Information Collection

CEDSCI addendum for remote data collection

IC 241913 under ICR 201909-0607-002 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 CEDSCI addendum for remote data collection	Form and Instruction
1 Demo Questionnaire Enclosure 3 original demographic questionnaire (2).docx	Form and Instruction
2 Internet experience questionnaire Enclosure 4 modified internet experience questionnaire.docx	Form and Instruction
3 Modified debriefing questionnaire Enclosure 5 modified debriefing questionnaire.docx	Form and Instruction
4 Modified satisfaction questionnaire Enclosure 6 modified satisfaction questionnaire.docx	Form and Instruction
Addendum to conduct remote sessions_clean.docx OMB Memo	IC Document
Enclosure 1 original OMB letter.docx Original Memo	IC Document
Enclosure 2 revised protocol.docx Protocol	IC Document
Payment Procedure_CEDSCI.docx Remote Testing Payment Procedure	IC Document
CBS-Usability Testing of the Census Website_Privacy Notice_PCB Approved.docx Consent Form	IC Document

IC Title:

CEDSCI addendum for remote data collection

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	Available Electronically?	Electronic Capability
Form and Instruction	2	Internet experience questionnaire	Enclosure 4 modified internet experience questionnaire.docx	No	Fillable Fileable
Form and Instruction	3	Modified debriefing questionnaire	Enclosure 5 modified debriefing questionnaire.docx	No	Fillable Fileable
Form and Instruction	4	Modified satisfaction questionnaire	Enclosure 6 modified satisfaction questionnaire.docx	No	Fillable Fileable
Form and Instruction	1	Demo Questionnaire	Enclosure 3 original demographic questionnaire (2).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	1	1
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	Addendum to conduct remote sessions_clean.docx	07/06/2020
Original Memo	Enclosure 1 original OMB letter.docx	05/21/2020
Protocol	Enclosure 2 revised protocol.docx	05/21/2020
Remote Testing Payment Procedure	Payment Procedure_CEDSCI.docx	05/21/2020
Consent Form	CBS-Usability Testing of the Census Website_Privacy Notice_PCB Approved.docx	06/10/2020

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