Internet Group 2 Version 1

Attachment U Group 2 Version 1 Internet Screens.pdf

Generic Clearance for Questionnaire Pretesting Research

Internet Group 2 Version 1

OMB: 0607-0725

Document [pdf]
Download: pdf | pdf
Attachment U: ACS Respondent Burden Testing Internet Survey Instrument: Group 2, Version 1

The following series of questions refer to you.
Where were you born?
Enter name of state

INET_G2_Packet 1

Are you a citizen of the United States?

INET_G2_Packet 2

In what year did you become a naturalized citizen of the United States?
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 3a

In what year did you come to live in the United States? If you came to live in the
United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 3a

In what year did you become a naturalized citizen of the United States?
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 3b

In what year did you come to live in the United States? If you came to live in the
United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 3b

In what year did you become a naturalized citizen of the United States?
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 3c

In what year did you come to live in the United States? If you came to live in the United
States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 3c

In what year did you become a naturalized citizen of the United States?
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 3d

In what year did you come to live in the United States? If you came to live in the
United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 3d

In what year did you come to live in the United States? If you came to live in the
United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 4a

In what year did you come to live in the United States? If you came to live in the
United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 4b

In what year did you come to live in the United States? If you came to live in the United
States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 4c

In what year did you come to live in the United States? If you came to live in the
United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 4d

The following series of questions refer to Person 2.
Where was this person born?
Enter name of state

INET_G2_Packet 5

Is this person a citizen of the United States?

INET_G2_Packet 6

In what year did this person become a naturalized citizen of the United States?
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 7a

In what year did this person come to live in the United States? If this person
came to live in the United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 7a

In what year did this person become a naturalized citizen of the United States?
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 7b

In what year did this person come to live in the United States? If this person
came to live in the United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 7b

In what year did this person become a naturalized citizen of the United States?
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 7c

In what year did this person come to live in the United States? If this person
came to live in the United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 7c

In what year did this person become a naturalized citizen of the United States?
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 7d

In what year did this person come to live in the United States? If this person
came to live in the United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 7d

In what year did this person come to live in the United States? If this person
came to live in the United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 8a

In what year did this person come to live in the United States? If this person
came to live in the United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 8b

In what year did this person come to live in the United States? If this person
came to live in the United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 8c

In what year did this person come to live in the United States? If this person
came to live in the United States more than once, give the latest year.
Before 1985
1985 to 1989
1990 to 1994
1995 to 1999
2000 to 2004
2005 or later - specify year

INET_G2_V1_Packet 8d


File Typeapplication/pdf
AuthorLauren A Difiglia
File Modified2016-04-25
File Created2016-04-22

© 2024 OMB.report | Privacy Policy