Information Collection

Various Demographic Pretesting Activities

IC 204739 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⚠️ Notice: This information collection may be referencing outdated material.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
omb1231ACSwebsiteenc1.docx	Other-ACS Website Pretesting Enclosu
omb1231ACSwebsiteenc2.docx	Other-ACS Website Pretesting Enclosu
omb1231ACSwebsiteenc3.docx	Other-ACS Website Pretesting Enclosu
omb1231ACSwebsiteenc4.doc	Other-ACS Website Pretesting Enclosu
omb1231acswebsiteenc5_rev.docx	Other-ACS Website Pretesting Enclosu
omb1231ACSwebsiteenc6.doc	Other-ACS Website Pretesting Enclosu
omb1231ACSwebsiteenc7.doc	Other-ACS Website Pretesting Enclosu
omb1237ACSQuestionnaireDesignTestenc1.pdf	Other-ACS Questionnaire Design Test
omb1237ACSQuestionnaireDesignTestenc2.pdf	Other-ACS Questionnaire Design Test
omb1237ACSQuestionnaireDesignTestenc3.doc	Other-ACS Questionnaire Design Test
omb1237ACSQuestionnaireDesignTestenc4.doc	Other-ACS Questionnaire Design Test
omb1238AffordableCareActenc1.docx	Other-ACS Health Insurance Questions
omb1238AffordableCareActenc2.docx	Other-ACS Health Insurance Questions
omb1238AffordableCareActenc3.doc	Other-ACS Health Insurance Questions
omb1238AffordableCareActenc4.doc	Other-ACS Health Insurance Questions
omb1238AffordableCareActenc5.pdf	Other-ACS Health Insurance Questions
omb1238AffordableCareActenc6.pdf	Other-ACS Health Insurance Questions
omb1238AffordableCareActenc7.docx	Other-ACS Health Insurance Questions
omb1238AffordableCareActenc8.docx	Other-ACS Health Insurance Questions
omb1240censustests1718and20enc_rev.docx	Other-Census Tests 17/18 & 20 Pretes
omb1241coveragetestingenc1_rev.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc2_rev.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc3_rev.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc4_rev.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc5_rev.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc6_rev.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc7_rev.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc8_rev.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc9_rev.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc10_rev.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc11_rev2.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc12_rev.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc13_rev.docx	Other-Testing of Coverage Questions
omb1241coveragetestingenc14_rev2.doc	Other-Testing of Coverage Questions
omb1231ACSwebsite.doc ACS Website Pretesting Plan	IC Document
omb1236factualquestions_rev.docx Research on Factual Questions Plan	IC Document
omb1237ACSQuestionnaireDesignTest.docx ACS Questionnaire Design Test Plan	IC Document
omb1238affordablecareact.docx ACS Health Insurance Questions Pretesting Plan	IC Document
omb1240censustests1718and20.docx Census Tests 17/18 & 20 Pretesting Plan	IC Document
omb1241coveragetesting.doc Testing of Coverage Questions Plan	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Various Demographic 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-ACS Website Pretesting Enclosure 1	omb1231ACSwebsiteenc1.docx	No	Paper Only
Other-ACS Website Pretesting Enclosure 2	omb1231ACSwebsiteenc2.docx	No	Paper Only
Other-ACS Website Pretesting Enclosure 3	omb1231ACSwebsiteenc3.docx	No	Paper Only
Other-ACS Website Pretesting Enclosure 4	omb1231ACSwebsiteenc4.doc	No	Paper Only
Other-ACS Website Pretesting Enclosure 5	omb1231acswebsiteenc5_rev.docx	No	Paper Only
Other-ACS Website Pretesting Enclosure 6	omb1231ACSwebsiteenc6.doc	No	Paper Only
Other-ACS Website Pretesting Enclosure 7	omb1231ACSwebsiteenc7.doc	No	Paper Only
Other-ACS Questionnaire Design Test Enclosure 1	omb1237ACSQuestionnaireDesignTestenc1.pdf	No	Paper Only
Other-ACS Questionnaire Design Test Enclosure 2	omb1237ACSQuestionnaireDesignTestenc2.pdf	No	Paper Only
Other-ACS Questionnaire Design Test Enclosure 3	omb1237ACSQuestionnaireDesignTestenc3.doc	No	Paper Only
Other-ACS Questionnaire Design Test Enclosure 4	omb1237ACSQuestionnaireDesignTestenc4.doc	No	Paper Only
Other-ACS Health Insurance Questions Pretesting Enclousre 1	omb1238AffordableCareActenc1.docx	No	Paper Only
Other-ACS Health Insurance Questions Pretesting Enclousre 2	omb1238AffordableCareActenc2.docx	No	Paper Only
Other-ACS Health Insurance Questions Pretesting Enclousre 3	omb1238AffordableCareActenc3.doc	No	Paper Only
Other-ACS Health Insurance Questions Pretesting Enclousre 4	omb1238AffordableCareActenc4.doc	No	Paper Only
Other-ACS Health Insurance Questions Pretesting Enclousre 5	omb1238AffordableCareActenc5.pdf	No	Paper Only
Other-ACS Health Insurance Questions Pretesting Enclousre 6	omb1238AffordableCareActenc6.pdf	No	Paper Only
Other-ACS Health Insurance Questions Pretesting Enclousre 7	omb1238AffordableCareActenc7.docx	No	Paper Only
Other-ACS Health Insurance Questions Pretesting Enclousre 8	omb1238AffordableCareActenc8.docx	No	Paper Only
Other-Census Tests 17/18 & 20 Pretesting Enclosure	omb1240censustests1718and20enc_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 1	omb1241coveragetestingenc1_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 2	omb1241coveragetestingenc2_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 3	omb1241coveragetestingenc3_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 4	omb1241coveragetestingenc4_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 5	omb1241coveragetestingenc5_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 6	omb1241coveragetestingenc6_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 7	omb1241coveragetestingenc7_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 8	omb1241coveragetestingenc8_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 9	omb1241coveragetestingenc9_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 10	omb1241coveragetestingenc10_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 11	omb1241coveragetestingenc11_rev2.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 12	omb1241coveragetestingenc12_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 13	omb1241coveragetestingenc13_rev.docx	No	Paper Only
Other-Testing of Coverage Questions Enclosure 14	omb1241coveragetestingenc14_rev2.doc	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: 380

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	380	380
Annual IC Time Burden (Hours)	273	273
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ACS Website Pretesting Plan	omb1231ACSwebsite.doc	11/07/2012
Research on Factual Questions Plan	omb1236factualquestions_rev.docx	11/07/2012
ACS Questionnaire Design Test Plan	omb1237ACSQuestionnaireDesignTest.docx	11/07/2012
ACS Health Insurance Questions Pretesting Plan	omb1238affordablecareact.docx	11/07/2012
Census Tests 17/18 & 20 Pretesting Plan	omb1240censustests1718and20.docx	11/07/2012
Testing of Coverage Questions Plan	omb1241coveragetesting.doc	11/07/2012

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