2023 Census Test

Generic Clearance for Census Bureau Field Tests and Evaluations

OMB: 0607-0971

IC ID: 257843

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0971 can be found here:

2024-07-02 - Revision of a currently approved collection

Documents and Forms

Document Name Document Type
Form 1 2023 Census Test Form and Instruction
1 Web Specs Attachment 1 - 2023 ISR Specification 12212022 FINAL for OMB.docx Form and Instruction
1 Web Specs Attachment 1 - 2023 ISR Specification 12212022 FINAL for OMB.docx Form and Instruction
OMB letter_2023_Census_Bureau_Survey_final_v3.docx OMB Memo IC Document
OMB letter_2023_Census_Bureau_Survey_final_v3.docx OMB Memo IC Document
Attachment 2 - FAQ Insert_Control_ English_Spanish_D3-FL1-X(ES)_010423.pdf Attachment 2 IC Document
Attachment 2 - FAQ Insert_Control_ English_Spanish_D3-FL1-X(ES)_010423.pdf Attachment 2 IC Document
Attachment 3 - FAQ Insert_Control_ English_Spanish_D3-FA4-X(ES)_010423.pdf Attachment 3 IC Document
Attachment 3 - FAQ Insert_Control_ English_Spanish_D3-FA4-X(ES)_010423.pdf Attachment 3 IC Document
Attachment 4 - FAQ Insert_AdRec_English_Spanish_D3-FL1-XFG(ES)_010423.pdf Attachment 4 IC Document
Attachment 4 - FAQ Insert_AdRec_English_Spanish_D3-FL1-XFG(ES)_010423.pdf Attachment 4 IC Document
Attachment 5 - FAQ Insert_AdRec_English_Spanish_D3-FA4-XG(ES)_010523.pdf Attachment 5 IC Document
Attachment 5 - FAQ Insert_AdRec_English_Spanish_D3-FA4-XG(ES)_010523.pdf Attachment 5 IC Document
Attachment 6 - Invitation Letter_Address Screen Control_English_Spanish_D3-L1-XA(ES)_122222.pdf Attachment 6 IC Document
Attachment 6 - Invitation Letter_Address Screen Control_English_Spanish_D3-L1-XA(ES)_122222.pdf Attachment 6 IC Document
Attachment 7 - Invitation Letter_Address Screen Test_English_Spanish_D3-L1-XB(ES)_122222.pdf Attachment 7 IC Document
Attachment 7 - Invitation Letter_Address Screen Test_English_Spanish_D3-L1-XB(ES)_122222.pdf Attachment 7 IC Document
Attachment 8 - Invitation Letter_Control_English_Spanish_D3-L1-XC(ES)_121622.pdf Attachment 8 IC Document
Attachment 8 - Invitation Letter_Control_English_Spanish_D3-L1-XC(ES)_121622.pdf Attachment 8 IC Document
Attachment 9 - Invitation Letter_Dates_English_Spanish_D3-L1-XD(ES)_121622.pdf Attachment 9 IC Document
Attachment 9 - Invitation Letter_Dates_English_Spanish_D3-L1-XD(ES)_121622.pdf Attachment 9 IC Document
Attachment 10 - Invitation Letter_Priority Mail_English_Spanish_D3-L1-XE(ES)_122222.pdf Attachment 10 IC Document
Attachment 10 - Invitation Letter_Priority Mail_English_Spanish_D3-L1-XE(ES)_122222.pdf Attachment 10 IC Document
Attachment 11 - Invitation Letter_LightAdRec_English_Spanish_D3-L1-XF(ES)_010423.pdf Attachment 11 IC Document
Attachment 11 - Invitation Letter_LightAdRec_English_Spanish_D3-L1-XF(ES)_010423.pdf Attachment 11 IC Document
Attachment 12 - Invitation_Letter_HeavyAdRec_English_Spanish_D3-L1-XG(ES)_010423.pdf Attachment 12 IC Document
Attachment 12 - Invitation_Letter_HeavyAdRec_English_Spanish_D3-L1-XG(ES)_010423.pdf Attachment 12 IC Document
