Generic Clearance for Questionnaire Pretesting Research

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 7 Enclosure 8g AdRecHeavy_Reminder Letter_English_Spanish_D3-L2-XC(ES)_090122	Form and Instruction	New	Repair queued
Form 6 AdRecHeavy_Reminder Postcard_English_Spanish_D3-P3-XC(ES)	Form and Instruction	New	Repair queued
Form 5 AdRecHeavy_Reminder Letter_English_Spanish_D3-L4-XC(ES)	Form and Instruction	New	Repair queued
Form 4 Enclosure 8d AdRecHeavy_Invitation Letter_English_Spanish_D3-L1-XC(ES)_083122b	Form and Instruction	New	Repair queued
Form 3 Draft Paper Questionnaire_8_11_D3-Q(ES)	Form and Instruction	New	Repair queued
Form 2 Control_ FAQ Insert_English_Spanish_D3-FL(ES)	Form and Instruction	New	Repair queued
Form 1 AdRecHeavy_ FAQ Insert_English_Spanish_D3-FL-XC(ES)	Form and Instruction	New	Repair queued
Form 1 Content and Probes	Form and Instruction	New	Repair queued
Form 5 Labor Related Questions Draft	Form and Instruction	New	Repair queued
Form 4 Innovation Module Draft	Form and Instruction	New	Repair queued
Form 3 Technology Transfer Module Draft	Form and Instruction	New	Repair queued
Form 2 Technology and Intellectual Property Module	Form and Instruction	New	Repair queued
Form 1 Sustainability Management Module	Form and Instruction	New	Repair queued
Form 1 SIPP Instrument	Form and Instruction	New	Repair queued
Form 2 Form 2	Form and Instruction	New	Repair queued
Form 1 Form 1	Form and Instruction	New	Repair queued
Form 1 Questions to be Tested	Form and Instruction	New	Repair queued
Form 1 Protocol and Testing Materials	Form and Instruction	New	Repair queued
Form 3 NSCH 2023 T3	Form and Instruction	New	Repair queued
Form 2 NSCH 2023 T2	Form and Instruction	New	Repair queued
Form 1 NSCH 2023 T1	Form and Instruction	New	Repair queued
Form 2 Screenshots from Production Instrument - EHM	Form and Instruction	New	Repair queued
Form 1 Screenshots from Production Instrument - CFS	Form and Instruction	New	Repair queued
Form Study 9 Study 9	Form and Instruction	New	Repair queued
Form 1 Usability Eval	Form and Instruction	New	Repair queued
Form 2 Protocol	Form and Instruction	New	Repair queued
Form 1 Web Questionnaire	Form and Instruction	New	Repair queued
Form 1 Survey	Form and Instruction	New	Repair queued
Form 1 Study 8 Survey questions	Form and Instruction	New	Repair queued
Form 1 Form	Form and Instruction	New	Repair queued
Form 3 Version LC4	Form and Instruction	New	Repair queued
Form 2 Version LC2 and LC3	Form and Instruction	New	Repair queued
Form 1 Version LC1	Form and Instruction	New	Repair queued
Form 1 2020 ABS Instrument	Form and Instruction	New	Repair queued
Form 1 Content Screenshots	Form and Instruction	New	Repair queued
Form 1 Rostering Spec	Form and Instruction	New	Repair queued
Form 2 MOPS Instrument Screen Shots	Form	New	Repair queued
Form 1 Form	Form and Instruction	New	Repair queued
Form 1 Round 1 Questions final	Form and Instruction	New	Repair queued
Form 1 English Instrument	Form and Instruction	New	Repair queued
Form 2 Spanish Instrument	Form and Instruction	New	Repair queued
Form 9 PRCS CAI - group 3	Form and Instruction	New	Repair queued
Form 8 PRCS CAI - group 2	Form and Instruction	New	Repair queued
Form 7 PRCS CAI - group 1	Form and Instruction	New	Repair queued
Form 6 PRCS paper - group 3	Form and Instruction	New	Repair queued
Form 5 PRCS paper - group 2	Form and Instruction	New	Repair queued
Form 4 PRCS paper - group 1	Form and Instruction	New	Repair queued
Form 3 GQ Noninstitutional CAI script	Form and Instruction	New	Repair queued
Form 2 GQ Institutional CAI script	Form and Instruction	New	Repair queued
Form 1 GQ Paper Questionnaire	Form and Instruction	New	Repair queued
Form 2 study 6	Form and Instruction	New	Repair queued
Form 1 study 7	Form and Instruction	New	Repair queued
Form 3 PR recruitment script	Form and Instruction	New	Repair queued
Form 2 GQ recruitment script	Form and Instruction	New	Repair queued
Form 1 Screener questions	Form and Instruction	New	Repair queued
Form 2 Draft content	Form and Instruction	New	Repair queued
Form 1 Worksheet	Form and Instruction	New	Repair queued
Form 2 Screenshots	Form and Instruction	New	Repair queued
Form 1 Form	Form and Instruction	New	Repair queued
Form 5 9502 Paper form	Form and Instruction	New	Repair queued
Form 4 9501 Paper form	Form and Instruction	New	Repair queued
Form 3 Spreadsheet 9502	Form and Instruction	New	Repair queued
Form 2 Spreadsheet 9501	Form and Instruction	New	Repair queued
Form 1 Usability Protocol	Form and Instruction	New	Repair queued
Form 1 questions	Form and Instruction	New	Repair queued
Form 3 Mockup	Form and Instruction	New	Repair queued
Form 2 Protocol	Form and Instruction	New	Repair queued
Form 1 Questions	Form and Instruction	New	Repair queued
Form 1 Questionnaire	Form and Instruction	New	Repair queued
Form 2 Online questionnaire	Form and Instruction	New	Repair queued
Form 1 Telephone protocol	Form and Instruction	New	Repair queued
Form 1 Mail materials	Form and Instruction	New	Repair queued
Form 4 Protocol	Form and Instruction	New	Repair queued
Form 3 Cognitive Interviewing Version T3	Form and Instruction	New	Repair queued
Form 2 Cognitive Interviewing Version T2	Form and Instruction	New	Repair queued
Form 1 Cognitive Interviewing Version T1	Form and Instruction	New	Repair queued
Form 1 Debriefing Protocol	Form and Instruction	New	Repair queued
Form 1 Draft Questions	Form and Instruction	New	Repair queued
Form 2 Paper Commodity Flow Survey 2017	Form and Instruction	New	Repair queued
Form 1 2022 CFS Screenshots	Form and Instruction	New	Repair queued
Form 1 NSSRN Questions	Form and Instruction	New	Repair queued
Form 2 ACS Postcard Versions	Form and Instruction	New	Repair queued
Form 1 ACS Log In Screen Versions	Form and Instruction	New	Repair queued
Form 1 Screener Script	Form and Instruction	New	Repair queued
Form 1 Questionnaire	Form and Instruction	New	Repair queued
Form 1 2020 ABS Questionnaire	Form and Instruction	New	Repair queued
