CHP Topicals 10, 11, and 12

Census Household Panel Topical 10, 11, and 12

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-1025 can be found here:

Documents and Forms

Document Name Document Type
Form Part A, Attachment CHP Topicals 10, 11, and 12 Form
Part A, Attachment Part A, Attachment A_CHP Topical 10, 11, 12 Questionnair Part A, Attachment A_CHP Topical 10, 11, 12 Questionnaires_rev3.docx Form
Part A, Attachment Part A, Attachment A_CHP Topical 10, 11, 12 Questionnair Part A, Attachment A_CHP Topical 10, 11, 12 Questionnaires_rev3.docx Form

Information Collection (IC) Details

IC Title:	CHP Topicals 10, 11, and 12	Agency IC Tracking Number:

Is this a Common Form? No		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	Part A, Attachment A_CHP Topical 10, 11, 12	Part A, Attachment A_CHP Topical 10, 11, 12 Questionnaires	Part A, Attachment A_CHP Topical 10, 11, 12 Questionnaires_rev3.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 124,248	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	124,248	124,248
Annual IC Time Burden (Hours)	41,375	41,375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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