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Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household - Addendum
Generic Clearance for Questionnaire Pretesting Research
OMB: 0607-0725
IC ID: 259857
OMB.report
DOC/CENSUS
OMB 0607-0725
ICR 202508-0607-002
IC 259857
( )
Documents and Forms
Document Name
Document Type
Form 1
Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household - Addendum
Form and Instruction
1 Instrument
Attachment G RE_Two_Page_Question_Testing_Instrument-1_African Descent Edits.docx
Form and Instruction
2023 Race and Ethnicity Testing OMB Request Letter-1_ammendment.docx
OMB Letter
IC Document
Attachment H Cognitive Interview Protocol - 2023 Race-Ethnicity Question Testing_Afrodescent.docx
Protocol
IC Document
Attachment D Draft Consent Form_rev_clean.docx
Consent Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Cognitive testing for the 2023 Race and Ethnicity Questions: Census Household - Addendum
Agency IC Tracking Number:
IC Status:
Unchanged
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 and Instruction
1
Instrument
Attachment G RE_Two_Page_Question_Testing_Instrument-1_African Descent Edits.docx
No
Fillable Fileable
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:
1
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
1
0
0
0
0
1
Annual IC Time Burden (Hours)
0
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Letter
2023 Race and Ethnicity Testing OMB Request Letter-1_ammendment.docx
04/25/2023
Protocol
Attachment H Cognitive Interview Protocol - 2023 Race-Ethnicity Question Testing_Afrodescent.docx
04/25/2023
Consent Form
Attachment D Draft Consent Form_rev_clean.docx
04/25/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.