Information Collection

Custom Tables Request Form for American Community Survey data products already available on data.census.gov

IC 246163 under ICR 202006-0690-002 · OMB 0690-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0690-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment A ACS Custom Tables Form Custom Tables Request Form for American Community Survey data products already available on data.census.gov	Form
Custom Tabulation Form Custom Tables Request Form for American Community Survey data products already available on data.census.gov	Form
Attachment A ACS Custom Tables Form 2A. Attachment A_ACS_Custom_Tables_Form-2-24-2021.docx	Form
Custom Tabulation Form Custom Tabulation Form 210309.pdf	Form
Custom Tables Request Form for ACS Privacy Statement.docx ACS Custom Tables Request Form Privacy Act Statement	IC Document
Generic Clearance Custom Tables Request Form for ACS data products already available on data.census.gov Fast Track Request.docx Generic Clearance Custom Tables Request Form for American Community Survey data products already available on data.census.gov Fa	IC Document

IC Title:

Custom Tables Request Form for American Community Survey data products already available on data.census.gov

Agency IC Tracking Number:

Census

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	Attachment A				Yes	Yes	Fillable Fileable
Form	None				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	60	60
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ACS Custom Tables Request Form Privacy Act Statement		03/09/2021
Generic Clearance Custom Tables Request Form for American Community Survey data products already available on data.census.gov Fast Track Request		03/09/2021

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

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