Information Collection

2010 Census Quality Survey

IC 192284 under ICR 201003-0607-002 · OMB 0607-0960.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

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.