Field Representative Exit Questionnaire, Enumerator Exit Questionnaire

ICR 200411-0607-003

OMB: 0607-0404

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0607-0404 200411-0607-003
Historical Active 200203-0607-004
DOC/CENSUS
Field Representative Exit Questionnaire, Enumerator Exit Questionnaire
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 11/18/2004
Retrieve Notice of Action (NOA) 11/18/2004
  Inventory as of this Action Requested Previously Approved
05/31/2005 05/31/2005 05/31/2005
875 0 500
122 0 59
0 0 0

Retention of trained field interviewing staff is a concern for the Census Bureau because of both the monetary costs associated with employee turnover, as well as the potential impact on quality data. The Field Representative Exit Questionnaire and the Enumerator Exit Questionnaire are used to collect data from a sample of our former current survey interviewers (field representatives) and decennial operations interviewers (enumerators). The purpose of the exit questionnaires is to determine the reasons for interviewer turnover and what the Census Bureau might do to help reduce its turnover rate for ...

None
None


No

1
IC Title Form No. Form Name
Field Representative Exit Questionnaire, Enumerator Exit Questionnaire BC-1294, BC-1294(D)

  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 875 500 0 375 0 0
Annual Time Burden (Hours) 122 59 0 63 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/18/2004


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