2010, 2011 & 2012 Forms

American Community Survey Methods Panel Tests

OMB: 0607-0936

IC ID: 190927

Information Collection (IC) Details

View Information Collection (IC)

2010, 2011 & 2012 Forms
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-ACS-12(L)S - Prenotice Letter Attachment A ACS-0012(L)S - Prenotice Letter.pdf No   Paper Only
Other-ACS-13(L)SM - Introductory Letter Attachment B ACS-0013(L)SM - Introductory Letter.pdf No   Paper Only
Form ACS-1 American Community Survey Attachment C ACS-0001 - Questionnaire.pdf No   Paper Only
Other-ACS-10SM - Frequently Asked Question Brochure Attachment D ACS-0010SM - Frequently Asked Question Brochure.pdf No   Paper Only
Instruction Attachment E ACS-0030 - Instruction Guide Booklet.pdf No   Paper Only
Other-ACS-20S - Reminder Card Attachment F ACS-0020S - Reminder Card.pdf No   Paper Only
Other-ACS-14(L)SM - Followup Letter Attachment G ACS-0014(L)SM - Followup Letter.pdf No   Paper Only
Other-2010 ACS Content Test Cognitive Interviewing Final Report Attachment H 2010 ACS Content Test Cognitive Interviewing Final Report.pdf No   Paper Only
Other-2010 ACS Content Test Proposed Field Test Question Wording Attachment I Content Test Questions 112509.xls No   Paper Only
Other-Internet Mode Test Proposed Sample Screen Shots Attachment J Internet Screen Shots.doc Yes Yes Fillable Fileable
Form ACS Internet Test Followup - Behavioral Questions ACS Internet Test Followup - Behavioral Questions for Nonrespondents and Internet Respondents Attachment A_ ACS-Web Option Reinterview_FINAL_rev.docx Yes Yes Fillable Fileable
Other-ACS Questions to be Re-asked in Internet Followup Interview Attachment B ACS Questions for Internet Follow-up.doc No   Paper Only

General Government Central Records & Statistical Mgt

 

223,467 0
   
Individuals or Households
 
   49 %

  Approved 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 250,133 0 100,000 0 0 150,133
Annual IC Time Burden (Hours) 140,896 0 63,334 0 0 77,562
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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