The American Community Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ACS-1(2010)PR(SP) Puerto Rico Spanish Questionnaire	Form	Modified	Available
Form ACS-1(2010)PR Puerto Rico English Questionnaire	Form	Modified	Repair queued
Form ACS-1(2010)KFI Stateside English Questionnaire	Form	Modified	Available
Form ACS-1(2010)(SP) Stateside Spanish Questionnaire	Form	Modified	Available
Form Questions for Vaca Questions for Vacant Units (2009 ACS CATI/CAPI/TQA)	Form	Modified	Available
Form Questions for Qual Questions for Quality Control - Group Quarters Facility Reinterview	Form	Modified	Available
Form ACS-1(GQ)(PR) Puerto Rico Community Survey � Group Quarters Questionnaire Package	Form	Modified	Available
Form ACS-1(GQ) American Community Survey � Group Quarters Questionnaire Package	Form	Modified	Available
Form Group Quarters Fac Group Quarters Facility Questionnaire (U.S) and Group Quarters Facility Questionnaire (PR) (English/Spanish)	Form	Modified	Repair queued
Form Quality Control Qu Quality Control Questions, Household Reinterview	Form	Modified	Available
Form Questions for CATI Questions for CATI/CAPI/TQA That Differ From the ACS-1	Form	Modified	Available
Form Questions for CATI Questions for CATI Failed Edit Follow Up	Form	Modified	Available
Form ACS-1(2009)PR(SP) Puerto Rico Community Survey HU Questionnaire Mail Package (Spanish/English)	Form and Instruction	Modified	Available
Form ACS-1(2009)(SP) American Community Survey HU Questionnaire Mail Package (Spanish)	Form and Instruction	Modified	Available
Form ASC-1(2009) American Community Survey Household (HU) Initial Questionnaire Package	Form and Instruction	Modified	Available
ACS_nonsubstantive change_burden hours_060311.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2011-06-03	Available
OMB_2010_non-substantive submission_revised_dec09.wpd	Justification for No Material/Nonsubstantive Change	Uploaded 2009-12-28	Available
2009 ACS OMB Supporting Statement pt. b.doc	Supporting Statement B	Uploaded 2008-05-20	Available
2009 ACS OMB Supporting Statement pt. a.doc	Supporting Statement A	Uploaded 2008-05-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
3530	The American Community Survey	Form	Modified	Puerto Rico Spanish Questionnaire
3530	The American Community Survey	Form	Modified	Puerto Rico English Questionnaire
3530	The American Community Survey	Form	Modified	Stateside English Questionnaire
3530	The American Community Survey	Form	Modified	Stateside Spanish Questionnaire
3530	The American Community Survey	Form	Modified	Questions for Vacant Units (2009 ACS CATI/CAPI/TQA)
3530	The American Community Survey	Form	Modified	Questions for Quality Control - Group Quarters Facility Reinterview
3530	The American Community Survey	Form	Modified	Puerto Rico Community Survey � Group Quarters Questionnaire Package
3530	The American Community Survey	Form	Modified	American Community Survey � Group Quarters Questionnaire Package
3530	The American Community Survey	Form	Modified	Group Quarters Facility Questionnaire (U.S) and Group Quarters Facility Questionnaire (PR) (English/Spanish)
3530	The American Community Survey	Form	Modified	Quality Control Questions, Household Reinterview
3530	The American Community Survey	Form	Modified	Questions for CATI/CAPI/TQA That Differ From the ACS-1
3530	The American Community Survey	Form	Modified	Questions for CATI Failed Edit Follow Up
3530	The American Community Survey	Form and Instruction	Modified	Puerto Rico Community Survey HU Questionnaire Mail Package (Spanish/English)
3530	The American Community Survey	Form and Instruction	Modified	American Community Survey HU Questionnaire Mail Package (Spanish)
3530	The American Community Survey	Form and Instruction	Modified	American Community Survey Household (HU) Initial Questionnaire Package
3530	The American Community Survey	Other-ACS-12(L)S, ACS Pre-notice Letter; and ACS-40, Letter Enve	Modified

ICR Details

OMB Control No: 0607-0810	ICR Reference No: 201106-0607-001
Status: Historical Active	Previous ICR Reference No: 200910-0607-005
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: The American Community Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/07/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/06/2011
Terms of Clearance: Nonsubstantive change on a burden increase of a 20% increase in burden hours.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2011	07/31/2011	07/31/2011
Responses	3,805,200	0	3,257,000
Time Burden (Hours)	2,337,868	0	1,994,500
Cost Burden (Dollars)	0	0	0

---

Abstract: The American Community Survey (ACS) collects accurate and timely socioeconomic and housing information historically collected during the decennial census. The Census Bureau began full implementation of the ACS in United States (US) households in January 2005. Implementation of ACS data collection in Puerto Rico (PR) households and in US and PR group quarters started in January 2006.

---

Authorizing Statute(s): US Code: 13 USC 141, 193, 221
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 10419	02/27/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 30376	05/27/2008
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
The American Community Survey	ACS-1(2009)(SP), Questions for CATI Failed Edit Follow Up, ACS-1(GQ), ASC-1(2009), Questions for Quality Control - Group Quarters Fac, Group Quarters Facility Questionnaire (U.S) and Gr, Quality Control Questions, Household Reinterview, ACS-1(2009)PR(SP), ACS-1(2010)KFI, ACS-1(2010)PR, ACS-1(2010)PR(SP), ACS-1(2010)(SP), Questions for CATI/CAPI/TQA That Differ From the A, Questions for Vacant Units (2009 ACS CATI/CAPI/TQA, ACS-1(GQ)(PR)	American Community Survey Household (HU) Initial Questionnaire Package ,   American Community Survey HU Questionnaire Mail Package (Spanish) ,   Puerto Rico Community Survey HU Questionnaire Mail Package (Spanish/English) ,   Questions for CATI Failed Edit Follow Up ,   Questions for CATI/CAPI/TQA That Differ From the ACS-1 ,   Quality Control Questions, Household Reinterview ,   Group Quarters Facility Questionnaire (U.S) and Group Quarters Facility Questionnaire (PR) (English/Spanish) ,   American Community Survey � Group Quarters Questionnaire Package ,   Puerto Rico Community Survey � Group Quarters Questionnaire Package ,   Questions for Quality Control - Group Quarters Facility Reinterview ,   Questions for Vacant Units (2009 ACS CATI/CAPI/TQA) ,   Stateside Spanish Questionnaire ,   Stateside English Questionnaire ,   Puerto Rico English Questionnaire ,   Puerto Rico Spanish Questionnaire

---

ICR Summary of Burden

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	3,805,200	3,257,000	0	548,200	0	0
Annual Time Burden (Hours)	2,337,868	1,994,500	0	343,368	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Sample size increase necessary to improve reliability of ACS estimates.

---

Annual Cost to Federal Government: $197,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/06/2011

---