2019 ACS Due Date Test Revised Mailing Materials Cognitive Interviews

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0690-0030 can be found here:

Documents and Forms

Document Name Document Type
Enclosure 1- ACS Modified fifth mailing versions.docx Other-ACS Fifth Mailing
Enclosure 2 - ACS first four mailing materials.docx Other-ACS First Four Mailing Materia
Enclosure 3 - Recruitment materials.docx Other-Recruitment Materials
Enclosure 4 - Protocol.docx Instruction
Enclosure 6 - Additional screening questions.docx Other-Screening Questions
Consent Form Enclosure 5 - Consent form.docx Form
Questionnaire ACS Questionnaire Enclosure 7 ACS Questionnaire.pdf Form
The Fast Track Memo- 2020 ACS Mail.docx Fast Track Memo 2020 ACS Mail IC Document
OMB Memo-Due Date ACS Mail.docx OMB Memo-Due Date ACS Mail IC Document

Information Collection (IC) Details

IC Title:	2019 ACS Due Date Test Revised Mailing Materials Cognitive Interviews	Agency IC Tracking Number:	Census

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-ACS Fifth Mailing			Enclosure 1- ACS Modified fifth mailing versions.docx	Yes	Yes	Fillable Fileable
Other-ACS First Four Mailing Materials			Enclosure 2 - ACS first four mailing materials.docx	Yes	Yes	Fillable Fileable
Other-Recruitment Materials			Enclosure 3 - Recruitment materials.docx	Yes	Yes	Fillable Fileable
Instruction			Enclosure 4 - Protocol.docx	Yes	Yes	Fillable Fileable
Form	None	Consent Form	Enclosure 5 - Consent form.docx	Yes	Yes	Fillable Fileable
Other-Screening Questions			Enclosure 6 - Additional screening questions.docx	Yes	Yes	Fillable Fileable
Form	Questionnaire	ACS Questionnaire	Enclosure 7 ACS Questionnaire.pdf	Yes	Yes	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	26	26
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Memo 2020 ACS Mail	The Fast Track Memo- 2020 ACS Mail.docx	12/20/2018
OMB Memo-Due Date ACS Mail	OMB Memo-Due Date ACS Mail.docx	12/20/2018

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