Information Collection

2016 Census Test - Focus Group Selection Contacts

IC 218775 under ICR 201604-0607-003 · OMB 0607-0989.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2016 Census Test Focus Harris County Recruitment Script - Hispanic-Latino English Speakers.docx	Other-Focus Group Recruitment Script
2016 Census Test Focus Harris County Recruitment Script - Hispanic-Latino Spanish Speakers.docx	Other-Focus Group Recruitment - Hisp
2016 Census Test Focus Harris County Recruitment Script - Non-Hispanic-Latino.docx	Other-Focus Group Recruitment - NonH
Contact information worksheet_041116.docx	Other-Focus Group Contact Info

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Focus Group Recruitment Script - Hispanic English	2016 Census Test Focus Harris County Recruitment Script - Hispanic-Latino English Speakers.docx	Yes	Yes	Paper Only
Other-Focus Group Recruitment - Hispanic Spanish	2016 Census Test Focus Harris County Recruitment Script - Hispanic-Latino Spanish Speakers.docx	Yes	Yes	Paper Only
Other-Focus Group Recruitment - NonHispanic	2016 Census Test Focus Harris County Recruitment Script - Non-Hispanic-Latino.docx	Yes	Yes	Paper Only
Other-Focus Group Contact Info	Contact information worksheet_041116.docx	Yes	Yes	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 %

table that charts list of burden
	Approved	Previously Approved
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

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.