Generic Clearance for Questionnaire Pretesting Research

Forms and Documents

Document	Type	Status	Availability
ABS and BERD content	Form and Instruction	New	Repair queued
Instrument Screenshots	Form and Instruction	New	Repair queued
Final Email	Form and Instruction	Unchanged	Available
Nudge Email	Form and Instruction	Unchanged	Repair queued
Reminder Email	Form and Instruction	Unchanged	Repair queued
Initial Email	Form and Instruction	Unchanged	Available
Data Visualizations	Form and Instruction	Unchanged	Available
ECON - Communications Research for Annual Integrated Economic Survey	Form and Instruction	Unchanged	Repair queued
Questionnaire	Form and Instruction	Unchanged	Available
National Health Interview Survey (NHIS) cognitive testing	Form and Instruction	Unchanged	Repair queued
Debriefing Screenshots	Form and Instruction	Unchanged	Available
ECON - Respondent Debriefing Interviewing for the Annual Integrated Economic Survey (AIES)	Form and Instruction	Unchanged	Repair queued
Various Communication Materials	Form and Instruction	Unchanged	Repair queued
NTIA Questionnaire	Form and Instruction	Unchanged	Repair queued
Roster Questionnaire	Form and Instruction	Unchanged	Available
National Telecommunications and Information Administration (NTIA) Internet Use Survey Cognitive Interviews	Form and Instruction	Unchanged	Repair queued
CFS Retail Shipping Survey	Form and Instruction	Unchanged	Available
Recruitment email	Form and Instruction	Unchanged	Repair queued
CFS Survey	Form and Instruction	Unchanged	Available
Consent Form	Form and Instruction	Unchanged	Available
ECON - Exploratory Research for the Commodity Flow Survey	Form and Instruction	Unchanged	Repair queued
Form 1 AI Supplement	Form and Instruction	Unchanged	Available
Form 1 ECON - Cognitive Interviewing for the Business Trends and Outlook Survey (BTOS)	Form and Instruction	Unchanged	Repair queued
Form 10 Knowledge Check	Form and Instruction	Unchanged	Available
Form 9 satisfaction questions	Form and Instruction	Unchanged	Repair queued
Form 8 2025 Census Survey Online Questionnaire Specification	Form and Instruction	Unchanged	Repair queued
Form 7 Questionnaire Cognitive Testing	Form and Instruction	Unchanged	Repair queued
Form 6 FAQs Mailing 4	Form and Instruction	Unchanged	Available
Form 5 FAQs Mailing 1	Form and Instruction	Unchanged	Repair queued
Form 4 Mailing 4 Final Letter	Form and Instruction	Unchanged	Repair queued
Form 3 Mailing 3 Reminder Letter	Form and Instruction	Unchanged	Repair queued
Form 2 Mailing 2 EDDM	Form and Instruction	Unchanged	Available
Form 1 Mailing Invitation 1	Form and Instruction	Unchanged	Available
Form 1 Small-Scale Response Testing (SmaRT) Program Testing	Form and Instruction	Unchanged	Repair queued
Form 2 Protocol	Form and Instruction	Unchanged	Repair queued
Form 1 WFH Supplement	Form and Instruction	Unchanged	Repair queued
Form 1 ECON - Respondent Debriefing Interviewing for the Business Trends and Outlook Survey (BTOS)	Form and Instruction	Unchanged	Repair queued
Form 1 Emails for testing	Form and Instruction	Unchanged	Repair queued
Form 1 Cognitive testing of the 2026 Census Test emails with Group Quarters Administrators	Form and Instruction	Unchanged	Repair queued
Form 1 Questionnaire and Protocol	Form and Instruction	Unchanged	Repair queued
Form 1 Cognitive Testing of National Sample Survey of Registered Nurses (NSSRN)	Form and Instruction	Unchanged	Repair queued
Form 9 Scripts of Video Training	Form and Instruction	Unchanged	Repair queued
Form 8 Debriefing Interview Questionnaire	Form and Instruction	Unchanged	Repair queued
Form 7 Quiz for Training Assessment for R3	Form and Instruction	Unchanged	Repair queued
Form 6 Quiz for Training Assessment for R2	Form and Instruction	Unchanged	Repair queued
Form 5 Food-away-from-Home (FAFH) Use Case	Form and Instruction	Unchanged	Repair queued
Form 4 Food-at-Home (FAH) Use Case for R3b	Form and Instruction	Unchanged	Available
Form 3 Food-at-Home (FAH) Use Case for R3a	Form and Instruction	Unchanged	Repair queued
Form 2 Food-at-Home (FAH) Use Case for R2	Form and Instruction	Unchanged	Repair queued
Form 1 Demographic Questionnaire	Form and Instruction	Unchanged	Available
Form 1 Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Repair queued
Form 2 Income Instrument	Form and Instruction	Unchanged	Repair queued
Form 1 HI Instrument	Form and Instruction	Unchanged	Repair queued
Form 1 Cognitive Interviewing of the Annual Social and Economic Supplement (ASEC) of the Current Population Survey	Form and Instruction	Unchanged	Repair queued
Form 2 Questionnaire	Form and Instruction	Unchanged	Repair queued
Form 1 User Tasks	Form and Instruction	Unchanged	Repair queued
Form 1 Annual Integrated Economic Survey (AIES) Usability Evaluation Addendum	Form and Instruction	Unchanged	Repair queued
Form 1 Protocol	Form and Instruction	Unchanged	Available
Form 1 Cognitive Testing of National Survey of Children's Health Questionnaire	Form and Instruction	Unchanged	Repair queued
Form 1 Questions and Protocol	Form and Instruction	Unchanged	Repair queued
Form 1 American Housing Survey Cognitive Interviews	Form and Instruction	Unchanged	Repair queued
Form 1 Instrument	Form and Instruction	Unchanged	Repair queued
Form 1 Addendum for Usability Testing of a Self-Administered Current Population Survey	Form and Instruction	Unchanged	Repair queued
Form 10 Combined race on a paper questionnaire	Form and Instruction	Unchanged	Available
Form 9 Back of Envelope Version 2	Form and Instruction	Unchanged	Available
Form 8 Back of Envelope Version 1	Form and Instruction	Unchanged	Available
Form 7 Questionnaire ID2	Form and Instruction	Unchanged	Available
Form 6 Questionnaire ID1	Form and Instruction	Unchanged	Available
Form 5 Final Letter	Form and Instruction	Unchanged	Available
Form 4 Reminder Postcard	Form and Instruction	Unchanged	Repair queued
Form 3 Reminder Letter	Form and Instruction	Unchanged	Available
Form 2 Invitation Letter	Form and Instruction	Unchanged	Repair queued
Form 1 Internet Instrument	Form and Instruction	Unchanged	Available
Form 1 SmaRT Fall 2024 Cognitive Testing	Form and Instruction	Unchanged	Missing upstream
Form 1 Draft Questionnaire	Form and Instruction	Unchanged	Available
Form 1 ECON - Cognitive Interviewing for the Business Trends and Outlook Survey	Form and Instruction	Unchanged	Repair queued
Form 2 NPRA FY 2024 draft questionnaire for cog intereviews	Form and Instruction	Unchanged	Available
Form 1 2025 ABS Cybersecurity Innovation and Technology Module Advance questions	Form and Instruction	Unchanged	Available
Form 1 ECON - Cognitive Testing for the 2025 Annual Business Survey	Form and Instruction	Unchanged	Missing upstream
Form 2 2023 AIES Harmonized ECommerce Question	Form and Instruction	Unchanged	Repair queued
Form 1 Harmonized and legacy e-commerce questions	Form and Instruction	Unchanged	Repair queued
Form 1 ECON - Exploratory Research for the 2023 Annual Integrated Economic Survey	Form and Instruction	Unchanged	Available
Form 2 2022 ABS Survey	Form and Instruction	Unchanged	Repair queued
Form 1 Instrument Screenshots	Form and Instruction	Unchanged	Repair queued
Form 1 ECON - Usability Evaluation for the 2024 Annual Business Survey	Form and Instruction	Unchanged	Repair queued
Form 1 AIES Screenshots	Form and Instruction	Unchanged	Repair queued
Form 1 ECON - Usability Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Repair queued
Form 4 Screenshots for Testing	Form and Instruction	Unchanged	Repair queued
Form 3 Websites for testing	Form and Instruction	Unchanged	Available
Form 2 Emails for testing	Form and Instruction	Unchanged	Repair queued
Form 1 Letters for testing	Form and Instruction	Unchanged	Repair queued
Form 1 ECON - Participant Debriefing Research for the 2023 Annual Integrated Economic Survey	Form and Instruction	Unchanged	Repair queued
Form 1 Interview Protocol	Form	Unchanged	Repair queued
