Generic Clearance for Census Bureau Field Tests and Evaluations

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Questionnaire for Research Panel Survey	Form and Instruction	New	Repair queued
Form 4 Debriefing Interview	Form and Instruction	Modified	Available
Form 3 Food Log Interview	Form and Instruction	Modified	Available
Form 2 Profile and Income Interview	Form and Instruction	Modified	Repair queued
Form 1 Initial Interview	Form and Instruction	Modified	Available
Form 1 2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test	Form and Instruction	Modified	Repair queued
HPS-EHP Questionnaire	Form	Unchanged	Available
Hurricane Pulse Survey	Form	Unchanged	Repair queued
Form 8 Spanish Letter 3	Form and Instruction	Unchanged	Repair queued
Form 7 English Letter 3	Form and Instruction	Unchanged	Available
Form 6 Postcard	Form and Instruction	Unchanged	Available
Form 5 Spanish Letter 2	Form and Instruction	Unchanged	Available
Form 4 English Letter 2	Form and Instruction	Unchanged	Repair queued
Form 3 Spanish Letter 1	Form and Instruction	Unchanged	Available
Form 2 English Letter 1	Form and Instruction	Unchanged	Available
Form 1 Questionnaire	Form and Instruction	Unchanged	Repair queued
Form 1 2025 Census Household Survey	Form and Instruction	Unchanged	Repair queued
Form 4 Paper Questionnaire v3	Form and Instruction	Unchanged	Available
Form 3 Paper Questionnaire v2	Form and Instruction	Unchanged	Available
Form 2 Paper Questionnaire v1	Form and Instruction	Unchanged	Available
Form 1 Internet Instrument	Form and Instruction	Unchanged	Available
Form 1 2024 National Census Survey	Form and Instruction	Unchanged	Repair queued
2025.02.27 DOC Senior Policy Official Sign-Off - OMB Control No. 0607-0971_Redacted.pdf	Supplementary Document	Uploaded 2025-03-03	Repair queued
Non-substantive Change Request_FoodAPS Generic Clearance_clean_03032025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-03	Repair queued
Non-substantive Change Request_FoodAPS Generic Clearance_updated_022825.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-28	Repair queued
Memo_OMB Revision Request_GenIC Field Test Evals_06212024_clean.docx	Supplementary Document	Uploaded 2024-06-25	Repair queued
Memo_OMB Revision Request_GenIC Field Test Evals_06212024_clean.docx	Supplementary Document	Uploaded 2024-06-25	Repair queued
JUSTIFICATION FOR NO MATERIAL OR NONSUBSTANTIVE CHANGE REQUEST 0607-0971.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-12-20	Repair queued
JUSTIFICATION FOR NO MATERIAL OR NONSUBSTANTIVE CHANGE REQUEST 0607-0971.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-12-20	Repair queued
Appendix Field Clearance.docx	Supplementary Document	Uploaded 2016-01-08	Repair queued
Appendix Field Clearance.docx	Supplementary Document	Uploaded 2016-01-08	Repair queued
Generic Clearance for Census Bureau Field Tests and Evaluations_Supporting Statement Part B_06252024.docx	Supporting Statement B	Uploaded 2024-06-25	Repair queued
Generic Clearance for Census Bureau Field Tests and Evaluations_Supporting Statement Part B_06252024.docx	Supporting Statement B	Uploaded 2024-06-25	Repair queued
Generic Clearance for Census Bureau Field Tests and Evaluations_Supporting Statement Part A_Revision_06212024_clean.docx	Supporting Statement A	Uploaded 2024-06-25	Repair queued
Generic Clearance for Census Bureau Field Tests and Evaluations_Supporting Statement Part A_Revision_06212024_clean.docx	Supporting Statement A	Uploaded 2024-06-25	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
281197	Census Bureau Opt-In Research Panel Survey July 2026	Form and Instruction	New	Questionnaire for Research Panel Survey
273547	2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test	Form and Instruction	Modified	Debriefing Interview
273547	2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test	Form and Instruction	Modified	Food Log Interview
273547	2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test	Form and Instruction	Modified	Profile and Income Interview
273547	2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test	Form and Instruction	Modified	Initial Interview
273547	2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test	Form and Instruction	Modified
272544	Hurricane Pulse Survey	Form	Unchanged	HPS-EHP Questionnaire
272544	Hurricane Pulse Survey	Form	Unchanged
271620	2025 Census Household Survey	Form and Instruction	Unchanged	Spanish Letter 3
271620	2025 Census Household Survey	Form and Instruction	Unchanged	English Letter 3
271620	2025 Census Household Survey	Form and Instruction	Unchanged	Postcard
271620	2025 Census Household Survey	Form and Instruction	Unchanged	Spanish Letter 2
271620	2025 Census Household Survey	Form and Instruction	Unchanged	English Letter 2
271620	2025 Census Household Survey	Form and Instruction	Unchanged	Spanish Letter 1
271620	2025 Census Household Survey	Form and Instruction	Unchanged	English Letter 1
271620	2025 Census Household Survey	Form and Instruction	Unchanged	Questionnaire
271620	2025 Census Household Survey	Form and Instruction	Unchanged
270044	2024 National Census Survey	Form and Instruction	Unchanged	Paper Questionnaire v3
270044	2024 National Census Survey	Form and Instruction	Unchanged	Paper Questionnaire v2
270044	2024 National Census Survey	Form and Instruction	Unchanged	Paper Questionnaire v1
270044	2024 National Census Survey	Form and Instruction	Unchanged	Internet Instrument
270044	2024 National Census Survey	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0607-0971	ICR Reference No: 202502-0607-008
Status: Active	Previous ICR Reference No: 202406-0607-008
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Generic Clearance for Census Bureau Field Tests and Evaluations
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/03/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/28/2025
Terms of Clearance: OIRA approves this non-substantive change request for the Generic Clearance for Census Bureau Field Tests and Evaluations, specifically for the FoodAPS instrument testing (OMB Control No. 0607-0971) pursuant to our authorities under the PRA and with the understanding that the Census Bureau has submitted the request after obtaining appropriate sign off from a responsible senior policy official in this Administration.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2027	08/31/2027	08/31/2027
Responses	341,373	0	341,373
Time Burden (Hours)	211,773	0	211,773
Cost Burden (Dollars)	0	0	0

