Information Collection

2023 Census Survey

IC 261901 under ICR 202312-0607-007 · OMB 0607-0971.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 1
2023 Census Survey
Form and Instruction
1 ISR Specification
Attachment 1 - 2023 ISR Specification v3.1_OMB Final.docx
Form and Instruction
1 ISR Specification
Attachment 1 - 2023 ISR Specification v3.1_OMB Final.docx
Form and Instruction
2 FAQs 1st Mailing_D3F-FL1(ES)_D3
Attachment 2 - FAQs 1st Mailing_D3F-FL1(ES)_D3_Notional draft 20230823.pdf
Form and Instruction
2 FAQs 1st Mailing_D3F-FL1(ES)_D3
Attachment 2 - FAQs 1st Mailing_D3F-FL1(ES)_D3_Notional draft 20230823.pdf
Form and Instruction
3 FAQs 4th Mailing_D3F-FA4(ES)_D3
Attachment 3 - FAQs 4th Mailing_D3F-FA4(ES)_D3_Notional draft 20230823.pdf
Form and Instruction
3 FAQs 4th Mailing_D3F-FA4(ES)_D3
Attachment 3 - FAQs 4th Mailing_D3F-FA4(ES)_D3_Notional draft 20230823.pdf
Form and Instruction
4 Invitation Letter_Control_D3F-L1-XA(ES)
Attachment 4 - Invitation Letter_Control_D3F-L1-XA(ES)_Notional draft_20230815.pdf
Form and Instruction
4 Invitation Letter_Control_D3F-L1-XA(ES)
Attachment 4 - Invitation Letter_Control_D3F-L1-XA(ES)_Notional draft_20230815.pdf
Form and Instruction
5 Invitation Letter_ACS_D3F-L1-XB(ES)
Attachment 5 - Invitation Letter_ACS_D3F-L1-XB(ES)_Notional Draft 20230824.pdf
Form and Instruction
5 Invitation Letter_ACS_D3F-L1-XB(ES)
Attachment 5 - Invitation Letter_ACS_D3F-L1-XB(ES)_Notional Draft 20230824.pdf
Form and Instruction
6 Invitation Letter_Control Link_D3F-L1-XC(ES)
Attachment 6 - Invitation Letter_Control Link_D3F-L1-XC(ES)_Notional Draft 20230824.pdf
Form and Instruction
6 Invitation Letter_Control Link_D3F-L1-XC(ES)
Attachment 6 - Invitation Letter_Control Link_D3F-L1-XC(ES)_Notional Draft 20230824.pdf
Form and Instruction
7 Invitation Letter_ACS_D3F-L1-XD(ES)
Attachment 7 - Invitation Letter_ACS_D3F-L1-XD(ES)_Notional Draft 20230824.pdf
Form and Instruction
7 Invitation Letter_ACS_D3F-L1-XD(ES)
Attachment 7 - Invitation Letter_ACS_D3F-L1-XD(ES)_Notional Draft 20230824.pdf
Form and Instruction
8 Reminder Letter_Control_D3F-L2-XA(ES)
Attachment 8 - Reminder Letter_Control_D3F-L2-XA(ES)_Notional draft_20230811.pdf
Form and Instruction
8 Reminder Letter_Control_D3F-L2-XA(ES)
Attachment 8 - Reminder Letter_Control_D3F-L2-XA(ES)_Notional draft_20230811.pdf
Form and Instruction
9 Reminder Letter_ACS_D3F-L2-XB(ES)
Attachment 9 - Reminder Letter_ACS_D3F-L2-XB(ES)_20230804.pdf
Form and Instruction
9 Reminder Letter_ACS_D3F-L2-XB(ES)
Attachment 9 - Reminder Letter_ACS_D3F-L2-XB(ES)_20230804.pdf
Form and Instruction
10 Reminder Letter_Control_D3F-L2-XC(ES)
Attachment 10 - Reminder Letter_Control_D3F-L2-XC(ES)_Notional draft_20230814.pdf
Form and Instruction
10 Reminder Letter_Control_D3F-L2-XC(ES)
Attachment 10 - Reminder Letter_Control_D3F-L2-XC(ES)_Notional draft_20230814.pdf
Form and Instruction
11 Reminder Letter_ACS w Text Link_D3F-L2-XD(ES)
