Information Collection

Individuals or Households Respondents

IC 251637 under ICR 202201-0584-004 · OMB 0584-0674.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix E1 In-depth Interview Protocol_English_02142022.docx Other-Appendix E1 In-depth Interview
Appendix E1 In-depth Interview Protocol_English_02142022.docx Other-Appendix E1 In-depth Interview
Appendix E2 In-Depth Interview Protocol_Spanish_02142022.docx Other-Appendix E2 In-Depth Interview
Appendix E2 In-Depth Interview Protocol_Spanish_02142022.docx Other-Appendix E2 In-Depth Interview
Appendix C1 Household Survey Instrument_English_02142022.docx Other-Appendix C1 Household Survey I
Appendix C1 Household Survey Instrument_English_02142022.docx Other-Appendix C1 Household Survey I
Appendix C2 Household Survey Instrument_Spanish_02142022.docx Other-Appendix C2 Household Survey I
Appendix C2 Household Survey Instrument_Spanish_02142022.docx Other-Appendix C2 Household Survey I
Appendix D1 Web Household Survey_English_02142022.docx Other-Appendix D1 Web Household Surv
Appendix D1 Web Household Survey_English_02142022.docx Other-Appendix D1 Web Household Surv
Appendix D2 Web Household Survey_Spanish_02142022.docx Other-Appendix D2 Web Household Surv
Appendix D2 Web Household Survey_Spanish_02142022.docx Other-Appendix D2 Web Household Surv
Appendix G1 First Survey Invitation Letter NAP_English_02142022.docx Other-Appendix G1 First Survey Invit
Appendix G1 First Survey Invitation Letter NAP_English_02142022.docx Other-Appendix G1 First Survey Invit
Appendix G3 Mail Survey Invitation Letter NAP_English_02142022.docx Other-Appendix G3 Mail Survey Invita
Appendix G3 Mail Survey Invitation Letter NAP_English_02142022.docx Other-Appendix G3 Mail Survey Invita
Appendix G4 Recording for Inbound Calls Survey_English_02142022.docx Other-Appendix G4 Recording for Inbo
Appendix G4 Recording for Inbound Calls Survey_English_02142022.docx Other-Appendix G4 Recording for Inbo
Appendix G5 Return Call Survey_English_02142022.docx Other-Appendix G5 Return Call Survey
Appendix G5 Return Call Survey_English_02142022.docx Other-Appendix G5 Return Call Survey
Appendix G7 Invitation Letter Area Probability Sample_English_02142022.docx Other-Appendix G7 Invitation Letter
Appendix G7 Invitation Letter Area Probability Sample_English_02142022.docx Other-Appendix G7 Invitation Letter
Appendix G8 Script Area Probability Sample_English_02142022.docx Other-Appendix G8 Script Area Probab
Appendix G8 Script Area Probability Sample_English_02142022.docx Other-Appendix G8 Script Area Probab
Appendix G9 Text for Website Home Page_English_02142022.docx Other-Appendix G9 Text for Website H
Appendix G9 Text for Website Home Page_English_02142022.docx Other-Appendix G9 Text for Website H
Appendix G12 First Survey Invitation Letter NAP_Spanish_01202022.docx Other-Appendix G12 First Survey Invi
Appendix G12 First Survey Invitation Letter NAP_Spanish_01202022.docx Other-Appendix G12 First Survey Invi
Appendix G14 Mail Survey Invitation Letter NAP_Spanish_02142022.docx Other-Appendix G14 Mail Survey Invit
Appendix G14 Mail Survey Invitation Letter NAP_Spanish_02142022.docx Other-Appendix G14 Mail Survey Invit
Appendix G15 Recording for Inbound Calls Survey_Spanish_02142022.docx Other-Appendix G15 Recording for Inb
Appendix G15 Recording for Inbound Calls Survey_Spanish_02142022.docx Other-Appendix G15 Recording for Inb
Appendix G16 Return Call Survey_Spanish_02142022.docx Other-Appendix G16 Return Call Surve
Appendix G16 Return Call Survey_Spanish_02142022.docx Other-Appendix G16 Return Call Surve
Appendix G18 Invitation Letter Area Probability Sample_Spanish_02142022.docx Other-Appendix G18 Invitation Letter
Appendix G18 Invitation Letter Area Probability Sample_Spanish_02142022.docx Other-Appendix G18 Invitation Letter
Appendix G19 Script Area Probability Sample_Spanish_02142022.docx Other-Appendix G19 Script Area Proba
Appendix G19 Script Area Probability Sample_Spanish_02142022.docx Other-Appendix G19 Script Area Proba
Appendix G20 Text for Website Home Page_Spanish_02142022.docx Other-Appendix G20 Text for Website
Appendix G20 Text for Website Home Page_Spanish_02142022.docx Other-Appendix G20 Text for Website
