Hurricane Pulse Survey

Generic Clearance for Census Bureau Field Tests and Evaluations

Documents and Forms

Document Name Document Type
Hurricane Pulse Survey Form
HPS-EHP Questionnaire Attachment A_HPS-EHP Questionnaire_rev.docx Form
OMB letter hurricane pulse_clean 1121.docx OMB Memo IC Document
Attachment B_PA and PRA Statement_Standard ICR_clean 1121.docx PRA Statement IC Document
Attachment C_Respondent Contact_English_Spanish_clean 1121.docx Respondent Contact Messaging IC Document

Information Collection (IC) Details

IC Title:	Hurricane Pulse Survey	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	N/A	HPS-EHP Questionnaire	Attachment A_HPS-EHP Questionnaire_rev.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	999	999
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB letter hurricane pulse_clean 1121.docx	11/21/2024
PRA Statement	Attachment B_PA and PRA Statement_Standard ICR_clean 1121.docx	11/21/2024
Respondent Contact Messaging	Attachment C_Respondent Contact_English_Spanish_clean 1121.docx	11/21/2024

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