2015 Census Test

Forms and Documents

Document Name	Status
Non_Sub_Change_2015_OSR_Reinterview_final 7-8-15.docx Supplementary Document	2015-07-08
2015 OSR RI Margins of Error.xlsx Supplementary Document	2015-07-08
Non_Sub_Change_2015_OSR_Reinterview.docx Justification for No Material/Nonsubstantive Change	2015-06-18
OMB Memo_June4.docx Justification for No Material/Nonsubstantive Change	2015-06-05
dd9_ad_20150501.pdf Supplementary Document	2015-05-04
Non_Sub_ChNon substantive change request OSR Test updated_.docx Justification for No Material/Nonsubstantive Change	2015-04-24
omb83-i for 2015 Census Test.pdf Supplementary Document	2015-02-12
Letter&Info_Flyer 102214.pdf Supplementary Document	2015-02-12
dd3309_no_line.pdf Supplementary Document	2015-02-12
dd92aes_20141211.pdf Supplementary Document	2015-02-12
dd33u_com_20141211.pdf Supplementary Document	2015-02-12
dd33a_com_20141211.pdf Supplementary Document	2015-02-12
dd33_11_17_docu_20141210.pdf Supplementary Document	2015-02-12
dd31_Draft 2_20141022.pdf Supplementary Document	2015-02-12
dd26b_Vietnamese_url.pdf Supplementary Document	2015-02-12
dd26b_Korean_url.pdf Supplementary Document	2015-02-12
dd26b_Chinese_url.pdf Supplementary Document	2015-02-12
dd26a_20141212.pdf Supplementary Document	2015-02-12
dd17l3_p1_20150120_Cropped.pdf Supplementary Document	2015-02-12
dd17l_1esp1_cropped_20150121.pdf Supplementary Document	2015-02-12
dd17l1_p1_20150120_Cropped.pdf Supplementary Document	2015-02-12
dd16l2_20150123.pdf Supplementary Document	2015-02-12
dd16l1es_20150123.pdf Supplementary Document	2015-02-12
dd16l1_20150123.pdf Supplementary Document	2015-02-12
dd9u_20141211.pdf Supplementary Document	2015-02-12
dd9reg_20141211.pdf Supplementary Document	2015-02-12
dd9es_20141211.pdf Supplementary Document	2015-02-12
dd9_20141211.pdf Supplementary Document	2015-02-12
dd9_2d_20141211.pdf Supplementary Document	2015-02-12
dd9_2a_20141211.pdf Supplementary Document	2015-02-12
dd8a_20141021.pdf Supplementary Document	2015-02-12
dd8a es_20141021.pdf Supplementary Document	2015-02-12
dd6a1ines_20141022.pdf Supplementary Document	2015-02-12
dd6ain_Draft 1_20140829.pdf Supplementary Document	2015-02-12
dd6a1ines_20141022.pdf Supplementary Document	2015-02-12
dd6a1in_Draft 1_20140829.pdf Supplementary Document	2015-02-12
dd5l_2015b_20141215.pdf Supplementary Document	2015-02-12
dd5l_2015_p1_doc_20150121.pdf Supplementary Document	2015-02-12
dd-1a(es)_15_121014_d8.pdf Supplementary Document	2015-02-12
dd-1_15_121014_d7.pdf Supplementary Document	2015-02-12
2015 Census Test -Wording of emails and texts 2-6-2015.docx Supplementary Document	2015-02-12
2015 Census Test COMPASS Questions Wording for OMB submission 10242014.docx Supplementary Document	2015-02-12
Letter&Info_Flyer 102214.pdf Supplementary Document	2015-01-30
dd3309_no_line.pdf Supplementary Document	2015-01-30
dd92aes_20141211.pdf Supplementary Document	2015-01-30
dd33u_com_20141211.pdf Supplementary Document	2015-01-30
dd33a_com_20141211.pdf Supplementary Document	2015-01-30
dd33_11_17_docu_20141210.pdf Supplementary Document	2015-01-30
dd31_Draft 2_20141022.pdf Supplementary Document	2015-01-30
dd26b_Vietnamese_url.pdf Supplementary Document	2015-01-30
dd26b_Korean_url.pdf Supplementary Document	2015-01-30
dd26b_Chinese_url.pdf Supplementary Document	2015-01-30
dd26b_20141212.pdf Supplementary Document	2015-01-30
dd26a_20141212.pdf Supplementary Document	2015-01-30
dd17l3_p1_20150120_Cropped.pdf Supplementary Document	2015-01-30
dd17l1_p1_20150120_Cropped.pdf Supplementary Document	2015-01-30
dd17l_1esp1_cropped_20150121.pdf Supplementary Document	2015-01-30
dd16l2__signed_20150116.pdf Supplementary Document	2015-01-30
dd16l1es_signed_20150115.pdf Supplementary Document	2015-01-30
dd16l1_signed_20150115.pdf Supplementary Document	2015-01-30
dd9u_20141211.pdf Supplementary Document	2015-01-30
dd9reg_20141211.pdf Supplementary Document	2015-01-30
dd9es_20141211.pdf Supplementary Document	2015-01-30
dd9_20141211.pdf Supplementary Document	2015-01-30
dd9_2d_20141211.pdf Supplementary Document	2015-01-30
dd9_2a_20141211.pdf Supplementary Document	2015-01-30
dd8a_20141021.pdf Supplementary Document	2015-01-30
dd8a es_20141021.pdf Supplementary Document	2015-01-30
dd6aines_20141022.pdf Supplementary Document	2015-01-30
dd6ain_Draft 1_20140829.pdf Supplementary Document	2015-01-30
dd6a1ines_20141022.pdf Supplementary Document	2015-01-30
dd6a1in_Draft 1_20140829.pdf Supplementary Document	2015-01-30
dd5l_2015b_20141215.pdf Supplementary Document	2015-01-30
dd5l_2015_p1_doc_20150121.pdf Supplementary Document	2015-01-30
BC-1325 as rec'd from NPC.pdf Supplementary Document	2015-01-30
2015 Census Test -Wording of emails and texts 2014-10-17.docx Supplementary Document	2015-01-30
2015_Census_Test_OMB_Part_B Final.docx Supporting Statement B	2015-02-12
2015_Census_Test_OMB_Part A Final.docx Supporting Statement A	2015-02-12

