Information Collection

2020 Census User Experience Survey

IC 242825 under ICR 201911-0607-007 · OMB 0607-0971.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

2020 Census User Experience Survey

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.