Form 1 2030 Decennial Admin Data Research Cognitive Interviews	Form	Unchanged	Repair queued
Form 1 2022 CFS Survey Screenshots	Form and Instruction	Unchanged	Available
Form 1 ECON - Exploratory Research for the Commodity Flow Survey	Form and Instruction	Unchanged	Repair queued
Form 1 Updated Screener	Form and Instruction	Unchanged	Available
Form 1 Addendum to FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Repair queued
Form 2 Disability Protocol	Form and Instruction	Unchanged	Repair queued
Form 1 SOGI Protocol	Form and Instruction	Unchanged	Repair queued
Form 1 ECON - Community Based Interview Study for the Annual Business Study 2025	Form and Instruction	Unchanged	Repair queued
Form 1 Screener	Form and Instruction	Unchanged	Repair queued
Form 1 Cognitive Testing of Select Items from the SIPP Redesign Questionnaire	Form and Instruction	Unchanged	Available
Form 4 Debriefing Interview	Form and Instruction	Unchanged	Available
Form 3 Food Log Questionnaire	Form and Instruction	Unchanged	Available
Form 2 Initial Interview	Form and Instruction	Unchanged	Repair queued
Form 1 Income and Profile Questionnaire	Form and Instruction	Unchanged	Available
Form 1 Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Repair queued
Form 1 Questionnaire	Form and Instruction	Unchanged	Repair queued
Form 1 NHIS Teen Cognitive Testing	Form and Instruction	Unchanged	Repair queued
Form 1 Flashcards	Form and Instruction	Unchanged	Repair queued
Form 1 Pretesting Questionnaires and Definitions Used to Classify Lodging Facility and Transitional Shelter Group Quarters	Form and Instruction	Unchanged	Missing upstream
Form 2 Questionnaire	Form and Instruction	Unchanged	Available
Form 1 Question wording by treatment	Form and Instruction	Unchanged	Available
Form 1 Cognitive Testing of Sexual Orientation and Gender Identity (SOGI) Questions on the American Community Survey (ACS)	Form and Instruction	Unchanged	Repair queued
Form 2 Display of Definitions	Form and Instruction	Unchanged	Repair queued
Form 1 Moderator Guide	Form and Instruction	Unchanged	Available
Form 1 Focus groups with Soup Kitchen Administrators to Inform 2030 Decennial Data Collection	Form and Instruction	Unchanged	Repair queued
Form 1 GQAC and ISR Dashboard Wireframes	Form and Instruction	Unchanged	Available
Form 1 Wireframe Usability Testing of GQ Electronic Instruments	Form and Instruction	Unchanged	Repair queued
Form 1 AIES Interactive Question Preview Tool Screenshots	Form and Instruction	Unchanged	Available
Form 1 Usability Testing for the Interactive Question Preview Tool for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Repair queued
Form 1 Protocol	Form and Instruction	Unchanged	Available
Form 1 Cognitive Testing of 2025 NSCH Questionnaire – EPA Items addendum	Form and Instruction	Unchanged	Repair queued
Form 2 UX Satisfaction	Form and Instruction	Unchanged	Available
Form 1 Questionnaire	Form and Instruction	Unchanged	Available
Form 1 Cognitive and Usability Testing of a Self-Administered Current Population Survey (CPS)	Form and Instruction	Unchanged	Repair queued
Form 2 Recruitment Screener	Form and Instruction	Unchanged	Repair queued
Form 1 Moderator Guide	Form and Instruction	Unchanged	Repair queued
Form 1 2030 Decennial Uses of Administrative Data	Form and Instruction	Unchanged	Repair queued
Form 2 Income Exploratory Interviews Protocol	Form and Instruction	Unchanged	Repair queued
Form 1 HI Exploratory Interviews Protocol	Form and Instruction	Unchanged	Repair queued
Form 1 CPS Annual Social and Economic Supplement (ASEC) Exploratory Interviews	Form and Instruction	Unchanged	Repair queued
Form 1 Protocol	Form and Instruction	Unchanged	Available
Form 1 Cognitive Testing of 2025 NSCH Questionnaire – EPA Items	Form and Instruction	Unchanged	Repair queued
Form 14 Enclosure 7n	Form and Instruction	Unchanged	Available
Form 13 Enclosure 7m	Form and Instruction	Unchanged	Available
Form 12 Enclosure 7l	Form and Instruction	Unchanged	Available
Form 11 Enclosure 7k	Form and Instruction	Unchanged	Available
Form 10 Enclosure 7j	Form and Instruction	Unchanged	Available
Form 9 Enclosure 7i	Form and Instruction	Unchanged	Available
Form 8 Enclosure 7h	Form and Instruction	Unchanged	Repair queued
Form 7 Enclosure 7g	Form and Instruction	Unchanged	Available
Form 6 Enclosure 7f	Form and Instruction	Unchanged	Available
Form 5 Enclosure 7e	Form and Instruction	Unchanged	Available
Form 4 Enclosure 7d	Form and Instruction	Unchanged	Repair queued
Form 3 Enclosure 7c	Form and Instruction	Unchanged	Available
Form 2 Enclosure 7b	Form and Instruction	Unchanged	Available
Form 1 Enclosure 7a	Form and Instruction	Unchanged	Available
Form 1 2024 Census Survey Pretest	Form and Instruction	Unchanged	Repair queued
Form 1 Recruitment emails	Form and Instruction	Unchanged	Repair queued
Form 1 Health Care Group Quarters Addendum	Form and Instruction	Unchanged	Repair queued
Form 3 Knowledge check	Form and Instruction	Unchanged	Repair queued
Form 2 ICQ questions	Form and Instruction	Unchanged	Available
Form 1 Protocol	Form and Instruction	Unchanged	Available
Form 1 GQ ISR pretesting	Form and Instruction	Unchanged	Repair queued
Form 2 focus group screens	Form and Instruction	Unchanged	Repair queued
Form 1 moderator's guide	Form and Instruction	Unchanged	Repair queued
Form 1 Group Quarters Focus groups Addendum	Form and Instruction	Unchanged	Repair queued
Form 1 Questionnaire	Form and Instruction	Unchanged	Available
Form 1 Web Survey Design Standards Eye Tracking Research	Form and Instruction	Unchanged	Repair queued
Form 7 Sexual Orientation and Gender Identity Questions	Form and Instruction	Unchanged	Available
Form 6 Entrepreneurship Questions	Form and Instruction	Unchanged	Available
Form 5 Research and Development Questions	Form and Instruction	Unchanged	Repair queued
Form 4 Reshoring Questions	Form and Instruction	Unchanged	Available
Form 3 Labor Related Questions	Form and Instruction	Unchanged	Repair queued
Form 2 Technology Transfer Module	Form and Instruction	Unchanged	Available
Form 1 Sustainability Management Module	Form and Instruction	Unchanged	Repair queued
Form 1 ECON - Cognitive testing for the 2024 Annual Business Survey	Form and Instruction	Unchanged	Repair queued
Form 1 Questionnaire	Form and Instruction	Unchanged	Repair queued
Form 1 Cognitive Testing of 2024 National Survey of Children's Health Questionnaire	Form and Instruction	Unchanged	Repair queued
Form 1 Screens	Form and Instruction	Unchanged	Available
Form 1 Focus groups for an Internet Self-Response Instrument for Group Quarters	Form and Instruction	Unchanged	Repair queued
Form 2 Item Booklet	Form and Instruction	Unchanged	Available
Form 1 Content	Form and Instruction	Unchanged	Repair queued
Form 1 ECON - Cognitive testing for the 2024 Rental Housing Finance Survey	Form and Instruction	Unchanged	Repair queued
Form 2 ABS Worksheet	Form and Instruction	Unchanged	Repair queued
Form 1 Instrument Screens	Form and Instruction	Unchanged	Repair queued
Form 1 ECON - Usability evaluation for the 2022 Annual Business Survey (0607-0725)	Form and Instruction	Unchanged	Repair queued
Form 10 Notional Draft Questionnaire	Form and Instruction	Unchanged	Available
Form 9 Outgoing Package Envelope	Form and Instruction	Unchanged	Repair queued
Form 8 Fall 2023 SMS Text Options	Form and Instruction	Unchanged	Repair queued
Form 7 FAQ Insert 2	Form and Instruction	Unchanged	Available
Form 6 FAQ Insert 1	Form and Instruction	Unchanged	Available
Form 5 Final Letter	Form and Instruction	Unchanged	Repair queued
Form 4 Reminder Postcard	Form and Instruction	Unchanged	Repair queued
Form 3 Reminder Letter	Form and Instruction	Unchanged	Available
Form 2 Invitation Letter	Form and Instruction	Unchanged	Available
Form 1 2023 ISR Specification	Form and Instruction	Unchanged	Available
Form 1 SmaRT Program Testing Round 2	Form and Instruction	Unchanged	Repair queued