Form 2 Draft Questions for Round 1 QxBank Cognitive Testing (Waves 1 and 2)	Form and Instruction	New	Repair queued
Form 1 Initial Questions for Question Bank	Form and Instruction	New	Repair queued
Form 3 Paper form of questionnaire	Form and Instruction	New	Repair queued
Form 2 Usability Tasks that participant will complete	Form and Instruction	New	Repair queued
Form 1 Usability Screenshots of questionnaire	Form and Instruction	New	Repair queued
Form 2 Focus Group Moderator Guide	Form and Instruction	New	Repair queued
Form 1 Cognitive Interview Protocl	Form and Instruction	New	Repair queued
Form 2 V2 Screenshots	Form and Instruction	New	Repair queued
Form 1 V1 Screenshots	Form and Instruction	New	Repair queued
Form 1 Draft Questions for Evaluation	Form and Instruction	New	Repair queued
Form 1 Protocol and Questions	Form and Instruction	New	Repair queued
Form 1 Test Questionnaire	Form and Instruction	New	Repair queued
Form 1 Vaccine Questionnaire	Form and Instruction	New	Available
Form 2 CPS PPA protocol - proxy respondent	Form and Instruction	New	Available
Form 1 CPS PPA protocol - target respondent	Form and Instruction	New	Available
Form 3 Additional Expectations and Uncertainty Questions for QSS and M3	Form and Instruction	New	Repair queued
Form 2 M3 Uncertainty Questions Version B	Form and Instruction	New	Repair queued
Form 1 M3 Uncertainty Questions Version A	Form and Instruction	New	Repair queued
Form 1 Draft Instrument	Form and Instruction	New	Available
Form 2 ACES COVID Questions	Form and Instruction	New	Available
Form 1 2019 ACES	Form and Instruction	New	Available
Form 1 Protocol	Form and Instruction	New	Available
Form Enclosure 3 - Stud Enclosure 3 - Study 5 Questions - revised	Form and Instruction	New	Available
Form 1 Study 5 Questions	Form and Instruction	New	Available
Form 2 Card Sort	Form and Instruction	New	Available
Form 1 Protocol	Form and Instruction	New	Available
Form 3 Manufacturing Activities List	Form and Instruction	New	Available
Form 2 Current Surveys	Form and Instruction	New	Available
Form 1 Draft question	Form and Instruction	New	Repair queued
Form 1 Protocol	Form and Instruction	New	Available
Form 2021 RHFS Protocol 2021 RHFS Protocol	Form and Instruction	New	Available
Form ASM protocol ASM protocol	Form and Instruction	New	Available
Form 2 Computer use and Internet Experience questionnaire	Form and Instruction	New	Available
Form 1 NAPCS Screenshots	Form and Instruction	New	Available
Form 3 Study 3 questionnaire	Form and Instruction	New	Available
Form 2 Study 2 questionnaire	Form and Instruction	New	Available
Form 1 Study 2 questionnaire	Form and Instruction	New	Available
Form 2 CFS Paper	Form and Instruction	New	Available
Form 1 CFS Instrument Screenshots	Form and Instruction	New	Available
Form 2 Computer use and Internet Experience questionnaire	Form and Instruction	New	Available
Form 1 NAPCS Screenshots	Form and Instruction	New	Available
Form 4 NSCH 2021 Topical V3	Form and Instruction	New	Available
Form 3 NSCH 2021 Topical V2	Form and Instruction	New	Available
Form 2 NSCH 2021 Topical V1	Form and Instruction	New	Available
Form 1 NSCH 2021 Screener Survey	Form and Instruction	New	Available
Form 1 Draft Questions	Form and Instruction	New	Available
Form 2 Qualtrics Survey Questionnaire	Form and Instruction	New	Available
Form 1 Protocol and Questionnaire for Cognitive Interviews	Form and Instruction	New	Available
Form 3 Computer use and Internet Experience questionnaire	Form and Instruction	New	Available
Form 2 Satisfaction questionnaire	Form and Instruction	New	Available
Form 1 Economic Census - Screenshots of Instrument	Form and Instruction	New	Available
Form 8 ACS English CAI Script Group 3 V2	Form and Instruction	New	Available
Form 7 ACS English CAI Script Group 3 V1	Form and Instruction	New	Available
Form 6 ACS English CAI Script Group 2 V2	Form and Instruction	New	Available
Form 5 ACS English CAI Script Group 2 V1	Form and Instruction	New	Available
Form 4 ACS English CAI Script Group 1 V2	Form and Instruction	New	Repair queued
Form 3 ACS English CAI Script Group 1 V1	Form and Instruction	New	Repair queued
Form 2 ACS English Paper Questionnaire V2	Form and Instruction	New	Available
Form 1 ACS English Paper Questionnaire V1	Form and Instruction	New	Available
Form 4 Modified satisfaction questionnaire	Form and Instruction	New	Available
Form 3 Modified debriefing questionnaire	Form and Instruction	New	Available
Form 2 Internet experience questionnaire	Form and Instruction	New	Available
Form 1 Demo Questionnaire	Form and Instruction	New	Available
Form 3 Qualtrics Screenshots	Form and Instruction	New	Available
Form 2 Survey Content for Participants with a Child Age	Form and Instruction	New	Available
Form 1 Survey Content for Participants with a Child Aged 0-5	Form and Instruction	New	Available
Form 2 2019 ABS worksheet	Form and Instruction	New	Available
Form 1 2021 ABS Draft Content	Form and Instruction	New	Available
Form 2 2017 Commodity Flow Survey Paper Questionnaire	Form and Instruction	New	Available
Form 1 PHMSA Data Collection Questionnaire Screenshots	Form and Instruction	New	Available
Form 5 CFS Web pilot screenshots	Form and Instruction	New	Available
Form 4 Satisfaction questionnaire	Form and Instruction	New	Available
Form 3 Demographic Questionnaire and Computer use and Internet experience questionnaire	Form and Instruction	New	Available
Form 2 Usability Tasks	Form and Instruction	New	Available
Form 1 CFS 2017 Paper	Form and Instruction	New	Available
Form 1 Protocol	Form and Instruction	New	Available
Form 1 Protocol, Letters, and Instruments	Form and Instruction	New	Available
Form 1 New Content for 2020 MOPS	Form and Instruction	New	Available
Form 10 Satisfaction and Preference Questions from IOE	Form and Instruction	New	Repair queued
Form 9 Annual Survey of Businesses (select questions)	Form and Instruction	New	Repair queued
Form 8 National Survey of College Graduates - Form 22	Form and Instruction	New	Repair queued
