Information Collection Request

Household Pulse Survey

ICR 202106-0607-003 · OMB 0607-1013 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Household Pulse Survey Form Modified Repair queued
Household Pulse Survey Emergency Clearance OMB Memo 6-24-2021.pdf Supplementary Document Uploaded 2021-06-24 Repair queued
SOGI-HPS-ITWG - FINAL SUMMARY REPORT.pdf Supplementary Document Uploaded 2021-06-22 Repair queued
PART B, ATTACH B_HH Pulse Survey Weighting Plan_Phase 3.2_Final.docx Supplementary Document Uploaded 2021-06-17 Repair queued
PART B, ATTACH A_HH Pulse_Contact Frame_Phase 3.2_Final.docx Supplementary Document Uploaded 2021-06-17 Missing upstream
PART A, ATTACH G_Guiding principles BOC Experimental Series_053019_Phase 3.2_Final.pdf Supplementary Document Uploaded 2021-06-17 Repair queued
PART A, ATTACH F_Public Comments_Phase 3.2_Final.pdf Supplementary Document Uploaded 2021-06-17 Repair queued
PART A, ATTACH E_HH Pulse_Public-Facing Information_Phase 3.2_Final.docx Supplementary Document Uploaded 2021-06-17 Repair queued
PART A, ATTACH D_Respondent Contact_Phase 3.2_English_Spanish_Final.docx Supplementary Document Uploaded 2021-06-17 Missing upstream
PART A, ATTACH C_PA and PRA Statement_Standard ICR Phase 3.2_Final.docx Supplementary Document Uploaded 2021-06-17 Available
PART A, ATTACH B_Source and Accuracy_Phase 3.2_Final.pdf Supplementary Document Uploaded 2021-06-17 Repair queued
PART A, ATTACH A Phase 3.2 Household Pulse Survey Questionnaire_Final.docx Supplementary Document Uploaded 2021-06-17 Repair queued
Part A, ATTACH F_Public Comments.pdf Supplementary Document Uploaded 2021-03-24 Repair queued
Part A, ATTACH B_Source and Accuracy Statement.pdf Supplementary Document Uploaded 2021-03-24 Repair queued
Part A, ATTACH A_Phase 3.1 Household Pulse Survey Questionnaire_3.22.2021.docx Supplementary Document Uploaded 2021-03-24 Available
CDC Pulse memo_signed.pdf Supplementary Document Uploaded 2021-03-24 Repair queued
DoD Emergency PRA Waiver Request_Final.pdf Supplementary Document Uploaded 2021-03-24 Repair queued
HPS Emergency Clearance Memo to OMB_032221.pdf Supplementary Document Uploaded 2021-03-24 Repair queued
Part A, ATTACH F_Public Comments.pdf Supplementary Document Uploaded 2021-03-15 Missing upstream
Part A, Attach A_Phase 3.1 COVID-19 Household Pulse Survey Questionnaire_031121.docx Supplementary Document Uploaded 2021-03-15 Repair queued
60-Day FRN_HPS.pdf Supplementary Document Uploaded 2021-02-01 Repair queued
Part A, ATTACH G_Guiding principles BOC Experimental Series_053019.pdf Supplementary Document Uploaded 2021-01-26 Repair queued
Part A, ATTACH F_Public Comments.pdf Supplementary Document Uploaded 2021-01-26 Missing upstream
Part A, ATTACH E_Public-Facing Information on the Household Pulse Survey on census.gov.docx Supplementary Document Uploaded 2021-01-26 Repair queued
Part A, ATTACH D_Respondent Contact_Phase 2_English_Spanish_012121.docx Supplementary Document Uploaded 2021-01-26 Repair queued
Part A, ATTACH C_PA and PRA Statement_Standard ICR Phase 3_012121.docx Supplementary Document Uploaded 2021-01-26 Repair queued
Part A, ATTACH B_Source and Accuracy Statement.pdf Supplementary Document Uploaded 2021-01-26 Repair queued
Intent to vaccinate Question Pretest Memo_FINAL (1).docx Supplementary Document Uploaded 2020-12-31 Repair queued
Attachment B_Vaccine Questions and Current Qx for Deletion_to OMB_122220.docx Supplementary Document Uploaded 2020-12-22 Repair queued
Attachment A_Example Source and Accuracy Statement (week 20)_122220.pdf Supplementary Document Uploaded 2020-12-22 Missing upstream
Non Substantive Change HH Pulse Survey_Phase 3_final for OMB review_122220_vv.pdf Justification for No Material/Nonsubstantive Change Uploaded 2020-12-22 Repair queued
Part A, ATTACH F_Guiding Principles Experimental Statistical Products_053019.pdf Supplementary Document Uploaded 2020-10-30 Repair queued
