Information Collection

2013 National Census Contact Test

IC 204542 under ICR 201210-0607-004 · OMB 0607-0972.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Questionnaire (inc Questionnaire (including skip patterns) 2013 National Census Contact Test	Form
2013 NCCT OMB submission Attachment A v3.0 Advance Letter.docx	Other-Advance Letter
2013 NCCT OMB submission Attachment C Alert Memo - 11142012.doc	Other-FAQs
Questionnaire (inc Questionnaire (including skip patterns) 2013 NCCT OMB submission Attachment B Questionnaire v2.0.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Advance Letter		Yes	Yes	Fillable Fileable
Form	Questionnaire (including skip patterns)	Yes	Yes	Fillable Fileable
Other-FAQs		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: 40,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	4,667	4,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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