Information Collection

2019 ACS Due Date Test Revised Mailing Materials Cognitive Interviews

IC 234602 under ICR 201705-0690-001 · OMB 0690-0030.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.