Form 1 Instrument	Form and Instruction	Unchanged	Available
Form 1 Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household - Addendum	Form and Instruction	Unchanged	Repair queued
Form 1 Questionnaire	Form and Instruction	Unchanged	Available
Form 1 2023 CBAMS Testing	Form and Instruction	Unchanged	Repair queued
Form 1 Protocol	Form and Instruction	Unchanged	Available
Form 1 Pretesting Questionnaires and Definitions Used to Classify Health Care Group Quarters	Form and Instruction	Unchanged	Missing upstream
Form 1 Recruitment Email Text	Form and Instruction	Unchanged	Repair queued
Form 1 Cognitive Interviewing for Race and Ethnicity Interagency Technical Working Group (R/E ITWG): SAMHSA Study	Form and Instruction	Unchanged	Repair queued
Form 10 AIES Website	Form and Instruction	Unchanged	Available
Form 9 Content Canister	Form and Instruction	Unchanged	Repair queued
Form 8 Welcome and Thank you Emails	Form and Instruction	Unchanged	Available
Form 7 Email - Past Due	Form and Instruction	Unchanged	Available
Form 6 Email - Initial Request	Form and Instruction	Unchanged	Repair queued
Form 5 Email - DDR	Form and Instruction	Unchanged	Available
Form 4 Email - Advanced	Form and Instruction	Unchanged	Available
Form 3 Letter - Past Due	Form and Instruction	Unchanged	Repair queued
Form 2 Letter - Initial Request	Form and Instruction	Unchanged	Repair queued
Form 1 Letter - Advanced	Form and Instruction	Unchanged	Repair queued
Form 1 ECON - Cognitive Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Repair queued
Form Consent Consent	Form and Instruction	Unchanged	Available
Form Screener Screener	Form	Unchanged	Available
Form Version B Version B	Form	Unchanged	Available
Form Version A Version A	Form	Unchanged	Available
Form Protocol Protocol	Form	Unchanged	Repair queued
Form Protocol Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household	Form	Unchanged	Repair queued
Form 4 Attachment C ppt	Form and Instruction	Unchanged	Available
Form 3 Attachment C pdf	Form and Instruction	Unchanged	Available
Form 2 Attachment B ppt	Form and Instruction	Unchanged	Repair queued
Form 1 Attachment B pdf	Form and Instruction	Unchanged	Available
Form 1 ECON - Usability Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Repair queued
Form 2 Attachment D_2022 ABS worksheet	Form and Instruction	Unchanged	Repair queued
Form 1 Attachment C_Questions for Testing for 2023 Race and Ethnicity on ABS	Form and Instruction	Unchanged	Available
Form 1 ECON - Cognitive testing for the 2023 Race and Ethnicity Questions on the Annual Business Survey	Form and Instruction	Unchanged	Available
Form 6 fraud flyer	Form and Instruction	Unchanged	Available
Form 5 fraud website	Form and Instruction	Unchanged	Available
Form 4 food assistance info	Form and Instruction	Unchanged	Available
Form 3 dss info	Form and Instruction	Unchanged	Repair queued
Form 2 ebt info	Form and Instruction	Unchanged	Available
Form 1 Program info	Form and Instruction	Unchanged	Available
Form 1 Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction	Unchanged	Repair queued
Form 2 Wisconsin Protocol and Materials	Form and Instruction	Unchanged	Available
Form 1 Minnesota Protocol and Materials	Form and Instruction	Unchanged	Available
Form 1 Cognitive Testing of Supplemental Nutrition Assistance Program Messaging for Able-Bodied Adults without Dependents	Form and Instruction	Unchanged	Repair queued
Form 2 Survey	Form and Instruction	Unchanged	Available
Form 1 Roster	Form and Instruction	Unchanged	Available
Form 1 National Telecommunications and Information Administration (NTIA) Internet Use Survey Cognitive Interviews	Form and Instruction	Unchanged	Repair queued
Form 2 EC22 Content Respondent Debriefing Sample Economic Census Instrument for New Agriculture Industry Groups	Form and Instruction	Unchanged	Available
Form 1 EC22 Content Respondent Debriefing Sample Economic Census Instrument for Non-Agriculture Industry Groups	Form and Instruction	Unchanged	Available
Form 1 ECON - EC22 Content Respondent Debriefing Research	Form and Instruction	Unchanged	Repair queued
Form 1 Letters	Form and Instruction	Unchanged	Repair queued
Form 1 Cognitive Testing of the 2023 NSCH Longitudinal Cohort Mail Materials	Form and Instruction	Unchanged	Repair queued
Form 15 DC Exhibit 6. Multiple Card Replacement Letter	Form and Instruction	Unchanged	Available
Form 14 DC Exhibit 5. SNAP Integrated Application	Form and Instruction	Unchanged	Available
Form 13 DC Exhibit 4. DC SNAP Website	Form and Instruction	Unchanged	Available
Form 12 DC Exhibit 3. Out of State Travel Flyer	Form and Instruction	Unchanged	Available
Form 11 DC Exhibit 2. SNAP Approval Notice	Form and Instruction	Unchanged	Available
Form 10 DC Exhibit 1. Protecting Benefits Guide	Form and Instruction	Unchanged	Repair queued
Form 9 AL Exhibit 2. AL Application	Form and Instruction	Unchanged	Repair queued
Form 8 AL Exhibit 1. AL SNAP Integrity flyer	Form and Instruction	Unchanged	Available
Form 7 PA Exhibit 7. Fraud FAQs	Form and Instruction	Unchanged	Available
Form 6 PA Exhibit 6. Excessive Card Letter	Form and Instruction	Unchanged	Repair queued
Form 5 PA Exhibit 5. SNAP Application	Form and Instruction	Unchanged	Repair queued
Form 4 PA Exhibit 4. SNAP FAQ	Form and Instruction	Unchanged	Available
Form 3 PA Exhibit 3. Social Media Posting on Scams	Form and Instruction	Unchanged	Available
Form 2 PA Exhibit 2. EBT Brochure	Form and Instruction	Unchanged	Repair queued
Form 1 PA Exhibit 1. Informational Flyer	Form and Instruction	Unchanged	Repair queued
Form 1 Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	Repair queued
2022 Spanish Universal Screener_updated_080725.docx	Supplementary Document	Uploaded 2025-08-11	Repair queued
2022 Spanish Universal Screener_updated_080725.docx	Supplementary Document	Uploaded 2025-08-11	Repair queued
2022 English Universal Screener_updated_080725.docx	Supplementary Document	Uploaded 2025-08-11	Repair queued
2022 English Universal Screener_updated_080725.docx	Supplementary Document	Uploaded 2025-08-11	Repair queued
NSC Pretesting Generic Clearance 030325_080725.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-08-11	Repair queued
NSC Pretesting Generic Clearance 030325_080725.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-08-11	Repair queued
2022 Consent Form_071122.docx	Supplementary Document	Uploaded 2022-09-22	Repair queued
2022 Consent Form_071122.docx	Supplementary Document	Uploaded 2022-09-22	Repair queued
2022 Spanish Universal Screener_220922_for OMB.docx	Supplementary Document	Uploaded 2022-09-22	Repair queued
2022 Spanish Universal Screener_220922_for OMB.docx	Supplementary Document	Uploaded 2022-09-22	Repair queued
2022 Universal Screener_220915_for OMB_mc_clean.docx	Supplementary Document	Uploaded 2022-09-22	Repair queued
2022 Universal Screener_220915_for OMB_mc_clean.docx	Supplementary Document	Uploaded 2022-09-22	Repair queued
KeyElements072015.docx	Supplementary Document	Uploaded 2016-06-07	Repair queued
KeyElements072015.docx	Supplementary Document	Uploaded 2016-06-07	Repair queued
Supporting Statement Part B_082922.docx	Supporting Statement B	Uploaded 2022-09-22	Repair queued
Supporting Statement Part B_082922.docx	Supporting Statement B	Uploaded 2022-09-22	Repair queued
Supporting Statement Part A_220915_mc_clean.docx	Supporting Statement A	Uploaded 2022-09-22	Repair queued
Supporting Statement Part A_220915_mc_clean.docx	Supporting Statement A	Uploaded 2022-09-22	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
278299	ECON - Cognitive testing for the ABS (Reference Year 2025): ABS BERD consolidated survey evaluation	Form and Instruction	New	ABS and BERD content
278299	ECON - Cognitive testing for the ABS (Reference Year 2025): ABS BERD consolidated survey evaluation	Form and Instruction	New	Instrument Screenshots
275589	ECON - Communications Research for Annual Integrated Economic Survey	Form and Instruction	Unchanged	Final Email
