Generic Clearance for Questionnaire Pretesting Research

Forms and Documents

Document Name	Status
Form 1 Vaccine Question Pretesting Survey for Household Pulse Survey Form and Instruction	New
Form 1 2022 CPS Public Participation in the Arts Supplement Cog Testing Form and Instruction	New
Form 1 ECON - 2022 SBLS Cognitive Testing Form and Instruction	New
Form 1 2020 ACES with COVID questions Content Test Cognitive Interviews Form and Instruction	New
Form 1 CEDSCI Cognitive Testing Addendum 4 Form and Instruction	New
Form Enclosure 3 - Stud Web Design IOE Study 5 Addendum Form and Instruction	New
Form 1 Cognitive Interviewing for the Content Harmonization and Collection Unit Determination Instrument Form and Instruction	New
Form 1 Cognitive Interviews for the ASM Unfilled Orders Question Form and Instruction	New
Form 1 Cognitive Testing for COVID-19 Questions on the MEPS – IC Form and Instruction	New
Form 2021 RHFS Protocol Cognitive testing for the 2021 Rental Housing Finance Survey Form and Instruction	New
Form ASM protocol Cog interviews for ASM - Payroll, Employment and Coronavirus Form and Instruction	New
Form 1 2022 Economic Census NAPCS usability evaluation Addendum Form and Instruction	New
Form 1 Web Survey Design Standards IOE Addendum Form and Instruction	New
Form 1 CFS Pilot Test Debriefings Form and Instruction	New
Form 1 2022 Economic Census NAPCS usability evaluation Form and Instruction	New
Form 1 Cognitive Testing of NSCH Questionnaire Form and Instruction	New
Form 1 Small Business Pulse Survey Phase 2 Form and Instruction	New
Form 1 2021 AHS Cognitive Testing Form and Instruction	New
Form 1 Usability Evaluation for the 2022 Economic Census Form and Instruction	New
Form 1 2022 ACS Content Test Cognitive Interviews Form and Instruction	New
Form 2 CEDSCI addendum for remote data collection Form and Instruction	New
Form 3 NSCH Crowdsourcing Cognitive Interviews Form and Instruction	New
Form 1 2021 ABS Cognitive Testing Form and Instruction	New
Form 1 Cognitive Interviews for the CFS & PHSMA Form and Instruction	New
Form 1 Usability Evaluation of the Commodity Flow Survey Portal Form and Instruction	New
Form 1 MEPS – IC Cognitive Testing Form and Instruction	New
Form 1 Respondent Debriefings for Odyssey Coordinated Contact Pilot Form and Instruction	New
Form 1 2020 MOPS Pretesting Form and Instruction	New
Form 1 2020 ACS Respondent Burden Testing Form and Instruction	New
Form 1 Census Roster Omission Study Form and Instruction	New
Form 1 ACES Robotics Respondent Debriefings Form and Instruction	New
2019 Screener.docx Supplementary Document	2019-09-09
KeyElements072015.docx Supplementary Document	2016-06-07
Attachment A.doc Supplementary Document	2016-06-07
19genclrpartB_v4.doc Supporting Statement B	2019-09-09
19genclrpartA_v3.doc Supporting Statement A	2019-09-09

IC Document Collections

IC ID	Document Title	Status
244878	Vaccine Question Pretesting Survey for Household Pulse Survey Form and Instruction	New
244774	2022 CPS Public Participation in the Arts Supplement Cog Testing Form and Instruction	New
244464	ECON - 2022 SBLS Cognitive Testing Form and Instruction	New
244326	2020 ACES with COVID questions Content Test Cognitive Interviews Form and Instruction	New
243878	CEDSCI Cognitive Testing Addendum 4 Form and Instruction	New
243810	Web Design IOE Study 5 Addendum Form and Instruction	New
243808	Cognitive Interviewing for the Content Harmonization and Collection Unit Determination Instrument Form and Instruction	New
243635	Cognitive Interviews for the ASM Unfilled Orders Question Form and Instruction	New
243634	Cognitive Testing for COVID-19 Questions on the MEPS – IC Form and Instruction	New
243452	Cognitive testing for the 2021 Rental Housing Finance Survey Form and Instruction	New
243451	Cog interviews for ASM - Payroll, Employment and Coronavirus Form and Instruction	New
243261	2022 Economic Census NAPCS usability evaluation Addendum Form and Instruction	New
243247	Web Survey Design Standards IOE Addendum Form and Instruction	New
243136	CFS Pilot Test Debriefings Form and Instruction	New
242748	2022 Economic Census NAPCS usability evaluation Form and Instruction	New
242679	Cognitive Testing of NSCH Questionnaire Form and Instruction	New
242446	Small Business Pulse Survey Phase 2 Form and Instruction	New
242289	2021 AHS Cognitive Testing Form and Instruction	New
242183	Usability Evaluation for the 2022 Economic Census Form and Instruction	New
241969	2022 ACS Content Test Cognitive Interviews Form and Instruction	New
241913	CEDSCI addendum for remote data collection Form and Instruction	New
241767	NSCH Crowdsourcing Cognitive Interviews Form and Instruction	New
241763	2021 ABS Cognitive Testing Form and Instruction	New
241762	Cognitive Interviews for the CFS & PHSMA Form and Instruction	New
241118	Usability Evaluation of the Commodity Flow Survey Portal Form and Instruction	New
240641	MEPS – IC Cognitive Testing Form and Instruction	New
240019	Respondent Debriefings for Odyssey Coordinated Contact Pilot Form and Instruction	New
239991	2020 MOPS Pretesting Form and Instruction	New
239663	Web Survey Design Standards IOE	Pending
239662	2020 ACS Respondent Burden Testing Form and Instruction	New
239392	2018 ASM COS debriefings	Pending
239263	Cognitive and Usability Evaluation of PHMSA 5800 Form	Pending
239187	Census Roster Omission Study Form and Instruction	New
238974	ACES Robotics Respondent Debriefings Form and Instruction	New

