Information Collection

Various Demographic Area Pretesting Activities

IC 202244 under ICR 201006-0607-004 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
omb1202fsspomsenc1.doc	Other-Federal Statistical System Pub
omb1202fsspomsenc2.doc	Other-Federal Statistical System Pub
omb1202fsspomsenc3.doc	Other-Federal Statistical System Pub
omb1202fsspomsenc4.doc	Other-Federal Statistical System Pub
omb1202fsspomsenc5.doc	Other-Federal Statistical System Pub
omb1203CEDiaryenc1.docx	Other-Consumer Expenditures Survey W
omb1203CEDiaryenc2.docx	Other-Consumer Expenditures Survey W
omb1203CEDiaryenc3.doc	Other-Consumer Expenditures Survey W
omb1203CEDiaryenc4.docx	Other-Consumer Expenditures Survey W
omb1203CEDiaryenc5.docx	Other-Consumer Expenditures Survey W
omb1205censushomepageenc1.docx	Other-Census Home Page Card Sorting
omb1205censushomepageenc2.docx	Other-Census Home Page Card Sorting
omb1205censushomepageenc3_rev.docx	Other-Census Home Page Card Sorting
omb1205censushomepageenc4.xlsx	Other-Census Home Page Card Sorting
omb1205censushomepageenc5.docx	Other-Census Home Page Card Sorting
omb1206censuswebsiteenc1_rev.doc	Other-Census Bureau Website Testing
OMB1206censuswebsiteenc2.doc	Other-Census Bureau Website Testing
omb1206censuswebsiteenc3.docx	Other-Census Bureau Website Testing
omb1206censuswebsiteenc4.docx	Other-Census Bureau Website Testing
omb1206censuswebsiteenc5.doc	Other-Census Bureau Website Testing
omb1206censuswebsiteenc6.docx	Other-Census Bureau Website Testing
omb1207SIPPparentalnatalitymortalityenc.doc	Other-SIPP EHC Parental Mortality &
omb1208healthinsurancequestionsenc1.pdf	Other-Health Insurance Questions Pre
omb1208healthinsurancequestionsenc2.docx	Other-Health Insurance Questions Pre
omb1208healthinsurancequestionsenc3.docx	Other-Health Insurance Questions Pre
omb1208healthinsurancequestionsenc4.docx	Other-Health Insurance Questions Pre
omb1208healthinsurancequestionsenc5_rev2.docx	Other-Health Insurance Questions Pre
omb1208healthinsurancequestionsenc6.docx	Other-Health Insurance Questions Pre
omb1208healthinsurancequestionsenc7.docx	Other-Health Insurance Questions Pre
omb1208healthinsurancequestionsenc8.docx	Other-Health Insurance Questions Pre
omb1209FSS POMSenc1.docx	Other-Federal Statistical System Pub
omb1209FSSPOMSenc2.doc	Other-Federal Statistical System Pub
omb1211AFFenc1.doc	Other-American Fact Finder Pretestin
omb1211AFFenc2.docx	Other-American Fact Finder Pretestin
omb1211AFFenc3.docx	Other-American Fact Finder Pretestin
omb1211AFFenc4.docx	Other-American Fact Finder Pretestin
omb1211AFFenc5.doc	Other-American Fact Finder Pretestin
omb1211AFFenc6.doc	Other-American Fact Finder Pretestin
omb1211AFFenc7.docx	Other-American Fact Finder Pretestin
OMB1213AHSneighborhoodmodulesenc.docx	Other-American Housing Survey Pretes
omb1214ACS date of birthenc1.docx	Other-American Community Survey Pret
omb1214ACS date of birthenc2.docx	Other-American Community Survey Pret
omb1214ACS date of birthenc3.docx	Other-American Community Survey Pret
omb1214ACS date of birthenc4.docx	Other-American Community Survey Pret
omb1202fsspoms.doc Federal Statistical System Public Opinion Monitoring Survey Pretesting Plan	IC Document
omb1203cediary_rev.doc Consumer Expenditures Survey Web Diary Survey Pretesting Plan	IC Document
omb1205censushomepage.doc Census Home Page Card Sorting Study Plan	IC Document
OMB1206censuswebsite_rev.doc Census Bureau Website Testing Plan	IC Document
omb1207SIPPparentalnatalitymortality.docx SIPP EHC Parental Mortality & Natality Questions Pretesting Plan	IC Document
omb1208healthinsurancequestions.docx Health Insurance Questions Pretesting Plan	IC Document
omb1209FSSPOMS_rev.docx Federal Statistical System Public Opinion Monitoring Survey Supplemental Pretesting Plan	IC Document
omb1211AFF.doc American Fact Finder Pretesting Plan	IC Document
omb1213AHSneighborhoodmodules.docx American Housing Survey Pretesting Plan	IC Document
omb1214ACS date of birth.docx American Community Survey Pretesting Plan	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Various Demographic Area Pretesting Activities

