OMB Form 83-I

PAPERWORK REDUCTION ACT SUBMISSION
Please read the instructions before completing this form. For additional forms or assistance in completing this form, contact your
agency's Paperwork Clearance Officer. Send two copies of this form, the collection instrument to be reviewed, the Supporting
Statement, and any additional documentation to: Office of Information and Regulatory Affairs, Office of Management and Budget,
Docket Library, Room 10102, 725 17th Street NW, Washington, DC 20503.
2. OMB CONTROL NUMBER

1. AGENCY/SUBAGENCY ORIGINATING REQUEST

Department of Commerce/U.S. Census Bureau
a.

XXXX

b. NONE

4. TYPE OF REVIEW REQUESTED (X one)

3. TYPE OF INFORMATION COLLECTION (X one)

X

X

0607

a. NEW COLLECTION

a. REGULAR SUBMISSION
b. EMERGENCY - APPROVAL REQUESTED BY:

b. REVISION OF A CURRENTLY APPROVED COLLECTION

c. DELEGATED

c. EXTENSION OF A CURRENTLY APPROVED COLLECTION
d. REINSTATEMENT, WITHOUT CHANGE, OF A PREVIOUSLY
APPROVED COLLECTION FOR WHICH APPROVAL HAS EXPIRED

5. SMALL ENTITIES
Will this information collection have a significant economic
impact on a substantial number of small entities?

e. REINSTATEMENT, WITH CHANGE, OF A PREVIOUSLY
APPROVED COLLECTION FOR WHICH APPROVAL HAS EXPIRED

YES
X NO
6. REQUESTED EXPIRATION DATE

X

f. EXISTING COLLECTION IN USE WITHOUT AN OMB CONTROL
NUMBER

a. THREE YEARS FROM APPROVAL DATE
b. OTHER:

7. TITLE

2018 Survey of Compact of Free Association (COFA) Migrants
8. AGENCY FORM NUMBER(S) (if applicable)
Form COFA-I (2018); Form COFA-RI (2018); Form COFA-FAQ (2018); Form COFA-NOV (2018); Form COFA-RL (2018); Form COFA-ARC (2018)
9. KEYWORDS

10. ABSTRACT
As stated in the Compact of Free Association Amendments Act of 2003, an enumeration of Micronesians shall be conducted every five years in Hawaii, Guam,
Commonwealth of the Northern Mariana Islands (CNMI), and American Samoa for disbursing Compact funds. The U.S. Department of the Interior decided to use
the American Community Survey (ACS) data to estimate the number of Micronesians living in Hawaii and Census 2010 data to determine the number of
Micronesians living in American Samoa. The Department of the Interior has requested that the Census Bureau conduct a survey to estimate the number of
Micronesians living in Guam and CNMI. Based on the Compact, the 2018 Survey of Micronesians will be fielded in 2018 and will survey a sample of households
through in-person interviews.
12. OBLIGATION TO RESPOND (Mark primary with "P" and all
11. AFFECTED PUBLIC (Mark primary with "P" and all others that apply with "X")
P

a. INDIVIDUALS OR HOUSEHOLDS

d. FARMS

P

e. FEDERAL GOVERNMENT

c. NOT-FOR-PROFIT INSTITUTIONS

f. STATE, LOCAL OR TRIBAL GOVERNMENT

a. NUMBER OF RESPONDENTS

7,100
7,800
0
2,449
0
2,449
2,449

b. TOTAL ANNUAL RESPONSES
(1) Percentage of these responses collected electronically
c. TOTAL ANNUAL HOURS REQUESTED
d. CURRENT OMB INVENTORY
e. DIFFERENCE (+, -)
f.

EXPLANATION OF
DIFFERENCE:

(1) Program change (+, -)

a. TOTAL CAPITAL/STARTUP COSTS
c. TOTAL ANNUALIZED COST REQUESTED
d. CURRENT OMB INVENTORY
e. DIFFERENCE (+, -)
f.

d. AUDIT

P

17. STATISTICAL METHODS
Does this information collection employ
statistical methods?
YES

OMB FORM 83-I, 10/95

NO

0.00
0.00

16. FREQUENCY OF RECORDKEEPING OR REPORTING (X all that apply)
a. RECORDKEEPING

c. GENERAL PURPOSE STATISTICS

X

EXPLANATION OF DIFFERENCE:
(1) Program change (+, -)

"P" and all others that apply with "X")

X

0.00
0.00
0.00
0
0

b. TOTAL ANNUAL COSTS (O&M)

(2) Adustment (+, -)

15. PURPOSE OF INFORMATION COLLECTION (Mark primary with

b. PROGRAM EVALUATION

c. MANDATORY

14. ANNUALIZED COST TO RESPONDENTS (In thousands of dollars)

(2) Adustment (+, -)

a. APPLICATION FOR BENEFITS

others that apply with "X")

b. REQUIRED TO OBTAIN OR RETAIN BENEFITS

b. BUSINESS OR OTHER FOR-PROFIT

13. ANNUAL REPORTING AND RECORDKEEPING HOUR BURDEN

a. VOLUNTARY

e. PROGRAM PLANNING
OR MANAGEMENT
f. RESEARCH
g. REGULATORY OR
COMPLIANCE

X

b. THIRD PARTY DISCLOSURE

c. REPORTING:
(1) On Occasion

(2) Weekly

(3) Monthly

(4) Quarterly

(5) Semi-Annually

(6) Annually

(7) Biennially

X

(8) Other (Describe) one time

18. AGENCY CONTACT (Person who can best answer questions regarding the content of this
submission)
a. NAME

Loraine A. West

b. TELEPHONE NUMBER (Include area code)

301-763-6242

OMB CONTROL NUMBER

0607

XXXX

TITLE

2018 Survey of Compact of Free Association (COFA) Migrants

19. CERTIFICATION FOR PAPERWORK REDUCTION ACT SUBMISSIONS
a. PROGRAM OFFICIAL CERTIFICATION (Internal DOC Use Only)
Type name

Date

Enrique Lamas, Performing the Non-Exclusive Functions and Duties of the Deputy Director, U.S. Census
Bureau

On behalf of this Federal agency, I certify that the collection of information encompassed by this request
complies with 5 CFR 1320.9.
NOTE: The text of 5 CFR 1320.9, and the related provisions of 5 CFR 1320.8(b)(3), appear at the end of the
instructions. The certification is to be made with reference to those regulatory provisions as set forth in the
instructions.
The following is a summary of the topics, regarding the proposed collection of information, that the
certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8(b)(3) about:
(i)

Why the information is being collected;

(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective
management and use of the information to be collected (see note in Item 19 of the instructions);
(i) If applicable, it uses effective and efficient statistical survey methodology; and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item below and explain the
reason in Item 18 of the Supporting Statement.

b. SENIOR OFFICIAL OR DESIGNEE CERTIFICATION
Type name

Jennifer Jessup, Departmental Paperwork Clearance Officer
OMB FORM 83-I (BACK), 10/95

Date