Maricopa County - Self Response

2015 Census Test

Documents and Forms

Document Name Document Type
2015 Census Test COMPASS Questions Wording for OMB submission 10242014.docx Other-null
Centurion Screenshots for 2015 Census Test.docx Other-null
dd-1_15_121014_d7 dd-1_15_121014_d7 dd-1_15_121014_d7.pdf Form

Information Collection (IC) Details

IC Title:	Maricopa County - Self Response	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-null			2015 Census Test COMPASS Questions Wording for OMB submission 10242014.docx	Yes	Yes	Fillable Fileable
Other-null			Centurion Screenshots for 2015 Census Test.docx	Yes	Yes	Fillable Fileable
Form	dd-1_15_121014_d7	dd-1_15_121014_d7	dd-1_15_121014_d7.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: 90,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	90,000	90,000
Annual IC Time Burden (Hours)	18,000	18,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.