The American Community Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ACS-1(PR) Puerto Rico Community Survey Questionnaire (English)	Form	Unchanged	Available
Form ACS-1GQ(PR) Puerto Rico Community Survey - GQ Resident Questionnaire	Form	Unchanged	Available
Form ACS-1GQ American Community Survey Group Quarters Questionnaire	Form	Unchanged	Repair queued
Form GQ Facilities Ques GQ Facilities Questionnaire	Form	Unchanged	Available
Form ACS-1PR(SP) Puerto Rico Community Survey Questionnaire (Spanish)	Form	Unchanged	Available
Form ACS-1(SP) American Community Survey HU Questionnaire (Spanish)	Form	Unchanged	Available
Form ACS-1 Stateside HU Questionnaire Package - ACS Form	Form	Unchanged	Available
Form ACS Internet Scree ACS Internet Screen Capture Guide	Form	Unchanged	Available
OMB 2014 non substantive change phone tree project 9-27-2013.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2013-09-27	Available
ACS Nonsubstantive Change..doc	Justification for No Material/Nonsubstantive Change	Uploaded 2013-06-27	Available
Letter to Katherine Wallman 6.7.13[1].pdf	Supplementary Document	Uploaded 2013-06-12	Available
Attachment Rpt4 -- PPOB Leg. Justifications_v2.docx	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt3 -- Population Questions.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt3 -- Housing Questions.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt2 -- 2010 ACS Content Test Evaluation Report - Wages.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt2 -- 2010 ACS Content Test Evaluation Report - Veteran Status.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt2 -- 2010 ACS Content Test Evaluation Report - Public Assistance.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt2 -- 2010 ACS Content Test Evaluation Report - Period of Military Service.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt2 -- 2010 ACS Content Test Evaluation Report - Parental Place of Birth.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt2 -- 2010 ACs Content Test Evaluation Report - Food Stamps -SNAP.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt2 -- 2010 ACS Content Test Evaluation Report - Computer and Internet.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt2 -- 2010 ACS Content Test Evaluation - Property Income.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt1 -- Design of the ACS Internet Instrument.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt1 -- April 2011 ACS Internet Test- Attitudes and Behavior Study Follow-up.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Attachment Rpt1 -- 2011 ACS Internet Tests - Results from First Test in April 2011.pdf	Supplementary Document	Uploaded 2012-05-31	Available
Cover Letter on OMB ACS package final.doc[1].pdf	Supplementary Document	Uploaded 2012-05-31	Available
2014 ACS OMB Supporting Statement pt. b v1.1 06-12-2013.docx	Supporting Statement B	Uploaded 2013-06-12	Available
2014_ACS_OMB_Supporting_Statement_pt._a_v1.1_06-12-13.docx	Supporting Statement A	Uploaded 2013-06-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
3530	The American Community Survey	Form	Unchanged	Puerto Rico Community Survey Questionnaire (English)
3530	The American Community Survey	Form	Unchanged	Puerto Rico Community Survey - GQ Resident Questionnaire
3530	The American Community Survey	Form	Unchanged	American Community Survey Group Quarters Questionnaire
3530	The American Community Survey	Form	Unchanged	GQ Facilities Questionnaire
3530	The American Community Survey	Form	Unchanged	Puerto Rico Community Survey Questionnaire (Spanish)
3530	The American Community Survey	Form	Unchanged	American Community Survey HU Questionnaire (Spanish)
3530	The American Community Survey	Form	Unchanged	Stateside HU Questionnaire Package - ACS Form
3530	The American Community Survey	Form	Unchanged	ACS Internet Screen Capture Guide
3530	The American Community Survey	Other-First Mailing -- Multilingual Brochure	Unchanged

ICR Details

OMB Control No: 0607-0810	ICR Reference No: 201309-0607-001
Status: Historical Active	Previous ICR Reference No: 201306-0607-003
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: The American Community Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/27/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/05/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2016	06/30/2016	06/30/2016
Responses	3,805,200	0	3,805,200
Time Burden (Hours)	2,455,868	0	2,455,868
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
  

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:
	77 FR 75971	12/26/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 22511	04/16/2013
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
The American Community Survey	ACS-1PR(SP), ACS-1, ACS-1(SP), ACS Internet Screen Capture Guide, ACS-1GQ(PR), ACS-1(PR), ACS-1GQ, GQ Facilities Questionnaire	ACS Internet Screen Capture Guide ,   Stateside HU Questionnaire Package - ACS Form ,   American Community Survey HU Questionnaire (Spanish) ,   Puerto Rico Community Survey Questionnaire (Spanish) ,   GQ Facilities Questionnaire ,   American Community Survey Group Quarters Questionnaire ,   Puerto Rico Community Survey - GQ Resident Questionnaire ,   Puerto Rico Community Survey Questionnaire (English)

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ICR Summary of Burden

table that charts list 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)	2,455,868	2,455,868	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Due to a recording error on the part of the Census Bureau when entering information into ROCIS, the burden of this collection was slightly under-reported. This nonsubstantive change corrects that mistake and increases the burden up to the amount requested in the clearance request approved June 14, 2013.

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Annual Cost to Federal Government: $225,000,000

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: 09/05/2013

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