275589	ECON - Communications Research for Annual Integrated Economic Survey	Form and Instruction	Unchanged	Nudge Email
275589	ECON - Communications Research for Annual Integrated Economic Survey	Form and Instruction	Unchanged	Reminder Email
275589	ECON - Communications Research for Annual Integrated Economic Survey	Form and Instruction	Unchanged	Initial Email
275589	ECON - Communications Research for Annual Integrated Economic Survey	Form and Instruction	Unchanged	Data Visualizations
275589	ECON - Communications Research for Annual Integrated Economic Survey	Form and Instruction	Unchanged
275336	National Health Interview Survey (NHIS) cognitive testing	Form and Instruction	Unchanged	Questionnaire
275336	National Health Interview Survey (NHIS) cognitive testing	Form and Instruction	Unchanged
275154	ECON - Respondent Debriefing Interviewing for the Annual Integrated Economic Survey (AIES)	Form and Instruction	Unchanged	Debriefing Screenshots
275154	ECON - Respondent Debriefing Interviewing for the Annual Integrated Economic Survey (AIES)	Form and Instruction	Unchanged
275152	National Telecommunications and Information Administration (NTIA) Internet Use Survey Cognitive Interviews	Form and Instruction	Unchanged	Various Communication Materials
275152	National Telecommunications and Information Administration (NTIA) Internet Use Survey Cognitive Interviews	Form and Instruction	Unchanged	NTIA Questionnaire
275152	National Telecommunications and Information Administration (NTIA) Internet Use Survey Cognitive Interviews	Form and Instruction	Unchanged	Roster Questionnaire
275152	National Telecommunications and Information Administration (NTIA) Internet Use Survey Cognitive Interviews	Form and Instruction	Unchanged
274732	ECON - Exploratory Research for the Commodity Flow Survey	Form and Instruction	Unchanged	CFS Retail Shipping Survey
274732	ECON - Exploratory Research for the Commodity Flow Survey	Form and Instruction	Unchanged	Recruitment email
274732	ECON - Exploratory Research for the Commodity Flow Survey	Form and Instruction	Unchanged	CFS Survey
274732	ECON - Exploratory Research for the Commodity Flow Survey	Form and Instruction	Unchanged	Consent Form
274732	ECON - Exploratory Research for the Commodity Flow Survey	Form and Instruction	Unchanged
273808	ECON - Cognitive Interviewing for the Business Trends and Outlook Survey (BTOS)	Form and Instruction	Unchanged	AI Supplement
273808	ECON - Cognitive Interviewing for the Business Trends and Outlook Survey (BTOS)	Form and Instruction	Unchanged
273474	Small-Scale Response Testing (SmaRT) Program Testing	Form and Instruction	Unchanged	Knowledge Check
273474	Small-Scale Response Testing (SmaRT) Program Testing	Form and Instruction	Unchanged	satisfaction questions
273474	Small-Scale Response Testing (SmaRT) Program Testing	Form and Instruction	Unchanged	2025 Census Survey Online Questionnaire Specification
273474	Small-Scale Response Testing (SmaRT) Program Testing	Form and Instruction	Unchanged	Questionnaire Cognitive Testing
273474	Small-Scale Response Testing (SmaRT) Program Testing	Form and Instruction	Unchanged	FAQs Mailing 4
273474	Small-Scale Response Testing (SmaRT) Program Testing	Form and Instruction	Unchanged	FAQs Mailing 1
273474	Small-Scale Response Testing (SmaRT) Program Testing	Form and Instruction	Unchanged	Mailing 4 Final Letter
273474	Small-Scale Response Testing (SmaRT) Program Testing	Form and Instruction	Unchanged	Mailing 3 Reminder Letter
273474	Small-Scale Response Testing (SmaRT) Program Testing	Form and Instruction	Unchanged	Mailing 2 EDDM
273474	Small-Scale Response Testing (SmaRT) Program Testing	Form and Instruction	Unchanged	Mailing Invitation 1
273474	Small-Scale Response Testing (SmaRT) Program Testing	Form and Instruction	Unchanged
273061	ECON - Respondent Debriefing Interviewing for the Business Trends and Outlook Survey (BTOS)	Form and Instruction	Unchanged	Protocol
273061	ECON - Respondent Debriefing Interviewing for the Business Trends and Outlook Survey (BTOS)	Form and Instruction	Unchanged	WFH Supplement
273061	ECON - Respondent Debriefing Interviewing for the Business Trends and Outlook Survey (BTOS)	Form and Instruction	Unchanged
272018	Cognitive testing of the 2026 Census Test emails with Group Quarters Administrators	Form and Instruction	Unchanged	Emails for testing
272018	Cognitive testing of the 2026 Census Test emails with Group Quarters Administrators	Form and Instruction	Unchanged
271779	Cognitive Testing of National Sample Survey of Registered Nurses (NSSRN)	Form and Instruction	Unchanged	Questionnaire and Protocol
271779	Cognitive Testing of National Sample Survey of Registered Nurses (NSSRN)	Form and Instruction	Unchanged
270182	Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Scripts of Video Training
270182	Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Debriefing Interview Questionnaire
270182	Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Quiz for Training Assessment for R3
270182	Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Quiz for Training Assessment for R2
270182	Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Food-away-from-Home (FAFH) Use Case
270182	Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Food-at-Home (FAH) Use Case for R3b
270182	Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Food-at-Home (FAH) Use Case for R3a
270182	Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Food-at-Home (FAH) Use Case for R2
270182	Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Demographic Questionnaire
270182	Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged
270117	Cognitive Interviewing of the Annual Social and Economic Supplement (ASEC) of the Current Population Survey	Form and Instruction	Unchanged	Income Instrument
270117	Cognitive Interviewing of the Annual Social and Economic Supplement (ASEC) of the Current Population Survey	Form and Instruction	Unchanged	HI Instrument
270117	Cognitive Interviewing of the Annual Social and Economic Supplement (ASEC) of the Current Population Survey	Form and Instruction	Unchanged
269877	Annual Integrated Economic Survey (AIES) Usability Evaluation Addendum	Form and Instruction	Unchanged	Questionnaire
269877	Annual Integrated Economic Survey (AIES) Usability Evaluation Addendum	Form and Instruction	Unchanged	User Tasks
269877	Annual Integrated Economic Survey (AIES) Usability Evaluation Addendum	Form and Instruction	Unchanged
269125	Cognitive Testing of National Survey of Children's Health Questionnaire	Form and Instruction	Unchanged	Protocol
269125	Cognitive Testing of National Survey of Children's Health Questionnaire	Form and Instruction	Unchanged
267942	American Housing Survey Cognitive Interviews	Form and Instruction	Unchanged	Questions and Protocol
267942	American Housing Survey Cognitive Interviews	Form and Instruction	Unchanged
267827	Addendum for Usability Testing of a Self-Administered Current Population Survey	Form and Instruction	Unchanged	Instrument
267827	Addendum for Usability Testing of a Self-Administered Current Population Survey	Form and Instruction	Unchanged
267728	SmaRT Fall 2024 Cognitive Testing	Form and Instruction	Unchanged	Combined race on a paper questionnaire
267728	SmaRT Fall 2024 Cognitive Testing	Form and Instruction	Unchanged	Back of Envelope Version 2
267728	SmaRT Fall 2024 Cognitive Testing	Form and Instruction	Unchanged	Back of Envelope Version 1
267728	SmaRT Fall 2024 Cognitive Testing	Form and Instruction	Unchanged	Questionnaire ID2
267728	SmaRT Fall 2024 Cognitive Testing	Form and Instruction	Unchanged	Questionnaire ID1
267728	SmaRT Fall 2024 Cognitive Testing	Form and Instruction	Unchanged	Final Letter
267728	SmaRT Fall 2024 Cognitive Testing	Form and Instruction	Unchanged	Reminder Postcard
267728	SmaRT Fall 2024 Cognitive Testing	Form and Instruction	Unchanged	Reminder Letter