Attachment 11 - Reminder Letter_ACS w Text Link_D3F-L2-XD(ES)_20230804.pdf
Form and Instruction
11 Reminder Letter_ACS w Text Link_D3F-L2-XD(ES)
Attachment 11 - Reminder Letter_ACS w Text Link_D3F-L2-XD(ES)_20230804.pdf
Form and Instruction
12 Reminder Postcard_Control_D3F-P3-XA(ES)_D2
Attachment 12 - Reminder Postcard_Control_D3F-P3-XA(ES)_D2_20280807.pdf
Form and Instruction
12 Reminder Postcard_Control_D3F-P3-XA(ES)_D2
Attachment 12 - Reminder Postcard_Control_D3F-P3-XA(ES)_D2_20280807.pdf
Form and Instruction
13 Reminder Postcard_ACS_D3F_P3-XB_D2
Attachment 13 - Reminder Postcard_ACS_D3F_P3-XB_D2_20230807.pdf
Form and Instruction
13 Reminder Postcard_ACS_D3F_P3-XB_D2
Attachment 13 - Reminder Postcard_ACS_D3F_P3-XB_D2_20230807.pdf
Form and Instruction
14 Reminder Postcard_Control Text Link_D3F-P3_XC(ES)_D2
Attachment 14 - Reminder Postcard_Control Text Link_D3F-P3_XC(ES)_D2_20230804.pdf
Form and Instruction
14 Reminder Postcard_Control Text Link_D3F-P3_XC(ES)_D2
Attachment 14 - Reminder Postcard_Control Text Link_D3F-P3_XC(ES)_D2_20230804.pdf
Form and Instruction
15 Reminder Postcard_Control Text Link_D3F-P3-XD(ES)
Attachment 15 - Reminder Postcard_Control Text Link_D3F-P3-XD(ES)_D2_20230807.pdf
Form and Instruction
15 Reminder Postcard_Control Text Link_D3F-P3-XD(ES)
Attachment 15 - Reminder Postcard_Control Text Link_D3F-P3-XD(ES)_D2_20230807.pdf
Form and Instruction
16 Final Letter_Control_D3F-L4-XA(ES)
Attachment 16 - Final Letter_Control_D3F-L4-XA(ES)_Notional Draft_20230815.pdf
Form and Instruction
16 Final Letter_Control_D3F-L4-XA(ES)
Attachment 16 - Final Letter_Control_D3F-L4-XA(ES)_Notional Draft_20230815.pdf
Form and Instruction
17 Final Letter_ACS_D3F-L4-XB(ES)
Attachment 17 - Final Letter_ACS_D3F-L4-XB(ES)_20230824.pdf
Form and Instruction
17 Final Letter_ACS_D3F-L4-XB(ES)
Attachment 17 - Final Letter_ACS_D3F-L4-XB(ES)_20230824.pdf
Form and Instruction
18 Final Letter_Control w Text Link_D3F-L4-XC(ES)
Attachment 18 - Final Letter_Control w Text Link_D3F-L4-XC(ES)_Notional Draft 20230815.pdf
Form and Instruction
18 Final Letter_Control w Text Link_D3F-L4-XC(ES)
Attachment 18 - Final Letter_Control w Text Link_D3F-L4-XC(ES)_Notional Draft 20230815.pdf
Form and Instruction
19 Final Letter_ACS w Text Link_D3F-L4-XD(ES)
Attachment 19 - Final Letter_ACS w Text Link_D3F-L4-XD(ES)_20230824.pdf
Form and Instruction
19 Final Letter_ACS w Text Link_D3F-L4-XD(ES)
Attachment 19 - Final Letter_ACS w Text Link_D3F-L4-XD(ES)_20230824.pdf
Form and Instruction
20 Questionnaire_Control_D3F-Q4-XA(ES)
Attachment 20 - Questionnaire_Control_D3F-Q4-XA(ES)_080323_D6.pdf
Form and Instruction
20 Questionnaire_Control_D3F-Q4-XA(ES)
Attachment 20 - Questionnaire_Control_D3F-Q4-XA(ES)_080323_D6.pdf
Form and Instruction
21 Questionnaire_ACS_D3F-Q4-XB(ES)
Attachment 21 - Questionnaire_ACS_D3F-Q4-XB(ES)_080323_D2.pdf
Form and Instruction
21 Questionnaire_ACS_D3F-Q4-XB(ES)
