Household Pulse Survey Phase 3.10

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HPS Phase 3.10 Que HPS Phase 3.10 Questionnaire	Form	Modified	Available
Form HPS Phase 3.10 Que Household Pulse Survey Phase 3.10	Form	Modified	Repair queued
2023-15332.pdf	Supplementary Document	Uploaded 2023-07-19	Repair queued
Part A, ATTACH B_Source and Accuracy Statement_Phase 3.10.pdf	Supplementary Document	Uploaded 2023-07-13	Repair queued
PART A, ATTACH C_PA and PRA Statement_Standard ICR_Phase 3.10.docx	Supplementary Document	Uploaded 2023-07-13	Repair queued
PART A, ATTACH D_Respondent Contact_English_Spanish_Phase 3.10.docx	Supplementary Document	Uploaded 2023-07-13	Repair queued
PART A, ATTACH E_HH Pulse_Public-Facing Information_Phase 3.10.docx	Supplementary Document	Uploaded 2023-07-13	Repair queued
PART A, ATTACH G_Guiding principles BOC Experimental Series_053019_Phase 3.10.pdf	Supplementary Document	Uploaded 2023-07-13	Repair queued
PART B, ATTACH A_HH Pulse_Contact Frame_Phase 3.10.docx	Supplementary Document	Uploaded 2023-07-13	Repair queued
PART B, ATTACH B_HH Pulse Survey Weighting Plan_Phase 3.10.docx	Supplementary Document	Uploaded 2023-07-13	Repair queued
HH Pulse_Revision to Existing Collection_Phase 3.10_Supporting Statement B.docx	Supporting Statement B	Uploaded 2023-07-13	Repair queued
HH Pulse_Revision to Existing Collection_Phase 3.10_Supporting Statement A_v2.docx	Supporting Statement A	Uploaded 2023-07-13	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
241411	Household Pulse Survey Phase 3.10	Form	Modified	HPS Phase 3.10 Questionnaire
241411	Household Pulse Survey Phase 3.10	Form	Modified

ICR Details

OMB Control No: 0607-1013	ICR Reference No: 202307-0607-002
Status: Historical Active	Previous ICR Reference No: 202304-0607-003
Agency/Subagency: DOC/CENSUS	Agency Tracking No: 0607-1013
Title: Household Pulse Survey Phase 3.10
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/21/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/19/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2026	36 Months From Approved	06/30/2026
Responses	193,530	0	215,133
Time Burden (Hours)	64,445	0	71,639
Cost Burden (Dollars)	0	0	0

---

Abstract: Starting in March, 2020, the Covid-19 pandemic has introduced extraordinary social and economic changes for American households. Since its rapid launch in April, 2020, the Household Pulse Survey has collected near real-time data on the experiences of American households as the coronavirus pandemic prompted business and school closures, and widespread stay-at-home orders. These data are released every two weeks, guiding the response and recovery from the pandemic. Data produced by the Household Pulse Survey are designed to inform on a range of topics related to households’ experiences during the Covid-19 pandemic. Topics to date have included employment, facility to telework, travel patterns, income loss, spending patterns, food and housing security, access to benefits, mental health and access to care, intent to receive the COVID-19 vaccine, and educational disruption (K-12 and post-secondary). The requested revision, if approved by OMB, will add previously approved items to the Phase 3.10 questionnaire.

---

Authorizing Statute(s): US Code: 13 USC Sections 8(b), 182 and 196
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 34178	06/03/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 46138	07/19/2023
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Household Pulse Survey Phase 3.10	HPS Phase 3.10 Questionnaire	HPS Phase 3.10 Questionnaire

---

ICR Summary of Burden

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	193,530	215,133	0	-21,603	0	0
Annual Time Burden (Hours)	64,445	71,639	0	-7,194	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Fewer respondents anticipated in Phase 3.10

---

Annual Cost to Federal Government: $1,160,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/19/2023

---