Information Collection

2018 ACS Respondent Burden Testing

IC 231191 under ICR 201606-0607-003 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2018 ACS Respondent Burden Testing	Form and Instructi
1 ACS Questionnaire Up to Q28 Attachment F ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP1.pdf	Form and Instruction
2 ACS Questionnaire From Q29 V1 Attachment G ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP2V1.pdf	Form and Instruction
3 ACS Questionnaire From Q29 V2 Attachment H ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP2V2.pdf	Form and Instruction
ACS Cognitive Testing to Reduce Burden OMB Memo 2018.docx OMB Memo	IC Document
Attachment A ACS Cognitive Testing to Reduce Burden Research Goals, Recruiting Requirements, Question Wording.docx Research Goals, Recruiting, Question Wording	IC Document
Attachment B ACS Cognitive Testing Recruitment Plan, Screener, Ad Template.docx Recruitment Plan and Ads	IC Document
Attachment C ACS Cognitive Testing Consent Form.doc Consent Form	IC Document
Attachment D ACS Cognitive Testing Protocol Verson 1.docx Protocol V1	IC Document
Attachment E ACS Cognitive Testing Protocol Version 2.docx Protocol V2	IC Document

IC Title:

2018 ACS Respondent Burden Testing

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	1	ACS Questionnaire Up to Q28	Attachment F ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP1.pdf	No	Fillable Fileable
Form and Instruction	2	ACS Questionnaire From Q29 V1	Attachment G ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP2V1.pdf	No	Fillable Fileable
Form and Instruction	3	ACS Questionnaire From Q29 V2	Attachment H ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP2V2.pdf	No	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	ACS Cognitive Testing to Reduce Burden OMB Memo 2018.docx	04/24/2018
Research Goals, Recruiting, Question Wording	Attachment A ACS Cognitive Testing to Reduce Burden Research Goals, Recruiting Requirements, Question Wording.docx	04/25/2018
Recruitment Plan and Ads	Attachment B ACS Cognitive Testing Recruitment Plan, Screener, Ad Template.docx	04/25/2018
Consent Form	Attachment C ACS Cognitive Testing Consent Form.doc	04/25/2018
Protocol V1	Attachment D ACS Cognitive Testing Protocol Verson 1.docx	04/25/2018
Protocol V2	Attachment E ACS Cognitive Testing Protocol Version 2.docx	04/25/2018

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