Attachment 21 - Questionnaire_ACS_D3F-Q4-XB(ES)_080323_D2.pdf
Form and Instruction
22 Questionnaire_Control Text_D3F-Q4-XC(ES)
Attachment 22 - Questionnaire_Control Text_D3F-Q4-XC(ES)_080323_D2.pdf
Form and Instruction
22 Questionnaire_Control Text_D3F-Q4-XC(ES)
Attachment 22 - Questionnaire_Control Text_D3F-Q4-XC(ES)_080323_D2.pdf
Form and Instruction
23 Questionnaire_ACS Text_D3F-Q4-XD(ES)
Attachment 23 - Questionnaire_ACS Text_D3F-Q4-XD(ES)_080323_D2.pdf
Form and Instruction
23 Questionnaire_ACS Text_D3F-Q4-XD(ES)
Attachment 23 - Questionnaire_ACS Text_D3F-Q4-XD(ES)_080323_D2.pdf
Form and Instruction
24 Text message reminder for Mailing 2
Attachment 24 - Text message reminder for Mailing 2.docx
Form and Instruction
24 Text message reminder for Mailing 2
Attachment 24 - Text message reminder for Mailing 2.docx
Form and Instruction
25 Text message reminder for Mailing 4
Attachment 25 - Text message reminder for Mailing 4.docx
Form and Instruction
25 Text message reminder for Mailing 4
Attachment 25 - Text message reminder for Mailing 4.docx
Form and Instruction
26 Recorded FAQ phone script
Attachment 26 - Recorded FAQ phone script_081123.docx
Form and Instruction
26 Recorded FAQ phone script
Attachment 26 - Recorded FAQ phone script_081123.docx
Form and Instruction
OMB letter_2023_Census_Survey_Fall.docx
OMB Memo
IC Document
OMB letter_2023_Census_Survey_Fall.docx
OMB Memo
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
Form and Instruction 1 ISR Specification Attachment 1 - 2023 ISR Specification v3.1_OMB Final.docx No   Fillable Fileable
Form and Instruction 2 FAQs 1st Mailing_D3F-FL1(ES)_D3 Attachment 2 - FAQs 1st Mailing_D3F-FL1(ES)_D3_Notional draft 20230823.pdf No   Fillable Fileable
Form and Instruction 3 FAQs 4th Mailing_D3F-FA4(ES)_D3 Attachment 3 - FAQs 4th Mailing_D3F-FA4(ES)_D3_Notional draft 20230823.pdf No   Fillable Fileable
Form and Instruction 4 Invitation Letter_Control_D3F-L1-XA(ES) Attachment 4 - Invitation Letter_Control_D3F-L1-XA(ES)_Notional draft_20230815.pdf No   Fillable Fileable
Form and Instruction 5 Invitation Letter_ACS_D3F-L1-XB(ES) Attachment 5 - Invitation Letter_ACS_D3F-L1-XB(ES)_Notional Draft 20230824.pdf No   Fillable Fileable
Form and Instruction 6 Invitation Letter_Control Link_D3F-L1-XC(ES) Attachment 6 - Invitation Letter_Control Link_D3F-L1-XC(ES)_Notional Draft 20230824.pdf No   Fillable Fileable
Form and Instruction 7 Invitation Letter_ACS_D3F-L1-XD(ES) Attachment 7 - Invitation Letter_ACS_D3F-L1-XD(ES)_Notional Draft 20230824.pdf No   Fillable Fileable
Form and Instruction 8 Reminder Letter_Control_D3F-L2-XA(ES) Attachment 8 - Reminder Letter_Control_D3F-L2-XA(ES)_Notional draft_20230811.pdf No   Fillable Fileable
Form and Instruction 9 Reminder Letter_ACS_D3F-L2-XB(ES) Attachment 9 - Reminder Letter_ACS_D3F-L2-XB(ES)_20230804.pdf No   Fillable Fileable
