Part A, Attachment B - PA and PRA Statement, Phase 3

Part A, ATTACH B_PA and PRA Statement_Standard ICR Phase 3.docx

Household Pulse Survey

Part A, Attachment B - PA and PRA Statement, Phase 3

OMB: 0607-1013

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Household Pulse Survey Phase 3


Supporting Statement A, Attachment B


Household Pulse Survey Combined Privacy Act Statement & Paperwork Reduction Act Burden Statement


This survey is a cooperative effort across many government agencies to provide critical, up-to-date information about the impact of the coronavirus (COVID-19) pandemic on the U.S. population.  Completing this short 10-minute survey will help federal, state, and local agencies identify coronavirus (COVID-19) related issues in your community.

The U.S. Census Bureau is required by law to protect your information. The Census Bureau is not permitted to publicly release your responses in a way that could identify you. We are conducting this voluntary survey​ under the authority of Title 13, United States Code, Sections 8(b) and 182 to study the economic impacts of the COVID-19 pandemic in the United States. Federal law protects your privacy and keeps your answers confidential (Title 13, United States Code, Section 9). Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from ​cybersecurity risks through screening of the systems that transmit your data.  



We estimate that completing this survey will take 20 minutes on average. Send comments regarding this estimate or any other aspect of this survey, including suggestions for reducing the time it takes to complete this survey to adrm.pra@census.gov. This collection has been approved by the Office of Management and Budget (OMB). This eight-digit OMB approval number, 0607-XXXX3, confirms this approval and expires on 07/31/2020. We are required to display this number to conduct this survey.  



Your privacy is protected by the Privacy Act (Title 5, U.S. Code, Section 552a).  Routine uses of these data are limited to those identified in the Privacy Act System of Record Notice titled, “SORN COMMERCE/Census-3, Demographic Survey Collection (Census Bureau Sampling Frame).” The Census Bureau can use your responses only to produce statistics, and is not permitted to publicly release your responses in a way that could identify you.  



To learn more about this survey go to: https://www.census.gov/householdpulsedata.  



** U.S. Census Bureau Notice and Consent Warning **  



You are accessing a United States Government computer network. Any information you enter into this system is confidential. It may be used by the Census Bureau for statistical purposes and to improve the website. If you want to know more about the use of this system, and how your privacy is protected, visit our online privacy webpage at

http://www.census.gov/about/policies/privacy/privacy-policy.html.  



Use of this system indicates your consent to collection, monitoring, recording, and use of the information that you provide for any lawful government purpose. 1 So that our website remains safe and available for its intended use, network traffic is monitored to identify unauthorized attempts to access, upload, change information, or otherwise cause damage to the web service. Use of the government computer network for unauthorized purposes is a violation of Federal law and can be punished with fines or imprisonment (PUBLIC LAW 99-474). 



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorEdwina Martha Jaramillo (CENSUS/PCO FED)
File Modified0000-00-00
File Created2021-01-13

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