Information Collection Request

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

ICR 201103-0607-006 · OMB 0607-0952 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2010 AQE Reintervi 2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation Form Unchanged Repair queued
Form D-20(X1) Changes to Census 2010 Alternative Group Quarters Evaluation Form Unchanged Available
Form Content Reintervie 2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation and 2010 Content Reinterview Evaluation Form Unchanged Available
Form DRIS Census 2010 IVR Customer Satisfaction Survey Evaluation Form Unchanged Available
Form Census 201 Enumera Census 2010 Nonresponse Followup (NRFU) Experiment Form Unchanged Available
Form D-20(X1) Census 2010 Alternative Group Quarters (GQ) Evaluation Form Unchanged Available
2010 CPEX Nonsubstantive CR - AQE Focus Groups 03.10.2011.doc Justification for No Material/Nonsubstantive Change Uploaded 2011-03-11 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 Repair queued
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

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 13,000
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation and 2010 Content Reinterview Evaluation Content Reinterview -- Interviewer Protocol Content Reinterview -- Interviewer Protocol
2010 Census Alternative Questionnaire Experiment (AQE) Reinterview Evaluation 2010 AQE Reinterview Evaluation Questionnaire 2010 AQE Reinterview Evaluation Questionnaire
2010 Census Alternative Questionnaire Experiment (AQE) Focus Groups 2010 AQE Focus Group Respondent Consent Form 2010 AQE Focus Group Respondent Consent Form
Census 2010 Alternative Group Quarters (GQ) Evaluation D-20(X1) Census 2010 Individual Census Report
Changes to Census 2010 Alternative Group Quarters Evaluation D-20(X1) Census 2010 Individual Census Report
Census 2010 IVR Customer Satisfaction Survey Evaluation DRIS DRIS 2010 IVR System Customer Satisfaction Survey
Census 2010 Confidentiality/Privacy Notification Experiment D-1 XA Control A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases)
Census 2010 Nonresponse Followup (NRFU) Experiment Census 2010 Enumerator Questionnaire, Census 2010 Enumerator Questionnaire, Census 201 Enumerator Questionnaire D-1(E) ,   D-1(E)(X1) ,   D-1(E)(X2)
201 Census Alternative Questionnaire Experiment 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, D-1 X13 Control A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases) ,   Control B: Standard 2010 Questionnaire without the overcount detection question (including help line telephone number only for experimental cases) ,   2010 Experimental Questionnaire Version 1 (Census 2000 form) ,   2010 Experimental Questionnaire Version 2 (Combined Race/Hispanic Origin) ,   2010 Experimental Questionnaire Version 3 (Combined Race/Hispanic Origin) ,   2010 Experimental Questionnaire Version 4 (Combined Race/Hispanic Origin) ,   2010 Experimental Questionnaire Version 5 (Combined Race/Hispanic Origin) ,   2010 Experimental Questionnaire Version 6 (Race) ,   2010 Experimental Questionnaire Version 7 (Hispanic Origin) ,   2010 Experimental Questionnaire Version 8 (Hispanic Origin) ,   2010 Experimental Questionnaire Version 9 (Race and Hispanic Origin) ,   2010 Experimental Questionnaire Version 10 (Race and Hispanic Origin) ,   2010 Experimental Questionnaire Version 11 (Race and Hispanic Origin) ,   2010 Experimental Questionnaire Version 12 (Hispanic Origin) ,   2010 Experimental Questionnaire Version 13 (Coverage) ,   2010 Experimental Questionnaire Version 14 (Race) ,   2010 Experimental Questionnaire Version 15 (Race) ,   2010 Experimental Questionnaire Version 16 (Race) ,   2010 Experimental Questionnaire Version 17 (Race)
Census 2010 Deadline Messaging/Compressed Schedule Experiment D-1 XA Control A: Standard 2010 Questionnaire (including help line telephone number only for experimental cases)

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 13,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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