Information Collection

2016 Census Test - Focus Group Participants

IC 218776 under ICR 201604-0607-003 · OMB 0607-0989.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Census Test 2016 Focus Group Harris County Protocol_Responders_4.4.2016.docx	Other-Focus Group Protocol
Focus Group Worksheet_041116.docx	Other-Focus Group Worsheet
Focus Group Worksheet__Hispanic_041116.docx	Other-Focus Group Worksheet Hispanic
2016 Focus Group Consent Form_P&C.docx	Other-Focus Group Consent
NRFU ADREC Postcard 2016 CT Version DF-9(AR)(1).pdf	Other-ADREC Postcard

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Focus Group Protocol	Yes	Yes	Paper Only
Other-Focus Group Worsheet	Yes	Yes	Paper Only
Other-Focus Group Worksheet Hispanic	Yes	Yes	Paper Only
Other-Focus Group Consent	Yes	Yes	Paper Only
Other-ADREC Postcard	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: 160

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	160	160
Annual IC Time Burden (Hours)	320	320
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.

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