Information Collection

Respondent Perceptions of Burden in the American Community Survey (ACS)

IC 225713 under ICR 201402-0690-001 · OMB 0690-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0690-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Enclosure 1 - Telephone Script.docx	Other-Telephone Script
Enclosure 3 - Moderator Guide.docx	Other-Moderator Guide
Enclosure 4 - Sample Questions.docx	Other-Sample Questions
Consent Form Consent Form Enclosure 2 - Consent Form.docx	Form
Demo Questions Focus Group Worksheet Enclosure 5 - Demo Questions.docx	Form
Fast Track Cover Letter - ACS_Burden.docx Cover Letter	IC Document
OMB letter - ACS Burden.docx OMB Memo	IC Document

IC Title:

Respondent Perceptions of Burden in the American Community Survey (ACS)

Agency IC Tracking Number:

Census

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Other-Telephone Script			Enclosure 1 - Telephone Script.docx	No	Fillable Fileable
Form	Consent Form	Consent Form	Enclosure 2 - Consent Form.docx	No	Fillable Fileable
Other-Moderator Guide			Enclosure 3 - Moderator Guide.docx	No	Fillable Fileable
Other-Sample Questions			Enclosure 4 - Sample Questions.docx	No	Fillable Fileable
Form	Demo Questions	Focus Group Worksheet	Enclosure 5 - Demo Questions.docx	No	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,442

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	6,442	6,442
Annual IC Time Burden (Hours)	267	267
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Cover Letter	Fast Track Cover Letter - ACS_Burden.docx	02/15/2017
OMB Memo	OMB letter - ACS Burden.docx	02/15/2017

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