Form 7 National Survey of College Graduates - Form 21	Form and Instruction	New	Repair queued
Form 6 National Household Education Survey -ECPP	Form and Instruction	New	Repair queued
Form 5 National Household Education Survey -PFI	Form and Instruction	New	Repair queued
Form 4 2018 National Sample Survey of Registered Nurses	Form and Instruction	New	Repair queued
Form 3 2018 Census Test	Form and Instruction	New	Repair queued
Form 2 American Community Survey	Form and Instruction	New	Repair queued
Form 1 Study Questions	Form and Instruction	New	Repair queued
Form 1 Research Goals, Recruiting Requirements, Research Questions, Mail Materials	Form and Instruction	New	Available
Form 2 2019 ASM COS Instrument	Form and Instruction	New	Repair queued
Form 1 2018 ASM COS Instrument	Form and Instruction	New	Repair queued
Form 3 Online version of existing form	Form and Instruction	New	Repair queued
Form 2 Existing Form	Form and Instruction	New	Repair queued
Form 1 Revised form	Form and Instruction	New	Repair queued
Form 4 Debriefing Questionnaire	Form and Instruction	New	Repair queued
Form 3 Experimental Task Questionnaire	Form and Instruction	New	Repair queued
Form 2 Internet Use Questionnaire	Form and Instruction	New	Available
Form 1 Demographics Questionnaire	Form and Instruction	New	Repair queued
Form 1 Debriefing Protocol	Form and Instruction	New	Available
2019 Screener.docx	Supplementary Document	Uploaded 2019-09-09	Available
KeyElements072015.docx	Supplementary Document	Uploaded 2016-06-07	Available
Attachment A.doc	Supplementary Document	Uploaded 2016-06-07	Available
19genclrpartB_v4.doc	Supporting Statement B	Uploaded 2019-09-09	Available
19genclrpartA_v3.doc	Supporting Statement A	Uploaded 2019-09-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
256217	SmaRT Program testing	Form and Instruction	New	Enclosure 8g AdRecHeavy_Reminder Letter_English_Spanish_D3-L2-XC(ES)_090122
256217	SmaRT Program testing	Form and Instruction	New	AdRecHeavy_Reminder Postcard_English_Spanish_D3-P3-XC(ES)
256217	SmaRT Program testing	Form and Instruction	New	AdRecHeavy_Reminder Letter_English_Spanish_D3-L4-XC(ES)
256217	SmaRT Program testing	Form and Instruction	New	Enclosure 8d AdRecHeavy_Invitation Letter_English_Spanish_D3-L1-XC(ES)_083122b
256217	SmaRT Program testing	Form and Instruction	New	Draft Paper Questionnaire_8_11_D3-Q(ES)
256217	SmaRT Program testing	Form and Instruction	New	Control_ FAQ Insert_English_Spanish_D3-FL(ES)
256217	SmaRT Program testing	Form and Instruction	New	AdRecHeavy_ FAQ Insert_English_Spanish_D3-FL-XC(ES)
255307	2024 NTEWS Cognitive Interviews	Form and Instruction	New	Content and Probes
255193	ECON - 2023 ABS Cognitive Testing	Form and Instruction	New	Labor Related Questions Draft
255193	ECON - 2023 ABS Cognitive Testing	Form and Instruction	New	Innovation Module Draft
255193	ECON - 2023 ABS Cognitive Testing	Form and Instruction	New	Technology Transfer Module Draft
255193	ECON - 2023 ABS Cognitive Testing	Form and Instruction	New	Technology and Intellectual Property Module
255193	ECON - 2023 ABS Cognitive Testing	Form and Instruction	New	Sustainability Management Module
254713	Cognitive Testing of Select Questions from the Upcoming 2024 Survey of Income and Program Participation	Form and Instruction	New	SIPP Instrument
254421	ECON - Cognitive Testing on the Medical Expenditure Panel Survey – Insurance Component	Form and Instruction	New	Form 2
254421	ECON - Cognitive Testing on the Medical Expenditure Panel Survey – Insurance Component	Form and Instruction	New	Form 1
254420	ECON - AIES content cognitive testing	Form and Instruction	New	Questions to be Tested
254365	FNS ABAWD message testing	Form and Instruction	New	Protocol and Testing Materials
254300	NSCH cognitive interviewing	Form and Instruction	New	NSCH 2023 T3
254300	NSCH cognitive interviewing	Form and Instruction	New	NSCH 2023 T2
254300	NSCH cognitive interviewing	Form and Instruction	New	NSCH 2023 T1
254251	ECON - Commodity Flow Survey Debriefing Interviews	Form and Instruction	New	Screenshots from Production Instrument - EHM
254251	ECON - Commodity Flow Survey Debriefing Interviews	Form and Instruction	New	Screenshots from Production Instrument - CFS
254073	Web Survey Design Standards Online Research: Study 9	Form and Instruction	New	Study 9
253774	ECON - Usability Evaluation for the 2022 Economic Census	Form and Instruction	New	Usability Eval
252929	Research on Public Opinion of Administrative Records (RoPOAR) Cognitive Interviews	Form and Instruction	New	Protocol
252929	Research on Public Opinion of Administrative Records (RoPOAR) Cognitive Interviews	Form and Instruction	New	Web Questionnaire
252272	ECON - Usability Testing for the 2022 FDIC Small Business Lending Survey	Form and Instruction	New	Survey
252147	Web Survey Design Standards Online Research Fourth Addendum	Form and Instruction	New	Study 8 Survey questions
251621	ECON - Debriefing Interviews for ARTS, AWTS, SAS, ASM, and ACES	Form and Instruction	New	Form
251581	Cognitive Testing of the 2023 National Survey of Children's Health Longitudinal Cohort Questionnaire	Form and Instruction	New	Version LC4
251581	Cognitive Testing of the 2023 National Survey of Children's Health Longitudinal Cohort Questionnaire	Form and Instruction	New	Version LC2 and LC3
251581	Cognitive Testing of the 2023 National Survey of Children's Health Longitudinal Cohort Questionnaire	Form and Instruction	New	Version LC1
251424	ECON - Respondent Debriefings for the 2020 Annual Business Survey	Form and Instruction	New	2020 ABS Instrument
250627	Cognitive Testing of National Survey of College Graduates Questionnaire	Form and Instruction	New	Content Screenshots
250595	Usability Evaluation of the American Community Survey (ACS) Roster Screens	Form and Instruction	New	Rostering Spec
250588	ECON - Usability Testing for the 2021 Management and Organizational Practices Survey	Form	New	MOPS Instrument Screen Shots
250588	ECON - Usability Testing for the 2021 Management and Organizational Practices Survey	Form and Instruction	New	Form
