2020 Census User Experience Survey

Generic Clearance for Census Bureau Field Tests and Evaluations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0971 can be found here:

Documents and Forms

Document Name Document Type
Form 1 2020 Census User Experience Survey Form and Instruction
1 2020 Census User Experience Questionnaire with no images Attachment 1 User_Experience_Survey_2020_Census.docx Form and Instruction
2 2020 Census User Experience Questionnaire with images Attachment 1b 2020 Census User Experience Questionnaire with images.pdf Form and Instruction
OMB letter_2020 UX Survey_07 28 2020.docx OMB Memo IC Document

Information Collection (IC) Details

IC Title:	2020 Census User Experience Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	2020 Census User Experience Questionnaire with no images	Attachment 1 User_Experience_Survey_2020_Census.docx		No		Fillable Fileable
Form and Instruction	2	2020 Census User Experience Questionnaire with images	Attachment 1b 2020 Census User Experience Questionnaire with images.pdf		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	9,583	9,583
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB letter_2020 UX Survey_07 28 2020.docx	07/28/2020

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