QIPT Focus Groups

Generic Clearance for Internet Nonprobability Panel Pretesting

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0978 can be found here:

Documents and Forms

Document Name Document Type
Form 1 QIPT Focus Groups Form and Instruction
1 Online Testing Questionnaire Appendix A - Online Testing Questionnaire.docx Form and Instruction
2 Focus Group Activity Appendix E - Focus Group Activities.docx Form and Instruction
2020 Census ICC QIPT OMB Memo_Revised.docx OMB Memo IC Document
Appendix B - Focus Group Screening Questionnaire by Audience_Revised.docx Focus Group Screeners IC Document
Appendix C - Focus Group Audience Criteria with Quota Tables_Revised.docx Focus Group Criteria IC Document
Appendix D - Focus Group Discussion Guide.docx Focus Group Discussion Guide IC Document
Appendix F - Focus Group Consent Form.docx Focus Group Consent Form IC Document
Appendix G - Example Focus Group Advertising.docx Example Focus Group Advertising IC Document

Information Collection (IC) Details

IC Title:	QIPT Focus Groups	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Online Testing Questionnaire	Appendix A - Online Testing Questionnaire.docx		No		Fillable Fileable
Form and Instruction	2	Focus Group Activity	Appendix E - Focus Group Activities.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: 1,944	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 93 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,944	1,944
Annual IC Time Burden (Hours)	1,418	1,418
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	2020 Census ICC QIPT OMB Memo_Revised.docx	10/11/2018
Focus Group Screeners	Appendix B - Focus Group Screening Questionnaire by Audience_Revised.docx	10/11/2018
Focus Group Criteria	Appendix C - Focus Group Audience Criteria with Quota Tables_Revised.docx	10/11/2018
Focus Group Discussion Guide	Appendix D - Focus Group Discussion Guide.docx	08/23/2018
Focus Group Consent Form	Appendix F - Focus Group Consent Form.docx	08/23/2018
Example Focus Group Advertising	Appendix G - Example Focus Group Advertising.docx	10/11/2018

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