Self Response -Internet/Telephone/Paper

2018 End-to-End Census Test – Peak Operations

OMB: 0607-0999

IC ID: 227085

Documents and Forms
Document Name
Document Type
Other-Self-Response Instrument Scree
Other-Postcard
Other-Postcard- English/Spanish
Other-Postcard
Other-Postcard- English/Spanish
Other-Postcard
Other-Postcard
Other-Envelope-English/Spanish
Other-Envelope
Other-Envelope-English/Spanish
Other-Envelope- English/Spanish
Other-Envelope-English/Spanish
Other-Envelope
Other-Envelope-English/Spanish
Other-Questionnaire Cover Letter
Other-Questionnaire Cover Letter-Eng
Other-Questionnaire Cover Letter
Other-Questionnaire Cover Letter-Eng
Other-Questionnaire Cover Letter
Other-Questionnaire Cover Letter-Eng
Other-Questionnaire Cover Letter
Other-Questionnaire Cover Letter-Eng
Other-Questionnaire Cover Letter
Other-Questionnaire Cover Letter-Eng
Other-Information Insert-Phone Numbe
Other-Information Insert-FAQs
Other-Information Insert-FAQs
Other-Census Quesionnaire Assistance
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Self Response -Internet/Telephone/Paper
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Self-Response Instrument Screenshots 1. 2017 ECaSE Internet Self Response Screen Shots.pdf Yes Yes Fillable Fileable
Form DH-1 2018 Census Test Questionnaire DH-1_051617.pdf survey.census.gov Yes Yes Fillable Fileable
Form DH-1(ES) 2018 Census Test- Questionnaire English/Spanish DH-1(ES)_051617.pdf survey.census.gov Yes Yes Fillable Fileable
Other-Postcard dh_9p_20170518.pdf No   Paper Only
Other-Postcard- English/Spanish dh_9_p_es_20170518.pdf No   Paper Only
Other-Postcard dh_9c_20170518.pdf No   Paper Only
Other-Postcard- English/Spanish dh_9_c_es_20170518.pdf No   Paper Only
Other-Postcard dh_9_20170508.pdf No   Paper Only
Other-Postcard dh_9_es_20170515.pdf No   Paper Only
Other-Envelope-English/Spanish dh_5_es_20170505.pdf No   Paper Only
Other-Envelope dh_6a_in_20170505.pdf No   Paper Only
Other-Envelope-English/Spanish dh_6a_in_es_20170505.pdf No   Paper Only
Other-Envelope- English/Spanish dh_6b_in_es_20170505.pdf No   Paper Only
Other-Envelope-English/Spanish dh_6a_1_in_es_20170505.pdf No   Paper Only
Other-Envelope dh_8a_20170512.pdf No   Paper Only
Other-Envelope-English/Spanish dh_8a_es_20170512.pdf No   Paper Only
Other-Questionnaire Cover Letter dh_16_l1_20170602_2.pdf Yes Yes Fillable Fileable
Other-Questionnaire Cover Letter-English/Spanish dh_16_l1_es_20170512.pdf Yes Yes Fillable Fileable
Other-Questionnaire Cover Letter dh_16_l2_20170601.pdf Yes Yes Fillable Fileable
Other-Questionnaire Cover Letter-English/Spanish dh_16_l2_es_20170512.pdf Yes Yes Fillable Fileable
Other-Questionnaire Cover Letter dh_16_l3_20170505.pdf Yes Yes Fillable Fileable
Other-Questionnaire Cover Letter-English/Spanish dh_16_l3_es_20170512.pdf Yes Yes Fillable Fileable
Other-Questionnaire Cover Letter dh_16_l4_20170512.pdf Yes Yes Fillable Fileable
Other-Questionnaire Cover Letter-English/Spanish dh_16_l4_es_20170512.pdf Yes Yes Fillable Fileable
Other-Questionnaire Cover Letter dh_17_l1_20170505.pdf Yes Yes Fillable Fileable
Other-Questionnaire Cover Letter-English/Spanish dh_17_l1_ES_20170509.pdf Yes Yes Fillable Fileable
Other-Information Insert-Phone Numbers dh_17_cqa_20170516.pdf No   Fillable Fileable
Other-Information Insert-FAQs dh_17i_es_20170602_2.pdf Yes Yes Fillable Fileable
Other-Information Insert-FAQs DH_17I_ES_P1_06062017.pdf Yes Yes Fillable Fileable
Other-Census Quesionnaire Assistance Content Specificiation 2018 CT CQA Content Specification_061317.docx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

114,000 0
   
Individuals or Households
 
   30 %

  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 114,000 0 0 0 0 114,000
Annual IC Time Burden (Hours) 19,000 0 0 0 0 19,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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