250058	ECON - Question Bank for Emergency Economic Information Collections Cognitive Testing Full Round 1 Addendum	Form and Instruction	New	Round 1 Questions final
250012	Ask U.S. Panel Cognitive Testing	Form and Instruction	New	English Instrument
250012	Ask U.S. Panel Cognitive Testing	Form and Instruction	New	Spanish Instrument
249895	2022 ACS Group Quarters/Puerto Rico Community Survey Content Test Cognitive Interviews – Round 3	Form and Instruction	New	PRCS CAI - group 3
249895	2022 ACS Group Quarters/Puerto Rico Community Survey Content Test Cognitive Interviews – Round 3	Form and Instruction	New	PRCS CAI - group 2
249895	2022 ACS Group Quarters/Puerto Rico Community Survey Content Test Cognitive Interviews – Round 3	Form and Instruction	New	PRCS CAI - group 1
249895	2022 ACS Group Quarters/Puerto Rico Community Survey Content Test Cognitive Interviews – Round 3	Form and Instruction	New	PRCS paper - group 3
249895	2022 ACS Group Quarters/Puerto Rico Community Survey Content Test Cognitive Interviews – Round 3	Form and Instruction	New	PRCS paper - group 2
249895	2022 ACS Group Quarters/Puerto Rico Community Survey Content Test Cognitive Interviews – Round 3	Form and Instruction	New	PRCS paper - group 1
249895	2022 ACS Group Quarters/Puerto Rico Community Survey Content Test Cognitive Interviews – Round 3	Form and Instruction	New	GQ Noninstitutional CAI script
249895	2022 ACS Group Quarters/Puerto Rico Community Survey Content Test Cognitive Interviews – Round 3	Form and Instruction	New	GQ Institutional CAI script
249895	2022 ACS Group Quarters/Puerto Rico Community Survey Content Test Cognitive Interviews – Round 3	Form and Instruction	New	GQ Paper Questionnaire
249864	IOE Web Design Standards Addendum 3	Form and Instruction	New	study 6
249864	IOE Web Design Standards Addendum 3	Form and Instruction	New	study 7
249735	2022 American Community Survey (ACS)/Puerto Rico Community Survey (PRCS) Content Test Cognitive Interviews Round 3	Form and Instruction	New	PR recruitment script
249735	2022 American Community Survey (ACS)/Puerto Rico Community Survey (PRCS) Content Test Cognitive Interviews Round 3	Form and Instruction	New	GQ recruitment script
249735	2022 American Community Survey (ACS)/Puerto Rico Community Survey (PRCS) Content Test Cognitive Interviews Round 3	Form and Instruction	New	Screener questions
249717	ECON - Cognitive testing for the 2022 Annual Business Survey	Form and Instruction	New	Draft content
249717	ECON - Cognitive testing for the 2022 Annual Business Survey	Form and Instruction	New	Worksheet
249712	ECON - Respondent Debriefings for the Management and Organizational Practices Survey - Hospitals (MOPSHP)	Form and Instruction	New	Screenshots
249712	ECON - Respondent Debriefings for the Management and Organizational Practices Survey - Hospitals (MOPSHP)	Form and Instruction	New	Form
249705	ECON - Usability Testing for the Vehicle Inventory and Use Survey (VIUS)	Form and Instruction	New	9502 Paper form
249705	ECON - Usability Testing for the Vehicle Inventory and Use Survey (VIUS)	Form and Instruction	New	9501 Paper form
249705	ECON - Usability Testing for the Vehicle Inventory and Use Survey (VIUS)	Form and Instruction	New	Spreadsheet 9502
249705	ECON - Usability Testing for the Vehicle Inventory and Use Survey (VIUS)	Form and Instruction	New	Spreadsheet 9501
249705	ECON - Usability Testing for the Vehicle Inventory and Use Survey (VIUS)	Form and Instruction	New	Usability Protocol
249657	ECON - Question Bank for Emergency Economic Information Collections Cognitive Testing Addendum	Form and Instruction	New	questions
249498	ECON - Cognitive Interviews for the Annual Integrated Economic Survey	Form and Instruction	New	Mockup
249498	ECON - Cognitive Interviews for the Annual Integrated Economic Survey	Form and Instruction	New	Protocol
249498	ECON - Cognitive Interviews for the Annual Integrated Economic Survey	Form and Instruction	New	Questions
249080	Current Population Survey (CPS) Online Self-Response Questionnaire Design Research	Form and Instruction	New	Questionnaire
248982	ECON - 2022 MEPS IC	Form and Instruction	New	Online questionnaire
248982	ECON - 2022 MEPS IC	Form and Instruction	New	Telephone protocol
248651	ECON - Debriefings for the Coordinated Contact Pilot Experiment	Form and Instruction	New	Mail materials
248532	2022 NSCH Cognitive Interviewing	Form and Instruction	New	Protocol
248532	2022 NSCH Cognitive Interviewing	Form and Instruction	New	Cognitive Interviewing Version T3
248532	2022 NSCH Cognitive Interviewing	Form and Instruction	New	Cognitive Interviewing Version T2
248532	2022 NSCH Cognitive Interviewing	Form and Instruction	New	Cognitive Interviewing Version T1
248531	Group Quarters Census	Form and Instruction	New	Debriefing Protocol
247847	ECON - 2022 Economic Census Content Testing	Form and Instruction	New	Draft Questions
247785	ECON - CFS 2022 Cognitive Interviews	Form and Instruction	New	Paper Commodity Flow Survey 2017
247785	ECON - CFS 2022 Cognitive Interviews	Form and Instruction	New	2022 CFS Screenshots
247509	2022 NSSRN Cog Testing	Form and Instruction	New	NSSRN Questions
247227	Usability evaluation of the ACS Login screen	Form and Instruction	New	ACS Postcard Versions
247227	Usability evaluation of the ACS Login screen	Form and Instruction	New	ACS Log In Screen Versions
247039	2022 ACS Content Test Cognitive Interviews Addendum	Form and Instruction	New	Screener Script
246938	ECON - Respondent Debriefings for F-29 Annual Survey of State and Local Government Finances	Form and Instruction	New	Questionnaire
246771	ECON - 2020 ABS Debriefings	Form and Instruction	New	2020 ABS Questionnaire
246297	ECON - Question Bank for Emergency Economic Information Collections Cognitive Testing	Form and Instruction	New	Draft Questions for Round 1 QxBank Cognitive Testing (Waves 1 and 2)
246297	ECON - Question Bank for Emergency Economic Information Collections Cognitive Testing	Form and Instruction	New	Initial Questions for Question Bank
