OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Census 2010 Confidentiality/Privacy Notification Experiment

IC 188820 under ICR 201103-0607-006 · OMB 0607-0952.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
D-5(L) MOMB Advance Letter D5 12-12-08.pdf Other-Standard 2010 Advance Letter
D-5 Advance letter Env D4 03-30-09.pdf Other-Standard 2010 Advance Letter E
D-6A(IN) Initial MOMB Outgoing Env Draft 5 03-24-09.pdf Other-Standard 2010 IQ Outgoing Enve
D-8A(X1) Return Envelope for CPEX D2 040309.pdf Other-2010 CPEX IQ Return Envelope (
D-16(L) MOMB Cover Letter D9 121208.pdf Other-Standard 2010 IQ Cover Letter
D-16(L)(X9) CPEX Cover Letter D2 03302009.pdf Other-2010 Experimental IQ Cover Let
D-16(L)(X10) CPEX Cover Letter D2 03302009.pdf Other-2010 Experimental IQ Cover Let
D-9 MOMB Reminder Postcard D6 121608.pdf Other-Standard 2010 Reminder Postcar
D-6C(IN) Replacement Mail Outgoing Env Draft 4 03-24-09.pdf Other-Standard 2010 RQ Outgoing Enve
D-8C(IN) UL and Repl Return Env Draft 7 040309.pdf Other-2010 CPEX RQ Return Envelope (
D-17(L) MOMB Replacement Cover Ltr D9 121208.pdf Other-Standard 2010 RQ Cover Letter
D-17(L)(X2) CPEX Replacement Mailing Letter D2 03302009.pdf Other-2010 Experimental RQ Cover Let
D-17(L)(X3) CPEX Replacement Mailing Letter D1 03-30-09.pdf Other-2010 Experimental RQ Cover Let
D-1 XA Control A: Standard 2010 Questionnaire (including help l
D-1(XA)_1_3_040209.pdf 		Form
CPEX OMB Census 2010 Confidentiality-Privacy Notification_detailed OMB_041609_v2.doc
Confidentiality/Privacy Notification Experiment Plan		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
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
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
Other-2010 CPEX IQ Return Envelope (no postal tracking) D-8A(X1) Return Envelope for CPEX D2 040309.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 9 (Privacy Message 1) D-16(L)(X9) CPEX Cover Letter D2 03302009.pdf No   Paper Only
Other-2010 Experimental IQ Cover Letter Version 10 (Privacy Message 2) D-16(L)(X10) CPEX Cover Letter D2 03302009.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-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 2 (Privacy Message 1) D-17(L)(X2) CPEX Replacement Mailing Letter D2 03302009.pdf No   Paper Only
Other-2010 Experimental RQ Cover Letter Version 3 (Privacy Message 2) D-17(L)(X3) CPEX Replacement Mailing Letter D1 03-30-09.pdf No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 40,000 0 0 0 0 40,000
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Confidentiality/Privacy Notification Experiment Plan CPEX OMB Census 2010 Confidentiality-Privacy Notification_detailed OMB_041609_v2.doc 05/11/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.