2016 Census Test online questionnaire non-English testing

Generic Clearance for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 2016 Census Test p 2016 Census Test online questionnaire non-English testing Form and Instruction
2016 Census Test p 2016 Census Test protocol Enclosure 1 2016 CT Protocol.docx Form and Instruction
Enclosure 2 a df_33_ec_20151030.pdf Enclosure 2a IC Document
Enclosure 2 b df_33_ek_20151030.pdf Enclosure 2b IC Document
Enclosure 2 c df_33_es_20151119.pdf Enclosure 2c IC Document
Enclosure 2 d DF-12_11_20_15.pdf Enclosure 2d IC Document
Enclosure 3 2016 CT Debriefing Slides.pptx Enclosure 3 IC Document
Enclosure 4 2016 CT Demographics.docx Enclosure 4 IC Document
Enclosure 5 2016 CT Mobile Experience Questionnaire.docx Enclosure 5 IC Document
Enclosure 6 2016 CT Satisfaction questionnaire.docx Enclosure 6 IC Document
Enclosure 7 0215002_ProjectA_NRFU_screener_11_30_2015.docx Enclosure 7 IC Document
OMB letter_2016 Census Test.docx Memo IC Document

Information Collection (IC) Details

IC Title:	2016 Census Test online questionnaire non-English testing	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 13 CFR Sections 191, 143 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2016 Census Test protocol	2016 Census Test protocol	Enclosure 1 2016 CT Protocol.docx		Yes	Yes	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Enclosure 2a	Enclosure 2 a df_33_ec_20151030.pdf	12/03/2015
Enclosure 2b	Enclosure 2 b df_33_ek_20151030.pdf	12/03/2015
Enclosure 2c	Enclosure 2 c df_33_es_20151119.pdf	12/03/2015
Enclosure 2d	Enclosure 2 d DF-12_11_20_15.pdf	12/03/2015
Enclosure 3	Enclosure 3 2016 CT Debriefing Slides.pptx	12/03/2015
Enclosure 4	Enclosure 4 2016 CT Demographics.docx	12/03/2015
Enclosure 5	Enclosure 5 2016 CT Mobile Experience Questionnaire.docx	12/03/2015
Enclosure 6	Enclosure 6 2016 CT Satisfaction questionnaire.docx	12/03/2015
Enclosure 7	Enclosure 7 0215002_ProjectA_NRFU_screener_11_30_2015.docx	12/04/2015
Memo	OMB letter_2016 Census Test.docx	12/04/2015

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