201 Census Alternative Questionnaire Experiment

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

OMB: 0607-0952

IC ID: 188914

Documents and Forms
Document Name
Document Type
Form
Other-Standard 2010 Advance Letter
Other-Standard 2010 Advance Letter E
Other-Standard 2010 IQ Outgoing Enve
Other-Standard 2010 IQ Outgoing Flat
Other-2010 CPEX IQ Return Envelope (
Other-2010 Experimental IQ Return En
Other-Standard 2010 IQ Cover Letter
Other-2010 Experimental IQ Cover Let
Other-Standard 2010 Reminder Postcar
Other-Standard 2010 RQ Outgoing Enve
Other-RQ Outgoing Flat Envelope (ope
Other-2010 CPEX RQ Return Envelope (
Other-Standard 2010 RQ Cover Letter
Other-2010 Experimental RQ Cover Let
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

201 Census Alternative Questionnaire Experiment
 
Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form D-1 X6 2010 Experimental Questionnaire Version 6 (Race) D-1(X6)_1_4_D3_030409.pdf No   Paper Only
Form D-1 X1 2010 Experimental Questionnaire Version 1 (Census 2000 form) D-1(X1)_1_3_040809.pdf No   Paper Only
Form D-1 X2 2010 Experimental Questionnaire Version 2 (Combined Race/Hispanic Origin) D-1(X2)_1_3_D2_031309.pdf No   Paper Only
Form D-1 X3 2010 Experimental Questionnaire Version 3 (Combined Race/Hispanic Origin) D-1(X3)_1_2_022409.pdf No   Paper Only
Form D-1 X4 2010 Experimental Questionnaire Version 4 (Combined Race/Hispanic Origin) D-1(X4)_1_3_022509.pdf No   Paper Only
Form D-1 X5 2010 Experimental Questionnaire Version 5 (Combined Race/Hispanic Origin) D-1(X5)_1_2_022709.pdf No   Paper Only
Form D-1 X7 2010 Experimental Questionnaire Version 7 (Hispanic Origin) D-1(X7)_1_5_022509.pdf No   Paper Only
Form D-1 X8 2010 Experimental Questionnaire Version 8 (Hispanic Origin) D-1(X8)_1_6_D5_041509.pdf No   Paper Only
Form D-1 X9 2010 Experimental Questionnaire Version 9 (Race and Hispanic Origin) D-1(X9)_1_2_D1_030409.pdf No   Paper Only
Form D-1 X10 2010 Experimental Questionnaire Version 10 (Race and Hispanic Origin) D-1(X10)_1_3_030409.pdf No   Paper Only
Form D-1 X11 2010 Experimental Questionnaire Version 11 (Race and Hispanic Origin) D-1(X11)_1_4_030609.pdf No   Paper Only
Form D-1 X12 2010 Experimental Questionnaire Version 12 (Hispanic Origin) D-1(X12)_1_5_030609.pdf No   Paper Only
Form D-1 X15 2010 Experimental Questionnaire Version 15 (Race) D-1(X15)_1_2_030609.pdf No   Paper Only
Form D-1 X16 2010 Experimental Questionnaire Version 16 (Race) D-1(X16)_1_2_031709.pdf No   Paper Only
Form D-1 X17 2010 Experimental Questionnaire Version 17 (Race) D-1(X17)_1_2_031009.pdf No   Paper Only
Other-2010 CPEX IQ Return Envelope (no postal tracking) D-8A(X1) Return Envelope for CPEX D2 040309.pdf No   Paper Only
Other-2010 Experimental IQ Return Envelope (Coverage � Must accommodate booklet form) D-8B Update Leave Bilingual & CPEX Return Env Draft 3 03302009.pdf No   Paper Only
Other-Standard 2010 IQ Cover Letter D-16(L) MOMB Cover Letter D9 121208.pdf No   Paper Only
Other-2010 Experimental IQ Cover Letter Version 1 (Coverage � Potential size increase to match booklet) D-16(L)(X1) CPEX Cover Letter D1_031809.pdf No   Paper Only
Other-Standard 2010 Reminder Postcard D-9 MOMB Reminder Postcard D6 121608.pdf No   Paper Only
Other-Standard 2010 RQ Outgoing Envelope D-6C(IN) Replacement Mail Outgoing Env Draft 4 03-24-09.pdf No   Paper Only
Other-RQ Outgoing Flat Envelope (open window/accommodates booklet) � Coverage D-6B(X13) Outgoing RM for CPEX D1 040909.pdf No   Paper Only
Other-2010 CPEX RQ Return Envelope (no postal tracking) D-8C(IN) UL and Repl Return Env Draft 7 040309.pdf No   Paper Only
Other-Standard 2010 RQ Cover Letter D-17(L) MOMB Replacement Cover Ltr D9 121208.pdf No   Paper Only
Other-2010 Experimental RQ Cover Letter Version 1 (Coverage � Potential size increase to match booklet size) D-17(L)(X1) CPEX Replacement Mailing Letter D1 03252009.pdf No   Paper Only
Form D-1 X13 2010 Experimental Questionnaire Version 13 (Coverage) D-1(X13)_1_2_D3_031209.pdf No   Paper Only
Form D-1 X14 2010 Experimental Questionnaire Version 14 (Race) D-1(X14)_1_2_031109.pdf No   Paper Only
Other-Standard 2010 Advance Letter D-5(L) MOMB Advance Letter D5 12-12-08.pdf No   Paper Only
Other-Standard 2010 Advance Letter Envelope D-5 Advance letter Env D4 03-30-09.pdf No   Paper Only
Other-Standard 2010 IQ Outgoing Envelope D-6A(IN) Initial MOMB Outgoing Env Draft 5 03-24-09.pdf No   Paper Only
Other-Standard 2010 IQ Outgoing Flat Envelope (open window/accommodates booklet) � Coverage D-6B(AZ) MOMB Bilingual Outgoing Env Draft 3 03-24-09.pdf No   Paper Only
Form D-1 XA Control A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases) D-1(XA)_1_3_040209.pdf No   Paper Only
Form D-1 XB Control B: Standard 2010 Questionnaire without the overcount detection question (including help line telephone number only for experimental cases) D-1(XB)_1_3_040209.pdf No   Paper Only

General Government Central Records & Statistical Mgt

 

560,000 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 560,000 0 0 0 0 560,000
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
201 Census AQE Plan CPEX OMB Census 2010 Alternative Questionnaire_detailed OMB_041709_v2.doc 05/11/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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