American Community Survey (ACS) Survey Mail Materials Eye-tracking Study

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Enclosure 6 Additional screening questions

American Community Survey (ACS) Survey Mail Materials Eye-tracking Study

OMB: 0690-0030

Document [docx]
Download: docx | pdf

ACS Eyetracking Study – Additional Screening Questions

  1. Do you wear bifocals, trifocals, or progressive eyeglass lenses?

Yes – Ask Q2

No – Conclude screening interview and schedule an interview


  1. (If yes to Q1) Bifocals, trifocals, or progressive eyeglass lenses may not work with our eyetracking equipment. Are you able to see clearly objects that are within 6 feet of your eyes without bifocals, trifocals, or progressive lenses?


Yes – Conclude screening interview and schedule an interview

No – Ask Q3


  1. (If no to Q3) Would you be able to bring a pair of nonprescription reading glasses?


Yes – Conclude screening interview and schedule an interview

No – Thank you, but I’m afraid you do not meet the criteria for this study.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleEnclosure 6
AuthorJessica Holzberg (CENSUS/CSM FED)
File Modified0000-00-00
File Created2021-01-15

© 2024 OMB.report | Privacy Policy