OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

2016 Census Test - Self and Enumerator Response

IC 218769 under ICR 201604-0607-003 · OMB 0607-0989.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
DF-33(ES)_2016.pdf Instruction
DF-16(L2)(ES)_2016.pdf Other-Cover Letter
DF-16(L4)(ES)_2016.pdf Other-Cover Letter
DF-17(L2)(ES)_2016.pdf Other-Cover Letter
DF-9L(ES)_2016.pdf Other-Postcard/Reminder
DF-9B(ES)_2016.pdf Other-Postcard/Reminder
DF-9(2B)(ES)_2016.pdf Other-Postcard/Reminder
DF-9C(ES)_2016.pdf Other-Postcard/Reminder
DF-9(2C)(ES)_2016.pdf Other-Postcard/Reminder
DF-9(AR)(1)_2016.pdf Other-Postcard/Reminder
DF-12_2016.pdf Other-Languages Brochure
DF-14_2016.pdf Other-Languages Brochure
DF-26B_2016.pdf Other-Field Materials
DF-28(ES)_2016.pdf Other-Field Materials
DF-17I(ES)_2016.pdf Other-Information Insert
DF-6A(1)(IN)(ES)_2016.pdf Other-Envelope
DF-6A(IN)(ES)_2016.pdf Other-Envelope
DF-8A(ES)_2016.pdf Other-Envelope
DF-5(ES)_2016.pdf Other-Envelope
2016CT COMPASS SPEC Sprint 12.docx Other-Specification for electronic i
2016 CT Internet Spec-Primus-Baseline.docx Other-Specification for electronic i
2016 CT Internet Spec-Primus Help Text.docx Other-Specification for help text in
DF-1(E/S) English/Spanish paper questionnaire
DF-1(ES)_2016.pdf 		Form
2016 Census Test - Index of Forms.docx
2016 Census Test Index of Forms		IC Document
2016 Census Test Mail Materials and Panel Design Matrix w Form Assignment.docx
2016 Census Test Panel Design		IC Document

Information Collection (IC) Details

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layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
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
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-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

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 0 0 0 370,000
Annual IC Time Burden (Hours) 61,667 0 0 0 0 61,667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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.