Form and Instruction 10 Reminder Letter_Control_D3F-L2-XC(ES) Attachment 10 - Reminder Letter_Control_D3F-L2-XC(ES)_Notional draft_20230814.pdf No   Fillable Fileable
Form and Instruction 11 Reminder Letter_ACS w Text Link_D3F-L2-XD(ES) Attachment 11 - Reminder Letter_ACS w Text Link_D3F-L2-XD(ES)_20230804.pdf No   Fillable Fileable
Form and Instruction 12 Reminder Postcard_Control_D3F-P3-XA(ES)_D2 Attachment 12 - Reminder Postcard_Control_D3F-P3-XA(ES)_D2_20280807.pdf No   Fillable Fileable
Form and Instruction 13 Reminder Postcard_ACS_D3F_P3-XB_D2 Attachment 13 - Reminder Postcard_ACS_D3F_P3-XB_D2_20230807.pdf No   Fillable Fileable
Form and Instruction 14 Reminder Postcard_Control Text Link_D3F-P3_XC(ES)_D2 Attachment 14 - Reminder Postcard_Control Text Link_D3F-P3_XC(ES)_D2_20230804.pdf No   Fillable Fileable
Form and Instruction 15 Reminder Postcard_Control Text Link_D3F-P3-XD(ES) Attachment 15 - Reminder Postcard_Control Text Link_D3F-P3-XD(ES)_D2_20230807.pdf No   Fillable Fileable
Form and Instruction 16 Final Letter_Control_D3F-L4-XA(ES) Attachment 16 - Final Letter_Control_D3F-L4-XA(ES)_Notional Draft_20230815.pdf No   Fillable Fileable
Form and Instruction 17 Final Letter_ACS_D3F-L4-XB(ES) Attachment 17 - Final Letter_ACS_D3F-L4-XB(ES)_20230824.pdf No   Fillable Fileable
Form and Instruction 18 Final Letter_Control w Text Link_D3F-L4-XC(ES) Attachment 18 - Final Letter_Control w Text Link_D3F-L4-XC(ES)_Notional Draft 20230815.pdf No   Fillable Fileable
Form and Instruction 19 Final Letter_ACS w Text Link_D3F-L4-XD(ES) Attachment 19 - Final Letter_ACS w Text Link_D3F-L4-XD(ES)_20230824.pdf No   Fillable Fileable
Form and Instruction 20 Questionnaire_Control_D3F-Q4-XA(ES) Attachment 20 - Questionnaire_Control_D3F-Q4-XA(ES)_080323_D6.pdf No   Fillable Fileable
Form and Instruction 21 Questionnaire_ACS_D3F-Q4-XB(ES) Attachment 21 - Questionnaire_ACS_D3F-Q4-XB(ES)_080323_D2.pdf No   Fillable Fileable
Form and Instruction 22 Questionnaire_Control Text_D3F-Q4-XC(ES) Attachment 22 - Questionnaire_Control Text_D3F-Q4-XC(ES)_080323_D2.pdf No   Fillable Fileable
Form and Instruction 23 Questionnaire_ACS Text_D3F-Q4-XD(ES) Attachment 23 - Questionnaire_ACS Text_D3F-Q4-XD(ES)_080323_D2.pdf No   Fillable Fileable
Form and Instruction 24 Text message reminder for Mailing 2 Attachment 24 - Text message reminder for Mailing 2.docx No   Fillable Fileable
Form and Instruction 25 Text message reminder for Mailing 4 Attachment 25 - Text message reminder for Mailing 4.docx No   Fillable Fileable
Form and Instruction 26 Recorded FAQ phone script Attachment 26 - Recorded FAQ phone script_081123.docx No   Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested 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 107,000 0 0 0 0 107,000
Annual IC Time Burden (Hours) 53,500 0 0 0 0 53,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB Memo OMB letter_2023_Census_Survey_Fall.docx 08/29/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.