OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

The American Community Survey

IC 3530 under ICR 201306-0607-003 · OMB 0607-0810.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form ACS Internet Scree
ACS Internet Screen Capture Guide The American Community Survey		 Form
Form ACS-1
Stateside HU Questionnaire Package - ACS Form The American Community Survey		 Form
Form ACS-1(SP)
American Community Survey HU Questionnaire (Spanish) The American Community Survey		 Form
Form ACS-1PR(SP)
Puerto Rico Community Survey Questionnaire (Spanish) The American Community Survey		 Form
Form GQ Facilities Ques
GQ Facilities Questionnaire The American Community Survey		 Form
Form ACS-1GQ
American Community Survey Group Quarters Questionnaire The American Community Survey		 Form
Form ACS-1GQ(PR)
Puerto Rico Community Survey - GQ Resident Questionnaire The American Community Survey		 Form
Form ACS-1(PR)
Puerto Rico Community Survey Questionnaire (English) The American Community Survey		 Form
Attachment A - ACS-9(2013)(6-2012) - ACS Multilingual Brochure.pdf Other-First Mailing -- Multilingual
Attachment A - ACS-12(L)S 2013 (6-2012) - ACS Prenotice letter.pdf Other-First Mailing -- Prenotice Let
Attachment A - ACS-40(2012) (6-2011) - ACS Prenotice Envelope.pdf Other-First Mailing -- Prenotice Let
Attachment B - ACS-10SM(2013) (July-2012) - ACS FAQ Brochure.pdf Other-Second Mailing -- ACS HU FAQ B
Attachment B - ACS-13(L)SM (2013) (6-12) - ACS Intro Letter.pdf Other-Second Mailing -- ACS HU Intro
Attachment B - ACS-34(2013)IM (6-27-12) - ACS Into Card.pdf Other-Second Mailing -- ACS HU Instr
Attachment B - ACS-46(2012) (5-2011) - ACS Outgoing Envelope.pdf Other-Second Mailing -- ACS HU Outgo
Attachment D - ACS-20S(2013) (5-2012) ACS Reminder Postcard.pdf Other-Stateside Reminder Card
Attachment E - 5385-47 (9-2010) Business Reply Envelope.pdf Other-Stateside HU Questionnaire Pac
Attachment E - ACS-10SM(2013) (July-2012) - ACS FAQ Brochure.pdf Other-Stateside HU Questionnaire Pac
Attachment E - ACS-14(L)SM (2013) (6-2012) ACS Follow Up Letter.pdf Other-Stateside HU Questionnaire Pac
Attachment E - ACS-30(2014)(2-2013)-ACS HU Instruction Guide.pdf Other-Stateside HU Questionnaire Pac
Attachment E - ACS-34(2013)RM (10-17-12) ACS Instruc Card.pdf Other-Stateside HU Questionnaire Pac
Attachment E - ACS-46(2012) (5-2011) - ACS Outgoing Envelope.pdf Other-Stateside HU Questionnaire Pac
Attachment F - ACS-23(2013) (5-2012) - Reminder Postcard.pdf Other-ACS HU New Reminder Postcard
Attachment G - ACS-29(2013) (5-2012) - 2nd Reminder Postcard.pdf Other-Additional Mailing Postcard, S
Attachment H - 5385-47 (9-2010) Business Reply Envelope.pdf Other-American Community Survey HU Q
Attachment H - ACS-10SM(2013)(SP) (7-2012) - FAQ-StSide Spanish.pdf Other-American Community Survey HU Q
Attachment H - ACS-46(2012)SP (6_2011) - StSide SP Outgoing Enve.pdf Other-American Community Survey HU Q
Attachment H - ACS-13(L)SP (2013) (8-2012) - ACS Intro Letter SP.pdf Other-American Community Survey HU Q
Attachment H - ACS-34(2013)RM (10-17-12) ACS Instru Card.pdf Other-American Community Survey HU Q
Attachment H - ACS-30(2014)SP (2-2013) Instru Guide-StSide SP.pdf Other-American Community Survey HU Q
Attachment I - ACS-12(L)PR (2013) (6-2012) PRCS Prenotice Letter.pdf Other-Puerto Rico Community Survey H
Attachment I - ACS-40(2012)PR (6-2011) Prenotice Envelope.pdf Other-Puerto Rico Community Survey H
Attachment I - ACS-46(2012)PR (6-2011) PRCS Outgoing Envelope.pdf Other-Puerto Rico Community Survey H
Attachment I - ACS-13(L)PR PRCS (6-14-12) Intoductory Letter.pdf Other-Puerto Rico Community Survey H
Attachment I - ACS-10SMPR(2013) (7-2012) PRCS FAQ Brochure.pdf Other-Puerto Rico Community Survey H
Attachment I - ACS-30(2014)PR(SP) (2-2013) PRCS Instr Gudie SP.pdf Other-Puerto Rico Community Survey H
Attachment I - 5385-47 (9-2010) Business Reply Envelope.pdf Other-Puerto Rico Community Survey H
Attachment I -- ACS-1(2013)SP Stateside Spanish Questionnaire.pdf Other-Puerto Rico Community Survey H
Attachment I - ACS-14(L)PR (2013)(11-2012) PRCS Follow-up.pdf Other-Puerto Rico Community Survey H
Attachment I - ACS-23PR(2013) (6-2012) PRCS Reminder Postcard.pdf Other-Puerto Rico Community Survey H
