Information Collection

Information and Communication Technology Survey

IC 3658 under ICR 201404-0607-004 · OMB 0607-0909.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ICT-1(S) Information and Communication Technology Survey	Form
2013 ICT Instruction Manual.pdf www.census.gov/csd/ict/	Instruction
2013 ICT-IM Notification Letter.pdf	Other-ICT-IM – Notification letter o
2013 Director Letter.docx	Other-ICT-2013 – Director’s Letter
ICT-L1.pdf	Other-ICT-L1 – (First follow-up lett
ICT-L1(F).pdf	Other-ICT-L1(F) – (First follow-up l
ICT-L2.pdf	Other-ICT-L2 – (Second follow-up let
ICT-L2(F).pdf	Other-ICT-L2(F) – (Second follow-up
ICT-L3.pdf	Other-ICT-L3 – (Third follow-up lett
ICT-L3(F).pdf	Other-ICT-L3(F) – (Third follow-up l
ICT-1(S) Information & Communication Technology Survey (Short) 2013 ICT-1(S).pdf www.census.gov/csd/ict/	Form
ICT-1(L) Information & Communication Technology Survey (Long) 2013 ICT-1(L).pdf www.census.gov/csd/ict/	Form
ICT-1(M) Information & Communication Technology Survey (Medium) 2013 ICT-1(M).pdf www.census.gov/csd/ict/	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

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	ICT-1(S)	Information & Communication Technology Survey (Short)	2013 ICT-1(S).pdf	http://www.census.gov/csd/ict/	Yes	Yes	Fillable Fileable
Form	ICT-1(L)	Information & Communication Technology Survey (Long)	2013 ICT-1(L).pdf	http://www.census.gov/csd/ict/	Yes	Yes	Fillable Fileable
Instruction			2013 ICT Instruction Manual.pdf	http://www.census.gov/csd/ict/	Yes	Yes	Fillable Fileable
Form	ICT-1(M)	Information & Communication Technology Survey (Medium)	2013 ICT-1(M).pdf	http://www.census.gov/csd/ict/	Yes	Yes	Fillable Fileable
Other-ICT-IM â Notification letter only for employer companies			2013 ICT-IM Notification Letter.pdf		Yes	Yes	Fillable Fileable
Other-ICT-2013 â Directorâs Letter			2013 Director Letter.docx		Yes	Yes	Fillable Fileable
Other-ICT-L1 â (First follow-up letter â reminder letter only)			ICT-L1.pdf		Yes	Yes	Fillable Fileable
Other-ICT-L1(F) â (First follow-up letter â standard mailing package)			ICT-L1(F).pdf		Yes	Yes	Fillable Fileable
Other-ICT-L2 â (Second follow-up letter â reminder letter only)			ICT-L2.pdf		Yes	Yes	Fillable Fileable
Other-ICT-L2(F) â (Second follow-up letter â standard mailing package)			ICT-L2(F).pdf		Yes	Yes	Fillable Fileable
Other-ICT-L3 â (Third follow-up letter â reminder letter only)			ICT-L3.pdf		Yes	Yes	Fillable Fileable
Other-ICT-L3(F) â (Third follow-up letter â standard mailing package)			ICT-L3(F).pdf		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: 45,000

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: 52 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	45,000	-2,250	47,250
Annual IC Time Burden (Hours)	79,286	-5,324	84,610
Annual IC Cost Burden (Dollars)	0	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.