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Federal forms, ICRs, and supporting documents

Information Collection Request

DUAL SYSTEM ESTIMATION FOLLOWUP QUESTIONNAIRE, INTEGRATED COVERAGE MEASUREMENT, 1995 CENSUS TEST

ICR 199503-0607-003 · OMB 0607-0806 · Historical Active

Forms and Documents
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IC IDCollectionTypeStatusForm
105438 DUAL SYSTEM ESTIMATION FOLLOWUP QUESTIONNAIRE, INTEGRATED COVERAGE MEASUREMENT, 1995 CENSUS TEST Form Migrated
ICR Details
0607-0806 199503-0607-003
Historical Active
DOC/CENSUS
DUAL SYSTEM ESTIMATION FOLLOWUP QUESTIONNAIRE, INTEGRATED COVERAGE MEASUREMENT, 1995 CENSUS TEST
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/19/1995
Retrieve Notice of Action (NOA) 03/23/1995
This clearance is approved according to the Paperwork Reduction Act and 5 USC 1320 through December 1995. The Bureau of the Census will report to OMB by December 1995 what worked and any problems encountered with collecting and estimating from information gathered by the Dual System Estimation Followup of the integrated coverage measurement. The latest version of the questionnaire is dated May 16, 1995.
  Inventory as of this Action Requested Previously Approved
12/31/1995 12/31/1995
2,100 0 0
525 0 0
0 0 0
THE DUAL SYSTEM ESTIMATION PHASE OF THE INTEGRATED COVERAGE MEASUREMENT PROGRAM IS DESIGNED TO EVALUATE THE COMPLETENESS OF THE 1995 CENSUS TEST. THE PURPOSE OF THE DSE FOLLOWUP IS TO GATHER ADDITIONAL INFORMATION IN ORDER TO ASSIGN A FINAL MATCH STATUS WITH CERTAINTY AND OBTAIN ESTIMATES OF COVERAGE ERROR FROM THE ICM.
None
None
No
1
IC Title Form No. Form Name
DUAL SYSTEM ESTIMATION FOLLOWUP QUESTIONNAIRE, INTEGRATED COVERAGE MEASUREMENT, 1995 CENSUS TEST DG-1301
  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 2,100 0 0 2,100 0 0
Annual Time Burden (Hours) 525 0 0 525 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
Yes Part B of Supporting Statement
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.
03/23/1995