2012 National Census Test

Documents and Forms

Document Name Document Type
Attachment B - DRAFT 2012 NCT Internet Screen Shots.pdf Other-2012 National Census Test - In
Attachment C - DRAFT 2012 NCT Letters - UPDATE 06132012.pdf Other-Various Respondent Letters
Attachment D - DRAFT 2012 NCT Internet Instruction Card.pdf Other-Internet Access Instruction Ca
Attachment E - DRAFT 2012 NCT Instruction FAQ and Help Text.pdf Other-FAQ and Help Text
Attachment F.docx Other-Reinterview Specification
DA-1 2012 National Census Test (paper questionnaire) Attachment A - DRAFT 2012 NCT Paper Questionnaire.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2012 National Census Test	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Reinterview Specification			Attachment F.docx	Yes	Yes	Fillable Fileable
Form	DA-1	2012 National Census Test (paper questionnaire)	Attachment A - DRAFT 2012 NCT Paper Questionnaire.pdf	No		Paper Only
Other-2012 National Census Test - Internet Screen Shots			Attachment B - DRAFT 2012 NCT Internet Screen Shots.pdf	Yes	Yes	Fillable Fileable
Other-Internet Access Instruction Card			Attachment D - DRAFT 2012 NCT Internet Instruction Card.pdf	Yes	Yes	Fillable Fileable
Other-FAQ and Help Text			Attachment E - DRAFT 2012 NCT Instruction FAQ and Help Text.pdf	Yes	Yes	Fillable Fileable
Other-Various Respondent Letters			Attachment C - DRAFT 2012 NCT Letters - UPDATE 06132012.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100,000	100,000
Annual IC Time Burden (Hours)	16,668	16,668
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.