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ACS Respondent Comment/Feedback Addendum
Generic Clearance for Questionnaire Pretesting Research
OMB: 0607-0725
IC ID: 231703
OMB.report
DOC/CENSUS
OMB 0607-0725
ICR 201606-0607-003
IC 231703
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:
2022-10-14 - Extension without change of a currently approved collection
2019-09-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
ACS Respondent Comment/Feedback Addendum
Form and Instructi
1 Entire ACS Questionnaire
Enclosure 4-ACS questionnaire.pdf
Form and Instruction
2 ACS Respondent Feedback items at end of ACS Questionnair
Enclosure 5-Respondent Feedback and Comment Questions.pdf
Form and Instruction
ACS Respondent-Comment Feedback_Addendum (2).docx
OMB Memo
IC Document
Enclosure 1-Round 1 - Part 1.docx
Round 1 Protocol Part 1 (respondent burden)
IC Document
Enclosure 2- Round 1 Protocol - Part 2.docx
Round 1 Protocol Part 2 (respondent feedback)
IC Document
Enclosure 3A-Round 2 Protocol with Respondent Comment-Feedback Questions.docx
Round 2 Protocol Version 1
IC Document
Enclosure 3B- Round 2 Protocol with Respondent Comment-Feedback and Ancestry Questions.docx
Round 2 Protocol Version 2
IC Document
Enclosure 6 - Additional Screener Questions.docx
Screener Questions
IC Document
Enclosure 7 - Recruitment advertisement text (2).docx
Recruitment Ads
IC Document
Enclosure 8 - Consent form.docx
Consent Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ACS Respondent Comment/Feedback Addendum
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
Entire ACS Questionnaire
Enclosure 4-ACS questionnaire.pdf
No
Fillable Fileable
Form and Instruction
2
ACS Respondent Feedback items at end of ACS Questionnaire
Enclosure 5-Respondent Feedback and Comment Questions.pdf
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
15
0
15
0
0
0
Annual IC Time Burden (Hours)
7
0
7
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo
ACS Respondent-Comment Feedback_Addendum (2).docx
06/12/2018
Round 1 Protocol Part 1 (respondent burden)
Enclosure 1-Round 1 - Part 1.docx
06/12/2018
Round 1 Protocol Part 2 (respondent feedback)
Enclosure 2- Round 1 Protocol - Part 2.docx
06/12/2018
Round 2 Protocol Version 1
Enclosure 3A-Round 2 Protocol with Respondent Comment-Feedback Questions.docx
06/12/2018
Round 2 Protocol Version 2
Enclosure 3B- Round 2 Protocol with Respondent Comment-Feedback and Ancestry Questions.docx
06/12/2018
Screener Questions
Enclosure 6 - Additional Screener Questions.docx
06/12/2018
Recruitment Ads
Enclosure 7 - Recruitment advertisement text (2).docx
06/12/2018
Consent Form
Enclosure 8 - Consent form.docx
06/12/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.