OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

UPDATE LIST/LEAVE EVALUATION, RECONCILIATION FORM FOR HOUSEHOLD ROSTER CHECK

ICR 198006-0607-006 · OMB 0607-0341 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
104727 UPDATE LIST/LEAVE EVALUATION, RECONCILIATION FORM FOR HOUSEHOLD ROSTER CHECK Form Migrated
ICR Details
0607-0341 198006-0607-006
Historical Active
DOC/CENSUS
UPDATE LIST/LEAVE EVALUATION, RECONCILIATION FORM FOR HOUSEHOLD ROSTER CHECK
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/03/1980
Retrieve Notice of Action (NOA) 06/10/1980
  Inventory as of this Action Requested Previously Approved
06/30/1981 06/30/1981
10,000 0 0
3,000 0 0
0 0 0
EVALUATION OF THE UPDATE LIST/LEAVE EXPERIMENTAL PROGRAM WILL INCLUDE COMPARISONS OF THE WITHIN HOUSEHOLD COVERAGE RATES BETWEEN UPDATE LIST/LEAVE AND STANDARD CENSUS PROCEDURES. DATA WILL BE USED TO CALCULATE ESTIMATES OF COVERAGE RATES.
None
None
No
1
IC Title Form No. Form Name
UPDATE LIST/LEAVE EVALUATION, RECONCILIATION FORM FOR HOUSEHOLD ROSTER CHECK D-814
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,000 0 0 0 10,000 0
Annual Time Burden (Hours) 3,000 0 0 0 3,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/10/1980