		Paper Only
Form	Screen Shots from 2010 CQS Internet Instrument	Screen Shots from 2010 CQS Internet Instrument (DRAFT)	Attachment B - Draft 2010 CQS Screen Shots_Rev.pdf	Yes	Yes	Fillable Fileable
Form	D-1 R1	2010 Census Quality Survey (DRAFT)	Attachment A - Draft 2010 CQS Mail Qnnaire.pdf	No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 262,857	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 8 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	262,857	262,857
Annual IC Time Burden (Hours)	43,810	43,810
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.