Information Collection

Census Barriers, Attitudes and Motivators Survey II

IC 183805 under ICR 201103-0607-001 · OMB 0607-0947.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A_CBAMS II Questionnaire.docx	Other-CBAMS II Interviewer Script an
Attachment B_CBAMS II Pre-notification Letters.docx	Other-Pre notification Letters
Attachment C_CBAMS II Sorry We Missed You Card.docx	Other-We Missed You Card

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-CBAMS II Interviewer Script and Question Branching	Attachment A_CBAMS II Questionnaire.docx	Yes	Yes	Fillable Fileable
Other-Pre notification Letters	Attachment B_CBAMS II Pre-notification Letters.docx	Yes	Yes	Fillable Fileable
Other-We Missed You Card	Attachment C_CBAMS II Sorry We Missed You Card.docx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,421

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 81 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,421	4,421
Annual IC Time Burden (Hours)	1,757	1,757
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.