Generic Clearance for Internet Nonprobability Panel Pretesting

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 Questionnaire	Form and Instruction	New	Available
Form 1 Question changes made throughout testing cycle	Form and Instruction	New	Available
Form 3 Experimental Email Invitations	Form and Instruction	New	Available
Form 2 Experimental Invitations	Form and Instruction	New	Available
Form 1 Questionnaire	Form and Instruction	New	Available
Form 2 Web Questionnaire	Form and Instruction	New	Available
Form 1 Phone Questionnaire	Form and Instruction	New	Available
Form 2 ABS Questionnaire Web Screenshots	Form and Instruction	New	Available
Form 1 ABS Questionnaire	Form and Instruction	New	Available
Form 1 Questionnaire	Form and Instruction	New	Available
Form 2 CBAMS NONID Help Text for Address Screens	Form and Instruction	New	Available
Form 1 CBAMS Mindset Instrument	Form and Instruction	New	Available
Form 2 9502 VIUS Worksheet	Form and Instruction	New	Available
Form 1 9501 VIUS Worksheet	Form and Instruction	New	Available
Form 2 Revised Web Questionnaire	Form and Instruction	New	Available
Form 1 Revised Phone Questionnaire	Form and Instruction	New	Available
Form 2 Original F-72 Instrument	Form and Instruction	New	Repair queued
Form 1 Revised F-72 Instrument	Form and Instruction	New	Available
Form 1 2017 CFS Survey	Form and Instruction	New	Available
Form 9 MD_Screenshots_151-181	Form and Instruction	New	Available
Form 8 MD_Screenshots_101-150	Form and Instruction	New	Available
Form 7 MD_Screenshot_51-100	Form and Instruction	New	Repair queued
Form 6 MD_ScreenShots_1-50	Form and Instruction	New	Available
Form 5 Virginia SNAP Application	Form and Instruction	New	Available
Form 4 Oklahoma SNAP Application	Form and Instruction	New	Available
Form 3 Maryland SNAP Application	Form and Instruction	New	Available
Form 2 Massachusetts SNAP Application	Form and Instruction	New	Available
Form 1 Indiana SNAP Application	Form and Instruction	New	Available
Form 4 SNAP Reauthorization Application (paper)	Form and Instruction	New	Available
Form 3 SNAP Initial Application (paper)	Form and Instruction	New	Available
Form 2 SNAP Reauthorization Application (web)	Form and Instruction	New	Available
Form 1 SNAP Initial Application (web)	Form and Instruction	New	Available
Form 1 Protocol and Test Questions	Form and Instruction	New	Available
Form 2 Alternate Questions	Form and Instruction	New	Available
Form 1 Survey Flow	Form and Instruction	New	Available
Form 2 Phone Questionnaire	Form and Instruction	New	Available
Form 1 Web Questionnaire	Form and Instruction	New	Available
Form 2 Appendix C	Form and Instruction	New	Available
Form 1 Appendix A	Form and Instruction	New	Available
Form 1 Respondent Privacy and Confidentiality Concerns Questionnaire	Form and Instruction	New	Available
Form 2 Focus Group Screener	Form and Instruction	New	Available
Form 1 Online Quantitive Testing Screener Questionnaire	Form and Instruction	New	Available
Form 2 Focus Group Activity	Form and Instruction	Unchanged	Repair queued
Form 1 Online Testing Questionnaire	Form and Instruction	Unchanged	Available
Form Focus Group Guide Focus Group Guide	Form and Instruction	Unchanged	Available
Form 2020 CBAMS Survey 2020 CBAMS SUrvey	Form and Instruction	Unchanged	Available
Form 2020 CBAMS Survey 2020 CBAMS Survey	Form and Instruction	Unchanged	Available
Justification_for_Nonsub_change_0607_0978.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2018-12-04	Available
omb83-i_2017_170517.pdf	Supplementary Document	Uploaded 2017-06-27	Available
SUPPORTING STATEMENT B_2017_05_17.docx	Supporting Statement B	Uploaded 2017-06-27	Available
SUPPORTING STATEMENT A_2017_05_17.docx	Supporting Statement A	Uploaded 2017-06-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
242316	2020 Census Tracking Survey Addendum	Form and Instruction	New	Questionnaire
242316	2020 Census Tracking Survey Addendum	Form and Instruction	New	Question changes made throughout testing cycle
238940	University of Virginia-Census Persuasion Survey	Form and Instruction	New	Experimental Email Invitations
238940	University of Virginia-Census Persuasion Survey	Form and Instruction	New	Experimental Invitations
