Information Collection Request

Generic Clearance for 2010 Census Program for Evaluations & Experiments (CPEX)

ICR 201007-0607-003 · OMB 0607-0952 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2010 AQE Focus Gro 2010 AQE Focus Group Respondent Consent Form Form New Available
Form 2010 AQE Reintervi 2010 AQE Reinterview Evaluation Questionnaire Form Unchanged Available
Form D-20(X1) Census 2010 Individual Census Report Form Unchanged Available
Form Content Reintervie Content Reinterview -- Interviewer Protocol Form Unchanged Available
Form D-1 X17 2010 Experimental Questionnaire Version 17 (Race) Form Unchanged Available
Form D-1 X16 2010 Experimental Questionnaire Version 16 (Race) Form Unchanged Available
Form D-1 X15 2010 Experimental Questionnaire Version 15 (Race) Form Unchanged Repair queued
Form D-1 X14 2010 Experimental Questionnaire Version 14 (Race) Form Unchanged Available
Form D-1 X13 2010 Experimental Questionnaire Version 13 (Coverage) Form Unchanged Available
Form D-1 X12 2010 Experimental Questionnaire Version 12 (Hispanic Origin) Form Unchanged Available
Form D-1 X11 2010 Experimental Questionnaire Version 11 (Race and Hispanic Origin) Form Unchanged Available
Form D-1 X10 2010 Experimental Questionnaire Version 10 (Race and Hispanic Origin) Form Unchanged Available
Form D-1 X9 2010 Experimental Questionnaire Version 9 (Race and Hispanic Origin) Form Unchanged Available
Form D-1 X8 2010 Experimental Questionnaire Version 8 (Hispanic Origin) Form Unchanged Available
Form D-1 X7 2010 Experimental Questionnaire Version 7 (Hispanic Origin) Form Unchanged Available
Form D-1 X5 2010 Experimental Questionnaire Version 5 (Combined Race/Hispanic Origin) Form Unchanged Available
Form D-1 X4 2010 Experimental Questionnaire Version 4 (Combined Race/Hispanic Origin) Form Unchanged Available
Form D-1 X3 2010 Experimental Questionnaire Version 3 (Combined Race/Hispanic Origin) Form Unchanged Available
Form D-1 X2 2010 Experimental Questionnaire Version 2 (Combined Race/Hispanic Origin) Form Unchanged Available
Form D-1 X1 2010 Experimental Questionnaire Version 1 (Census 2000 form) Form Unchanged Available
Form D-1 XB Control B: Standard 2010 Questionnaire without the overcount detection question (including help line telephone number only for experimental cases) Form Unchanged Available
Form D-1 XA Control A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases) Form Unchanged Available
Form D-1 X6 2010 Experimental Questionnaire Version 6 (Race) Form Unchanged Available
Form D-1 XA Control A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases) Form Unchanged Available
Form D-1 XA Control A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases) Form Unchanged Available
Form DRIS DRIS 2010 IVR System Customer Satisfaction Survey Form Unchanged Available
Form Census 2010 Enumer D-1(E)(X2) Form Unchanged Available
Form Census 2010 Enumer D-1(E)(X1) Form Unchanged Available
Form Census 201 Enumera D-1(E) Form Unchanged Available
Form D-20(X1) Census 2010 Individual Census Report Form Unchanged Available
2010 AQE FG nonsub CR 07-26-2010 -- Attachment A.xls Supplementary Document Uploaded 2010-07-30 Available
2010 AQE FG nonsub CR 7-01-2010.docx Justification for No Material/Nonsubstantive Change Uploaded 2010-07-13 Available
omb83-i ATTACHMENT - Generic Clearance for the 2010 Census Program for Evaluations and Experiments - Form Numbers - 02-17-09.doc Supplementary Document Uploaded 2009-02-23 Available
OMB CPEX SUPPORTING STATEMENT PART B -05-11-09 - Final Draft For DMD Review_v2.doc Supporting Statement B Uploaded 2009-05-12 Available
OMB CPEX SUPPORTING STATEMENT PART A - 05-11-09 - Final Draft For OMB Review_v2.doc Supporting Statement A Uploaded 2009-05-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
195849 2010 Census Alternative Questionnaire Experiment (AQE) Focus Groups Form New2010 AQE Focus Group Respondent Consent Form
195849 2010 Census Alternative Questionnaire Experiment (AQE) Focus Groups Other-African American Moderator Guide New
190437 2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation Form Unchanged2010 AQE Reinterview Evaluation Questionnaire
190088 Changes to Census 2010 Alternative Group Quarters Evaluation Form UnchangedCensus 2010 Individual Census Report
189914 2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation and 2010 Content Reinterview Evaluation Other-Prenotice Letter Unchanged
189914 2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation and 2010 Content Reinterview Evaluation Form UnchangedContent Reinterview -- Interviewer Protocol
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 17 (Race)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 16 (Race)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 15 (Race)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 14 (Race)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 13 (Coverage)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 12 (Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 11 (Race and Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 10 (Race and Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 9 (Race and Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 8 (Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 7 (Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 5 (Combined Race/Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 4 (Combined Race/Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 3 (Combined Race/Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 2 (Combined Race/Hispanic Origin)
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 1 (Census 2000 form)
188914 201 Census Alternative Questionnaire Experiment Form UnchangedControl B: Standard 2010 Questionnaire without the overcount detection question (including help line telephone number only for experimental cases)
188914 201 Census Alternative Questionnaire Experiment Form UnchangedControl A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases)
188914 201 Census Alternative Questionnaire Experiment Other-Standard 2010 Advance Letter Unchanged
188914 201 Census Alternative Questionnaire Experiment Form Unchanged2010 Experimental Questionnaire Version 6 (Race)
188822 Census 2010 Deadline Messaging/Compressed Schedule Experiment Form UnchangedControl A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases)
188822 Census 2010 Deadline Messaging/Compressed Schedule Experiment Other-Standard 2010 Advance Letter Unchanged
188820 Census 2010 Confidentiality/Privacy Notification Experiment Form UnchangedControl A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases)
188820 Census 2010 Confidentiality/Privacy Notification Experiment Other-Standard 2010 Advance Letter Unchanged
188782 Census 2010 IVR Customer Satisfaction Survey Evaluation Form UnchangedDRIS 2010 IVR System Customer Satisfaction Survey
188713 Census 2010 Nonresponse Followup (NRFU) Experiment Form UnchangedD-1(E)(X2)
188713 Census 2010 Nonresponse Followup (NRFU) Experiment Form UnchangedD-1(E)(X1)
188713 Census 2010 Nonresponse Followup (NRFU) Experiment Form UnchangedD-1(E)
188712 Census 2010 Alternative Group Quarters (GQ) Evaluation Form UnchangedCensus 2010 Individual Census Report

