Information Collection

2016 Census Test online questionnaire non-English testing

IC 219177 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⚠️ Notice: This information collection may be referencing outdated material.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 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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.