Information Collection

Qualitative Research on The Undercount of Young Children

IC 267364 under ICR 202312-0607-001 · OMB 0607-0978.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0978 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Qualitative Research on The Undercount of Young Children	Form and Instruction
1 Interview Protocol Appendix C UYC SC CBO interview protocol 240401.docx	Form and Instruction
2 focus group protocol Appendix G UYC SC HH focus group protocol 240401.docx	Form and Instruction
2030 UYC SC Qual OMB Memo 240429_clean.docx OMB Memo	IC Document
Appendix A UYC SC Screening Questionnaire 240430_clean.docx Screener Questionnaire	IC Document
Appendix B Screening Quota Table 240412.docx Screener Quota Table	IC Document
Appendix D Interview Consent Form 240412.docx Interview Consent Form	IC Document
Appendix E Advertisements 240412.docx Advertisements	IC Document
Appendix F Focus Group Consent Form 240412.docx Focus Group Consent Form	IC Document

IC Title:

Qualitative Research on The Undercount of Young Children

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	1	Interview Protocol	Appendix C UYC SC CBO interview protocol 240401.docx		No		Fillable Fileable
Form and Instruction	2	focus group protocol	Appendix G UYC SC HH focus group protocol 240401.docx		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	453	453
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	2030 UYC SC Qual OMB Memo 240429_clean.docx	05/01/2024
Screener Questionnaire	Appendix A UYC SC Screening Questionnaire 240430_clean.docx	05/01/2024
Screener Quota Table	Appendix B Screening Quota Table 240412.docx	05/01/2024
Interview Consent Form	Appendix D Interview Consent Form 240412.docx	05/01/2024
Advertisements	Appendix E Advertisements 240412.docx	05/01/2024
Focus Group Consent Form	Appendix F Focus Group Consent Form 240412.docx	05/01/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.