Information Collection

2013 Census Test

IC 207644 under ICR 201312-0607-003 · OMB 0607-0975.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B 2013 Census Test - Prenotice Letter and FAQ (08-13-2013) NO TRACK CHANGES.docx	Other-Prenotice Letter
Attachment D 2013 Test - FR Letter (08-13-13) NO TRACK CHANGES.docx	Other-Field Representative Letter
Attachment E 2013 Test - Flashcards (08-09-13) NO TRACK CHANGES.docx	Other-Flashcards
DC-26B Draft 8 23 13.docx	Other-Notice of Visit Card
2013 Census Test 2013 Census Test Attachment C 2013 Census Test Instrument (08-09-2013) NO TRACK CHANGES.docx	Form

IC Title:

2013 Census Test

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Prenotice Letter			Attachment B 2013 Census Test - Prenotice Letter and FAQ (08-13-2013) NO TRACK CHANGES.docx	Yes	Yes	Fillable Fileable
Form	2013 Census Test	2013 Census Test	Attachment C 2013 Census Test Instrument (08-09-2013) NO TRACK CHANGES.docx	Yes	Yes	Fillable Fileable
Other-Field Representative Letter			Attachment D 2013 Test - FR Letter (08-13-13) NO TRACK CHANGES.docx	Yes	Yes	Fillable Fileable
Other-Flashcards			Attachment E 2013 Test - Flashcards (08-09-13) NO TRACK CHANGES.docx	Yes	Yes	Fillable Fileable
Other-Notice of Visit Card			DC-26B Draft 8 23 13.docx	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: 2,000

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	Previously Approved
Annual Number of Responses for this IC	2,000	0	2,000
Annual IC Time Burden (Hours)	344	10	334
Annual IC Cost Burden (Dollars)	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.