Information Collection

2020 CPEX Extending the Census Environment Cog Testing

IC 236498 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⚠️ Notice: This information collection may be referencing outdated material.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 2020 CPEX Extending the Census Environment Cog Testing	Form and Instructi
1 Mailing Materials Enclosure 1. Experimental 2020 Census Mailing Materials.pdf	Form and Instruction
OMB Memo - Extending the Census Environment Cognitive Testing.docx OMB Memo	IC Document
Enclosure 2. Recruitment materials.docx Recruitment Ads	IC Document
Enclosure 3. Cognitive interview protocol.pdf Protocol	IC Document
Enclosure 4. Consent form.docx Consent Form	IC Document

IC Title:

2020 CPEX Extending the Census Environment Cog 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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Mailing Materials	Enclosure 1. Experimental 2020 Census Mailing Materials.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: 25

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	25	25
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	OMB Memo - Extending the Census Environment Cognitive Testing.docx	06/14/2019
Recruitment Ads	Enclosure 2. Recruitment materials.docx	06/14/2019
Protocol	Enclosure 3. Cognitive interview protocol.pdf	06/14/2019
Consent Form	Enclosure 4. Consent form.docx	06/14/2019

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