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Federal forms, ICRs, and supporting documents

Information Collection

2016 Census Test - Self and Enumerator Response

IC 218769 under ICR 201510-0607-009 · OMB 0607-0989.

Documents and Forms
Document Name
Document Type
Form
Instruction
Other-Cover Letter
Other-Cover Letter
Other-Cover Letter
Other-Postcard/Reminder
Other-Postcard/Reminder
Other-Postcard/Reminder
Other-Postcard/Reminder
Other-Postcard/Reminder
Other-Postcard/Reminder
Other-Languages Brochure
Other-Languages Brochure
Other-Field Materials
Other-Field Materials
Other-Information Insert
Other-Envelope
Other-Envelope
Other-Envelope
Other-Envelope
Other-Specification for electronic i
Other-Specification for electronic i
Other-Specification for help text in
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

2016 Census Test - Self and Enumerator Response
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form DF-1(E/S) English/Spanish paper questionnaire DF-1(ES)_2016.pdf Yes Yes Fillable Fileable
Instruction DF-33(ES)_2016.pdf No   Paper Only
Other-Cover Letter DF-16(L2)(ES)_2016.pdf No   Paper Only
Other-Cover Letter DF-16(L4)(ES)_2016.pdf No   Paper Only
Other-Cover Letter DF-17(L2)(ES)_2016.pdf No   Paper Only
Other-Postcard/Reminder DF-9L(ES)_2016.pdf No   Paper Only
Other-Postcard/Reminder DF-9B(ES)_2016.pdf No   Paper Only
Other-Postcard/Reminder DF-9(2B)(ES)_2016.pdf No   Paper Only
Other-Postcard/Reminder DF-9C(ES)_2016.pdf No   Paper Only
Other-Postcard/Reminder DF-9(2C)(ES)_2016.pdf No   Paper Only
Other-Postcard/Reminder DF-9(AR)(1)_2016.pdf No   Paper Only
Other-Languages Brochure DF-12_2016.pdf No   Paper Only
Other-Languages Brochure DF-14_2016.pdf No   Paper Only
Other-Field Materials DF-26B_2016.pdf No   Paper Only
Other-Field Materials DF-28(ES)_2016.pdf No   Paper Only
Other-Information Insert DF-17I(ES)_2016.pdf No   Paper Only
Other-Envelope DF-6A(1)(IN)(ES)_2016.pdf No   Paper Only
Other-Envelope DF-6A(IN)(ES)_2016.pdf No   Paper Only
Other-Envelope DF-8A(ES)_2016.pdf No   Paper Only
Other-Envelope DF-5(ES)_2016.pdf No   Paper Only
Other-Specification for electronic instrument 2016CT COMPASS SPEC Sprint 12.docx Yes Yes Fillable Fileable
Other-Specification for electronic instrument 2016 CT Internet Spec-Primus-Baseline.docx Yes Yes Fillable Fileable
Other-Specification for help text in electronic instrument 2016 CT Internet Spec-Primus Help Text.docx Yes Yes Fillable Fileable

General Science and Innovation Scientific and Technological Research and Innovation

 

370,000 0
   
Individuals or Households
 
   80 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 370,000 0 370,000 0 0 0
Annual IC Time Burden (Hours) 61,667 0 61,667 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2016 Census Test Index of Forms 2016 Census Test - Index of Forms.docx 11/02/2015
2016 Census Test Panel Design 2016 Census Test Mail Materials and Panel Design Matrix w Form Assignment.docx 11/02/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.