Cognitive Testing of Sexual Orientation and Gender Identity (SOGI) Questions on the American Community Survey (ACS)

Generic Clearance for Questionnaire Pretesting Research

Documents and Forms

Document Name Document Type
Form 1 Cognitive Testing of Sexual Orientation and Gender Identity (SOGI) Questions on the American Community Survey (ACS) Form and Instruction
1 Question wording by treatment Attachment 5 Mock questionnaire.pdf Form and Instruction
2 Questionnaire Attachment 5 Mock questionnaire.pdf Form and Instruction
OMB Memo Nov2023_121223.docx OMB Memo IC Document
Attachment 1 Screening Questionnaire_120823.docx Screening Questionnaire IC Document
Attachment 2 Recruitment Methodology and Example Ads.docx Recruitment Methodology and Example Ads IC Document
Attachment 4 Background on SOGI wording_120823.docx Background on SOGI wording IC Document
Attachment 6 Protocol.docx Protocol IC Document
Attachment 7 Consent Form_120823.docx Consent Form IC Document

Information Collection (IC) Details

IC Title:	Cognitive Testing of Sexual Orientation and Gender Identity (SOGI) Questions on the American Community Survey (ACS)	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 and Instruction	1	Question wording by treatment	Attachment 5 Mock questionnaire.pdf		No		Fillable Fileable
Form and Instruction	2	Questionnaire	Attachment 5 Mock questionnaire.pdf		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 218	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	218	218
Annual IC Time Burden (Hours)	255	255
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	OMB Memo Nov2023_121223.docx	12/12/2023
Screening Questionnaire	Attachment 1 Screening Questionnaire_120823.docx	12/12/2023
Recruitment Methodology and Example Ads	Attachment 2 Recruitment Methodology and Example Ads.docx	12/12/2023
Background on SOGI wording	Attachment 4 Background on SOGI wording_120823.docx	12/12/2023
Protocol	Attachment 6 Protocol.docx	12/12/2023
Consent Form	Attachment 7 Consent Form_120823.docx	12/12/2023

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