Respondent Perceptions of Burden in the American Community Survey (ACS)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0690-0030 can be found here:

Documents and Forms

Document Name Document Type
Enclosure 1 - Telephone Script.docx Other-Telephone Script
Enclosure 3 - Moderator Guide.docx Other-Moderator Guide
Enclosure 4 - Sample Questions.docx Other-Sample Questions
Consent Form Consent Form Enclosure 2 - Consent Form.docx Form
Demo Questions Focus Group Worksheet Enclosure 5 - Demo Questions.docx Form
Fast Track Cover Letter - ACS_Burden.docx Cover Letter IC Document
OMB letter - ACS Burden.docx OMB Memo IC Document

Information Collection (IC) Details

IC Title:	Respondent Perceptions of Burden in the American Community Survey (ACS)	Agency IC Tracking Number:	Census

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Other-Telephone Script			Enclosure 1 - Telephone Script.docx	No	Fillable Fileable
Form	Consent Form	Consent Form	Enclosure 2 - Consent Form.docx	No	Fillable Fileable
Other-Moderator Guide			Enclosure 3 - Moderator Guide.docx	No	Fillable Fileable
Other-Sample Questions			Enclosure 4 - Sample Questions.docx	No	Fillable Fileable
Form	Demo Questions	Focus Group Worksheet	Enclosure 5 - Demo Questions.docx	No	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,442	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,442	6,442
Annual IC Time Burden (Hours)	267	267
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Cover Letter	Fast Track Cover Letter - ACS_Burden.docx	02/15/2017
OMB Memo	OMB letter - ACS Burden.docx	02/15/2017

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