SCOPE Confidentiality Language 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⚠️ Notice: This information collection may be referencing outdated material.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
DRAFT Protocol Web version_letter variant.docx Instruction
DRAFT Protocol Web version_online website terms conditions variant.docx Instruction
Survey Monkey Confidentiality Survey.docx Instruction
Census Bureau Testing OMB.docx Memo IC Document
Satisfaction handout.docx Satisfaction Handout IC Document

Information Collection (IC) Details

IC Title:	SCOPE Confidentiality Language Testing	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	DRAFT Protocol Web version_letter variant.docx	Yes	Yes	Paper Only
Instruction	DRAFT Protocol Web version_online website terms conditions variant.docx	Yes	Yes	Paper Only
Instruction	Survey Monkey Confidentiality Survey.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: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	957	957
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo	Census Bureau Testing OMB.docx	06/10/2016
Satisfaction Handout	Satisfaction handout.docx	06/10/2016

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