Information Collection

2022 ACS Content Test Cognitive Interviews

IC 241969 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⚠️ Notice: This information collection may be referencing outdated material.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 1 2022 ACS Content Test Cognitive Interviews	Form and Instruction
1 ACS English Paper Questionnaire V1 Enc 5 - ACS English Paper Questionnaire V1.pdf	Form and Instruction
2 ACS English Paper Questionnaire V2 Enc 6 - ACS English Paper Questionnaire V2.pdf	Form and Instruction
3 ACS English CAI Script Group 1 V1 Enc 7A - ACS English CAI Script Group 1 V1.docx	Form and Instruction
4 ACS English CAI Script Group 1 V2 Enc 7B - ACS English CAI Script Group 1 V2.docx	Form and Instruction
5 ACS English CAI Script Group 2 V1 Enc 8A - ACS English CAI Script Group 2 V1.docx	Form and Instruction
6 ACS English CAI Script Group 2 V2 Enc 8B - ACS English CAI Script Group 2 V2.docx	Form and Instruction
7 ACS English CAI Script Group 3 V1 Enc 9A - ACS English CAI Script Group 3 V1.docx	Form and Instruction
8 ACS English CAI Script Group 3 V2 Enc 9B - ACS English CAI Script Group 3 V2.docx	Form and Instruction
OMB Memo ACS Content Test_OMB_clean.docx OMB Memo	IC Document
Enc 1 - Study and recruitment plan_OMB_clean.docx Study/Recruitment Plan	IC Document
Enc 2 - Screening questionnaire - Revised_OMB_clean.docx Screener	IC Document
Enc 3 - Recruitment methodology and ads.docx Recruiting Methods and Ads	IC Document
Enc 4 - Email and text confirmation.docx Email/Text Interview Confirmation Language	IC Document
Enc 10 - Protocol intro text.docx Protocol Intro	IC Document
Enc 11 - Protocol crosswalk.xlsx Protocol Crosswalk	IC Document
Enc 12 - Consent form_PCB_Privacy Notice_PCB Approved.docx Consent Form	IC Document
03 - 2022 ACS Content Test - Cognitive Testing - Kickoff Meeting - Proposals.pdf Proposal Topics	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

2022 ACS Content Test Cognitive Interviews

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	1	ACS English Paper Questionnaire V1	Enc 5 - ACS English Paper Questionnaire V1.pdf	No	Fillable Fileable
Form and Instruction	2	ACS English Paper Questionnaire V2	Enc 6 - ACS English Paper Questionnaire V2.pdf	No	Fillable Fileable
Form and Instruction	3	ACS English CAI Script Group 1 V1	Enc 7A - ACS English CAI Script Group 1 V1.docx	No	Fillable Fileable
Form and Instruction	4	ACS English CAI Script Group 1 V2	Enc 7B - ACS English CAI Script Group 1 V2.docx	No	Fillable Fileable
Form and Instruction	5	ACS English CAI Script Group 2 V1	Enc 8A - ACS English CAI Script Group 2 V1.docx	No	Fillable Fileable
Form and Instruction	6	ACS English CAI Script Group 2 V2	Enc 8B - ACS English CAI Script Group 2 V2.docx	No	Fillable Fileable
Form and Instruction	7	ACS English CAI Script Group 3 V1	Enc 9A - ACS English CAI Script Group 3 V1.docx	No	Fillable Fileable
Form and Instruction	8	ACS English CAI Script Group 3 V2	Enc 9B - ACS English CAI Script Group 3 V2.docx	No	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

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	400	400
Annual IC Time Burden (Hours)	740	740
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	OMB Memo ACS Content Test_OMB_clean.docx	07/20/2020
Study/Recruitment Plan	Enc 1 - Study and recruitment plan_OMB_clean.docx	07/20/2020
Screener	Enc 2 - Screening questionnaire - Revised_OMB_clean.docx	07/20/2020
Recruiting Methods and Ads	Enc 3 - Recruitment methodology and ads.docx	05/26/2020
Email/Text Interview Confirmation Language	Enc 4 - Email and text confirmation.docx	05/26/2020
Protocol Intro	Enc 10 - Protocol intro text.docx	05/26/2020
Protocol Crosswalk	Enc 11 - Protocol crosswalk.xlsx	05/26/2020
Consent Form	Enc 12 - Consent form_PCB_Privacy Notice_PCB Approved.docx	06/10/2020
Proposal Topics	03 - 2022 ACS Content Test - Cognitive Testing - Kickoff Meeting - Proposals.pdf	06/01/2020

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