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2011 12/31/2011 12/31/2011
1,155,016 0 1,155,016
13,000 0 11,130
0 0 0





Reginfo record details
10
table that charts list of burden
IC Title Form No. Form Name
201 Census Alternative Questionnaire Experiment D-1 X13, D-1 XA, D-1 XB, D-1 X10, D-1 X12, D-1 X11, D-1 X9, D-1 X2, D-1 X4, D-1 X5, D-1 X7, D-1 X8, D-1 X1, D-1 X3, D-1 X6, D-1 X14, D-1 X15, D-1 X16, D-1 X17 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
2010 Census Alternative Questionnaire Experiment (AQE) Focus Groups 2010 AQE Focus Group Respondent Consent Form
2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation 2010 AQE Reinterview Evaluation Questionnaire
2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation and 2010 Content Reinterview Evaluation Content Reinterview -- Interviewer Protocol
Census 2010 Alternative Group Quarters (GQ) Evaluation D-20(X1)
Census 2010 Confidentiality/Privacy Notification Experiment D-1 XA
Census 2010 Deadline Messaging/Compressed Schedule Experiment D-1 XA
Census 2010 IVR Customer Satisfaction Survey Evaluation DRIS
Census 2010 Nonresponse Followup (NRFU) Experiment Census 2010 Enumerator Questionnaire, Census 201 Enumerator Questionnaire, Census 2010 Enumerator Questionnaire ,   ,  
Changes to Census 2010 Alternative Group Quarters Evaluation D-20(X1)

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,155,016 1,155,016 0 0 0 0
Annual Time Burden (Hours) 13,000 11,130 0 1,870 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No