246097	ECON - Cognitive Interviews for the Commodity Flow Survey & PHMSA: Expanded Hazardous Materials Data Collection	Form and Instruction	New	Paper form of questionnaire
246097	ECON - Cognitive Interviews for the Commodity Flow Survey & PHMSA: Expanded Hazardous Materials Data Collection	Form and Instruction	New	Usability Tasks that participant will complete
246097	ECON - Cognitive Interviews for the Commodity Flow Survey & PHMSA: Expanded Hazardous Materials Data Collection	Form and Instruction	New	Usability Screenshots of questionnaire
246092	Development of Language Questions for National Surveys	Form and Instruction	New	Focus Group Moderator Guide
246092	Development of Language Questions for National Surveys	Form and Instruction	New	Cognitive Interview Protocl
245908	ECON - EC 22 NAICS NAPCS Usability evalutaion	Form and Instruction	New	V2 Screenshots
245908	ECON - EC 22 NAICS NAPCS Usability evalutaion	Form and Instruction	New	V1 Screenshots
245495	ECON - 2020 MOPS MFG pretesting addendum	Form and Instruction	New	Draft Questions for Evaluation
245405	Household Pulse March 2021 Pretesting Survey	Form and Instruction	New	Protocol and Questions
244955	Supplemental Computer and Internet Use Questionnaire (CIU) Cognitive Interviews	Form and Instruction	New	Test Questionnaire
244878	Vaccine Question Pretesting Survey for Household Pulse Survey	Form and Instruction	New	Vaccine Questionnaire
244774	2022 CPS Public Participation in the Arts Supplement Cog Testing	Form and Instruction	New	CPS PPA protocol - proxy respondent
244774	2022 CPS Public Participation in the Arts Supplement Cog Testing	Form and Instruction	New	CPS PPA protocol - target respondent
244472	ECON - 2021 M3 and QSS Cognitive Testing	Form and Instruction	New	Additional Expectations and Uncertainty Questions for QSS and M3
244472	ECON - 2021 M3 and QSS Cognitive Testing	Form and Instruction	New	M3 Uncertainty Questions Version B
244472	ECON - 2021 M3 and QSS Cognitive Testing	Form and Instruction	New	M3 Uncertainty Questions Version A
244464	ECON - 2022 SBLS Cognitive Testing	Form and Instruction	New	Draft Instrument
244326	2020 ACES with COVID questions Content Test Cognitive Interviews	Form and Instruction	New	ACES COVID Questions
244326	2020 ACES with COVID questions Content Test Cognitive Interviews	Form and Instruction	New	2019 ACES
243878	CEDSCI Cognitive Testing Addendum 4	Form and Instruction	New	Protocol
243810	Web Design IOE Study 5 Addendum	Form and Instruction	New	Enclosure 3 - Study 5 Questions - revised
243810	Web Design IOE Study 5 Addendum	Form and Instruction	New	Study 5 Questions
243808	Cognitive Interviewing for the Content Harmonization and Collection Unit Determination Instrument	Form and Instruction	New	Card Sort
243808	Cognitive Interviewing for the Content Harmonization and Collection Unit Determination Instrument	Form and Instruction	New	Protocol
243635	Cognitive Interviews for the ASM Unfilled Orders Question	Form and Instruction	New	Manufacturing Activities List
243635	Cognitive Interviews for the ASM Unfilled Orders Question	Form and Instruction	New	Current Surveys
243635	Cognitive Interviews for the ASM Unfilled Orders Question	Form and Instruction	New	Draft question
243634	Cognitive Testing for COVID-19 Questions on the MEPS – IC	Form and Instruction	New	Protocol
243452	Cognitive testing for the 2021 Rental Housing Finance Survey	Form and Instruction	New	2021 RHFS Protocol
243451	Cog interviews for ASM - Payroll, Employment and Coronavirus	Form and Instruction	New	ASM protocol
243261	2022 Economic Census NAPCS usability evaluation Addendum	Form and Instruction	New	Computer use and Internet Experience questionnaire
243261	2022 Economic Census NAPCS usability evaluation Addendum	Form and Instruction	New	NAPCS Screenshots
243247	Web Survey Design Standards IOE Addendum	Form and Instruction	New	Study 3 questionnaire
243247	Web Survey Design Standards IOE Addendum	Form and Instruction	New	Study 2 questionnaire
243247	Web Survey Design Standards IOE Addendum	Form and Instruction	New	Study 2 questionnaire
243136	CFS Pilot Test Debriefings	Form and Instruction	New	CFS Paper
243136	CFS Pilot Test Debriefings	Form and Instruction	New	CFS Instrument Screenshots
242748	2022 Economic Census NAPCS usability evaluation	Form and Instruction	New	Computer use and Internet Experience questionnaire
242748	2022 Economic Census NAPCS usability evaluation	Form and Instruction	New	NAPCS Screenshots
242679	Cognitive Testing of NSCH Questionnaire	Form and Instruction	New	NSCH 2021 Topical V3
242679	Cognitive Testing of NSCH Questionnaire	Form and Instruction	New	NSCH 2021 Topical V2
242679	Cognitive Testing of NSCH Questionnaire	Form and Instruction	New	NSCH 2021 Topical V1
242679	Cognitive Testing of NSCH Questionnaire	Form and Instruction	New	NSCH 2021 Screener Survey
242446	Small Business Pulse Survey Phase 2	Form and Instruction	New	Draft Questions
242289	2021 AHS Cognitive Testing	Form and Instruction	New	Qualtrics Survey Questionnaire
242289	2021 AHS Cognitive Testing	Form and Instruction	New	Protocol and Questionnaire for Cognitive Interviews
242183	Usability Evaluation for the 2022 Economic Census	Form and Instruction	New	Computer use and Internet Experience questionnaire
242183	Usability Evaluation for the 2022 Economic Census	Form and Instruction	New	Satisfaction questionnaire
242183	Usability Evaluation for the 2022 Economic Census	Form and Instruction	New	Economic Census - Screenshots of Instrument
241969	2022 ACS Content Test Cognitive Interviews	Form and Instruction	New	ACS English CAI Script Group 3 V2
241969	2022 ACS Content Test Cognitive Interviews	Form and Instruction	New	ACS English CAI Script Group 3 V1
241969	2022 ACS Content Test Cognitive Interviews	Form and Instruction	New	ACS English CAI Script Group 2 V2
241969	2022 ACS Content Test Cognitive Interviews	Form and Instruction	New	ACS English CAI Script Group 2 V1
