Information Collection

2019 ACS POW-HOA Cognitive Testing to Reduce Burden

IC 234726 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⚠️ Notice: This information collection may be referencing outdated material.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 2019 ACS POW-HOA Cognitive Testing to Reduce Burden	Form and Instructi
1 Modified ACS Paper Form Attachment E The American Community Survey, paper survey form ACS-1(X).pdf	Form and Instruction
ACS Cognitive Testing to Reduce Burden OMB Memo 2019.docx OMB Memo	IC Document
Attachment A 2019 ACS POW-HOA Cognitive Testing Research Goals, Recruiting Requirements, Question Wording.docx Research Goals, Recruiting Requirements, Question Wording	IC Document
Attachment B ACS Respondent Burden Testing_Recruitment Plan FINAL_121418.docx Recruiting Plan, Screener, and Ad Templates	IC Document
Attachment C ACS Respondent Burden Testing_Consent Form_FINAL.doc Consent Form	IC Document
Attachment D ACS Respondent Burden Testing_Protocol_FINAL121418.docx Protocol	IC Document
Attachment F Alternative Version of the Condominium Fee question.docx Alt Version of Condo Fee Question	IC Document

IC Title:

2019 ACS POW-HOA Cognitive Testing to Reduce Burden

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Modified ACS Paper Form	Attachment E The American Community Survey, paper survey form ACS-1(X).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: 12

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	12	12
Annual IC Time Burden (Hours)	21	21
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 2019.docx	01/16/2019
Research Goals, Recruiting Requirements, Question Wording	Attachment A 2019 ACS POW-HOA Cognitive Testing Research Goals, Recruiting Requirements, Question Wording.docx	01/16/2019
Recruiting Plan, Screener, and Ad Templates	Attachment B ACS Respondent Burden Testing_Recruitment Plan FINAL_121418.docx	01/16/2019
Consent Form	Attachment C ACS Respondent Burden Testing_Consent Form_FINAL.doc	01/16/2019
Protocol	Attachment D ACS Respondent Burden Testing_Protocol_FINAL121418.docx	01/16/2019
Alt Version of Condo Fee Question	Attachment F Alternative Version of the Condominium Fee question.docx	01/16/2019

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