Appendix I1 Voicemail Script IDI English updated_02142022.docx Other-Appendix I1 Voicemail Script I
Appendix I1 Voicemail Script IDI English updated_02142022.docx Other-Appendix I1 Voicemail Script I
Appendix I2 Script for Answered Call English Revised 02142022.docx Other-Appendix I2 Script for Answere
Appendix I2 Script for Answered Call English Revised 02142022.docx Other-Appendix I2 Script for Answere
Appendix I3 Study Announcement for Local Community Partners_English_02142022.docx Other-Appendix I3 Study Announcement
Appendix I3 Study Announcement for Local Community Partners_English_02142022.docx Other-Appendix I3 Study Announcement
Appendix I4 Voicemail Script IDI_Spanish_02142022.docx Other-Appendix I4 Voicemail Script I
Appendix I4 Voicemail Script IDI_Spanish_02142022.docx Other-Appendix I4 Voicemail Script I
Appendix I5 Script for Answered Calls IDI_Spanish_02142022.docx Other-Appendix I5 Script for Answere
Appendix I5 Script for Answered Calls IDI_Spanish_02142022.docx Other-Appendix I5 Script for Answere
Appendix I6 Study Announcement for Local Community Partners_Spanish_02142022.docx Other-Appendix I6 Study Announcement
Appendix I6 Study Announcement for Local Community Partners_Spanish_02142022.docx Other-Appendix I6 Study Announcement
Appendix G2 Reminder Postcard NAP_English_01202022.docx
Appendix G2 Reminder Postcard NAP_English_01202022
IC Document
Appendix G2 Reminder Postcard NAP_English_01202022.docx
Appendix G2 Reminder Postcard NAP_English_01202022
IC Document
Appendix G6 Script for Telephone Nonresponse NAP_English_02142022.docx
Appendix G6 Script for Telephone Nonresponse NAP_English_02142022
IC Document
Appendix G6 Script for Telephone Nonresponse NAP_English_02142022.docx
Appendix G6 Script for Telephone Nonresponse NAP_English_02142022
IC Document
Appendix G10 FAQ Document_English_02142022.docx
Appendix G10 FAQ Document_English_02142022
IC Document
Appendix G10 FAQ Document_English_02142022.docx
Appendix G10 FAQ Document_English_02142022
IC Document
Appendix G11 Thank You Letter Survey_English_02142022.docx
Appendix G11 Thank You Letter Survey_English_02142022
IC Document
Appendix G11 Thank You Letter Survey_English_02142022.docx
Appendix G11 Thank You Letter Survey_English_02142022
IC Document
Appendix G13 Reminder Postcard NAP_Spanish_01202022.docx
Appendix G13 Reminder Postcard NAP_Spanish_01202022
IC Document
Appendix G13 Reminder Postcard NAP_Spanish_01202022.docx
Appendix G13 Reminder Postcard NAP_Spanish_01202022
IC Document
Appendix G17 Script for Telephone Nonresponse NAP_Spanish_02142022.docx
Appendix G17 Script for Telephone Nonresponse NAP_Spanish_02142022
IC Document
Appendix G17 Script for Telephone Nonresponse NAP_Spanish_02142022.docx
Appendix G17 Script for Telephone Nonresponse NAP_Spanish_02142022
IC Document
Appendix G21 FAQ Document_Spanish_02142022.docx
Appendix G21 FAQ Document_Spanish_02142022
IC Document
Appendix G21 FAQ Document_Spanish_02142022.docx
Appendix G21 FAQ Document_Spanish_02142022
IC Document
Appendix G22 Thank You Letter Survey_Spanish_02142022.docx
Appendix G22 Thank You Letter Survey_Spanish_02142022
IC Document
Appendix G22 Thank You Letter Survey_Spanish_02142022.docx
Appendix G22 Thank You Letter Survey_Spanish_02142022
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Other-Appendix E1 In-depth Interview Protocol_English_02142022 Appendix E1 In-depth Interview Protocol_English_02142022.docx No   Paper Only
Other-Appendix E2 In-Depth Interview Protocol_Spanish_02142022 Appendix E2 In-Depth Interview Protocol_Spanish_02142022.docx No   Paper Only
Other-Appendix C1 Household Survey Instrument_English_02142022 Appendix C1 Household Survey Instrument_English_02142022.docx No   Paper Only
Other-Appendix C2 Household Survey Instrument_Spanish_02142022 Appendix C2 Household Survey Instrument_Spanish_02142022.docx No   Paper Only
Other-Appendix D1 Web Household Survey_English_02142022 Appendix D1 Web Household Survey_English_02142022.docx Yes Yes Fillable Fileable
Other-Appendix D2 Web Household Survey_Spanish_02142022 Appendix D2 Web Household Survey_Spanish_02142022.docx Yes Yes Fillable Fileable
