The American Community Survey

Forms and Documents

Document Name	Status
Form ACS-1GQ The American Community Survey Form	Modified
Attachment Rpt4 -- PPOB Leg. Justifications_v2.docx Supplementary Document	2012-05-31
Attachment Rpt3 -- Population Questions.pdf Supplementary Document	2012-05-31
Attachment Rpt3 -- Housing Questions.pdf Supplementary Document	2012-05-31
Attachment Rpt2 -- 2010 ACS Content Test Evaluation Report - Wages.pdf Supplementary Document	2012-05-31
Attachment Rpt2 -- 2010 ACS Content Test Evaluation Report - Veteran Status.pdf Supplementary Document	2012-05-31
Attachment Rpt2 -- 2010 ACS Content Test Evaluation Report - Public Assistance.pdf Supplementary Document	2012-05-31
Attachment Rpt2 -- 2010 ACS Content Test Evaluation Report - Period of Military Service.pdf Supplementary Document	2012-05-31
Attachment Rpt2 -- 2010 ACS Content Test Evaluation Report - Parental Place of Birth.pdf Supplementary Document	2012-05-31
Attachment Rpt2 -- 2010 ACs Content Test Evaluation Report - Food Stamps -SNAP.pdf Supplementary Document	2012-05-31
Attachment Rpt2 -- 2010 ACS Content Test Evaluation Report - Computer and Internet.pdf Supplementary Document	2012-05-31
Attachment Rpt2 -- 2010 ACS Content Test Evaluation - Property Income.pdf Supplementary Document	2012-05-31
Attachment Rpt1 -- Design of the ACS Internet Instrument.pdf Supplementary Document	2012-05-31
Attachment Rpt1 -- April 2011 ACS Internet Test- Attitudes and Behavior Study Follow-up.pdf Supplementary Document	2012-05-31
Attachment Rpt1 -- 2011 ACS Internet Tests - Results from First Test in April 2011.pdf Supplementary Document	2012-05-31
Cover Letter on OMB ACS package final.doc[1].pdf Supplementary Document	2012-05-31
2013 ACS OMB Supporting Statement pt. b v2.0 5-10-12.docx Supporting Statement B	2012-05-31
2013 ACS OMB Supporting Statement pt. a v2.1 05-09-12.docx Supporting Statement A	2012-05-31

IC Document Collections

IC ID	Document Title	Status
3530	The American Community Survey Form	Modified

ICR Details

OMB Control No: 0607-0810	ICR Reference No: 201202-0607-003
Status: Historical Active	Previous ICR Reference No: 201106-0607-002
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: The American Community Survey
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/01/2012
	Date Received in OIRA: 03/28/2012
Terms of Clearance: This collection is approved with the following terms of clearance: 1) as requested by the Census Bureau, the questions on parental place of birth will not be included in the ACS at this time; 2) the Census Bureau will provide OMB with its responses to the recommendations from the National Academies’ panel on Group Quarters in the ACS; and 3) the Census Bureau agrees that the methodological documentation for the ACS needs updating based on sample and operational changes in recent years, and will keep OMB informed on these efforts.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2015	36 Months From Approved	09/30/2014
Responses	3,805,200	0	3,805,200
Time Burden (Hours)	2,435,568	0	2,337,868
Cost Burden (Dollars)	0	0	0

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Abstract: The U.S. Census Bureau requests authorization from the Office of Management and Budget (OMB) to add new content and an Internet collection mode to the American Community Survey (ACS) data collection. The ACS allows the Census Bureau to provide more timely and relevant housing and socio-economic data while also reducing operational risks in the census by eliminating the long-form historically given to one in every six addresses. Content updates enable the ACS data collection to remain relevant to changes in the demographic, socio-economic, and housing characteristics of communities in U.S. and Puerto Rico.

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Authorizing Statute(s): US Code: 13 USC 141, 193, 221 Name of Law: null
  

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 81474	12/28/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 18203	03/27/2012
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
The American Community Survey	ACS-1(2013)D1, ACS-1(2013)(SP)D2, ACS-1(2013)D1, Group Quarters Facility Questionnaire, ACS-1PR, ACS-1GQ, ACS-1PR, ACS-1SP, ACS-1, ACS-1PR(SP), ACS Internet Questionnaire, ACS-1GQ(PR)	American Community Survey Group Quarters Questionnaire ,   Group Quarters Facility Questionnaire ,   Puerto Rico Community Survey - GQ Resident Questionnaire ,   ACS Internet Questionnaire ,   Stateside HU Questionnaire Package - ACS Form ,   Puerto Rico Community Survey HU Questionnaire (Spanish) ,   Puerto Rico Community Survey HU Questionnaire (English) ,   ACS Stateside HU Questionnaire (Spanish) ,   Puerto Rico Community Survey Housing Unit Questionnaire (English) ,   American Community Survey ,   American Community Survey ,   American Community Survey

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ICR Summary 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)	2,435,568	2,337,868	0	97,700	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: Due to changes to the questionnaire, we have increased to estimated time per response to 40 minutes.

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Annual Cost to Federal Government: $253,000,000

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: 03/28/2012

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