Information Collection Request

2016 Census Test

ICR 201510-0607-009 · OMB 0607-0989 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2016 Census Test C 2016 Census Test - Coverage Reinterview Form New Available
Form DF-1(E/S) 2016 Census Test - Self and Enumerator Response Form New Available
2016 Census Test Scope of Research.docx Supplementary Document Uploaded 2016-01-14 Available
Research and Testing_Appendix C.pdf Supplementary Document Uploaded 2016-01-14 Available
Research and Testing_Appendix B.pdf Supplementary Document Uploaded 2016-01-14 Available
Research and Testing Plan_December 2015.pdf Supplementary Document Uploaded 2016-01-14 Available
Language Materials Provided for 2016 Census Test.docx Supplementary Document Uploaded 2016-01-14 Available
2016 Census Test Design Matrix revised.docx Supplementary Document Uploaded 2016-01-14 Available
2016 Census Test - GOSC.docx Supplementary Document Uploaded 2016-01-14 Available
Signed 83-I and BC 1548 10-28-2015.pdf Supplementary Document Uploaded 2015-10-29 Available
2016 Census Test OMB Supporting Statement Part B_final.docx Supporting Statement B Uploaded 2016-01-14 Available
2016 Census Test OMB Supporting Statement Part A_final.docx Supporting Statement A Uploaded 2016-01-14 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
218776 2016 Census Test - Focus Group Participants Other-Focus Group Worksheet Example New
218775 2016 Census Test - Focus Group Selection Contacts Other-Initial Contact Example Script New
218774 2016 Census Test - Non-ID Response Validation Other-Specification for electronic instrument New
218773 2016 Census Test - Coverage Reinterview Form New
218772 2016 Census Test - Non-ID Manual Processing - phone followup Other-Specification for electronic instrument New
218770 2016 Census Test - NRFU Quality Control Reinterview Other-Specification for electronic instrument New
218769 2016 Census Test - Self and Enumerator Response Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2017 03/31/2017
412,348 0 0
68,950 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 412,348 0 0 412,348 0 0
Annual Time Burden (Hours) 68,950 0 0 68,950 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No