ICR Details

OMB Control No: 0607-0725	ICR Reference No: 201909-0607-002
Status: 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
	Date Received in OIRA: 09/30/2019
Terms of Clearance:

	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, Name of Law: null
  

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: 34

IC Title	Form No.	Form Name
Web Survey Design Standards IOE Addendum	1, 2, 3	Study 2 questionnaire ,   Study 2 questionnaire ,   Study 3 questionnaire
2020 ACES with COVID questions Content Test Cognitive Interviews	1, 2	2019 ACES ,   ACES COVID Questions
Cognitive and Usability Evaluation of PHMSA 5800 Form
Web Survey Design Standards IOE
Vaccine Question Pretesting Survey for Household Pulse Survey	1	Vaccine Questionnaire
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
Web Design IOE Study 5 Addendum	Enclosure 3 - Study 5 Questions - revised, 1	Enclosure 3 - Study 5 Questions - revised ,   Study 5 Questions
2018 ASM COS debriefings
NSCH Crowdsourcing Cognitive Interviews	1, 2, 3	Qualtrics Screenshots ,   Survey Content for Participants with a Child Aged 0-5 ,   Survey Content for Participants with a Child Age
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 for the 2021 Rental Housing Finance Survey	2021 RHFS Protocol	2021 RHFS Protocol
ECON - 2022 SBLS Cognitive Testing	1	Draft Instrument
MEPS – IC Cognitive Testing	1	Protocol
Usability Evaluation for the 2022 Economic Census	1, 2, 3	Economic Census - Screenshots of Instrument ,   Satisfaction questionnaire ,   Computer use and Internet Experience questionnaire
Census Roster Omission Study	1, 2, 4, 3	Demographics Questionnaire ,   Internet Use Questionnaire ,   Experimental Task Questionnaire ,   Debriefing Questionnaire
2022 CPS Public Participation in the Arts Supplement Cog Testing	1, 2	CPS PPA protocol - target respondent ,   CPS PPA protocol - proxy respondent
CEDSCI Cognitive Testing Addendum 4	1	Protocol
2020 ACS Respondent Burden Testing	1	Research Goals, Recruiting Requirements, Research Questions, Mail Materials
ACES Robotics Respondent Debriefings	1	Debriefing Protocol
Cog interviews for ASM - Payroll, Employment and Coronavirus	ASM protocol	ASM protocol
2020 MOPS Pretesting	1	New Content for 2020 MOPS
2022 Economic Census NAPCS usability evaluation	2, 1	NAPCS Screenshots ,   Computer use and Internet Experience questionnaire
Small Business Pulse Survey Phase 2	1	Draft Questions
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
CEDSCI addendum for remote data collection	1, 2, 3, 4	Internet experience questionnaire ,   Modified debriefing questionnaire ,   Modified satisfaction questionnaire ,   Demo Questionnaire
2021 ABS Cognitive Testing	2, 1	2021 ABS Draft Content ,   2019 ABS worksheet
CFS Pilot Test Debriefings	1, 2	CFS Instrument Screenshots ,   CFS Paper
2022 Economic Census NAPCS usability evaluation Addendum	1, 2	NAPCS Screenshots ,   Computer use and Internet Experience questionnaire
2021 AHS Cognitive Testing	1, 2	Protocol and Questionnaire for Cognitive Interviews ,   Qualtrics Survey Questionnaire
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 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
Respondent Debriefings for Odyssey Coordinated Contact Pilot	1	Protocol, Letters, and Instruments

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ICR Summary 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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