Generic Clearance for Internet Panel Pretesting and Qualitative Survey Methods Testing

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Field Test Instrument	Form and Instruction	New	Repair queued
Sample Child Questionnaire	Form and Instruction	New	Available
Roster and Sample Adult - All Adult Questionnaire	Form and Instruction	New	Available
Roster and Sample Adult - Single Adult Questionnaire	Form and Instruction	New	Available
Sample Adult Questionnaire	Form and Instruction	New	Available
Roster Questionnaire	Form and Instruction	New	Available
Questionnaire	Form and Instruction	Unchanged	Available
Census Bureau Opt-In Research Panel Survey	Form and Instruction	Unchanged	Repair queued
Form 1 Questionnaire	Form and Instruction	Unchanged	Available
Form 1 Census Bureau Opt-In Affinity Panel Survey	Form and Instruction	Unchanged	Repair queued
Form 2 Focus group protocol	Form and Instruction	Modified	Available
Form 1 Interview Protocol	Form and Instruction	Modified	Available
Form 1 Qualitative Research on The Undercount of Young Children	Form and Instruction	Modified	Missing upstream
Non-substantive Change Request_Compliance with EO 14168.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-06-09	Available
Non-substantive Change Request_Compliance with EO 14168.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-06-09	Missing upstream
Supporting Statement Part B_120823_clean.docx	Supporting Statement B	Uploaded 2023-12-11	Available
Supporting Statement Part B_120823_clean.docx	Supporting Statement B	Uploaded 2023-12-11	Repair queued
Supporting Statement Part A_12202023_v2.docx	Supporting Statement A	Uploaded 2023-12-20	Repair queued
Supporting Statement Part A_12202023_v2.docx	Supporting Statement A	Uploaded 2023-12-20	Missing upstream
GenericClearanceforInternetPanelPretestingandQualitativeSurveyMethodsTesting_ApprovedPAStatement_12082023.docx	Supplementary Document	Uploaded 2023-12-11	Available
GenericClearanceforInternetPanelPretestingandQualitativeSurveyMethodsTesting_ApprovedPAStatement_12082023.docx	Supplementary Document	Uploaded 2023-12-11	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
280507	2026 Survey of Income and Program Participation (SIPP) Field Test	Form and Instruction	New	Field Test Instrument
279054	2026 National Health Interview Survey (NHIS) Field Test	Form and Instruction	New	Sample Child Questionnaire
279054	2026 National Health Interview Survey (NHIS) Field Test	Form and Instruction	New	Roster and Sample Adult - All Adult Questionnaire
279054	2026 National Health Interview Survey (NHIS) Field Test	Form and Instruction	New	Roster and Sample Adult - Single Adult Questionnaire
279054	2026 National Health Interview Survey (NHIS) Field Test	Form and Instruction	New	Sample Adult Questionnaire
279054	2026 National Health Interview Survey (NHIS) Field Test	Form and Instruction	New	Roster Questionnaire
279054	2026 National Health Interview Survey (NHIS) Field Test	Other-Communication Materials	New
274932	Census Bureau Opt-In Research Panel Survey	Form and Instruction	Unchanged	Questionnaire
274932	Census Bureau Opt-In Research Panel Survey	Form and Instruction	Unchanged
272457	Census Bureau Opt-In Affinity Panel Survey	Form and Instruction	Unchanged	Questionnaire
272457	Census Bureau Opt-In Affinity Panel Survey	Form and Instruction	Unchanged
267364	Qualitative Research on The Undercount of Young Children	Form and Instruction	Modified	Focus group protocol
267364	Qualitative Research on The Undercount of Young Children	Form and Instruction	Modified	Interview Protocol
267364	Qualitative Research on The Undercount of Young Children	Form and Instruction	Modified

ICR Details

OMB Control No: 0607-0978	ICR Reference No: 202506-0607-001
Status: Active	Previous ICR Reference No: 202312-0607-001
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Generic Clearance for Internet Panel Pretesting and Qualitative Survey Methods Testing
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 without change	Conclusion Date: 12/03/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/11/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2027	01/31/2027	01/31/2027
Responses	202,800	0	202,800
Time Burden (Hours)	50,700	0	50,700
Cost Burden (Dollars)	0	0	0

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Abstract: The information collected in this program of developing and testing questionnaires and advertising that will be used by the Census Bureau to evaluate and improve the quality of the data in the surveys and censuses that are ultimately conducted. Because the questionnaires being tested under this clearance are still in the process of development, the data that result from these collections are not considered official statistics of the Census Bureau or other Federal agencies. Data will be included in research reports prepared for sponsors inside and outside of the Census Bureau. The results may also be prepared for presentations related to survey methodology at professional meetings or publications in professional journals.

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Authorizing Statute(s): US Code: 13 USC 131,141,161,181,182,193,301
  

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:
	88 FR 71529	10/17/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 88048	12/20/2023
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
2026 Survey of Income and Program Participation (SIPP) Field Test	n/a	Field Test Instrument
2026 National Health Interview Survey (NHIS) Field Test	n/a, n/a, n/a, n/a, n/a	Roster Questionnaire ,   Sample Adult Questionnaire ,   Roster and Sample Adult - Single Adult Questionnaire ,   Roster and Sample Adult - All Adult Questionnaire ,   Sample Child Questionnaire
Census Bureau Opt-In Affinity Panel Survey	1	Questionnaire
Census Bureau Opt-In Research Panel Survey	n/a	Questionnaire
Qualitative Research on The Undercount of Young Children	1, 2	Interview Protocol ,   Focus group protocol

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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	202,800	202,800	0	0	0	0
Annual Time Burden (Hours)	50,700	50,700	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: $0

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: 06/11/2025

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