OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

2010 Census Alternative Questionnaire Experiment (AQE) Focus Groups

IC 195849 under ICR 201103-0607-006 · OMB 0607-0952.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment A - African American Moderator Guide 02.12.2011.doc Other-African American Moderator Gui
Attachment B - Aftrican Moderator Guide 02.12.2011.doc Other-African Moderator Guide
Attachment C - Afro-caribbean Moderator Guide 02.12.2011.doc Other-Afro-Caribbean Moderator Guide
Attachment D - Alaska Native Moderator Guide 02.12.2011.doc Other-Alaska Native Moderator Guide
Attachment E - American Indian Moderator Guide 02.12.2011.doc Other-American Indian Moderator Guid
Attachment F - Ancestry Differs From Place of Birth Moderator Guide 02.12.2011.doc Other-Ancestry Differs From Place of
Attachment G - Asian Moderator Guide 02.12.2011.doc Other-Asian Moderator Guide
Attachment H - European North American Moderator Guide 02.12.2011.doc Other-European North American Modera
Attachment I - Hispanic (Stateside) Moderator Guide 02.12.2011.doc Other-Hispanic Moderator Guide
Attachment J - Hispanic (PR) Moderator Guide 02.12.2011.doc Other-Hispanic PR Moderator Guide
Attachment K - Middle Eastern North African Iranian Moderator Guide 02.12.2011.doc Other-Middle Eastern North African I
Attachment L - Multiracial Moderator Guide 02.12.2011.doc Other-Multiracial Moderator Guide
Attachment M - Native Hawaiian Moderator Guide 02.12.2011.doc Other-Native Hawaiian Moderator Guid
Attachment N - Pacific Islander Moderator Guide 02.12.2011.doc Other-Pacific Islander Moderator Gui
Attachment O - Parents of Multiracial Children Moderator Guide 02.12.2011.doc Other-Parents of Multiracial Childre
Attachment P - South and Central American Indigenous Moderator Guide 02.12.2011.doc Other-South and Central American Ind
Attachment R - 2010 AQE Focus Group Recruitment Screener 01.13.11.docx Other-screener
2010 AQE Focus Gro 2010 AQE Focus Group Respondent Consent Form
Attachment Q - 2010 AQE Focus Group Respondent Consent Form 12.21.2010.doc 		Form
2010 AQE Focus Groups IRC OMB 01.14.11.doc
AQE Focus Groups Plan		IC Document
Attachment S - Written Justification For Sensitive Questions 1.13.11.doc
Justification for sensitive questions		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-African American Moderator Guide Attachment A - African American Moderator Guide 02.12.2011.doc No   Paper Only
Other-African Moderator Guide Attachment B - Aftrican Moderator Guide 02.12.2011.doc No   Paper Only
Other-Afro-Caribbean Moderator Guide Attachment C - Afro-caribbean Moderator Guide 02.12.2011.doc No   Paper Only
Other-Alaska Native Moderator Guide Attachment D - Alaska Native Moderator Guide 02.12.2011.doc No   Paper Only
Other-American Indian Moderator Guide Attachment E - American Indian Moderator Guide 02.12.2011.doc No   Paper Only
Other-Ancestry Differs From Place of Birth Moderator Guide Attachment F - Ancestry Differs From Place of Birth Moderator Guide 02.12.2011.doc No   Paper Only
Other-Asian Moderator Guide Attachment G - Asian Moderator Guide 02.12.2011.doc No   Paper Only
Other-European North American Moderator Guide Attachment H - European North American Moderator Guide 02.12.2011.doc No   Paper Only
Other-Hispanic Moderator Guide Attachment I - Hispanic (Stateside) Moderator Guide 02.12.2011.doc No   Paper Only
Other-Hispanic PR Moderator Guide Attachment J - Hispanic (PR) Moderator Guide 02.12.2011.doc No   Paper Only
Other-Middle Eastern North African Iranian Moderator Guide Attachment K - Middle Eastern North African Iranian Moderator Guide 02.12.2011.doc No   Paper Only
Other-Multiracial Moderator Guide Attachment L - Multiracial Moderator Guide 02.12.2011.doc No   Paper Only
Other-Native Hawaiian Moderator Guide Attachment M - Native Hawaiian Moderator Guide 02.12.2011.doc No   Paper Only
Other-Pacific Islander Moderator Guide Attachment N - Pacific Islander Moderator Guide 02.12.2011.doc No   Paper Only
Other-Parents of Multiracial Children Moderator Guide Attachment O - Parents of Multiracial Children Moderator Guide 02.12.2011.doc No   Paper Only
Other-South and Central American Indigenous Moderator Guide Attachment P - South and Central American Indigenous Moderator Guide 02.12.2011.doc No   Paper Only
Form 2010 AQE Focus Group Respondent Consent Form 2010 AQE Focus Group Respondent Consent Form Attachment Q - 2010 AQE Focus Group Respondent Consent Form 12.21.2010.doc No   Paper Only
Other-screener Attachment R - 2010 AQE Focus Group Recruitment Screener 01.13.11.docx 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 804 0 0 0 0 804
Annual IC Time Burden (Hours) 1,608 0 0 0 0 1,608
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
AQE Focus Groups Plan 2010 AQE Focus Groups IRC OMB 01.14.11.doc 01/26/2011
Justification for sensitive questions Attachment S - Written Justification For Sensitive Questions 1.13.11.doc 01/26/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.