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Federal Statistical System Public Opinion Monitoring Survey Pretesting Enclosure 1	omb1202fsspomsenc1.doc	No	Paper Only
Other-Federal Statistical System Public Opinion Monitoring Survey Pretesting Enclosure 2	omb1202fsspomsenc2.doc	No	Paper Only
Other-Federal Statistical System Public Opinion Monitoring Survey Pretesting Enclosure 3	omb1202fsspomsenc3.doc	No	Paper Only
Other-Federal Statistical System Public Opinion Monitoring Survey Pretesting Enclosure 4	omb1202fsspomsenc4.doc	No	Paper Only
Other-Federal Statistical System Public Opinion Monitoring Survey Pretesting Enclosure 5	omb1202fsspomsenc5.doc	No	Paper Only
Other-Consumer Expenditures Survey Web Diary Survey Pretesting Enclosure 1	omb1203CEDiaryenc1.docx	No	Paper Only
Other-Consumer Expenditures Survey Web Diary Survey Pretesting Enclosure 2	omb1203CEDiaryenc2.docx	No	Paper Only
Other-Consumer Expenditures Survey Web Diary Survey Pretesting Enclosure 3	omb1203CEDiaryenc3.doc	No	Paper Only
Other-Consumer Expenditures Survey Web Diary Survey Pretesting Enclosure 4	omb1203CEDiaryenc4.docx	No	Paper Only
Other-Consumer Expenditures Survey Web Diary Survey Pretesting Enclosure 5	omb1203CEDiaryenc5.docx	No	Paper Only
Other-Census Home Page Card Sorting Study Enclosure 1	omb1205censushomepageenc1.docx	No	Paper Only
Other-Census Home Page Card Sorting Study Enclosure 2	omb1205censushomepageenc2.docx	No	Paper Only
Other-Census Home Page Card Sorting Study Enclosure 3	omb1205censushomepageenc3_rev.docx	No	Paper Only
Other-Census Home Page Card Sorting Study Enclosure 4	omb1205censushomepageenc4.xlsx	No	Paper Only
Other-Census Home Page Card Sorting Study Enclosure 5	omb1205censushomepageenc5.docx	No	Paper Only
Other-Census Bureau Website Testing Enclosure 1	omb1206censuswebsiteenc1_rev.doc	No	Paper Only
Other-Census Bureau Website Testing Enclosure 2	OMB1206censuswebsiteenc2.doc	No	Paper Only
Other-Census Bureau Website Testing Enclosure 3	omb1206censuswebsiteenc3.docx	No	Paper Only
Other-Census Bureau Website Testing Enclosure 4	omb1206censuswebsiteenc4.docx	No	Paper Only
Other-Census Bureau Website Testing Enclosure 5	omb1206censuswebsiteenc5.doc	No	Paper Only
Other-Census Bureau Website Testing Enclosure 6	omb1206censuswebsiteenc6.docx	No	Paper Only
Other-SIPP EHC Parental Mortality & Natality Questions Pretesting Enclosure	omb1207SIPPparentalnatalitymortalityenc.doc	No	Paper Only
Other-Health Insurance Questions Pretesting Enclosure 1	omb1208healthinsurancequestionsenc1.pdf	No	Paper Only
Other-Health Insurance Questions Pretesting Enclosure 2	omb1208healthinsurancequestionsenc2.docx	No	Paper Only
Other-Health Insurance Questions Pretesting Enclosure 3	omb1208healthinsurancequestionsenc3.docx	No	Paper Only
Other-Health Insurance Questions Pretesting Enclosure 4	omb1208healthinsurancequestionsenc4.docx	No	Paper Only
Other-Health Insurance Questions Pretesting Enclosure 5	omb1208healthinsurancequestionsenc5_rev2.docx	No	Paper Only