Part A, ATTACH A_HH Pulse Questionnaire_Standard ICR_Phase 3_English_Spanish.pdf Supplementary Document Uploaded 2020-09-15 Repair queued
Part B ATTACH B_ HH Pulse Survey Weighting Plan_Standard ICR_Phase 3.docx Supplementary Document Uploaded 2020-09-15 Available
Part B ATTACH A HH Pulse_Contact Frame_Standard ICR_Phase 3.docx Supplementary Document Uploaded 2020-09-15 Repair queued
Part A, ATTACH D_HH Pulse Public Facing Information via census.gov.pdf Supplementary Document Uploaded 2020-09-15 Available
Part A, ATTACH C_Respondent Contact_Phase 2_English_Spanish.docx Supplementary Document Uploaded 2020-09-15 Repair queued
Part A, ATTACH B_PA and PRA Statement_Standard ICR Phase 3.docx Supplementary Document Uploaded 2020-09-15 Repair queued
NSC Attachment 1_CE-DPINR Phase 2 Cog Testing Report_9.2.20.docx Supplementary Document Uploaded 2020-09-14 Repair queued
Non Substantive Change HH Pulse Survey_Phase 2_091020 vv.pdf Supplementary Document Uploaded 2020-09-14 Missing upstream
Part A, ATTACH E_HH Pulse Public Facing Information via census.gov.pdf Supplementary Document Uploaded 2020-12-31 Missing upstream
Non Substantive Change_081220_Attach NSC-3_Part A, ATTACH C_Respondent Contact_Phase 2_English_Spanish.pdf Supplementary Document Uploaded 2020-08-13 Repair queued
Non Substantive Change_081920_Attach NSC-1_Part A, ATTACH A_Questionnaire_Phase 2_English_Spanish.pdf Supplementary Document Uploaded 2020-08-19 Repair queued
Non Substantive Change HH Pulse Survey_081220_Sisson esign acting for Velkoff.pdf Justification for No Material/Nonsubstantive Change Uploaded 2020-08-13 Repair queued
Emergency Clearance Request Ltr_072320_Jarmin sig_ROCIS_submitted 073120.pdf Supplementary Document Uploaded 2020-07-31 Repair queued
Part B ATTACH B_ HH Pulse Survey Weighting Plan_Phase 2_ROCIS_submitted 073120.docx Supplementary Document Uploaded 2020-07-31 Repair queued
Part B ATTACH A HH Pulse_Contact Frame_Phase 2_ROCIS_submitted 073120.docx Supplementary Document Uploaded 2020-07-31 Repair queued
Part A, ATTACH D_Consolidated Comments Received to HH Pulse FRNs_ROCIS_revised_submitted 073120.pdf Supplementary Document Uploaded 2020-07-31 Repair queued
Part A, ATTACH C_Respondent Contact_Phase 2_ROCIS_revised_submitted 073120.docx Supplementary Document Uploaded 2020-07-31 Repair queued
Part A, ATTACH B_PA and PRA Statement_Phase 2_ROCIS_submitted 073120.docx Supplementary Document Uploaded 2020-07-31 Repair queued
Emergency Clearance Request Ltr_072320_Jarmin sig_ROCIS.pdf Supplementary Document Uploaded 2020-07-24 Repair queued
Part B ATTACH B_ HH Pulse Survey Weighting Plan_Phase 2_ROCIS.docx Supplementary Document Uploaded 2020-07-24 Repair queued
Part B ATTACH A HH Pulse_Contact Frame_Phase 2_ROCIS.docx Supplementary Document Uploaded 2020-07-24 Repair queued
Part A, ATTACH D_Consolidated Comments Received to HH Pulse FRNs_ROCIS.pdf Supplementary Document Uploaded 2020-07-24 Repair queued
Part A, ATTACH C_Respondent Contact_Phase 2_ROCIS.docx Supplementary Document Uploaded 2020-07-24 Repair queued
Part A, ATTACH B_PA and PRA Statement_Phase 2_ROCIS.docx Supplementary Document Uploaded 2020-07-24 Repair queued
HH Pulse_Revision to Existing Collection_Phase 3.2_Supporting Statement B_Final.docx Supporting Statement B Uploaded 2021-06-17 Repair queued
HH Pulse_Revision to Existing Collection_Phase 3.2_Supporting Statement A_Final.docx Supporting Statement A Uploaded 2021-06-17 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241411 Household Pulse Survey Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
6 Months From Approved 10/31/2021
3,150,000 3,150,000
1,039,900 1,039,900
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,150,000 3,150,000 0 0 0 0
Annual Time Burden (Hours) 1,039,900 1,039,900 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No