Attachment J - ACS-1(INFO)(2012)(SIMPLIFIED CHINESE) - LAG.pdf Other-Language Assistance Guide -- S
Attachment K - ACS-1(INFO)(2012)(KOREAN) - LAG.pdf Other-Language Assistance Guide -- K
Attachment M - HU Failed Edit Follow Up Qts.pdf Other-Questions for HU CATI Failed E
Attachment N - ACS 2014 Vacant Units Questions.pdf Other-Questions for Vacant Units
Attachment O - ACS 2014 HU Reinterview Questions.pdf Other-Questions for Quality Control
Attachment P - ACS-50(HU) January 2013, Informational Brochure.pdf Other-American Community Survey HU D
Attachment P - ACS-16(L) (01-2013) ACS Introduction Letters.pdf Other-American Community Survey HU D
Attachment P - ACS-51(HU) January 2013, Q&A Brochure.pdf Other-American Community Survey HU D
Attachment P - ACS-613R(L)June 2008&ACS-15(L)(6-2011)Rel Resp.pdf Other-American Community Survey HU D
Attachment P - ACS-26(L)(01-2013) Thank You-Multiple Lang.pdf Other-American Community Survey HU D
Attachment R - ACS-290(GQ) (7-14-2011) ACS GQ Listing Sheet.pdf Other-American Community Survey Grou
Attachment R - ACS-290B(GQ) (8-1-2011) ACS GQ Control Sheet.pdf Other-American Community Survey Grou
Attachment R - ACS-290(GQ)(PR)(SP)(7-14-2011) PRCS GQ List Sheet.pdf Other-American Community Survey Grou
attachment S - 5385-46(GQ) (7-2012) ACS GQ Envelope.pdf Other-American Community Survey - Gr
Attachment S - ACS-17(L)(GQ)(2013)(8-2012)GQ Resident Letter.pdf Other-American Community Survey - Gr
Attachment S - ACS-17(L)(GQ)(S)(2013)(8-2012) GQ Resident SP.pdf Other-American Community Survey - Gr
Attachment S - ACS-21GQ (7-2011), GQ Confidentiality Notice.pdf Other-American Community Survey - Gr
Attachment S - ACS-30(GQ)(2014) (2-2013) GQ Instruction Guide.pdf Other-American Community Survey - Gr
Attachment S - ACS-50(GQ) (January 2012) GQ Resident FAQ.pdf Other-American Community Survey - Gr
Attachment S - ACS-51(GQ)RA(January 2012) GQ Remote Alaska FAQ.pdf Other-American Community Survey - Gr
Attachment S - ACS-26(L)(GQ)(R)(2013)(8-2012)GQ Resid Thank You.pdf Other-American Community Survey - Gr
Attachment T - 5385-46(GQ)(PR) (8-2011) PRCS GQ Envelope.pdf Other-Puerto Rico Community Survey -
Attachment T - ACS-17(L)(GQ)(PR)(2013)(8-2012) PRCS GQ Resident.pdf Other-Puerto Rico Community Survey -
Attachment T - ACS-21(GQ)(PR)(7-2011) PRCS Confid Notice.pdf Other-Puerto Rico Community Survey -
Attachment T - ACS-26(L)(GQ)(PR)(R)(8-2012) PRCS Resi Thank You.pdf Other-Puerto Rico Community Survey -
Attachment T - ACS-30(GQ)(PR)(2014)(3-2013) PRCS GQ Instr Guide.pdf Other-Puerto Rico Community Survey -
Attachment U - GQ Reinterview Questions .pdf Other-Questions for Quality Control
Attachment V - ACA-ACS Insurance Exchange Testing Final Report.pdf Other-Affordable Care Act - American
Attachment W - Why We Ask - Housing 2014.pdf Other-ACS Housing Questions Justific
Attachment W - Why We Ask - Person 2014.pdf Other-ACS Person Questions Justifica
Attachment L - ACS-13(L)PR PRCS (6-14-12) Intoductory Letter.pdf Other-Puerto Rico Community Survey H
Attachment L - ACS-10SMPR(2013) (7-2012) PRCS FAQ Brochure.pdf Other-Puerto Rico Community Survey H
Attachment L - 5385-47 (9-2010) Business Reply Envelope.pdf Other-Puerto Rico Community Survey H
Attachment L - ACS-30(2014)PR (2-2013) PRCS Quest Instr Guide EN.pdf Other-Puerto Rico Community Survey H
Attachment Q - ACS-18(L)(C)(RO)(2013)(7-2012) GQ Stud Intro.pdf Other-American Community Survey Qrou
Attachment Q - ACS-18(L)(H)(RO)(2013)(7-2012)GQ Health Intro.pdf Other-American Community Survey Qrou
Attachment Q - ACS-18(L)(GQ)(PR)(2013)(8-2012) PRCS GQ Intro.pdf Other-American Community Survey Qrou
Attachment Q - ACS-18(L)(GQ)(PR)(S)(2013)(8-2012) PRCS IntroSP.pdf Other-American Community Survey Qrou
Attachment Q - ACS-51(GQ)(F) (January 2012) ACS GQ Facility FAQ.pdf Other-American Community Survey Qrou
Attachment Q - ACS-26(L)(GQ)(F)(2013)(8-2012)GQ Fac Thank You.pdf Other-American Community Survey Qrou
Attachment Q - ACS-26(L)(GQ)(PR)(F)(8-2012) PRCS Fac Thank You.pdf Other-American Community Survey Qrou
ACS Internet Scree ACS Internet Screen Capture Guide
Attachment C - ACS Internet Screen Capture Guide.pdf 		Form
