Information Collection

2016 Service-Based Enumeration (SBE) Census Test

IC 221079 under ICR 201601-0607-002 · OMB 0607-0971.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0971 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DF-20 2016 Service-Based Enumeration (SBE) Census Test	Form
OMB_In-Office Advance Contact Calling Scripts(3) for 2016 SBE_v1 - Feb 19 2016.docx	Other-Recruiting Script
Post Service Based Enumeration Test Respondent and Administrator Debrief_March17jhc.docx	Other-Debriefing Script
DF-20 DF-20 DF-20_021716.pdf	Form
SBE Test Memo.Updated Jenny_Dora.docx Memo	IC Document
COMPASS Screenshots for OMB_Feb2016.docx Compass Screenshots	IC Document
SBE Test Memo.Updated Jenny_Dora_5-13_16.docx Revised Memo	IC Document

IC Title:

2016 Service-Based Enumeration (SBE) Census Test

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 13 CFR 141, 193 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DF-20	DF-20	DF-20_021716.pdf	Yes	Yes	Paper Only
Other-Recruiting Script			OMB_In-Office Advance Contact Calling Scripts(3) for 2016 SBE_v1 - Feb 19 2016.docx	Yes	Yes	Paper Only
Other-Debriefing Script			Post Service Based Enumeration Test Respondent and Administrator Debrief_March17jhc.docx	Yes	Yes	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,440

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,440	1,440
Annual IC Time Burden (Hours)	122	122
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo	SBE Test Memo.Updated Jenny_Dora.docx	04/14/2016
Compass Screenshots	COMPASS Screenshots for OMB_Feb2016.docx	04/14/2016
Revised Memo	SBE Test Memo.Updated Jenny_Dora_5-13_16.docx	05/18/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.