Other-Appendix G1 First Survey Invitation Letter NAP_English_02142022 Appendix G1 First Survey Invitation Letter NAP_English_02142022.docx No   Paper Only
Other-Appendix G3 Mail Survey Invitation Letter NAP_English_02142022 Appendix G3 Mail Survey Invitation Letter NAP_English_02142022.docx No   Paper Only
Other-Appendix G4 Recording for Inbound Calls Survey_English_02142022 Appendix G4 Recording for Inbound Calls Survey_English_02142022.docx No   Paper Only
Other-Appendix G5 Return Call Survey_English_02142022 Appendix G5 Return Call Survey_English_02142022.docx No   Paper Only
Other-Appendix G7 Invitation Letter Area Probability Sample_English_02142022 Appendix G7 Invitation Letter Area Probability Sample_English_02142022.docx No   Paper Only
Other-Appendix G8 Script Area Probability Sample_English_02142022 Appendix G8 Script Area Probability Sample_English_02142022.docx No   Paper Only
Other-Appendix G9 Text for Website Home Page_English_02142022 Appendix G9 Text for Website Home Page_English_02142022.docx Yes Yes Printable Only
Other-Appendix G12 First Survey Invitation Letter NAP_Spanish_01202022 Appendix G12 First Survey Invitation Letter NAP_Spanish_01202022.docx No   Paper Only
Other-Appendix G14 Mail Survey Invitation Letter NAP_Spanish_02142022 Appendix G14 Mail Survey Invitation Letter NAP_Spanish_02142022.docx No   Paper Only
Other-Appendix G15 Recording for Inbound Calls Survey_Spanish_02142022 Appendix G15 Recording for Inbound Calls Survey_Spanish_02142022.docx No   Paper Only
Other-Appendix G16 Return Call Survey_Spanish_02142022 Appendix G16 Return Call Survey_Spanish_02142022.docx No   Paper Only
Other-Appendix G18 Invitation Letter Area Probability Sample_Spanish_02142022 Appendix G18 Invitation Letter Area Probability Sample_Spanish_02142022.docx No   Paper Only
Other-Appendix G19 Script Area Probability Sample_Spanish_02142022 Appendix G19 Script Area Probability Sample_Spanish_02142022.docx No   Paper Only
Other-Appendix G20 Text for Website Home Page_Spanish_02142022 Appendix G20 Text for Website Home Page_Spanish_02142022.docx Yes Yes Fillable Fileable
Other-Appendix I1 Voicemail Script IDI English updated_02142022 Appendix I1 Voicemail Script IDI English updated_02142022.docx No   Paper Only
Other-Appendix I2 Script for Answered Call English Revised 02142022 Appendix I2 Script for Answered Call English Revised 02142022.docx No   Paper Only
Other-Appendix I3 Study Announcement for Local Community Partners_English_02142022 Appendix I3 Study Announcement for Local Community Partners_English_02142022.docx Yes No Printable Only
Other-Appendix I4 Voicemail Script IDI_Spanish_02142022 Appendix I4 Voicemail Script IDI_Spanish_02142022.docx No   Paper Only
Other-Appendix I5 Script for Answered Calls IDI_Spanish_02142022 Appendix I5 Script for Answered Calls IDI_Spanish_02142022.docx No   Paper Only
Other-Appendix I6 Study Announcement for Local Community Partners_Spanish_02142022 Appendix I6 Study Announcement for Local Community Partners_Spanish_02142022.docx Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 18,714 0 18,714 0 0 0
Annual IC Time Burden (Hours) 3,841 0 3,841 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Appendix G2 Reminder Postcard NAP_English_01202022 Appendix G2 Reminder Postcard NAP_English_01202022.docx 02/16/2022
Appendix G6 Script for Telephone Nonresponse NAP_English_02142022 Appendix G6 Script for Telephone Nonresponse NAP_English_02142022.docx 02/16/2022
Appendix G10 FAQ Document_English_02142022 Appendix G10 FAQ Document_English_02142022.docx 02/16/2022
Appendix G11 Thank You Letter Survey_English_02142022 Appendix G11 Thank You Letter Survey_English_02142022.docx 02/16/2022
Appendix G13 Reminder Postcard NAP_Spanish_01202022 Appendix G13 Reminder Postcard NAP_Spanish_01202022.docx 02/16/2022
Appendix G17 Script for Telephone Nonresponse NAP_Spanish_02142022 Appendix G17 Script for Telephone Nonresponse NAP_Spanish_02142022.docx 02/16/2022
Appendix G21 FAQ Document_Spanish_02142022 Appendix G21 FAQ Document_Spanish_02142022.docx 02/16/2022
Appendix G22 Thank You Letter Survey_Spanish_02142022 Appendix G22 Thank You Letter Survey_Spanish_02142022.docx 02/16/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.