267728	SmaRT Fall 2024 Cognitive Testing	Form and Instruction	Unchanged	Invitation Letter
267728	SmaRT Fall 2024 Cognitive Testing	Form and Instruction	Unchanged	Internet Instrument
267728	SmaRT Fall 2024 Cognitive Testing	Form and Instruction	Unchanged
267700	ECON - Cognitive Interviewing for the Business Trends and Outlook Survey	Form and Instruction	Unchanged	Draft Questionnaire
267700	ECON - Cognitive Interviewing for the Business Trends and Outlook Survey	Form and Instruction	Unchanged
267476	ECON - Cognitive Testing for the 2025 Annual Business Survey	Form and Instruction	Unchanged	NPRA FY 2024 draft questionnaire for cog intereviews
267476	ECON - Cognitive Testing for the 2025 Annual Business Survey	Form and Instruction	Unchanged	2025 ABS Cybersecurity Innovation and Technology Module Advance questions
267476	ECON - Cognitive Testing for the 2025 Annual Business Survey	Form and Instruction	Unchanged
267303	ECON - Exploratory Research for the 2023 Annual Integrated Economic Survey	Form and Instruction	Unchanged	2023 AIES Harmonized ECommerce Question
267303	ECON - Exploratory Research for the 2023 Annual Integrated Economic Survey	Form and Instruction	Unchanged	Harmonized and legacy e-commerce questions
267303	ECON - Exploratory Research for the 2023 Annual Integrated Economic Survey	Form and Instruction	Unchanged
267023	ECON - Usability Evaluation for the 2024 Annual Business Survey	Form and Instruction	Unchanged	2022 ABS Survey
267023	ECON - Usability Evaluation for the 2024 Annual Business Survey	Form and Instruction	Unchanged	Instrument Screenshots
267023	ECON - Usability Evaluation for the 2024 Annual Business Survey	Form and Instruction	Unchanged
266458	ECON - Usability Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	AIES Screenshots
266458	ECON - Usability Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged
265835	ECON - Participant Debriefing Research for the 2023 Annual Integrated Economic Survey	Form and Instruction	Unchanged	Screenshots for Testing
265835	ECON - Participant Debriefing Research for the 2023 Annual Integrated Economic Survey	Form and Instruction	Unchanged	Websites for testing
265835	ECON - Participant Debriefing Research for the 2023 Annual Integrated Economic Survey	Form and Instruction	Unchanged	Emails for testing
265835	ECON - Participant Debriefing Research for the 2023 Annual Integrated Economic Survey	Form and Instruction	Unchanged	Letters for testing
265835	ECON - Participant Debriefing Research for the 2023 Annual Integrated Economic Survey	Form and Instruction	Unchanged
265698	2030 Decennial Admin Data Research Cognitive Interviews	Form	Unchanged	Interview Protocol
265698	2030 Decennial Admin Data Research Cognitive Interviews	Form	Unchanged
265682	ECON - Exploratory Research for the Commodity Flow Survey	Form and Instruction	Unchanged	2022 CFS Survey Screenshots
265682	ECON - Exploratory Research for the Commodity Flow Survey	Form and Instruction	Unchanged
265623	Addendum to FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Updated Screener
265623	Addendum to FoodAPS-2 Pilot Study	Form and Instruction	Unchanged
265622	ECON - Community Based Interview Study for the Annual Business Study 2025	Form and Instruction	Unchanged	Disability Protocol
265622	ECON - Community Based Interview Study for the Annual Business Study 2025	Form and Instruction	Unchanged	SOGI Protocol
265622	ECON - Community Based Interview Study for the Annual Business Study 2025	Form and Instruction	Unchanged
264666	Cognitive Testing of Select Items from the SIPP Redesign Questionnaire	Form and Instruction	Unchanged	Screener
264666	Cognitive Testing of Select Items from the SIPP Redesign Questionnaire	Form and Instruction	Unchanged
264443	Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Debriefing Interview
264443	Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Food Log Questionnaire
264443	Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Initial Interview
264443	Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged	Income and Profile Questionnaire
264443	Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	Form and Instruction	Unchanged
263925	NHIS Teen Cognitive Testing	Form and Instruction	Unchanged	Questionnaire
263925	NHIS Teen Cognitive Testing	Form and Instruction	Unchanged
263916	Pretesting Questionnaires and Definitions Used to Classify Lodging Facility and Transitional Shelter Group Quarters	Form and Instruction	Unchanged	Flashcards
263916	Pretesting Questionnaires and Definitions Used to Classify Lodging Facility and Transitional Shelter Group Quarters	Form and Instruction	Unchanged
263899	Cognitive Testing of Sexual Orientation and Gender Identity (SOGI) Questions on the American Community Survey (ACS)	Form and Instruction	Unchanged	Questionnaire
263899	Cognitive Testing of Sexual Orientation and Gender Identity (SOGI) Questions on the American Community Survey (ACS)	Form and Instruction	Unchanged	Question wording by treatment
263899	Cognitive Testing of Sexual Orientation and Gender Identity (SOGI) Questions on the American Community Survey (ACS)	Form and Instruction	Unchanged
263834	Focus groups with Soup Kitchen Administrators to Inform 2030 Decennial Data Collection	Form and Instruction	Unchanged	Display of Definitions
263834	Focus groups with Soup Kitchen Administrators to Inform 2030 Decennial Data Collection	Form and Instruction	Unchanged	Moderator Guide
263834	Focus groups with Soup Kitchen Administrators to Inform 2030 Decennial Data Collection	Form and Instruction	Unchanged
263714	Wireframe Usability Testing of GQ Electronic Instruments	Form and Instruction	Unchanged	GQAC and ISR Dashboard Wireframes
263714	Wireframe Usability Testing of GQ Electronic Instruments	Form and Instruction	Unchanged
263707	Usability Testing for the Interactive Question Preview Tool for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	AIES Interactive Question Preview Tool Screenshots
263707	Usability Testing for the Interactive Question Preview Tool for the Annual Integrated Economic Survey	Form and Instruction	Unchanged
263351	Cognitive Testing of 2025 NSCH Questionnaire – EPA Items addendum	Form and Instruction	Unchanged	Protocol
263351	Cognitive Testing of 2025 NSCH Questionnaire – EPA Items addendum	Form and Instruction	Unchanged
263029	Cognitive and Usability Testing of a Self-Administered Current Population Survey (CPS)	Form and Instruction	Unchanged	UX Satisfaction
263029	Cognitive and Usability Testing of a Self-Administered Current Population Survey (CPS)	Form and Instruction	Unchanged	Questionnaire
263029	Cognitive and Usability Testing of a Self-Administered Current Population Survey (CPS)	Form and Instruction	Unchanged
263023	2030 Decennial Uses of Administrative Data	Form and Instruction	Unchanged	Recruitment Screener
263023	2030 Decennial Uses of Administrative Data	Form and Instruction	Unchanged	Moderator Guide
263023	2030 Decennial Uses of Administrative Data	Form and Instruction	Unchanged
262806	CPS Annual Social and Economic Supplement (ASEC) Exploratory Interviews	Form and Instruction	Unchanged	Income Exploratory Interviews Protocol
262806	CPS Annual Social and Economic Supplement (ASEC) Exploratory Interviews	Form and Instruction	Unchanged	HI Exploratory Interviews Protocol
262806	CPS Annual Social and Economic Supplement (ASEC) Exploratory Interviews	Form and Instruction	Unchanged
262734	Cognitive Testing of 2025 NSCH Questionnaire – EPA Items	Form and Instruction	Unchanged	Protocol
262734	Cognitive Testing of 2025 NSCH Questionnaire – EPA Items	Form and Instruction	Unchanged
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7n
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7m
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7l
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7k
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7j
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7i
