Information Collection

2014 Census Test

IC 210626 under ICR 201403-0607-001 · OMB 0607-0979.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DC-1A 2014 Census Test 2014 Census Test	Form
Form DC-1B 2014 Census Test 2014 Census Test	Form
Form 2014 Census Test I 2014 Census Test Internet Instrument Screen Shots 2014 Census Test	Form
Form NRFU Instrument NRFU Instrument 2014 Census Test	Form
dc33_draft 5_20140205.pdf	Other-Instruction Card
dc33_u_draft 3_20140205.pdf	Other-Instruction Card
dc5l_2014_doc_20140219.pdf	Other-Advance Letter
dc16l1_draft 8_20140219.pdf	Other-Cover Letter
dc16l2_Draft 4_20140219.pdf	Other-Cover Letter
dc17l1_Draft 7_20140219.pdf	Other-Cover Letter
dc17l3_Draft 4_20140219.pdf	Other-Cover Letter
dc9_2a_20140220.pdf	Other-Postcard
dc9_2b_20140220.pdf	Other-Postcard
dc9_2d_20140220.pdf	Other-Postcard
dc9_20140220.pdf	Other-Postcard
dc9reg_2014_doc_20140220.pdf	Other-Postcard
dc9u_20140220.pdf	Other-Postcard
BC-1325 as rec'd from NPC.pdf	Other-Envelope
dc6ain.pdf	Other-Envelope
dc8a_draft 2_20140124.pdf	Other-Envelope
dc6a1in_draft 2_20140124.pdf	Other-Envelope
dc26b_draft 5_20140219.pdf	Other-Notice of Visit
dc31_20140207.pdf	Other-Confidentiality Notice
dc3309_draft 2.pdf	Other-Language ID Flashcard
E1 E-Count Panel 2014 Census Test 02122014.docx	Other-E-Count Panel E1 Invitiation
E2 E-Count Panel 2014 Census Test 02192014.docx	Other-E-Count Panel E2 Invitation
E3 E-Count Panel 2014 Census Test 02192014.docx	Other-E-Count Panel E3 Invitation
M1 Mail Internet Invitation Panel 2014 Census Test 02122014.docx	Other-Mail Internet Invitation Panel
M4 Mail Internet Invitation Panel 2014 Census Test 02122014.docx	Other-Mail Internet Invitation Panel
M5 Mail Internet Invitation Panel 2014 Census Test 02122014.docx	Other-Mail Internet Invitation Panel
P1 Pre-Reg Panel Email Path 2014 Census Test 02192014.docx	Other-Pre-Registration Panel P1 - Em
P1 Pre-Reg Panel No Pre-Reg Path 2014 Census Test 02192014.docx	Other-Pre-Registration Panel P1 - No
P1 Pre-Reg Panel Text Path 2014 Census Test 02192014.docx	Other-Pre-Registration Panel P1 - Te
U1 U-Count Panel 2014 Census Test 02192014.docx	Other-U Count Panel U1 Invitation
DC-1A 2014 Census Test DC-1A_02182014.pdf	Form
DC-1B 2014 Census Test DC-1B_02182014.pdf	Form
2014 Census Test I 2014 Census Test Internet Instrument Screen Shots 2014 Census Test Internet Instrument - Screenshots 02192014.doc	Form
NRFU Instrument NRFU Instrument NRFU Complete_Questionnaire_020614 questions for OMB.docx	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

2014 Census Test

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DC-1A	Yes	Yes	Fillable Fileable
Form	DC-1B	Yes	Yes	Fillable Fileable
Other-Instruction Card		Yes	Yes	Fillable Fileable
Other-Instruction Card		Yes	Yes	Fillable Fileable
Other-Advance Letter		Yes	Yes	Fillable Fileable
Other-Cover Letter		Yes	Yes	Fillable Fileable
Other-Cover Letter		Yes	Yes	Fillable Fileable
Other-Cover Letter		Yes	Yes	Fillable Fileable
Other-Cover Letter		Yes	Yes	Fillable Fileable
Other-Postcard		Yes	Yes	Fillable Fileable
Other-Postcard		Yes	Yes	Fillable Fileable
Other-Postcard		Yes	Yes	Fillable Fileable
Other-Postcard		Yes	Yes	Fillable Fileable
Other-Postcard		Yes	Yes	Fillable Fileable
Other-Postcard		Yes	Yes	Fillable Fileable
Other-Envelope		Yes	Yes	Fillable Fileable
Other-Envelope		Yes	Yes	Fillable Fileable
Other-Envelope		Yes	Yes	Fillable Fileable
Other-Envelope		Yes	Yes	Fillable Fileable
Other-Notice of Visit		Yes	Yes	Fillable Fileable
Other-Confidentiality Notice		Yes	Yes	Fillable Fileable
Other-Language ID Flashcard		Yes	Yes	Fillable Fileable
Other-E-Count Panel E1 Invitiation		Yes	Yes	Fillable Fileable
Other-E-Count Panel E2 Invitation		Yes	Yes	Fillable Fileable
Other-E-Count Panel E3 Invitation		Yes	Yes	Fillable Fileable
Other-Mail Internet Invitation Panel M1		Yes	Yes	Fillable Fileable
Other-Mail Internet Invitation Panel M4		Yes	Yes	Fillable Fileable
Other-Mail Internet Invitation Panel M5		Yes	Yes	Fillable Fileable
Other-Pre-Registration Panel P1 - Email Path		Yes	Yes	Fillable Fileable
Other-Pre-Registration Panel P1 - No Pre-Reg Path		Yes	Yes	Fillable Fileable
Other-Pre-Registration Panel P1 - Text Path		Yes	Yes	Fillable Fileable
Other-U Count Panel U1 Invitation		Yes	Yes	Fillable Fileable
Form	2014 Census Test Internet Instrument Screen Shots	Yes	Yes	Fillable Fileable
Form	NRFU Instrument	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: 190,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	190,500	190,500
Annual IC Time Burden (Hours)	31,750	31,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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