Attachment 13 - Reminder Letter_Address Screen Control_English_Spanish_D3-L2-XA(ES)_122222.pdf Attachment 13 IC Document
Attachment 13 - Reminder Letter_Address Screen Control_English_Spanish_D3-L2-XA(ES)_122222.pdf Attachment 13 IC Document
Attachment 14 - Reminder Letter_Address Screen Test_English_Spanish_D3-L2-XB(ES)_122222.pdf Attachment 14 IC Document
Attachment 14 - Reminder Letter_Address Screen Test_English_Spanish_D3-L2-XB(ES)_122222.pdf Attachment 14 IC Document
Attachment 15 - Reminder Letter_Control_English_Spanish_D3-L2-XC(ES)_121622.pdf Attachment 15 IC Document
Attachment 15 - Reminder Letter_Control_English_Spanish_D3-L2-XC(ES)_121622.pdf Attachment 15 IC Document
Attachment 16 - Reminder Letter_Dates_English_Spanish_D3-L2-XD(ES)_121622.pdf Attachment 16 IC Document
Attachment 16 - Reminder Letter_Dates_English_Spanish_D3-L2-XD(ES)_121622.pdf Attachment 16 IC Document
Attachment 17- Reminder Letter_Priority Mail_English_Spanish_D3-L2-XE(ES)_122222.pdf Attachment 17 IC Document
Attachment 17- Reminder Letter_Priority Mail_English_Spanish_D3-L2-XE(ES)_122222.pdf Attachment 17 IC Document
Attachment 18 - Reminder Letter_LightAdRec_English_Spanish_D3-L2-XF(ES)_122222.pdf Attachment 18 IC Document
Attachment 18 - Reminder Letter_LightAdRec_English_Spanish_D3-L2-XF(ES)_122222.pdf Attachment 18 IC Document
Attachment 19 - Reminder Letter_AdRec_English_Spanish_D3-L2-XG(ES)_010423.pdf Attachment 19 IC Document
Attachment 19 - Reminder Letter_AdRec_English_Spanish_D3-L2-XG(ES)_010423.pdf Attachment 19 IC Document
Attachment 20 - Reminder Postcard_Address Screen Control_D3-P3-XA(ES)_122222.pdf Attachment 20 IC Document
Attachment 20 - Reminder Postcard_Address Screen Control_D3-P3-XA(ES)_122222.pdf Attachment 20 IC Document
Attachment 21 - Reminder Postcard_Address Screen Test_D3-P3-XB(ES)_122222.pdf Attachment 21 IC Document
Attachment 21 - Reminder Postcard_Address Screen Test_D3-P3-XB(ES)_122222.pdf Attachment 21 IC Document
Attachment 22 - Reminder Postcard_Control_D3-P3-XC(ES)_122222.pdf Attachment 22 IC Document
Attachment 22 - Reminder Postcard_Control_D3-P3-XC(ES)_122222.pdf Attachment 22 IC Document
Attachment 23 - Reminder Postcard_Dates_D3-P3-XD(ES)_122222.pdf Attachment 23 IC Document
Attachment 23 - Reminder Postcard_Dates_D3-P3-XD(ES)_122222.pdf Attachment 23 IC Document
Attachment 24 - Reminder Postcard_Priority Mail_D3-P3-XE(ES)_122222.pdf Attachment 24 IC Document
Attachment 24 - Reminder Postcard_Priority Mail_D3-P3-XE(ES)_122222.pdf Attachment 24 IC Document
Attachment 25 - Reminder Postcard_LightAdRec_D3-P3-XF(ES)_122222.pdf Attachment 25 IC Document
Attachment 25 - Reminder Postcard_LightAdRec_D3-P3-XF(ES)_122222.pdf Attachment 25 IC Document
Attachment 26 - Reminder Postcard_AdRec_D3-P3-XG(ES)_010423.pdf Attachment 26 IC Document
Attachment 26 - Reminder Postcard_AdRec_D3-P3-XG(ES)_010423.pdf Attachment 26 IC Document
Attachment 27 - Final Letter_Address Screen Control_English_Spanish_D3-L4-XA(ES)_122222.pdf Attachment 27 IC Document