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Abstract: The Census Bureau plans to test the use of new and improved data collection techniques for self-enumeration and interviewer data-collection tasks surrounding and following the ongoing census and survey operations. The research and evaluation may include: research on public outreach, messaging, and similar invitations to participate in surveys; developing alternative enumeration or follow-up questionnaires; usability issues; conducting interviews or debriefings; and non-English language training and interviews. The questions asked in these studies will be typical census or survey questions and questions related to that content or attitudinal, opinion and satisfaction questions related to responding to Census Bureau surveys.

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Authorizing Statute(s): US Code: 13 USC 141, 193
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 44336	07/26/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 54768	07/02/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
2024 National Census Survey	1, 2, 3, 4	Internet Instrument ,   Paper Questionnaire v1 ,   Paper Questionnaire v2 ,   Paper Questionnaire v3
2025 Census Household Survey	5, 6, 7, 8, 4, 1, 2, 3	Questionnaire ,   English Letter 1 ,   Spanish Letter 1 ,   English Letter 2 ,   Spanish Letter 2 ,   Postcard ,   English Letter 3 ,   Spanish Letter 3
2025 National Household Food Acquisition Survey (FoodAPS) Pilot Test	1, 2, 3, 4	Initial Interview ,   Profile and Income Interview ,   Food Log Interview ,   Debriefing Interview
Census Bureau Opt-In Research Panel Survey July 2026	n/a	Questionnaire for Research Panel Survey
Hurricane Pulse Survey	N/A	HPS-EHP Questionnaire

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	341,373	341,373	0	0	0	0
Annual Time Burden (Hours)	211,773	211,773	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $240,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/28/2025

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