IC Document Collections

IC ID	Document Title	Status
214823	Maricopa County - BYOD Follow Up Other-null	Unchanged
214822	Maricopa County - Focus Groups Other-Focus Group Consent Form	Unchanged
214821	Maricopa County - Focus Groups Selection Other-null	Unchanged
214820	Maricopa County - Evaluation Follow Up Other-null	Unchanged
214819	Maricopa County - NonResponse Follow Up Other-null	Unchanged
214818	Maricopa County - Self Response Other-null	Unchanged
214817	Savannah - Focus Groups Other-Savannah Recruitment Script	Unchanged
214816	Savannah - Focus Groups Selection Other-null	Unchanged
214810	Savannah - "Notify Me" Other-null	Unchanged
214809	Savannah - Self-Response Enumeration Other-null	Unchanged

ICR Details

OMB Control No: 0607-0981	ICR Reference No: 201506-0607-003
Status: Historical Active	Previous ICR Reference No: 201506-0607-002
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: 2015 Census Test
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/08/2015
	Date Received in OIRA: 06/19/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2016	03/31/2016	03/31/2016
Responses	575,448	0	575,448
Time Burden (Hours)	98,084	0	98,084
Cost Burden (Dollars)	0	0	0

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Abstract: The 2015 Census Test is needed to help find ways to reduce cost, increase self-response, and leverage new data collection alternatives while maintaining high quality results. The results of the 2015 Census Test will help guide the design of additional 2020 Census testing later this decade. The collection of data targets households and individuals.

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Authorizing Statute(s): US Code: 13 USC Section 141&193 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 51948	09/02/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 51948	01/13/2015
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 10

IC Title	Form No.	Form Name
Savannah - "Notify Me"
Savannah - Focus Groups
Savannah - Focus Groups Selection
Maricopa County - Self Response	dd-1_15_121014_d7	dd-1_15_121014_d7
Maricopa County - Evaluation Follow Up
Maricopa County - Focus Groups Selection
Maricopa County - Focus Groups
Maricopa County - BYOD Follow Up
Savannah - Self-Response Enumeration	dd-1_15_121014_d7, dd-1a(es)_15_121014_d8	dd-1_15_121014_d7 ,   dd-1a(es)_15_121014_d8
Maricopa County - NonResponse Follow Up

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ICR Summary of Burden

	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	575,448	575,448	0	0	0	0
Annual Time Burden (Hours)	98,084	98,084	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $17,900,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/19/2015

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