ACS-1 Stateside HU Questionnaire Package - ACS Form
Attachment E - ACS-1(2014) (02-21-2013)KFI - ACS Stateside Eng.pdf 		Form
ACS-1(SP) American Community Survey HU Questionnaire (Spanish)
Attachment H - ACS-1(2014)(SP)KFI (02-28-2013) Stateside SP.pdf 		Form
ACS-1PR(SP) Puerto Rico Community Survey Questionnaire (Spanish)
Attachment I - ACS-1(2014)PR(SP)KFI (02-28-2013)-PRCS Quest SP.pdf 		Form
GQ Facilities Ques GQ Facilities Questionnaire
Attachment R - GQFQ facilities questionnaire for OMB 2014.pdf 		Form
ACS-1GQ American Community Survey Group Quarters Questionnaire
Attachment S - ACS-1(GQ)(2014)(2-21-2013)Facilities Quest EN SP.pdf 		Form
ACS-1GQ(PR) Puerto Rico Community Survey - GQ Resident Questionnaire
Attachment T - ACS-1(GQ)(PR)(2014)(2-21-2013) PRCS GQ Fac Quest.pdf 		Form
ACS-1(PR) Puerto Rico Community Survey Questionnaire (English)
Attachment L - ACS-1(2014)PR KFI (02-28-2013)-PRCS Quest EN.pdf 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-First Mailing -- Multilingual Brochure Yes Yes Fillable Fileable
Other-First Mailing -- Prenotice Letter Yes Yes Fillable Fileable
Other-First Mailing -- Prenotice Letter Envelope Yes Yes Fillable Fileable
Other-Second Mailing -- ACS HU FAQ Brochure Yes Yes Fillable Fileable
Other-Second Mailing -- ACS HU Introductory Letter Yes Yes Fillable Fileable
Other-Second Mailing -- ACS HU Instruction Card Yes Yes Fillable Fileable
Other-Second Mailing -- ACS HU Outgoing Envelope Yes Yes Fillable Fileable
Form ACS Internet Screen Capture Guide Yes Yes Fillable Fileable
Other-Stateside Reminder Card Yes Yes Fillable Fileable
Other-Stateside HU Questionnaire Package - Reply Envelope Yes Yes Fillable Fileable
Form ACS-1 Yes Yes Fillable Fileable
Other-Stateside HU Questionnaire Package - FAQ Brochure Yes Yes Fillable Fileable
Other-Stateside HU Questionnaire Package - ACS Replacement Letter Yes Yes Fillable Fileable
Other-Stateside HU Questionnaire Package - Instruction Guide Yes Yes Fillable Fileable
Other-Stateside HU Questionnaire Package - Replacement Instruction Card Yes Yes Fillable Fileable
Other-Stateside HU Questionnaire Package - Outgoing Envelope Yes Yes Fillable Fileable
Other-ACS HU New Reminder Postcard Yes Yes Fillable Fileable
Other-Additional Mailing Postcard, Stateside, English Yes Yes Fillable Fileable
Other-American Community Survey HU Questionnaire Mail Package (Spanish) -- Reply Envelope Yes Yes Fillable Fileable
Form ACS-1(SP) Yes Yes Fillable Fileable
Other-American Community Survey HU Questionnaire Mail Package (Spanish) -- FAQ Brochure Yes Yes Fillable Fileable
Other-American Community Survey HU Questionnaire Mail Package (Spanish) -- Outgoing Envelope Yes Yes Fillable Fileable
Other-American Community Survey HU Questionnaire Mail Package (Spanish) -- Introductory Letter Yes Yes Fillable Fileable
Other-American Community Survey HU Questionnaire Mail Package (Spanish) -- Instruction Card Yes Yes Fillable Fileable
Other-American Community Survey HU Questionnaire Mail Package (Spanish) -- Instruction Guide Booklet Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Pre-notice letter Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Pre-notice Envelope Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Outgoing Envelope Yes Yes Fillable Fileable
Form ACS-1PR(SP) Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Introductory Letter Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- FAQ Brochure Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Instruction Guide Booklet in Spanish Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Return Envelope Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Reminder/Thank You Postcard Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Follow up Letter Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Questionnaire Mail Package -- Reminder Postcard Yes Yes Fillable Fileable
Other-Language Assistance Guide -- Simplified Chinese Yes Yes Fillable Fileable
Other-Language Assistance Guide -- Korean Yes Yes Fillable Fileable
Other-Questions for HU CATI Failed Edit Follow Up Yes Yes Fillable Fileable
Other-Questions for Vacant Units Yes Yes Fillable Fileable