Other-Health Insurance Questions Pretesting Enclosure 6	omb1208healthinsurancequestionsenc6.docx	No	Paper Only
Other-Health Insurance Questions Pretesting Enclosure 7	omb1208healthinsurancequestionsenc7.docx	No	Paper Only
Other-Health Insurance Questions Pretesting Enclosure 8	omb1208healthinsurancequestionsenc8.docx	No	Paper Only
Other-Federal Statistical System Public Opinion Monitoring Survey Supplemental Pretesting Enclosure 1	omb1209FSS POMSenc1.docx	No	Paper Only
Other-Federal Statistical System Public Opinion Monitoring Survey Supplemental Pretesting Enclosure 2	omb1209FSSPOMSenc2.doc	No	Paper Only
Other-American Fact Finder Pretesting Enclosure 1	omb1211AFFenc1.doc	No	Paper Only
Other-American Fact Finder Pretesting Enclosure 2	omb1211AFFenc2.docx	No	Paper Only
Other-American Fact Finder Pretesting Enclosure 3	omb1211AFFenc3.docx	No	Paper Only
Other-American Fact Finder Pretesting Enclosure 4	omb1211AFFenc4.docx	No	Paper Only
Other-American Fact Finder Pretesting Enclosure 5	omb1211AFFenc5.doc	No	Paper Only
Other-American Fact Finder Pretesting Enclosure 6	omb1211AFFenc6.doc	No	Paper Only
Other-American Fact Finder Pretesting Enclosure 7	omb1211AFFenc7.docx	No	Paper Only
Other-American Housing Survey Pretesting Enclosure	OMB1213AHSneighborhoodmodulesenc.docx	No	Paper Only
Other-American Community Survey Pretesting Enclosure 1	omb1214ACS date of birthenc1.docx	No	Paper Only
Other-American Community Survey Pretesting Enclosure 2	omb1214ACS date of birthenc2.docx	No	Paper Only
Other-American Community Survey Pretesting Enclosure 3	omb1214ACS date of birthenc3.docx	No	Paper Only
Other-American Community Survey Pretesting Enclosure 4	omb1214ACS date of birthenc4.docx	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: 577

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	577	577
Annual IC Time Burden (Hours)	636	636
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Federal Statistical System Public Opinion Monitoring Survey Pretesting Plan	omb1202fsspoms.doc	05/14/2012
Consumer Expenditures Survey Web Diary Survey Pretesting Plan	omb1203cediary_rev.doc	05/14/2012
Census Home Page Card Sorting Study Plan	omb1205censushomepage.doc	05/14/2012
Census Bureau Website Testing Plan	OMB1206censuswebsite_rev.doc	05/14/2012
SIPP EHC Parental Mortality & Natality Questions Pretesting Plan	omb1207SIPPparentalnatalitymortality.docx	05/14/2012
Health Insurance Questions Pretesting Plan	omb1208healthinsurancequestions.docx	05/14/2012
Federal Statistical System Public Opinion Monitoring Survey Supplemental Pretesting Plan	omb1209FSSPOMS_rev.docx	05/14/2012
American Fact Finder Pretesting Plan	omb1211AFF.doc	05/14/2012
American Housing Survey Pretesting Plan	omb1213AHSneighborhoodmodules.docx	05/14/2012
American Community Survey Pretesting Plan	omb1214ACS date of birth.docx	05/14/2012

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