241969	2022 ACS Content Test Cognitive Interviews	Form and Instruction	New	ACS English CAI Script Group 1 V2
241969	2022 ACS Content Test Cognitive Interviews	Form and Instruction	New	ACS English CAI Script Group 1 V1
241969	2022 ACS Content Test Cognitive Interviews	Form and Instruction	New	ACS English Paper Questionnaire V2
241969	2022 ACS Content Test Cognitive Interviews	Form and Instruction	New	ACS English Paper Questionnaire V1
241913	CEDSCI addendum for remote data collection	Form and Instruction	New	Modified satisfaction questionnaire
241913	CEDSCI addendum for remote data collection	Form and Instruction	New	Modified debriefing questionnaire
241913	CEDSCI addendum for remote data collection	Form and Instruction	New	Internet experience questionnaire
241913	CEDSCI addendum for remote data collection	Form and Instruction	New	Demo Questionnaire
241767	NSCH Crowdsourcing Cognitive Interviews	Form and Instruction	New	Qualtrics Screenshots
241767	NSCH Crowdsourcing Cognitive Interviews	Form and Instruction	New	Survey Content for Participants with a Child Age
241767	NSCH Crowdsourcing Cognitive Interviews	Form and Instruction	New	Survey Content for Participants with a Child Aged 0-5
241763	2021 ABS Cognitive Testing	Form and Instruction	New	2019 ABS worksheet
241763	2021 ABS Cognitive Testing	Form and Instruction	New	2021 ABS Draft Content
241762	Cognitive Interviews for the CFS & PHSMA	Form and Instruction	New	2017 Commodity Flow Survey Paper Questionnaire
241762	Cognitive Interviews for the CFS & PHSMA	Form and Instruction	New	PHMSA Data Collection Questionnaire Screenshots
241118	Usability Evaluation of the Commodity Flow Survey Portal	Form and Instruction	New	CFS Web pilot screenshots
241118	Usability Evaluation of the Commodity Flow Survey Portal	Form and Instruction	New	Satisfaction questionnaire
241118	Usability Evaluation of the Commodity Flow Survey Portal	Form and Instruction	New	Demographic Questionnaire and Computer use and Internet experience questionnaire
241118	Usability Evaluation of the Commodity Flow Survey Portal	Form and Instruction	New	Usability Tasks
241118	Usability Evaluation of the Commodity Flow Survey Portal	Form and Instruction	New	CFS 2017 Paper
240641	MEPS – IC Cognitive Testing	Form and Instruction	New	Protocol
240019	Respondent Debriefings for Odyssey Coordinated Contact Pilot	Form and Instruction	New	Protocol, Letters, and Instruments
239991	2020 MOPS Pretesting	Form and Instruction	New	New Content for 2020 MOPS
239663	Web Survey Design Standards IOE	Form and Instruction	New	Satisfaction and Preference Questions from IOE
239663	Web Survey Design Standards IOE	Form and Instruction	New	Annual Survey of Businesses (select questions)
239663	Web Survey Design Standards IOE	Form and Instruction	New	National Survey of College Graduates - Form 22
239663	Web Survey Design Standards IOE	Form and Instruction	New	National Survey of College Graduates - Form 21
239663	Web Survey Design Standards IOE	Form and Instruction	New	National Household Education Survey -ECPP
239663	Web Survey Design Standards IOE	Form and Instruction	New	National Household Education Survey -PFI
239663	Web Survey Design Standards IOE	Form and Instruction	New	2018 National Sample Survey of Registered Nurses
239663	Web Survey Design Standards IOE	Form and Instruction	New	2018 Census Test
239663	Web Survey Design Standards IOE	Form and Instruction	New	American Community Survey
239663	Web Survey Design Standards IOE	Form and Instruction	New	Study Questions
239663	Web Survey Design Standards IOE		Pending
239662	2020 ACS Respondent Burden Testing	Form and Instruction	New	Research Goals, Recruiting Requirements, Research Questions, Mail Materials
239392	2018 ASM COS debriefings	Form and Instruction	New	2019 ASM COS Instrument
239392	2018 ASM COS debriefings	Form and Instruction	New	2018 ASM COS Instrument
239392	2018 ASM COS debriefings		Pending
239263	Cognitive and Usability Evaluation of PHMSA 5800 Form	Form and Instruction	New	Online version of existing form
239263	Cognitive and Usability Evaluation of PHMSA 5800 Form	Form and Instruction	New	Existing Form
239263	Cognitive and Usability Evaluation of PHMSA 5800 Form	Form and Instruction	New	Revised form
239263	Cognitive and Usability Evaluation of PHMSA 5800 Form		Pending
239187	Census Roster Omission Study	Form and Instruction	New	Debriefing Questionnaire
239187	Census Roster Omission Study	Form and Instruction	New	Experimental Task Questionnaire
239187	Census Roster Omission Study	Form and Instruction	New	Internet Use Questionnaire
239187	Census Roster Omission Study	Form and Instruction	New	Demographics Questionnaire
238974	ACES Robotics Respondent Debriefings	Form and Instruction	New	Debriefing Protocol

ICR Details

OMB Control No: 0607-0725	ICR Reference No: 201909-0607-002
Status: Historical Active	Previous ICR Reference No: 201606-0607-003
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Generic Clearance for Questionnaire Pretesting Research
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/03/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/30/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2022	36 Months From Approved	12/31/2019
Responses	16,500	0	16,500
Time Burden (Hours)	16,500	0	16,500
Cost Burden (Dollars)	0	0	0

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Abstract: The research will be used by the Census Bureau and the survey sponsors to improve questionnaires and procedures, reduce respondent burden, and ultimately increase the quality of data collected in Census Bureau censuses and surveys. The clearance will be used to conduct pretesting of decennial, demographic, and economic census and survey questionnaires prior to fielding them. Pretesting activities will involve one of the following methods for identifying measurement problems with the questionnaire or survey procedure: cognitive interviews, focus groups, respondent debriefing, behavior coding of respondent/interviewer interaction, and split panel tests.