Other-Questions for Quality Control -- Household Reinterview Yes Yes Fillable Fileable
Other-American Community Survey HU Detailed Language Materials: ACS-50 Language Brochures Yes Yes Fillable Fileable
Other-American Community Survey HU Detailed Language Materials; ACS-16(L) ACS language introductory letters Yes Yes Fillable Fileable
Other-American Community Survey HU Detailed Language Materials: ACS-51(HU) ACS language questions and answers Yes Yes Fillable Fileable
Other-American Community Survey HU Detailed Language Materials: ACS language reluctant respondent letters Yes Yes Fillable Fileable
Other-American Community Survey HU Detailed Language Materials: ACS language thank you letters Yes Yes Fillable Fileable
Form GQ Facilities Questionnaire Yes Yes Fillable Fileable
Other-American Community Survey Group Quarters -- Listing Sheet Yes Yes Fillable Fileable
Other-American Community Survey Group Quarters -- Control List Yes Yes Fillable Fileable
Other-American Community Survey Group Quarters -- PRCS GQ Listing Sheet Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- Reply Envelope Yes Yes Fillable Fileable
Form ACS-1GQ Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- Resident Introductory Letter Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- Resident Introductory Letter (Spanish) Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- Confidentiality Notice Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- Instruction Guide Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- FAQ Brochure Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- GQ Remote Alaska FAQ Brochure Yes Yes Fillable Fileable
Other-American Community Survey - Group Quarters Questionnaire Package -- Resident Thank You Letter Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey - Group Quarters Questionnaire Package -- Reply Envelope Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey - Group Quarters Questionnaire Package -- Resident Introductory Letter (English/Spanish) Yes Yes Fillable Fileable
Form ACS-1GQ(PR) Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey - Group Quarters Questionnaire Package -- Confidentiality Notice Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey - Group Quarters Questionnaire Package -- Resident Thank You Letter Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey - Group Quarters Questionnaire Package -- Instruction Guide Yes Yes Fillable Fileable
Other-Questions for Quality Control -- Group Quarters Facility Reinterview Yes Yes Fillable Fileable
Other-Affordable Care Act - American Community Survey Insurance Exchange Testing Final Report Yes Yes Fillable Fileable
Other-ACS Housing Questions Justification Yes Yes Fillable Fileable
Other-ACS Person Questions Justification Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Mailing Package (English) -- Introductory Letter Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Mailing Package (English) -- FAQ Brochure Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Mailing Package (English) -- Return Envelope Yes Yes Fillable Fileable
Form ACS-1(PR) Yes Yes Fillable Fileable
Other-Puerto Rico Community Survey HU Mailing Package (English) -- Instruction Guide Booklet in English Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- ACS GQ Student Housing Introductory Letter Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- ACS GQ Health Care Introductory Letter Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- PRCS GQ Introductory Letter (English) Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- PRCS GQ Introductory Letter (Spanish) Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- ACS GQ Facility FAQ Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- ACS Facility Thank You Letter (English/Spanish) Yes Yes Fillable Fileable
Other-American Community Survey Qroup Quarters Facility Data Collection Package -- PRCS Facility Thank You Letter (English/Spanish) Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 3,805,200 0 0 0 0 3,805,200
Annual IC Time Burden (Hours) 2,455,868 0 20,300 0 0 2,435,568
Annual IC Cost Burden (Dollars) 0 0 0 0 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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