2025 Census Household Survey

Generic Clearance for Census Bureau Field Tests and Evaluations

OMB: 0607-0971

IC ID: 271620

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

2025 Census Household Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Questionnaire Attachment 1-Census Household Survey.pdf No   Fillable Fileable
Form and Instruction 2 English Letter 1 Attachment 2-CHS Invitation Letter #1E.pdf No   Fillable Fileable
Form and Instruction 3 Spanish Letter 1 Attachment 2-CHS Invitation Letter #1S.pdf No   Fillable Fileable
Form and Instruction 4 English Letter 2 Attachment 3-CHS First Reminder Letter #2E.pdf No   Fillable Fileable
Form and Instruction 5 Spanish Letter 2 Attachment 3-CHS First Reminder Letter #2S.pdf No   Fillable Fileable
Form and Instruction 6 Postcard Attachment 4-CHS Postcard #3.pdf No   Fillable Fileable
Form and Instruction 7 English Letter 3 Attachment 5-CHS Second Reminder Letter #4E.pdf No   Fillable Fileable
Form and Instruction 8 Spanish Letter 3 Attachment 5-CHS Second Reminder Letter #4S.pdf No   Fillable Fileable

General Government Central Records & Statistical Mgt

 

40,000 0
   
Individuals or Households
 
   0 %

  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 40,000 0 0 0 0 40,000
Annual IC Time Burden (Hours) 20,000 0 0 0 0 20,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Pricacy Act Statement CBSM Universal Privacy Act Statement-Standalone_ej_acf_clean 10092024.docx 10/15/2024
OMB Letter OMB letter 2025 Census Household Survey_clean 10092024.docx 10/15/2024
Census Bureau Federal Register Notice - October 2024 2024.10.22 Census Bureau Federal Register Notice on 2025 Census Household Survey.pdf 01/17/2025
OMB Terms of Clearance ToC for OMB Control No. 0607-0971 (GenIC) - 2025 Census Household Survey on Two-Factor Authentication_ROCIS.pdf 01/17/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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