Census Barriers, Attitudes and Motivators Survey II

Census Barriers, Attitudes & Motivators Survey II

Documents and Forms

Document Name Document Type
Attachment A_CBAMS II Questionnaire.docx Other-CBAMS II Interviewer Script an
Attachment B_CBAMS II Pre-notification Letters.docx Other-Pre notification Letters
Attachment C_CBAMS II Sorry We Missed You Card.docx Other-We Missed You Card

Information Collection (IC) Details

IC Title:	Census Barriers, Attitudes and Motivators Survey II	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-CBAMS II Interviewer Script and Question Branching	Attachment A_CBAMS II Questionnaire.docx	Yes	Yes	Fillable Fileable
Other-Pre notification Letters	Attachment B_CBAMS II Pre-notification Letters.docx	Yes	Yes	Fillable Fileable
Other-We Missed You Card	Attachment C_CBAMS II Sorry We Missed You Card.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: 4,421	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 81 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,421	4,421
Annual IC Time Burden (Hours)	1,757	1,757
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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