238940	University of Virginia-Census Persuasion Survey	Form and Instruction	New	Questionnaire
238852	2020 Census Tracking Survey	Form and Instruction	New	Web Questionnaire
238852	2020 Census Tracking Survey	Form and Instruction	New	Phone Questionnaire
238727	2019 Annual Business Survey Telephone Debriefing	Form and Instruction	New	ABS Questionnaire Web Screenshots
238727	2019 Annual Business Survey Telephone Debriefing	Form and Instruction	New	ABS Questionnaire
238724	2020 Census Quantitative Copy Testing	Form and Instruction	New	Questionnaire
238571	2020 CBAMS Mindsets	Form and Instruction	New	CBAMS NONID Help Text for Address Screens
238571	2020 CBAMS Mindsets	Form and Instruction	New	CBAMS Mindset Instrument
237987	2019 VIUS Cognitive Testing	Form and Instruction	New	9502 VIUS Worksheet
237987	2019 VIUS Cognitive Testing	Form and Instruction	New	9501 VIUS Worksheet
237944	2020 Census Tracking Survey Field Test Amendment	Form and Instruction	New	Revised Web Questionnaire
237944	2020 Census Tracking Survey Field Test Amendment	Form and Instruction	New	Revised Phone Questionnaire
237927	QTAX F-72 Redesign Cognitive Testing	Form and Instruction	New	Original F-72 Instrument
237927	QTAX F-72 Redesign Cognitive Testing	Form and Instruction	New	Revised F-72 Instrument
237850	Commodity Flow Survey Pretesting	Form and Instruction	New	2017 CFS Survey
237849	Usability Testing of the FNS SNAP Application	Form and Instruction	New	MD_Screenshots_151-181
237849	Usability Testing of the FNS SNAP Application	Form and Instruction	New	MD_Screenshots_101-150
237849	Usability Testing of the FNS SNAP Application	Form and Instruction	New	MD_Screenshot_51-100
237849	Usability Testing of the FNS SNAP Application	Form and Instruction	New	MD_ScreenShots_1-50
237849	Usability Testing of the FNS SNAP Application	Form and Instruction	New	Virginia SNAP Application
237849	Usability Testing of the FNS SNAP Application	Form and Instruction	New	Oklahoma SNAP Application
237849	Usability Testing of the FNS SNAP Application	Form and Instruction	New	Maryland SNAP Application
237849	Usability Testing of the FNS SNAP Application	Form and Instruction	New	Massachusetts SNAP Application
237849	Usability Testing of the FNS SNAP Application	Form and Instruction	New	Indiana SNAP Application
237848	Cognitive Testing of the FNS SNAP Vendor Application	Form and Instruction	New	SNAP Reauthorization Application (paper)
237848	Cognitive Testing of the FNS SNAP Vendor Application	Form and Instruction	New	SNAP Initial Application (paper)
237848	Cognitive Testing of the FNS SNAP Vendor Application	Form and Instruction	New	SNAP Reauthorization Application (web)
237848	Cognitive Testing of the FNS SNAP Vendor Application	Form and Instruction	New	SNAP Initial Application (web)
237778	Cognitive Testing of SNAP Messaging for ABAwD	Form and Instruction	New	Protocol and Test Questions
237648	Re-identification Question Pretesting Survey	Form and Instruction	New	Alternate Questions
237648	Re-identification Question Pretesting Survey	Form and Instruction	New	Survey Flow
237465	2020 Census Tracking Survey Field Test	Form and Instruction	New	Phone Questionnaire
237465	2020 Census Tracking Survey Field Test	Form and Instruction	New	Web Questionnaire
235179	CTSP Campaign Testing Amendment	Form and Instruction	New	Appendix C
235179	CTSP Campaign Testing Amendment	Form and Instruction	New	Appendix A
235178	Respondent Privacy and Confidentiality Concerns Study	Form and Instruction	New	Respondent Privacy and Confidentiality Concerns Questionnaire
234457	CTSP Campaign Testing	Form and Instruction	New	Focus Group Screener
234457	CTSP Campaign Testing	Form and Instruction	New	Online Quantitive Testing Screener Questionnaire
232802	QIPT Focus Groups	Form and Instruction	Unchanged	Focus Group Activity
232802	QIPT Focus Groups	Form and Instruction	Unchanged	Online Testing Questionnaire
229503	2020 CBAMS Focus Groups	Form and Instruction	Unchanged	Focus Group Guide
228741	2020 CBAMS Survey	Form and Instruction	Unchanged	2020 CBAMS SUrvey
228741	2020 CBAMS Survey	Form and Instruction	Unchanged	2020 CBAMS Survey

