2030 Decennial Uses of Administrative Data

Generic Clearance for Questionnaire Pretesting Research

Documents and Forms

Document Name Document Type
Form 1 2030 Decennial Uses of Administrative Data Form and Instruction
1 Moderator Guide Attachment 1_CO13 Moderator Guide-2030_AdminData rev10.20.23.docx Form and Instruction
2 Recruitment Screener Attachment 2_CO13 Recruitment Screener rev10.20.23.docx Form and Instruction
CO13_OMB_Memo_100523.docx OMB Memo IC Document
Attachment 3_CO13 Recruitment Online Ad Template and Flyer rev10.20.23.docx Recruitment Online Ad Template and Flyer IC Document
Attachment 4a_CO13 FG Recruitment Email Templates rev10.20.23.docx FG Recruitment Email Templates IC Document
Attachment 4b_CO13 Interview Recruitment Email Templates rev10.20.23.docx Interview Recruitment Email Templates IC Document
Attachment 5_CO13 Recruitment Talking Points rev10.20.23.docx Recruitment Talking Points IC Document
Attachment 6_CO13 Consent Form rev10.20.23.docx Consent Form IC Document
Attachment 7_CO13 Incentive Receipt rev10.20.23.docx Incentive Receipt IC Document

Information Collection (IC) Details

IC Title:	2030 Decennial Uses of Administrative Data	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	Moderator Guide	Attachment 1_CO13 Moderator Guide-2030_AdminData rev10.20.23.docx		No		Fillable Fileable
Form and Instruction	2	Recruitment Screener	Attachment 2_CO13 Recruitment Screener rev10.20.23.docx		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	195	195
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	CO13_OMB_Memo_100523.docx	10/24/2023
Recruitment Online Ad Template and Flyer	Attachment 3_CO13 Recruitment Online Ad Template and Flyer rev10.20.23.docx	10/24/2023
FG Recruitment Email Templates	Attachment 4a_CO13 FG Recruitment Email Templates rev10.20.23.docx	10/24/2023
Interview Recruitment Email Templates	Attachment 4b_CO13 Interview Recruitment Email Templates rev10.20.23.docx	10/24/2023
Recruitment Talking Points	Attachment 5_CO13 Recruitment Talking Points rev10.20.23.docx	10/24/2023
Consent Form	Attachment 6_CO13 Consent Form rev10.20.23.docx	10/24/2023
Incentive Receipt	Attachment 7_CO13 Incentive Receipt rev10.20.23.docx	10/24/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.