OMB
.report
Search
2020 American Community Survey (ACS) Revised Mailing Materials Cognitive Interviews
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0690-0030
IC ID: 232960
OMB.report
DOC/OS
OMB 0690-0030
ICR 201705-0690-001
IC 232960
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0690-0030 can be found here:
2023-06-13 - Extension without change of a currently approved collection
2020-06-12 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Enclosure 1 - Modified 2020 ACS mailing materials.docx
Instruction
Enclosure 3 - Draft 2020 Census mailing materials.docx
Instruction
Enclosure 5 - 2020 Field Flier.pdf
Other-Field Flyer
Enclosure 6 - Recruitment materials (2).docx
Other-Recruitment Materials
Enclosure 9 - Additional screening questions.docx
Other-Additional Screening Questions
Enclosure 7 - Protocol.docx
Other-Protocol
2018 American Community Survey
Enclosure 2 - 2018 ACS Questionnaire.pdf
Form and Instruction
Draft 2020 Census Questionnaire
Enclosure 4 - Draft 2020 Census Questionnaire.pdf
Form and Instruction
Consent Form
Enclosure 8 - Consent form.docx
Form
Census OMB Memo- 2020 ACS Mail.docx
OMB Memo
IC Document
Fast Track Memo- 2020 ACS Mail.docx
Fast Track Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2020 American Community Survey (ACS) Revised Mailing Materials Cognitive Interviews
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Enclosure 1 - Modified 2020 ACS mailing materials.docx
Yes
No
Fillable Printable
Other-Protocol
Enclosure 7 - Protocol.docx
Yes
No
Fillable Printable
Form and Instruction
None
2018 American Community Survey
Enclosure 2 - 2018 ACS Questionnaire.pdf
Yes
No
Fillable Printable
Instruction
Enclosure 3 - Draft 2020 Census mailing materials.docx
Yes
No
Fillable Printable
Form and Instruction
None
Draft 2020 Census Questionnaire
Enclosure 4 - Draft 2020 Census Questionnaire.pdf
Yes
No
Fillable Printable
Other-Field Flyer
Enclosure 5 - 2020 Field Flier.pdf
Yes
No
Printable Only
Other-Recruitment Materials
Enclosure 6 - Recruitment materials (2).docx
Yes
No
Printable Only
Form
None
Consent Form
Enclosure 8 - Consent form.docx
Yes
No
Fillable Printable
Other-Additional Screening Questions
Enclosure 9 - Additional screening questions.docx
Yes
No
Fillable Printable
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:
20
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
20
0
20
0
0
0
Annual IC Time Burden (Hours)
21
0
21
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo
Census OMB Memo- 2020 ACS Mail.docx
09/11/2018
Fast Track Memo
Fast Track Memo- 2020 ACS Mail.docx
09/11/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.