ICR Details

OMB Control No: 0607-0978	ICR Reference No: 201812-0607-001
Status: Historical Active	Previous ICR Reference No: 201706-0607-003
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Generic Clearance for Internet Nonprobability Panel Pretesting
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/10/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/10/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	08/31/2020	08/31/2020
Responses	165,325	0	55,108
Time Burden (Hours)	50,699	0	16,900
Cost Burden (Dollars)	0	0	0

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Abstract: The information collected in this program of developing and testing questionnaires and advertising that will be used by the Census Bureau to evaluate and improve the quality of the data in the surveys and censuses that are ultimately conducted. Because the questionnaires being tested under this clearance are still in the process of development, the data that result from these collections are not considered official statistics of the Census Bureau or other Federal agencies. Data will be included in research reports prepared for sponsors inside and outside of the Census Bureau. The results may also be prepared for presentations related to survey methodology at professional meetings or publications in professional journals.

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Authorizing Statute(s): US Code: 13 USC 131,141,161,181,182,193,301
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 4284	01/13/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 13280	06/26/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 21

table that charts list of burden

IC Title	Form No.	Form Name
2019 Annual Business Survey Telephone Debriefing	2, 1	ABS Questionnaire ,   ABS Questionnaire Web Screenshots
2019 VIUS Cognitive Testing	1, 2	9501 VIUS Worksheet ,   9502 VIUS Worksheet
2020 CBAMS Focus Groups	Focus Group Guide	Focus Group Guide
2020 CBAMS Mindsets	2, 1	CBAMS Mindset Instrument ,   CBAMS NONID Help Text for Address Screens
2020 CBAMS Survey	2020 CBAMS Survey, 2020 CBAMS Survey	2020 CBAMS Survey ,   2020 CBAMS SUrvey
2020 Census Quantitative Copy Testing	1	Questionnaire
2020 Census Tracking Survey	2, 1	Phone Questionnaire ,   Web Questionnaire
2020 Census Tracking Survey Addendum	2, 1	Question changes made throughout testing cycle ,   Questionnaire
2020 Census Tracking Survey Field Test	1, 2	Web Questionnaire ,   Phone Questionnaire
2020 Census Tracking Survey Field Test Amendment	1, 2	Revised Phone Questionnaire ,   Revised Web Questionnaire
CTSP Campaign Testing	1, 2	Online Quantitive Testing Screener Questionnaire ,   Focus Group Screener
CTSP Campaign Testing Amendment	1, 2	Appendix A ,   Appendix C
Cognitive Testing of SNAP Messaging for ABAwD	1	Protocol and Test Questions
Cognitive Testing of the FNS SNAP Vendor Application	1, 2, 3, 4	SNAP Initial Application (web) ,   SNAP Reauthorization Application (web) ,   SNAP Initial Application (paper) ,   SNAP Reauthorization Application (paper)
Commodity Flow Survey Pretesting	1	2017 CFS Survey
QIPT Focus Groups	1, 2	Online Testing Questionnaire ,   Focus Group Activity
QTAX F-72 Redesign Cognitive Testing	2, 1	Revised F-72 Instrument ,   Original F-72 Instrument
Re-identification Question Pretesting Survey	1, 2	Survey Flow ,   Alternate Questions
Respondent Privacy and Confidentiality Concerns Study	1	Respondent Privacy and Confidentiality Concerns Questionnaire
University of Virginia-Census Persuasion Survey	2, 3, 1	Questionnaire ,   Experimental Invitations ,   Experimental Email Invitations
Usability Testing of the FNS SNAP Application	9, 6, 8, 7, 1, 2, 3, 4, 5	Indiana SNAP Application ,   Massachusetts SNAP Application ,   Maryland SNAP Application ,   Oklahoma SNAP Application ,   Virginia SNAP Application ,   MD_ScreenShots_1-50 ,   MD_Screenshot_51-100 ,   MD_Screenshots_101-150 ,   MD_Screenshots_151-181

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	165,325	55,108	0	110,217	0	0
Annual Time Burden (Hours)	50,699	16,900	0	33,799	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There was an error in communications on the approved number of burden hours and responses - please see our Justification for Nonsubstantive Changes

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

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.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/10/2018

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