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Household Pulse Survey
Household Pulse Survey
OMB: 0607-1013
IC ID: 241411
OMB.report
DOC/CENSUS
OMB 0607-1013
ICR 202009-0607-004
IC 241411
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-1013 can be found here:
2023-10-05 - No material or nonsubstantive change to a currently approved collection
2023-07-19 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Household Pulse Survey
Form
Household Pulse Survey Questionnaire
HH Pulse Survey Questionnaire_CLEAN FINAL_rev EDUC_041920.docx
Form
Household Pulse Survey Questionnaire, Phase 3
Part A, ATTACH A_HH Pulse Questionnaire_Standard ICR_Phase 3_English_Spanish.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Household Pulse Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
NA
Household Pulse Survey Questionnaire
HH Pulse Survey Questionnaire_CLEAN FINAL_rev EDUC_041920.docx
Yes
Yes
Fillable Fileable
Form
NA
Household Pulse Survey Questionnaire, Phase 3
Part A, ATTACH A_HH Pulse Questionnaire_Standard ICR_Phase 3_English_Spanish.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,296,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
1,296,000
0
0
0
0
1,296,000
Annual IC Time Burden (Hours)
427,784
0
0
0
0
427,784
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.