Information Collection

2016 Census Test - Coverage Reinterview

IC 218773 under ICR 201604-0607-003 · OMB 0607-0989.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2016 Census Test C 2016 Census Test - Coverage Reinterview	Form
2016 Census Test C 2016 Census Test Coverage Reinterview Screens 2016 Census Test Coverage Reinterview Screen Shots.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

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
Form	2016 Census Test Coverage Reinterview	2016 Census Test Coverage Reinterview Screens	2016 Census Test Coverage Reinterview Screen Shots.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: 24,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	24,500	24,500
Annual IC Time Burden (Hours)	4,083	4,083
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.