Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household

Generic Clearance for Questionnaire Pretesting Research

OMB: 0607-0725

IC ID: 259371

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Document Type
Form
Form
Form
Form
Form
Form and Instruction
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Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household
 
Unchanged
 
Voluntary
 
13 CFR 131, 141, 182, 193, 196  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Protocol Protocol Attachment A Cognitive Interview Protocol - 2023 Race-Ethnicity Question Testing_03242023_rev.docx Yes Yes Fillable Fileable
Form Version A Version A Attachment B RE_Vertical_Question_Testing_Instrument_rev.docx Yes Yes Fillable Fileable
Form Version B Version B Attachment C RE_Two_Page_Question_Testing_Instrument-1_rev.docx Yes Yes Fillable Fileable
Form Screener Screener Attachment E RE_Testing_ENGLISH_Draft Screener Specs_032722_rev.docx Yes Yes Fillable Fileable
Form and Instruction Consent Consent Attachment D Draft Consent Form_rev.docx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

115 0
   
Individuals or Households
 
   0 %

  Requested 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 115 0 0 0 0 115
Annual IC Time Burden (Hours) 132 0 0 0 0 132
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo 2023 Race and Ethnicity Testing OMB Request Letter-1_rev.docx 03/29/2023
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