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7h
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7g
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7f
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7e
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7d
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7c
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7b
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged	Enclosure 7a
262267	2024 Census Survey Pretest	Form and Instruction	Unchanged
262238	Health Care Group Quarters Addendum	Form and Instruction	Unchanged	Recruitment emails
262238	Health Care Group Quarters Addendum	Form and Instruction	Unchanged
262236	GQ ISR pretesting	Form and Instruction	Unchanged	Knowledge check
262236	GQ ISR pretesting	Form and Instruction	Unchanged	ICQ questions
262236	GQ ISR pretesting	Form and Instruction	Unchanged	Protocol
262236	GQ ISR pretesting	Form and Instruction	Unchanged
262194	Group Quarters Focus groups Addendum	Form and Instruction	Unchanged	focus group screens
262194	Group Quarters Focus groups Addendum	Form and Instruction	Unchanged	moderator's guide
262194	Group Quarters Focus groups Addendum	Form and Instruction	Unchanged
261483	Web Survey Design Standards Eye Tracking Research	Form and Instruction	Unchanged	Questionnaire
261483	Web Survey Design Standards Eye Tracking Research	Form and Instruction	Unchanged
261020	ECON - Cognitive testing for the 2024 Annual Business Survey	Form and Instruction	Unchanged	Sexual Orientation and Gender Identity Questions
261020	ECON - Cognitive testing for the 2024 Annual Business Survey	Form and Instruction	Unchanged	Entrepreneurship Questions
261020	ECON - Cognitive testing for the 2024 Annual Business Survey	Form and Instruction	Unchanged	Research and Development Questions
261020	ECON - Cognitive testing for the 2024 Annual Business Survey	Form and Instruction	Unchanged	Reshoring Questions
261020	ECON - Cognitive testing for the 2024 Annual Business Survey	Form and Instruction	Unchanged	Labor Related Questions
261020	ECON - Cognitive testing for the 2024 Annual Business Survey	Form and Instruction	Unchanged	Technology Transfer Module
261020	ECON - Cognitive testing for the 2024 Annual Business Survey	Form and Instruction	Unchanged	Sustainability Management Module
261020	ECON - Cognitive testing for the 2024 Annual Business Survey	Form and Instruction	Unchanged
260679	Cognitive Testing of 2024 National Survey of Children's Health Questionnaire	Form and Instruction	Unchanged	Questionnaire
260679	Cognitive Testing of 2024 National Survey of Children's Health Questionnaire	Form and Instruction	Unchanged
260619	Focus groups for an Internet Self-Response Instrument for Group Quarters	Form and Instruction	Unchanged	Screens
260619	Focus groups for an Internet Self-Response Instrument for Group Quarters	Form and Instruction	Unchanged
260146	ECON - Cognitive testing for the 2024 Rental Housing Finance Survey	Form and Instruction	Unchanged	Item Booklet
260146	ECON - Cognitive testing for the 2024 Rental Housing Finance Survey	Form and Instruction	Unchanged	Content
260146	ECON - Cognitive testing for the 2024 Rental Housing Finance Survey	Form and Instruction	Unchanged
259989	ECON - Usability evaluation for the 2022 Annual Business Survey (0607-0725)	Form and Instruction	Unchanged	ABS Worksheet
259989	ECON - Usability evaluation for the 2022 Annual Business Survey (0607-0725)	Form and Instruction	Unchanged	Instrument Screens
259989	ECON - Usability evaluation for the 2022 Annual Business Survey (0607-0725)	Form and Instruction	Unchanged
259917	SmaRT Program Testing Round 2	Form and Instruction	Unchanged	Notional Draft Questionnaire
259917	SmaRT Program Testing Round 2	Form and Instruction	Unchanged	Outgoing Package Envelope
259917	SmaRT Program Testing Round 2	Form and Instruction	Unchanged	Fall 2023 SMS Text Options
259917	SmaRT Program Testing Round 2	Form and Instruction	Unchanged	FAQ Insert 2
259917	SmaRT Program Testing Round 2	Form and Instruction	Unchanged	FAQ Insert 1
259917	SmaRT Program Testing Round 2	Form and Instruction	Unchanged	Final Letter
259917	SmaRT Program Testing Round 2	Form and Instruction	Unchanged	Reminder Postcard
259917	SmaRT Program Testing Round 2	Form and Instruction	Unchanged	Reminder Letter
259917	SmaRT Program Testing Round 2	Form and Instruction	Unchanged	Invitation Letter
259917	SmaRT Program Testing Round 2	Form and Instruction	Unchanged	2023 ISR Specification
259917	SmaRT Program Testing Round 2	Form and Instruction	Unchanged
259857	Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household - Addendum	Form and Instruction	Unchanged	Instrument
259857	Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household - Addendum	Form and Instruction	Unchanged
259772	2023 CBAMS Testing	Form and Instruction	Unchanged	Questionnaire
259772	2023 CBAMS Testing	Form and Instruction	Unchanged
259704	Pretesting Questionnaires and Definitions Used to Classify Health Care Group Quarters	Form and Instruction	Unchanged	Protocol
259704	Pretesting Questionnaires and Definitions Used to Classify Health Care Group Quarters	Form and Instruction	Unchanged
259652	Cognitive Interviewing for Race and Ethnicity Interagency Technical Working Group (R/E ITWG): SAMHSA Study	Form and Instruction	Unchanged	Recruitment Email Text
259652	Cognitive Interviewing for Race and Ethnicity Interagency Technical Working Group (R/E ITWG): SAMHSA Study	Form and Instruction	Unchanged
259651	ECON - Cognitive Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	AIES Website
259651	ECON - Cognitive Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Content Canister
259651	ECON - Cognitive Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Welcome and Thank you Emails
259651	ECON - Cognitive Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Email - Past Due
259651	ECON - Cognitive Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Email - Initial Request
259651	ECON - Cognitive Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Email - DDR
259651	ECON - Cognitive Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Email - Advanced
259651	ECON - Cognitive Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Letter - Past Due
259651	ECON - Cognitive Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Letter - Initial Request
259651	ECON - Cognitive Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Letter - Advanced
259651	ECON - Cognitive Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged
259371	Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household	Form and Instruction	Unchanged	Consent
259371	Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household	Form	Unchanged	Screener
259371	Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household	Form	Unchanged	Version B
259371	Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household	Form	Unchanged	Version A
259371	Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household	Form	Unchanged	Protocol
259371	Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household	Form	Unchanged
259350	ECON - Usability Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Attachment C ppt
259350	ECON - Usability Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Attachment C pdf
259350	ECON - Usability Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Attachment B ppt
259350	ECON - Usability Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged	Attachment B pdf
259350	ECON - Usability Testing for the Annual Integrated Economic Survey	Form and Instruction	Unchanged
259129	ECON - Cognitive testing for the 2023 Race and Ethnicity Questions on the Annual Business Survey	Form and Instruction	Unchanged	Attachment D_2022 ABS worksheet
259129	ECON - Cognitive testing for the 2023 Race and Ethnicity Questions on the Annual Business Survey	Form and Instruction	Unchanged	Attachment C_Questions for Testing for 2023 Race and Ethnicity on ABS
