Information Collection

Decennial Language Research

IC 216576 under ICR 201312-0607-004 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DC3309 2014 Census Test Language Flashcard Decennial Language Research	Form and Instruction
Form Dy-1 (CT4B0 2015 National Content Test Decennial Language Research	Form and Instruction
OMB1510_2015_Census_Focus_Grps_enc3.docx	Other-Moderator's Guide
OMB1510_2015_Census_Focus_Grps_enc4.docx	Other-Moderator's Guide Self Adminis
OMB1510_2015_Census_Focus_Grps_enc6.pdf	Other-Your Answers Are Confidential
OMB1510_2015_Census_Focus_Grps_enc7.pdf	Other-Important Information From the
OMB1510_2015_Census_Focus_Grps_enc10.docx	Other-Study Screener
OMB1510_2015_Census_Focus_Grps_enc11.docx	Other-Focus Group Consent Form
OMB1510_2015_Census_Focus_Grps_enc12.docx	Other-Information Collected At The E
OMB1510_2015_Census_Focus_Grps_enc13.docx	Other-Internet Security Message Term
OMB1510_2015_Census_Focus_Grps_enc14.docx	Other-Video Scripts To Be Shown to N
OMB1510_2015_Census_Focus_Grps_enc16.pdf	Other-2015 National Census Test with
OMB1510_2015_Census_Focus_Grps_enc5.pdf	Instruction
OMB1510_2015_Census_Focus_Grps_enc8.pdf	Other-Message from the Director
OMB1510_2015_Census_Focus_Grps_enc9.pdf	Other-Information from 2010 Census
DC3309 2014 Census Test Language Flashcard OMB1510_2015_Census_Focus_Grps_enc2.pdf	Form and Instruction
Dy-1 (CT4B0 2015 National Content Test OMB1510_2015_Census_Focus_Grps_enc15.pdf	Form and Instruction
OMB1508_RO_ASM debriefings.docx Plans to conduct additional research - OMB Justification	IC Document
OMB1508_RO_ASM debriefings_enc.doc 2014 Ro-ASM Surveyor Respondent Debriefings	IC Document
OMB1512_ACS_mobile.doc Memo regarding moble device	IC Document
OMB1512_ACS_mobile_enc1.doc Usability Study of the online ACS	IC Document
OMB1512_ACS_Mobile_enc2.docx Participant # Demographic Information	IC Document
OMB1512_ACS_Mobile_enc3.docx Questionnaire for user Interaction Satisfaction	IC Document
OMB1512_ACS_Mobile_enc4.docx Debriefing Questions	IC Document
OMB1512_ACS_Mobile_enc5.docx Usabililty Testing Protocol	IC Document
OMB1510_2015_Census_Focus_Grps_Memo_rev.docx OMB Memo for Decennial Language Research	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Decennial Language Research

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DC3309	Yes	Yes	Fillable Fileable
Other-Moderator's Guide		Yes	Yes	Fillable Fileable
Other-Moderator's Guide Self Administered Materials		Yes	Yes	Fillable Fileable
Other-Your Answers Are Confidential Card		Yes	Yes	Fillable Fileable
Other-Important Information From the U.S. Census Bureau Brochure		Yes	Yes	Fillable Fileable
Other-Study Screener		Yes	Yes	Fillable Fileable
Other-Focus Group Consent Form		Yes	Yes	Fillable Fileable
Other-Information Collected At The End of the Focus Group		Yes	Yes	Fillable Fileable
Other-Internet Security Message Terms & Conditions		Yes	Yes	Fillable Fileable
Other-Video Scripts To Be Shown to NRFU Focus Groups Participants		Yes	Yes	Fillable Fileable
Form and Instruction	Dy-1 (CT4B0	Yes	Yes	Fillable Fileable
Other-2015 National Census Test with Please provide your 13 digit Census ID		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Other-Message from the Director		Yes	Yes	Fillable Fileable
Other-Information from 2010 Census		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,050

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	1,050	1,050
Annual IC Time Burden (Hours)	675	675
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Plans to conduct additional research - OMB Justification		05/13/2015
2014 Ro-ASM Surveyor Respondent Debriefings		05/12/2015
Memo regarding moble device		05/12/2015
Usability Study of the online ACS		05/12/2015
Participant # Demographic Information		05/12/2015
Questionnaire for user Interaction Satisfaction		05/12/2015
Debriefing Questions		05/12/2015
Usabililty Testing Protocol		05/12/2015
OMB Memo for Decennial Language Research		05/14/2015

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

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