Information Collection Request

Household Pulse Survey Phase 3.9

ICR 202304-0607-003 · OMB 0607-1013 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form PART A, ATTACH A_P PART A, ATTACH A_Phase 3.9 Questionnaire Form Modified Available
Form PART A, ATTACH A_P Household Pulse Survey Phase 3.9 Form Modified Repair queued
HPS_30DayFRN_Phase 3.9_04282023.docx Supplementary Document Uploaded 2023-04-28 Repair queued
PART A, ATTACH D_Respondent Contact_English_Spanish_v2 (1).docx Supplementary Document Uploaded 2023-04-24 Repair queued
Part A, ATTACH B_Source and Accuracy Statement (1).pdf Supplementary Document Uploaded 2023-04-24 Repair queued
PART A, ATTACH G_Guiding principles BOC Experimental Series_053019 (1).pdf Supplementary Document Uploaded 2023-04-24 Repair queued
PART B, ATTACH B_HH Pulse Survey Weighting Plan_Phase 3.7 (1).docx Supplementary Document Uploaded 2023-04-24 Repair queued
PART B, ATTACH A_HH Pulse_Contact Frame (1).docx Supplementary Document Uploaded 2023-04-24 Repair queued
PART A, ATTACH E_HH Pulse_Public-Facing Information (1).docx Supplementary Document Uploaded 2023-04-24 Repair queued
PART A, ATTACH C_PA and PRA Statement_Standard ICR (1).docx Supplementary Document Uploaded 2023-04-24 Repair queued
HH Pulse_Revision to Existing Collection_Phase 3.9_Supporting Statement B_04.28.23 (1).docx Supporting Statement B Uploaded 2023-04-28 Repair queued
HH Pulse_Revision to Existing Collection_Phase 3.9_Supporting Statement A_04.28.23_v2.docx Supporting Statement A Uploaded 2023-04-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241411 Household Pulse Survey Phase 3.9 Form ModifiedPART A, ATTACH A_Phase 3.9 Questionnaire
241411 Household Pulse Survey Phase 3.9 Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2026 11/30/2023 12/31/2025
215,133 0 62,900
71,639 0 20,757
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Household Pulse Survey Phase 3.9 PART A, ATTACH A_Phase 3.9 Questionnaire

table that charts list of burden
  Total Approved 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 215,133 62,900 0 152,233 0 0
Annual Time Burden (Hours) 71,639 20,757 0 50,882 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No