GQ ISR Suitability Survey Addendum

Generic Clearance for Census Bureau Field Tests and Evaluations

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 1 GQ ISR Suitability Survey Addendum Form and Instruction
1 Questionnaire Attachment 2 - Revised GQ ISR Suitability Survey Questionnaire.docx Form and Instruction
1 Questionnaire Attachment 2 - Revised GQ ISR Suitability Survey Questionnaire.docx Form and Instruction
OMB Memo - First Addendum to notify OMB of additional responses needed for GQ ISR Suitability Survey_062023.docx OMB Memo IC Document
OMB Memo - First Addendum to notify OMB of additional responses needed for GQ ISR Suitability Survey_062023.docx OMB Memo IC Document
Attachment 1 - GQ ISR suitability survey OMB letter.docx Initial OMB Request Memo IC Document
Attachment 1 - GQ ISR suitability survey OMB letter.docx Initial OMB Request Memo IC Document

Information Collection (IC) Details

IC Title:	GQ ISR Suitability Survey Addendum	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

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	Questionnaire	Attachment 2 - Revised GQ ISR Suitability Survey Questionnaire.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: 1,836	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,836	1,836
Annual IC Time Burden (Hours)	1,173	1,173
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB Memo - First Addendum to notify OMB of additional responses needed for GQ ISR Suitability Survey_062023.docx	06/20/2023
Initial OMB Request Memo	Attachment 1 - GQ ISR suitability survey OMB letter.docx	06/20/2023

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