Information Collection

CTSP Campaign Testing Amendment

IC 235179 under ICR 201812-0607-001 · OMB 0607-0978.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 CTSP Campaign Testing Amendment	Form and Instruction
1 Appendix A Appendix A Online Qualitative Testing Screener Questionnaire_CLEAN.docx	Form and Instruction
2 Appendix C Appendix C Focus Group Screening Questionnaires by Audience_CLEAN.docx	Form and Instruction
2020 Census ICC Campaign OMB Memo 022719 - Revised Burden_Clean.docx Revised OMB Memo	IC Document
Appendix B Online Qualitative Testing Guide and Activities_CLEAN.docx Appendix B	IC Document
Appendix D Focus Group Audience Criteria with Quota Tables_CLEAN.docx Appendix D	IC Document
Appendix E Focus Group Discussion Guide v2 CLEAN 10.22.18.docx Appendix E	IC Document
Appendix F Focus Group Activities.docx Appendix F	IC Document
Appendix G Consent Form.docx Appendix G	IC Document

IC Title:

CTSP Campaign Testing Amendment

Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Appendix A	Appendix A Online Qualitative Testing Screener Questionnaire_CLEAN.docx		No		Fillable Fileable
Form and Instruction	2	Appendix C	Appendix C Focus Group Screening Questionnaires by Audience_CLEAN.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

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	16	16
Annual IC Time Burden (Hours)	48	48
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Revised OMB Memo	2020 Census ICC Campaign OMB Memo 022719 - Revised Burden_Clean.docx	03/05/2019
Appendix B	Appendix B Online Qualitative Testing Guide and Activities_CLEAN.docx	03/06/2019
Appendix D	Appendix D Focus Group Audience Criteria with Quota Tables_CLEAN.docx	03/06/2019
Appendix E	Appendix E Focus Group Discussion Guide v2 CLEAN 10.22.18.docx	03/05/2019
Appendix F	Appendix F Focus Group Activities.docx	03/05/2019
Appendix G	Appendix G Consent Form.docx	03/05/2019

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