2020 Privacy & Confidentiality Cognitive Testing

Generic Clearance for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 1 2020 Privacy & Confidentiality Cognitive Testing Form and Instructi
1 2020 Census Draft w/ citizenship Enclosure 3 - Draft 2020 Census Quex.pdf Form and Instruction
2 2020 Census Draft w/o citizenship Enclosure 3a - Draft 2020 Census Quex_revised.pdf Form and Instruction
3 2020 Census Follow Up Survey w/ citizenship Enclosure 4 - Privacy and confidentiality questionnaire.docx Form and Instruction
4 2020 Census Follow Up Survey w/o citizenship Enclosure 4a - Privacy and confidentiality questionnaire_revised20190722.docx Form and Instruction
5 Online Questionnaire w/ citizenship Enclosure 6 - Example online testing protocol.docx Form and Instruction
6 Online Questionnaire w/o citizenship Enclosure 6a - Example online testing protocol_revised.docx Form and Instruction
OMB Cover Memo.docx OMB Memo IC Document
Enclosure 1 - Additional screening questions.docx Additional Screener Questions IC Document
Enclosure 2 - Recruitment materials.docx Recruitment Ads IC Document
Enclosure 5 - Cognitive interview protocol.docx Cognitive Protocol IC Document
Enclosure 7 - Consent form.docx Consent Form IC Document

Information Collection (IC) Details

IC Title:	2020 Privacy & Confidentiality Cognitive Testing	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	1	2020 Census Draft w/ citizenship	Enclosure 3 - Draft 2020 Census Quex.pdf	No	Fillable Fileable
Form and Instruction	2	2020 Census Draft w/o citizenship	Enclosure 3a - Draft 2020 Census Quex_revised.pdf	No	Fillable Fileable
Form and Instruction	3	2020 Census Follow Up Survey w/ citizenship	Enclosure 4 - Privacy and confidentiality questionnaire.docx	No	Fillable Fileable
Form and Instruction	5	Online Questionnaire w/ citizenship	Enclosure 6 - Example online testing protocol.docx	No	Fillable Fileable
Form and Instruction	6	Online Questionnaire w/o citizenship	Enclosure 6a - Example online testing protocol_revised.docx	No	Fillable Fileable
Form and Instruction	4	2020 Census Follow Up Survey w/o citizenship	Enclosure 4a - Privacy and confidentiality questionnaire_revised20190722.docx	No	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB Cover Memo.docx	07/08/2019
Additional Screener Questions	Enclosure 1 - Additional screening questions.docx	07/08/2019
Recruitment Ads	Enclosure 2 - Recruitment materials.docx	07/08/2019
Cognitive Protocol	Enclosure 5 - Cognitive interview protocol.docx	07/08/2019
Consent Form	Enclosure 7 - Consent form.docx	07/08/2019

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