259129	ECON - Cognitive testing for the 2023 Race and Ethnicity Questions on the Annual Business Survey	Form and Instruction	Unchanged
259128	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction	Unchanged	fraud flyer
259128	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction	Unchanged	fraud website
259128	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction	Unchanged	food assistance info
259128	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction	Unchanged	dss info
259128	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction	Unchanged	ebt info
259128	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction	Unchanged	Program info
259128	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	Form and Instruction	Unchanged
259099	Cognitive Testing of Supplemental Nutrition Assistance Program Messaging for Able-Bodied Adults without Dependents	Form and Instruction	Unchanged	Wisconsin Protocol and Materials
259099	Cognitive Testing of Supplemental Nutrition Assistance Program Messaging for Able-Bodied Adults without Dependents	Form and Instruction	Unchanged	Minnesota Protocol and Materials
259099	Cognitive Testing of Supplemental Nutrition Assistance Program Messaging for Able-Bodied Adults without Dependents	Form and Instruction	Unchanged
258813	SNAP Program Integrity Message Testing Addendum	Other-previous memo	Unchanged
258663	National Telecommunications and Information Administration (NTIA) Internet Use Survey Cognitive Interviews	Form and Instruction	Unchanged	Survey
258663	National Telecommunications and Information Administration (NTIA) Internet Use Survey Cognitive Interviews	Form and Instruction	Unchanged	Roster
258663	National Telecommunications and Information Administration (NTIA) Internet Use Survey Cognitive Interviews	Form and Instruction	Unchanged
258601	ECON - EC22 Content Respondent Debriefing Research	Form and Instruction	Unchanged	EC22 Content Respondent Debriefing Sample Economic Census Instrument for New Agriculture Industry Groups
258601	ECON - EC22 Content Respondent Debriefing Research	Form and Instruction	Unchanged	EC22 Content Respondent Debriefing Sample Economic Census Instrument for Non-Agriculture Industry Groups
258601	ECON - EC22 Content Respondent Debriefing Research	Form and Instruction	Unchanged
258288	Cognitive Testing of the 2023 NSCH Longitudinal Cohort Mail Materials	Form and Instruction	Unchanged	Letters
258288	Cognitive Testing of the 2023 NSCH Longitudinal Cohort Mail Materials	Form and Instruction	Unchanged
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	DC Exhibit 6. Multiple Card Replacement Letter
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	DC Exhibit 5. SNAP Integrated Application
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	DC Exhibit 4. DC SNAP Website
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	DC Exhibit 3. Out of State Travel Flyer
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	DC Exhibit 2. SNAP Approval Notice
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	DC Exhibit 1. Protecting Benefits Guide
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	AL Exhibit 2. AL Application
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	AL Exhibit 1. AL SNAP Integrity flyer
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	PA Exhibit 7. Fraud FAQs
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	PA Exhibit 6. Excessive Card Letter
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	PA Exhibit 5. SNAP Application
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	PA Exhibit 4. SNAP FAQ
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	PA Exhibit 3. Social Media Posting on Scams
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	PA Exhibit 2. EBT Brochure
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged	PA Exhibit 1. Informational Flyer
257706	Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0607-0725	ICR Reference No: 202508-0607-002
Status: Historical Active	Previous ICR Reference No: 202209-0607-002
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Generic Clearance for Questionnaire Pretesting Research
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: 08/11/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2025	12/31/2025	12/31/2025
Responses	16,500	0	16,500
Time Burden (Hours)	16,500	0	16,500
Cost Burden (Dollars)	0	0	0

---

Abstract: The research will be used by the Census Bureau and the survey sponsors to improve questionnaires and procedures, reduce respondent burden, and ultimately increase the quality of data collected in Census Bureau censuses and surveys. The clearance will be used to conduct pretesting of decennial, demographic, and economic census and survey questionnaires prior to fielding them. Pretesting activities will involve one of the following methods for identifying measurement problems with the questionnaire or survey procedure: cognitive interviews, focus groups, respondent debriefing, behavior coding of respondent/interviewer interaction, and split panel tests.

---

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

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 38703	06/29/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 62363	10/14/2022
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 67

IC Title	Form No.	Form Name
2023 CBAMS Testing	1	Questionnaire
2024 Census Survey Pretest	2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 1	Enclosure 7a ,   Enclosure 7b ,   Enclosure 7c ,   Enclosure 7d ,   Enclosure 7e ,   Enclosure 7f ,   Enclosure 7g ,   Enclosure 7h ,   Enclosure 7i ,   Enclosure 7j ,   Enclosure 7k ,   Enclosure 7l ,   Enclosure 7m ,   Enclosure 7n
2030 Decennial Admin Data Research Cognitive Interviews	1	Interview Protocol
2030 Decennial Uses of Administrative Data	1, 2	Moderator Guide ,   Recruitment Screener
Addendum for Usability Testing of a Self-Administered Current Population Survey	1	Instrument
Addendum to FoodAPS-2 Pilot Study	1	Updated Screener
Addendum to Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	1, 2, 3, 4, 5, 6, 7, 8, 9	Demographic Questionnaire ,   Food-at-Home (FAH) Use Case for R2 ,   Food-at-Home (FAH) Use Case for R3a ,   Food-at-Home (FAH) Use Case for R3b ,   Food-away-from-Home (FAFH) Use Case ,   Quiz for Training Assessment for R2 ,   Quiz for Training Assessment for R3 ,   Debriefing Interview Questionnaire ,   Scripts of Video Training
American Housing Survey Cognitive Interviews	1	Questions and Protocol
Annual Integrated Economic Survey (AIES) Usability Evaluation Addendum	1, 2	User Tasks ,   Questionnaire
CPS Annual Social and Economic Supplement (ASEC) Exploratory Interviews	1, 2	HI Exploratory Interviews Protocol ,   Income Exploratory Interviews Protocol
Cognitive Interviewing for Race and Ethnicity Interagency Technical Working Group (R/E ITWG): SAMHSA Study	1	Recruitment Email Text
Cognitive Interviewing of the Annual Social and Economic Supplement (ASEC) of the Current Population Survey	1, 2	HI Instrument ,   Income Instrument
Cognitive Testing of 2024 National Survey of Children's Health Questionnaire	1	Questionnaire
Cognitive Testing of 2025 NSCH Questionnaire – EPA Items	1	Protocol
Cognitive Testing of 2025 NSCH Questionnaire – EPA Items addendum	1	Protocol
Cognitive Testing of National Sample Survey of Registered Nurses (NSSRN)	1	Questionnaire and Protocol
Cognitive Testing of National Survey of Children's Health Questionnaire	1	Protocol
Cognitive Testing of Select Items from the SIPP Redesign Questionnaire	1	Screener
Cognitive Testing of Sexual Orientation and Gender Identity (SOGI) Questions on the American Community Survey (ACS)	2, 1	Question wording by treatment ,   Questionnaire
Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging	1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15	PA Exhibit 1. Informational Flyer ,   PA Exhibit 2. EBT Brochure ,   PA Exhibit 3. Social Media Posting on Scams ,   PA Exhibit 4. SNAP FAQ ,   PA Exhibit 5. SNAP Application ,   PA Exhibit 6. Excessive Card Letter ,   PA Exhibit 7. Fraud FAQs ,   AL Exhibit 1. AL SNAP Integrity flyer ,   AL Exhibit 2. AL Application ,   DC Exhibit 1. Protecting Benefits Guide ,   DC Exhibit 2. SNAP Approval Notice ,   DC Exhibit 3. Out of State Travel Flyer ,   DC Exhibit 4. DC SNAP Website ,   DC Exhibit 5. SNAP Integrated Application ,   DC Exhibit 6. Multiple Card Replacement Letter
Cognitive Testing of Supplemental Nutrition Assistance Program Client Integrity Messaging, Round 2	1, 2, 3, 4, 5, 6	Program info ,   ebt info ,   dss info ,   food assistance info ,   fraud website ,   fraud flyer
Cognitive Testing of Supplemental Nutrition Assistance Program Messaging for Able-Bodied Adults without Dependents	1, 2	Minnesota Protocol and Materials ,   Wisconsin Protocol and Materials
Cognitive Testing of the 2023 NSCH Longitudinal Cohort Mail Materials	1	Letters
Cognitive and Usability Testing of a Self-Administered Current Population Survey (CPS)	2, 1	Questionnaire ,   UX Satisfaction
Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household	Version A, Version B, Screener, Consent, Protocol	Protocol ,   Version A ,   Version B ,   Screener ,   Consent
Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household - Addendum	1	Instrument
Cognitive testing of the 2026 Census Test emails with Group Quarters Administrators	1	Emails for testing
ECON - Cognitive Interviewing for the Business Trends and Outlook Survey	1	Draft Questionnaire
ECON - Cognitive Interviewing for the Business Trends and Outlook Survey (BTOS)	1	AI Supplement
ECON - Cognitive Testing for the 2025 Annual Business Survey	1, 2	2025 ABS Cybersecurity Innovation and Technology Module Advance questions ,   NPRA FY 2024 draft questionnaire for cog intereviews
ECON - Cognitive Testing for the Annual Integrated Economic Survey	7, 1, 2, 3, 4, 5, 6, 8, 9, 10	Letter - Advanced ,   Letter - Initial Request ,   Letter - Past Due ,   Email - Advanced ,   Email - DDR ,   Email - Initial Request ,   Email - Past Due ,   Welcome and Thank you Emails ,   Content Canister ,   AIES Website
ECON - Cognitive testing for the 2023 Race and Ethnicity Questions on the Annual Business Survey	1, 2	Attachment C_Questions for Testing for 2023 Race and Ethnicity on ABS ,   Attachment D_2022 ABS worksheet
ECON - Cognitive testing for the 2024 Annual Business Survey	1, 2, 3, 4, 5, 6, 7	Sustainability Management Module ,   Technology Transfer Module ,   Labor Related Questions ,   Reshoring Questions ,   Research and Development Questions ,   Entrepreneurship Questions ,   Sexual Orientation and Gender Identity Questions
ECON - Cognitive testing for the 2024 Rental Housing Finance Survey	1, 2	Content ,   Item Booklet
ECON - Cognitive testing for the ABS (Reference Year 2025): ABS BERD consolidated survey evaluation	n/a, n/a	Instrument Screenshots ,   ABS and BERD content
ECON - Communications Research for Annual Integrated Economic Survey	n/a, n/a, n/a, n/a, n/a	Data Visualizations ,   Initial Email ,   Reminder Email ,   Nudge Email ,   Final Email
ECON - Community Based Interview Study for the Annual Business Study 2025	1, 2	SOGI Protocol ,   Disability Protocol
ECON - EC22 Content Respondent Debriefing Research	2, 1	EC22 Content Respondent Debriefing Sample Economic Census Instrument for Non-Agriculture Industry Groups ,   EC22 Content Respondent Debriefing Sample Economic Census Instrument for New Agriculture Industry Groups
ECON - Exploratory Research for the 2023 Annual Integrated Economic Survey	1, 2	Harmonized and legacy e-commerce questions ,   2023 AIES Harmonized ECommerce Question
ECON - Exploratory Research for the Commodity Flow Survey	n/a, n/a, n/a, n/a	Consent Form ,   CFS Survey ,   Recruitment email ,   CFS Retail Shipping Survey
ECON - Exploratory Research for the Commodity Flow Survey	1	2022 CFS Survey Screenshots
ECON - Participant Debriefing Research for the 2023 Annual Integrated Economic Survey	1, 2, 3, 4	Letters for testing ,   Emails for testing ,   Websites for testing ,   Screenshots for Testing
ECON - Respondent Debriefing Interviewing for the Annual Integrated Economic Survey (AIES)	n/a	Debriefing Screenshots
ECON - Respondent Debriefing Interviewing for the Business Trends and Outlook Survey (BTOS)	1, 2	WFH Supplement ,   Protocol
ECON - Usability Evaluation for the 2024 Annual Business Survey	1, 2	Instrument Screenshots ,   2022 ABS Survey
ECON - Usability Testing for the Annual Integrated Economic Survey	1	AIES Screenshots
ECON - Usability Testing for the Annual Integrated Economic Survey	3, 4, 1, 2	Attachment B pdf ,   Attachment B ppt ,   Attachment C pdf ,   Attachment C ppt
ECON - Usability evaluation for the 2022 Annual Business Survey (0607-0725)	1, 2	Instrument Screens ,   ABS Worksheet
Focus groups for an Internet Self-Response Instrument for Group Quarters	1	Screens
Focus groups with Soup Kitchen Administrators to Inform 2030 Decennial Data Collection	1, 2	Moderator Guide ,   Display of Definitions
GQ ISR pretesting	1, 2, 3	Protocol ,   ICQ questions ,   Knowledge check
Group Quarters Focus groups Addendum	1, 2	moderator's guide ,   focus group screens
Health Care Group Quarters Addendum	1	Recruitment emails
NHIS Teen Cognitive Testing	1	Questionnaire
National Health Interview Survey (NHIS) cognitive testing	n/a	Questionnaire
National Telecommunications and Information Administration (NTIA) Internet Use Survey Cognitive Interviews	n/a, n/a, n/a	Roster Questionnaire ,   NTIA Questionnaire ,   Various Communication Materials
National Telecommunications and Information Administration (NTIA) Internet Use Survey Cognitive Interviews	1, 2	Roster ,   Survey
Pretesting Questionnaires and Definitions Used to Classify Health Care Group Quarters	1	Protocol
Pretesting Questionnaires and Definitions Used to Classify Lodging Facility and Transitional Shelter Group Quarters	1	Flashcards
SNAP Program Integrity Message Testing Addendum
SmaRT Fall 2024 Cognitive Testing	1, 2, 3, 4, 5, 6, 7, 8, 9, 10	Internet Instrument ,   Invitation Letter ,   Reminder Letter ,   Reminder Postcard ,   Final Letter ,   Questionnaire ID1 ,   Questionnaire ID2 ,   Back of Envelope Version 1 ,   Back of Envelope Version 2 ,   Combined race on a paper questionnaire
SmaRT Program Testing Round 2	1, 3, 2, 4, 5, 6, 7, 8, 9, 10	2023 ISR Specification ,   Invitation Letter ,   Reminder Letter ,   Reminder Postcard ,   Final Letter ,   FAQ Insert 1 ,   FAQ Insert 2 ,   Fall 2023 SMS Text Options ,   Outgoing Package Envelope ,   Notional Draft Questionnaire
Small-Scale Response Testing (SmaRT) Program Testing	1, 2, 3, 4, 5, 6, 7, 8, 9, 10	Mailing Invitation 1 ,   Mailing 2 EDDM ,   Mailing 3 Reminder Letter ,   Mailing 4 Final Letter ,   FAQs Mailing 1 ,   FAQs Mailing 4 ,   Questionnaire Cognitive Testing ,   2025 Census Survey Online Questionnaire Specification ,   satisfaction questions ,   Knowledge Check
Usability Testing for the Interactive Question Preview Tool for the Annual Integrated Economic Survey	1	AIES Interactive Question Preview Tool Screenshots
Usability and Cognitive Evaluation for the Data Collection Instrument of FoodAPS-2 Pilot Study	4, 1, 2, 3	Income and Profile Questionnaire ,   Initial Interview ,   Food Log Questionnaire ,   Debriefing Interview
Web Survey Design Standards Eye Tracking Research	1	Questionnaire
Wireframe Usability Testing of GQ Electronic Instruments	1	GQAC and ISR Dashboard Wireframes

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ICR Summary 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	16,500	16,500	0	0	0	0
Annual Time Burden (Hours)	16,500	16,500	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: 08/11/2025

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