Attachment 27 - Final Letter_Address Screen Control_English_Spanish_D3-L4-XA(ES)_122222.pdf Attachment 27 IC Document
Attachment 28 - Final Letter_Address Screen Test_English_Spanish_D3-L4-XB(ES)_122222.pdf Attachment 28 IC Document
Attachment 28 - Final Letter_Address Screen Test_English_Spanish_D3-L4-XB(ES)_122222.pdf Attachment 28 IC Document
Attachment 29 - Final Letter_Control_English_Spanish_D3-L4-XC(ES)_121622.pdf Attachment 29 IC Document
Attachment 29 - Final Letter_Control_English_Spanish_D3-L4-XC(ES)_121622.pdf Attachment 29 IC Document
Attachment 30 - Final Letter_Dates_English_Spanish_D3-L4-XD(ES)_121622.pdf Attachment 30 IC Document
Attachment 30 - Final Letter_Dates_English_Spanish_D3-L4-XD(ES)_121622.pdf Attachment 30 IC Document
Attachment 31 - Final Letter_Priority Mail_English_Spanish_D3-L4-XE(ES)_122222.pdf Attachment 31 IC Document
Attachment 31 - Final Letter_Priority Mail_English_Spanish_D3-L4-XE(ES)_122222.pdf Attachment 31 IC Document
Attachment 32 - Final Letter_LightAdRec_English_Spanish_D3-L4-XF(ES)_122322.pdf Attachment 32 IC Document
Attachment 32 - Final Letter_LightAdRec_English_Spanish_D3-L4-XF(ES)_122322.pdf Attachment 32 IC Document
Attachment 33 - Final Letter_AdRec_English_Spanish_D3-L4-XG(ES)_010423.pdf Attachment 33 IC Document
Attachment 33 - Final Letter_AdRec_English_Spanish_D3-L4-XG(ES)_010423.pdf Attachment 33 IC Document
Attachment 34 - d3qxa_es_23.pdf Attachment 34 IC Document
Attachment 34 - d3qxa_es_23.pdf Attachment 34 IC Document
Attachment 35 - d3qxb_es_23.pdf Attachment 35 IC Document
Attachment 35 - d3qxb_es_23.pdf Attachment 35 IC Document
Attachment 36 - d3qxc_es_23.pdf Attachment 36 IC Document
Attachment 36 - d3qxc_es_23.pdf Attachment 36 IC Document
Attachment 37 - d3qxd_es_23.pdf Attachment 37 IC Document
Attachment 37 - d3qxd_es_23.pdf Attachment 37 IC Document
Attachment 38 - d3qxe_es_23.pdf Attachment 38 IC Document
Attachment 38 - d3qxe_es_23.pdf Attachment 38 IC Document
Attachment 39 - d3qxf_es_23.pdf Attachment 39 IC Document
Attachment 39 - d3qxf_es_23.pdf Attachment 39 IC Document
Attachment 40 - d3qxg_es_23.pdf Attachment 40 IC Document
Attachment 40 - d3qxg_es_23.pdf Attachment 40 IC Document
Attachment 41 - 2023 Census Test Panels 1-5 English phone script 01-05-23.docx Attachment 41 IC Document
Attachment 41 - 2023 Census Test Panels 1-5 English phone script 01-05-23.docx Attachment 41 IC Document
Attachment 42 - 2023 Census Test Panels 6-7 English phone script 01-05-23.docx Attachment 42 IC Document
Attachment 42 - 2023 Census Test Panels 6-7 English phone script 01-05-23.docx Attachment 42 IC Document
Attachment 43 - 2023 Census Test panels 1-5 Spanish 01-09-23.docx Attachment 43 IC Document
Attachment 43 - 2023 Census Test panels 1-5 Spanish 01-09-23.docx Attachment 43 IC Document
Attachment 44 - 2023 Census Test panels6-7 Spanish 01-09-23.docx Attachment 44 IC Document
Attachment 44 - 2023 Census Test panels6-7 Spanish 01-09-23.docx Attachment 44 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2023 Census Test	Agency IC Tracking Number:

IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Web Specs	Attachment 1 - 2023 ISR Specification 12212022 FINAL for OMB.docx		No		Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-15,500	15,500
Annual IC Time Burden (Hours)	-7,750	7,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB letter_2023_Census_Bureau_Survey_final_v3.docx	01/09/2023
Attachment 2	Attachment 2 - FAQ Insert_Control_ English_Spanish_D3-FL1-X(ES)_010423.pdf	01/09/2023
Attachment 3	Attachment 3 - FAQ Insert_Control_ English_Spanish_D3-FA4-X(ES)_010423.pdf	01/09/2023
Attachment 4	Attachment 4 - FAQ Insert_AdRec_English_Spanish_D3-FL1-XFG(ES)_010423.pdf	01/09/2023
Attachment 5	Attachment 5 - FAQ Insert_AdRec_English_Spanish_D3-FA4-XG(ES)_010523.pdf	01/09/2023
Attachment 6	Attachment 6 - Invitation Letter_Address Screen Control_English_Spanish_D3-L1-XA(ES)_122222.pdf	01/09/2023
Attachment 7	Attachment 7 - Invitation Letter_Address Screen Test_English_Spanish_D3-L1-XB(ES)_122222.pdf	01/09/2023
Attachment 8	Attachment 8 - Invitation Letter_Control_English_Spanish_D3-L1-XC(ES)_121622.pdf	01/09/2023
Attachment 9	Attachment 9 - Invitation Letter_Dates_English_Spanish_D3-L1-XD(ES)_121622.pdf	01/09/2023
Attachment 10	Attachment 10 - Invitation Letter_Priority Mail_English_Spanish_D3-L1-XE(ES)_122222.pdf	01/09/2023
Attachment 11	Attachment 11 - Invitation Letter_LightAdRec_English_Spanish_D3-L1-XF(ES)_010423.pdf	01/09/2023
Attachment 12	Attachment 12 - Invitation_Letter_HeavyAdRec_English_Spanish_D3-L1-XG(ES)_010423.pdf	01/09/2023
Attachment 13	Attachment 13 - Reminder Letter_Address Screen Control_English_Spanish_D3-L2-XA(ES)_122222.pdf	01/09/2023
Attachment 14	Attachment 14 - Reminder Letter_Address Screen Test_English_Spanish_D3-L2-XB(ES)_122222.pdf	01/09/2023
Attachment 15	Attachment 15 - Reminder Letter_Control_English_Spanish_D3-L2-XC(ES)_121622.pdf	01/09/2023
Attachment 16	Attachment 16 - Reminder Letter_Dates_English_Spanish_D3-L2-XD(ES)_121622.pdf	01/09/2023
Attachment 17	Attachment 17- Reminder Letter_Priority Mail_English_Spanish_D3-L2-XE(ES)_122222.pdf	01/09/2023
Attachment 18	Attachment 18 - Reminder Letter_LightAdRec_English_Spanish_D3-L2-XF(ES)_122222.pdf	01/09/2023
Attachment 19	Attachment 19 - Reminder Letter_AdRec_English_Spanish_D3-L2-XG(ES)_010423.pdf	01/09/2023
Attachment 20	Attachment 20 - Reminder Postcard_Address Screen Control_D3-P3-XA(ES)_122222.pdf	01/09/2023
Attachment 21	Attachment 21 - Reminder Postcard_Address Screen Test_D3-P3-XB(ES)_122222.pdf	01/09/2023
Attachment 22	Attachment 22 - Reminder Postcard_Control_D3-P3-XC(ES)_122222.pdf	01/09/2023
Attachment 23	Attachment 23 - Reminder Postcard_Dates_D3-P3-XD(ES)_122222.pdf	01/09/2023
Attachment 24	Attachment 24 - Reminder Postcard_Priority Mail_D3-P3-XE(ES)_122222.pdf	01/09/2023
Attachment 25	Attachment 25 - Reminder Postcard_LightAdRec_D3-P3-XF(ES)_122222.pdf	01/09/2023
Attachment 26	Attachment 26 - Reminder Postcard_AdRec_D3-P3-XG(ES)_010423.pdf	01/09/2023
Attachment 27	Attachment 27 - Final Letter_Address Screen Control_English_Spanish_D3-L4-XA(ES)_122222.pdf	01/09/2023
Attachment 28	Attachment 28 - Final Letter_Address Screen Test_English_Spanish_D3-L4-XB(ES)_122222.pdf	01/09/2023
Attachment 29	Attachment 29 - Final Letter_Control_English_Spanish_D3-L4-XC(ES)_121622.pdf	01/09/2023
Attachment 30	Attachment 30 - Final Letter_Dates_English_Spanish_D3-L4-XD(ES)_121622.pdf	01/09/2023
Attachment 31	Attachment 31 - Final Letter_Priority Mail_English_Spanish_D3-L4-XE(ES)_122222.pdf	01/09/2023
Attachment 32	Attachment 32 - Final Letter_LightAdRec_English_Spanish_D3-L4-XF(ES)_122322.pdf	01/09/2023
Attachment 33	Attachment 33 - Final Letter_AdRec_English_Spanish_D3-L4-XG(ES)_010423.pdf	01/09/2023
Attachment 34	Attachment 34 - d3qxa_es_23.pdf	01/09/2023
Attachment 35	Attachment 35 - d3qxb_es_23.pdf	01/09/2023
Attachment 36	Attachment 36 - d3qxc_es_23.pdf	01/09/2023
Attachment 37	Attachment 37 - d3qxd_es_23.pdf	01/09/2023
Attachment 38	Attachment 38 - d3qxe_es_23.pdf	01/09/2023
Attachment 39	Attachment 39 - d3qxf_es_23.pdf	01/09/2023
Attachment 40	Attachment 40 - d3qxg_es_23.pdf	01/09/2023
Attachment 41	Attachment 41 - 2023 Census Test Panels 1-5 English phone script 01-05-23.docx	01/09/2023
Attachment 42	Attachment 42 - 2023 Census Test Panels 6-7 English phone script 01-05-23.docx	01/09/2023
Attachment 43	Attachment 43 - 2023 Census Test panels 1-5 Spanish 01-09-23.docx	01/09/2023
Attachment 44	Attachment 44 - 2023 Census Test panels6-7 Spanish 01-09-23.docx	01/09/2023

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