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

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:
	84 FR 21750	05/15/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 47239	09/09/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 84

table that charts list of burden

IC Title	Form No.	Form Name
SmaRT Program testing	2, 3, 5, 6, 1, 4, 7	AdRecHeavy_ FAQ Insert_English_Spanish_D3-FL-XC(ES) ,   Control_ FAQ Insert_English_Spanish_D3-FL(ES) ,   Draft Paper Questionnaire_8_11_D3-Q(ES) ,   Enclosure 8d AdRecHeavy_Invitation Letter_English_Spanish_D3-L1-XC(ES)_083122b ,   AdRecHeavy_Reminder Letter_English_Spanish_D3-L4-XC(ES) ,   AdRecHeavy_Reminder Postcard_English_Spanish_D3-P3-XC(ES) ,   Enclosure 8g AdRecHeavy_Reminder Letter_English_Spanish_D3-L2-XC(ES)_090122
2018 ASM COS debriefings	1, 2	2018 ASM COS Instrument ,   2019 ASM COS Instrument
2020 ACES with COVID questions Content Test Cognitive Interviews	1, 2	2019 ACES ,   ACES COVID Questions
2020 ACS Respondent Burden Testing	1	Research Goals, Recruiting Requirements, Research Questions, Mail Materials
2020 MOPS Pretesting	1	New Content for 2020 MOPS
2021 ABS Cognitive Testing	2, 1	2021 ABS Draft Content ,   2019 ABS worksheet
2021 AHS Cognitive Testing	1, 2	Protocol and Questionnaire for Cognitive Interviews ,   Qualtrics Survey Questionnaire
2022 ACS Content Test Cognitive Interviews	1, 2, 3, 4, 6, 7, 8, 5	ACS English Paper Questionnaire V1 ,   ACS English Paper Questionnaire V2 ,   ACS English CAI Script Group 1 V1 ,   ACS English CAI Script Group 1 V2 ,   ACS English CAI Script Group 2 V1 ,   ACS English CAI Script Group 2 V2 ,   ACS English CAI Script Group 3 V1 ,   ACS English CAI Script Group 3 V2
2022 ACS Content Test Cognitive Interviews Addendum	1	Screener Script
2022 ACS Group Quarters/Puerto Rico Community Survey Content Test Cognitive Interviews – Round 3	9, 2, 3, 1, 4, 5, 6, 7, 8	GQ Paper Questionnaire ,   GQ Institutional CAI script ,   GQ Noninstitutional CAI script ,   PRCS paper - group 1 ,   PRCS paper - group 2 ,   PRCS paper - group 3 ,   PRCS CAI - group 1 ,   PRCS CAI - group 2 ,   PRCS CAI - group 3
2022 American Community Survey (ACS)/Puerto Rico Community Survey (PRCS) Content Test Cognitive Interviews Round 3	1, 2, 3	Screener questions ,   GQ recruitment script ,   PR recruitment script
2022 CPS Public Participation in the Arts Supplement Cog Testing	1, 2	CPS PPA protocol - target respondent ,   CPS PPA protocol - proxy respondent
2022 Economic Census NAPCS usability evaluation	2, 1	NAPCS Screenshots ,   Computer use and Internet Experience questionnaire
2022 Economic Census NAPCS usability evaluation Addendum	1, 2	NAPCS Screenshots ,   Computer use and Internet Experience questionnaire
2022 NSCH Cognitive Interviewing	1, 2, 4, 3	Cognitive Interviewing Version T1 ,   Cognitive Interviewing Version T2 ,   Cognitive Interviewing Version T3 ,   Protocol
2022 NSSRN Cog Testing	1	NSSRN Questions
2024 NTEWS Cognitive Interviews	1	Content and Probes
ACES Robotics Respondent Debriefings	1	Debriefing Protocol
Ask U.S. Panel Cognitive Testing	1, 2	Spanish Instrument ,   English Instrument
CEDSCI Cognitive Testing Addendum 4	1	Protocol
CEDSCI addendum for remote data collection	3, 1, 2, 4	Demo Questionnaire ,   Internet experience questionnaire ,   Modified debriefing questionnaire ,   Modified satisfaction questionnaire
CFS Pilot Test Debriefings	1, 2	CFS Instrument Screenshots ,   CFS Paper
Census Roster Omission Study	1, 2, 4, 3	Demographics Questionnaire ,   Internet Use Questionnaire ,   Experimental Task Questionnaire ,   Debriefing Questionnaire
Cog interviews for ASM - Payroll, Employment and Coronavirus	ASM protocol	ASM protocol
Cognitive Interviewing for the Content Harmonization and Collection Unit Determination Instrument	1, 2	Protocol ,   Card Sort
Cognitive Interviews for the ASM Unfilled Orders Question	1, 2, 3	Draft question ,   Current Surveys ,   Manufacturing Activities List
Cognitive Interviews for the CFS & PHSMA	2, 1	PHMSA Data Collection Questionnaire Screenshots ,   2017 Commodity Flow Survey Paper Questionnaire
Cognitive Testing for COVID-19 Questions on the MEPS – IC	1	Protocol
Cognitive Testing of NSCH Questionnaire	1, 2, 3, 4	NSCH 2021 Screener Survey ,   NSCH 2021 Topical V1 ,   NSCH 2021 Topical V2 ,   NSCH 2021 Topical V3
Cognitive Testing of National Survey of College Graduates Questionnaire	1	Content Screenshots
Cognitive Testing of Select Questions from the Upcoming 2024 Survey of Income and Program Participation	1	SIPP Instrument
Cognitive Testing of the 2023 National Survey of Children's Health Longitudinal Cohort Questionnaire	1, 2, 3	Version LC1 ,   Version LC2 and LC3 ,   Version LC4
Cognitive and Usability Evaluation of PHMSA 5800 Form	3, 2, 1	Revised form ,   Existing Form ,   Online version of existing form
Cognitive testing for the 2021 Rental Housing Finance Survey	2021 RHFS Protocol	2021 RHFS Protocol
Current Population Survey (CPS) Online Self-Response Questionnaire Design Research	1	Questionnaire
Development of Language Questions for National Surveys	1, 2	Cognitive Interview Protocl ,   Focus Group Moderator Guide
ECON - 2020 ABS Debriefings	1	2020 ABS Questionnaire
ECON - 2020 MOPS MFG pretesting addendum	1	Draft Questions for Evaluation
ECON - 2021 M3 and QSS Cognitive Testing	1, 2, 3	M3 Uncertainty Questions Version A ,   M3 Uncertainty Questions Version B ,   Additional Expectations and Uncertainty Questions for QSS and M3
ECON - 2022 Economic Census Content Testing	1	Draft Questions
