Approved Draft PA Statements

Decennial Internet Panel Study

(combined PA Statement & PRA Burden Statement)

(POC: Aleia Clark Fobia)

The U.S. Census Bureau is required by law to protect your information. The Census Bureau can use your responses only to produce statistics and is not permitted to publicly release your responses in a way that could identify you. We are conducting this voluntary survey​ under the authority of 13 U.S.C., Sections 141 and 193 to study possible improvements to the census. Federal law protects your privacy and keeps your answers confidential (13, U.S.C, Section 9). Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from ​cybersecurity risks through screening of the systems that transmit your data.

 We estimate that completing this survey will take 10 minutes on average. Send comments regarding this estimate or any other aspect of this survey, including suggestions for reducing the time it takes to complete this survey to [email protected]. This collection has been approved by the Office of Management and Budget (OMB). This eight-digit OMB approval number, 0607-0978, confirms this approval and expires on XXXXXXXX. We are required to display this number to conduct this survey.

The Privacy Act (5 U.S.C. Section 552a) allows the sharing of information you provide with Census Bureau staff for work-related purposes as identified in the Privacy Act System of Record Notice titled, “SORN COMMERCE/Census-5, Decennial Census Program”.

CIPSEA Internet Panel Study

(combined PA Statement & PRA Burden Statement)

(POC: Aleia Clark Fobia)

The U.S. Census Bureau is required by law to protect your information. The Census Bureau can use your responses only to produce statistics, and is not permitted to publicly release your responses in a way that could identify you. We are conducting this voluntary survey​ on behalf of [name of agency] under 13 U.S.C. 8(b) to study possible improvements to the questionnaire. Federal law protects your privacy and keeps your answers confidential (The Confidential Information Protection and Statistical Efficiency Act). Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from ​cybersecurity risks through screening of the systems that transmit your data.

The Privacy Act (5 U.S.C., Section 552a) allows the sharing of information with Census Bureau staff for work-related purposes .as identified in Privacy Act System of Record Notice titled, “SORN COMMERCE/Census-7, Demographic Survey Collection (non-Census Bureau Sampling Frame).”

We estimate that completing this survey will take 10 minutes on average. Send comments regarding this estimate or any other aspect of this survey, including suggestions for reducing the time it takes to complete this survey to [email protected]. This collection has been approved by the Office of Management and Budget (OMB). This eight-digit OMB approval number, 0607-0978, confirms this approval and expires on xx/xx/xxx. We are required to display this number to conduct this survey. By proceeding, you give your consent to participate in this study.

ECON Internet Panel Study

PA/PRA Statement

(POC: Diane Willimack)

The U.S. Census Bureau routinely conducts research on how we, and our partners, collect information in order to produce the best statistics possible.

You have volunteered to take part in a study of data collection procedures. In order to have a complete record of your comments, your interview will be audio-recorded. We plan to use your feedback to improve the design and layout of survey forms for future data collections. Only staff involved in this product design research will have access to the recording.

This voluntary study is being conducted under the authority of 13 U.S.C, Sections , 131, , 182, and 193. Federal law requires that your answers are kept confidential (13 U.S.C, Section 9). The Census Bureau can use your responses only to produce statistics, and is not permitted to publicly release your responses in a way that could identify you, your business, organization, or institution. The Privacy Act (5 U.S.C, Section 552a) allows the sharing of information with Census Bureau staff for work-related purposes as identified in Privacy Act System of Record Notice titled “COMMERCE/CENSUS-4, Economic Survey Collection.” Additionally, per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the systems that transmit your data.

We estimate that completing this interview will take XX minutes on average, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. You may send comments regarding this estimate or any other aspect of this survey, including suggestions for reducing the time it takes to complete this survey to [email protected].

This collection has been approved by the Office of Management and Budget (OMB). This eight-digit OMB approval number, 0607-0978, confirms this approval and expires on xx/xx/xxx. Without this approval, we could not conduct this study.