Information Collection

2016 Census Test - Focus Group Selection Contacts

IC 218775 under ICR 201510-0607-009 · OMB 0607-0989.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0989 can be found here:

Documents and Forms

Document Name Document Type
Focus Group Recruitment Script.docx Other-Initial Contact Example Script
Focus Group Contact information worksheet.docx Other-Focus Group example participan

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2016 Census Test - Focus Group Selection Contacts	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-Initial Contact Example Script			Focus Group Recruitment Script.docx		No		Paper Only
Other-Focus Group example participant contact form			Focus Group Contact information worksheet.docx		No		Paper Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 288	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	288	288
Annual IC Time Burden (Hours)	14	14
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.