ECON - 2022 MEPS IC	1, 2	Telephone protocol ,   Online questionnaire
ECON - 2022 SBLS Cognitive Testing	1	Draft Instrument
ECON - 2023 ABS Cognitive Testing	1, 2, 3, 4, 5	Sustainability Management Module ,   Technology and Intellectual Property Module ,   Technology Transfer Module Draft ,   Innovation Module Draft ,   Labor Related Questions Draft
ECON - AIES content cognitive testing	1	Questions to be Tested
ECON - CFS 2022 Cognitive Interviews	1, 2	2022 CFS Screenshots ,   Paper Commodity Flow Survey 2017
ECON - Cognitive Interviews for the Annual Integrated Economic Survey	1, 2, 3	Questions ,   Protocol ,   Mockup
ECON - Cognitive Interviews for the Commodity Flow Survey & PHMSA: Expanded Hazardous Materials Data Collection	3, 1, 2	Usability Screenshots of questionnaire ,   Usability Tasks that participant will complete ,   Paper form of questionnaire
ECON - Cognitive Testing on the Medical Expenditure Panel Survey – Insurance Component	1, 2	Form 1 ,   Form 2
ECON - Cognitive testing for the 2022 Annual Business Survey	1, 2	Worksheet ,   Draft content
ECON - Commodity Flow Survey Debriefing Interviews	1, 2	Screenshots from Production Instrument - CFS ,   Screenshots from Production Instrument - EHM
ECON - Debriefing Interviews for ARTS, AWTS, SAS, ASM, and ACES	1	Form
ECON - Debriefings for the Coordinated Contact Pilot Experiment	1	Mail materials
ECON - EC 22 NAICS NAPCS Usability evalutaion	1, 2	V1 Screenshots ,   V2 Screenshots
ECON - Question Bank for Emergency Economic Information Collections Cognitive Testing	1, 2	Initial Questions for Question Bank ,   Draft Questions for Round 1 QxBank Cognitive Testing (Waves 1 and 2)
ECON - Question Bank for Emergency Economic Information Collections Cognitive Testing Addendum	1	questions
ECON - Question Bank for Emergency Economic Information Collections Cognitive Testing Full Round 1 Addendum	1	Round 1 Questions final
ECON - Respondent Debriefings for F-29 Annual Survey of State and Local Government Finances	1	Questionnaire
ECON - Respondent Debriefings for the 2020 Annual Business Survey	1	2020 ABS Instrument
ECON - Respondent Debriefings for the Management and Organizational Practices Survey - Hospitals (MOPSHP)	1, 2	Form ,   Screenshots
ECON - Usability Evaluation for the 2022 Economic Census	1	Usability Eval
ECON - Usability Testing for the 2021 Management and Organizational Practices Survey	1, 2	Form ,   MOPS Instrument Screen Shots
ECON - Usability Testing for the 2022 FDIC Small Business Lending Survey	1	Survey
ECON - Usability Testing for the Vehicle Inventory and Use Survey (VIUS)	5, 1, 2, 3, 4	Usability Protocol ,   Spreadsheet 9501 ,   Spreadsheet 9502 ,   9501 Paper form ,   9502 Paper form
FNS ABAWD message testing	1	Protocol and Testing Materials
Group Quarters Census	1	Debriefing Protocol
Household Pulse March 2021 Pretesting Survey	1	Protocol and Questions
IOE Web Design Standards Addendum 3	1, 2	study 7 ,   study 6
MEPS – IC Cognitive Testing	1	Protocol
NSCH Crowdsourcing Cognitive Interviews	3, 1, 2	Survey Content for Participants with a Child Aged 0-5 ,   Survey Content for Participants with a Child Age ,   Qualtrics Screenshots
NSCH cognitive interviewing	1, 2, 3	NSCH 2023 T1 ,   NSCH 2023 T2 ,   NSCH 2023 T3
Research on Public Opinion of Administrative Records (RoPOAR) Cognitive Interviews	1, 2	Web Questionnaire ,   Protocol
Respondent Debriefings for Odyssey Coordinated Contact Pilot	1	Protocol, Letters, and Instruments
Small Business Pulse Survey Phase 2	1	Draft Questions
Supplemental Computer and Internet Use Questionnaire (CIU) Cognitive Interviews	1	Test Questionnaire
Usability Evaluation for the 2022 Economic Census	1, 2, 3	Economic Census - Screenshots of Instrument ,   Satisfaction questionnaire ,   Computer use and Internet Experience questionnaire
Usability Evaluation of the American Community Survey (ACS) Roster Screens	1	Rostering Spec
Usability Evaluation of the Commodity Flow Survey Portal	4, 2, 1, 3, 5	CFS 2017 Paper ,   Usability Tasks ,   Demographic Questionnaire and Computer use and Internet experience questionnaire ,   Satisfaction questionnaire ,   CFS Web pilot screenshots
Usability evaluation of the ACS Login screen	1, 2	ACS Log In Screen Versions ,   ACS Postcard Versions
Vaccine Question Pretesting Survey for Household Pulse Survey	1	Vaccine Questionnaire
Web Design IOE Study 5 Addendum	Enclosure 3 - Study 5 Questions - revised, 1	Study 5 Questions ,   Enclosure 3 - Study 5 Questions - revised
Web Survey Design Standards IOE	9, 5, 7, 8, 10, 6, 1, 2, 3, 4	Study Questions ,   American Community Survey ,   2018 Census Test ,   2018 National Sample Survey of Registered Nurses ,   National Household Education Survey -PFI ,   National Household Education Survey -ECPP ,   National Survey of College Graduates - Form 21 ,   National Survey of College Graduates - Form 22 ,   Annual Survey of Businesses (select questions) ,   Satisfaction and Preference Questions from IOE
Web Survey Design Standards IOE Addendum	1, 2, 3	Study 2 questionnaire ,   Study 2 questionnaire ,   Study 3 questionnaire
Web Survey Design Standards Online Research Fourth Addendum	1	Study 8 Survey questions
Web Survey Design Standards Online Research: Study 9	Study 9	Study 9

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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	16,500	16,500	0	0	0	0
Annual Time Burden (Hours)	16,500	16,500	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

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: 09/30/2019

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