2018 ACS Respondent Burden Testing

Generic Clearance for Questionnaire Pretesting Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Document Name Document Type
Form 1 2018 ACS Respondent Burden Testing Form and Instructi
1 ACS Questionnaire Up to Q28 Attachment F ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP1.pdf Form and Instruction
2 ACS Questionnaire From Q29 V1 Attachment G ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP2V1.pdf Form and Instruction
3 ACS Questionnaire From Q29 V2 Attachment H ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP2V2.pdf Form and Instruction
ACS Cognitive Testing to Reduce Burden OMB Memo 2018.docx OMB Memo IC Document
Attachment A ACS Cognitive Testing to Reduce Burden Research Goals, Recruiting Requirements, Question Wording.docx Research Goals, Recruiting, Question Wording IC Document
Attachment B ACS Cognitive Testing Recruitment Plan, Screener, Ad Template.docx Recruitment Plan and Ads IC Document
Attachment C ACS Cognitive Testing Consent Form.doc Consent Form IC Document
Attachment D ACS Cognitive Testing Protocol Verson 1.docx Protocol V1 IC Document
Attachment E ACS Cognitive Testing Protocol Version 2.docx Protocol V2 IC Document

Information Collection (IC) Details

IC Title:	2018 ACS Respondent Burden Testing	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	1	ACS Questionnaire Up to Q28	Attachment F ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP1.pdf	No	Fillable Fileable
Form and Instruction	2	ACS Questionnaire From Q29 V1	Attachment G ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP2V1.pdf	No	Fillable Fileable
Form and Instruction	3	ACS Questionnaire From Q29 V2	Attachment H ACS Cognitive Testing Paper Survey Form ACS-1(X)ACOWP2V2.pdf	No	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	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	24	24
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	ACS Cognitive Testing to Reduce Burden OMB Memo 2018.docx	04/24/2018
Research Goals, Recruiting, Question Wording	Attachment A ACS Cognitive Testing to Reduce Burden Research Goals, Recruiting Requirements, Question Wording.docx	04/25/2018
Recruitment Plan and Ads	Attachment B ACS Cognitive Testing Recruitment Plan, Screener, Ad Template.docx	04/25/2018
Consent Form	Attachment C ACS Cognitive Testing Consent Form.doc	04/25/2018
Protocol V1	Attachment D ACS Cognitive Testing Protocol Verson 1.docx	04/25/2018
Protocol V2	Attachment E ACS Cognitive Testing Protocol Version 2.docx	04/25/2018

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