Information Collection

Individual

IC 262638 under ICR 202310-0579-001 · OMB 0579-0492.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
XXXX 2023 BYAK 2024 Study National Survey.docx Other-survey
XXXX 2023 BYAK 2024 Study National Survey.docx Other-survey
XXXX 2023 BYAK 2024 Study City Survey, ES Bilingual.docx Other-survey
XXXX 2023 BYAK 2024 Study City Survey, ES Bilingual.docx Other-survey
XXXX 2023 BYAK 2024 Study Announce Postcard, NO Incentive, ES Bilingual.docx
City survey, Announce Postcard, no incentive
IC Document
XXXX 2023 BYAK 2024 Study Announce Postcard, NO Incentive, ES Bilingual.docx
City survey, Announce Postcard, no incentive
IC Document
XXXX 2023 BYAK 2024 Study Announce Postcard, Incentive, ES Bilingual.docx
City Survey, Announce Postcard, incentive
IC Document
XXXX 2023 BYAK 2024 Study Announce Postcard, Incentive, ES Bilingual.docx
City Survey, Announce Postcard, incentive
IC Document
XXXX 2023 BYAK 2024 Study Reminder Postcard, ES Bilingual.docx
City Survey, Reminder Postcard
IC Document
XXXX 2023 BYAK 2024 Study Reminder Postcard, ES Bilingual.docx
City Survey, Reminder Postcard
IC Document
XXXX 2023 BYAK 2024 Study Push to Web Letter, No Incentive, ES Bilingual.docx
Push to Web Letter, no incentive
IC Document
XXXX 2023 BYAK 2024 Study Push to Web Letter, No Incentive, ES Bilingual (Rev).docx
Push to Web Letter, no incentive
IC Document
XXXX 2023 BYAK 2024 Study Push to Web Letter, Incentive, ES Bilingual.docx
Push to Web Letter, incentive
IC Document
XXXX 2023 BAK 2024 Study Push to Web Letter, Incentive, ES Bilingual (Rev).docx
Push to Web Letter, incentive
IC Document
XXXX 2023 BYAK 2024 IRB National Survey Final (20240205).docx
XXXX 2023 BYAK 2024 IRB
IC Document
XXXX 2023 BYAK 2024 IRB National Survey Screenshot (20240206).jpg
XXXX 2023 BYAK 2024 IRB National Survey Screenshot
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-survey XXXX 2023 BYAK 2024 Study National Survey.docx Yes Yes Fillable Fileable
Other-survey XXXX 2023 BYAK 2024 Study City Survey, ES Bilingual.docx Yes Yes Fillable Fileable

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 112,745 0 112,745 0 0 0
Annual IC Time Burden (Hours) 4,080 0 4,080 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
City survey, Announce Postcard, no incentive XXXX 2023 BYAK 2024 Study Announce Postcard, NO Incentive, ES Bilingual.docx 10/03/2023
City Survey, Announce Postcard, incentive XXXX 2023 BYAK 2024 Study Announce Postcard, Incentive, ES Bilingual.docx 10/03/2023
City Survey, Reminder Postcard XXXX 2023 BYAK 2024 Study Reminder Postcard, ES Bilingual.docx 10/03/2023
Push to Web Letter, no incentive XXXX 2023 BYAK 2024 Study Push to Web Letter, No Incentive, ES Bilingual (Rev).docx 03/18/2024
Push to Web Letter, incentive XXXX 2023 BAK 2024 Study Push to Web Letter, Incentive, ES Bilingual (Rev).docx 03/18/2024
XXXX 2023 BYAK 2024 IRB XXXX 2023 BYAK 2024 IRB National Survey Final (20240205).docx 03/18/2024
XXXX 2023 BYAK 2024 IRB National Survey Screenshot XXXX 2023 BYAK 2024 IRB National Survey Screenshot (20240206).jpg 03/18/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.