The American Community Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ACS-1(GQ) PR PRCS GQ Resident Questionnaire	Form	Modified	Repair queued
Form ACS-1(GQ) ACS GQ Resident Questionnaire	Form	Modified	Available
Form ACS-1GQ ACS Group Quarters Facility Questionnaire	Form	Modified	Available
Form ACS-1GQ(PR) PRCS Group Quarters Facility Questionnaire	Form	Modified	Available
Form ACS-1(PR)(SP) PRCS HU Spanish Questionnaire	Form	Modified	Available
Form ACS-1(PR) PRCS HU Questionnaire	Form	Modified	Available
Form ACS-1(SP) ACS HU Spanish Questionnaire	Form	Modified	Available
Form ACS-1 ACS HU Questionnaire	Form	Modified	Available
2011_ACS_OMB_Supporting_Statement_pt _b_ACS_Response_9-22-2011.docx	Supporting Statement B	Uploaded 2011-09-23	Available
2011_ACS_OMB_Supporting_Statement_pt_a_ ACS_Response_9-22-2011.docx	Supporting Statement A	Uploaded 2011-09-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
3530	The American Community Survey	Form	Modified	PRCS GQ Resident Questionnaire
3530	The American Community Survey	Form	Modified	ACS GQ Resident Questionnaire
3530	The American Community Survey	Form	Modified	ACS Group Quarters Facility Questionnaire
3530	The American Community Survey	Form	Modified	PRCS Group Quarters Facility Questionnaire
3530	The American Community Survey	Form	Modified	PRCS HU Spanish Questionnaire
3530	The American Community Survey	Form	Modified	PRCS HU Questionnaire
3530	The American Community Survey	Form	Modified	ACS HU Spanish Questionnaire
3530	The American Community Survey	Form	Modified	ACS HU Questionnaire
3530	The American Community Survey	Other-Multilingual Brochure	Modified

ICR Details

OMB Control No: 0607-0810	ICR Reference No: 201106-0607-002
Status: Historical Active	Previous ICR Reference No: 201106-0607-001
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: The American Community Survey
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/26/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/23/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2014	36 Months From Approved	09/30/2011
Responses	3,805,200	0	3,805,200
Time Burden (Hours)	2,337,868	0	2,337,868
Cost Burden (Dollars)	0	0	0

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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.

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

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 12935	03/09/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 36898	06/23/2011
Did the Agency receive public comments on this ICR? Yes

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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(PR), ACS-1(PR)(SP), ACS-1GQ(PR), ACS-1GQ, ACS-1(GQ), ACS-1, ACS-1(SP), ACS-1(GQ) PR	ACS HU Questionnaire ,   ACS HU Spanish Questionnaire ,   PRCS HU Questionnaire ,   PRCS HU Spanish Questionnaire ,   PRCS Group Quarters Facility Questionnaire ,   ACS Group Quarters Facility Questionnaire ,   ACS GQ Resident Questionnaire ,   PRCS GQ Resident Questionnaire

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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	3,805,200	0	0	0	0
Annual Time Burden (Hours)	2,337,868	2,337,868	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $248,000,000

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

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Common Form ICR:  No

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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: 06/23/2011

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