Census Information Center (CIC) Annual Report

Generic Clearance for Data User and Customer Evaluation Surveys

Documents and Forms

Document Name Document Type
Form CIC Annual Report Census Information Center (CIC) Annual Report Form
InitialandReminderEmail.docx Other-Survey Invitation
CIC Annual Report CIC Annual Report 2011cic_final.pdf Form
memo2ombclearanceform_revised ver3.0.docx CIC Annual Report Plan IC Document

Information Collection (IC) Details

IC Title:	Census Information Center (CIC) Annual Report	Agency IC Tracking Number:

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CIC Annual Report	CIC Annual Report	2011cic_final.pdf		Yes	Yes	Fillable Fileable
Other-Survey Invitation			InitialandReminderEmail.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-55	55
Annual IC Time Burden (Hours)	-18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CIC Annual Report Plan	memo2ombclearanceform_revised ver3.0.docx	04/19/2012

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