2019 ACS POW-HOA Cognitive Testing to Reduce Burden

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⚠️ Notice: This information collection may be referencing outdated material.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 2019 ACS POW-HOA Cognitive Testing to Reduce Burden Form and Instructi
1 Modified ACS Paper Form Attachment E The American Community Survey, paper survey form ACS-1(X).pdf Form and Instruction
ACS Cognitive Testing to Reduce Burden OMB Memo 2019.docx OMB Memo IC Document
Attachment A 2019 ACS POW-HOA Cognitive Testing Research Goals, Recruiting Requirements, Question Wording.docx Research Goals, Recruiting Requirements, Question Wording IC Document
Attachment B ACS Respondent Burden Testing_Recruitment Plan FINAL_121418.docx Recruiting Plan, Screener, and Ad Templates IC Document
Attachment C ACS Respondent Burden Testing_Consent Form_FINAL.doc Consent Form IC Document
Attachment D ACS Respondent Burden Testing_Protocol_FINAL121418.docx Protocol IC Document
Attachment F Alternative Version of the Condominium Fee question.docx Alt Version of Condo Fee Question IC Document

Information Collection (IC) Details

IC Title:	2019 ACS POW-HOA Cognitive Testing to Reduce Burden	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	Modified ACS Paper Form	Attachment E The American Community Survey, paper survey form ACS-1(X).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: 12	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	12	12
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	ACS Cognitive Testing to Reduce Burden OMB Memo 2019.docx	01/16/2019
Research Goals, Recruiting Requirements, Question Wording	Attachment A 2019 ACS POW-HOA Cognitive Testing Research Goals, Recruiting Requirements, Question Wording.docx	01/16/2019
Recruiting Plan, Screener, and Ad Templates	Attachment B ACS Respondent Burden Testing_Recruitment Plan FINAL_121418.docx	01/16/2019
Consent Form	Attachment C ACS Respondent Burden Testing_Consent Form_FINAL.doc	01/16/2019
Protocol	Attachment D ACS Respondent Burden Testing_Protocol_FINAL121418.docx	01/16/2019
Alt Version of Condo Fee Question	Attachment F Alternative Version of the Condominium Fee question.docx	01/16/2019

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