OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Field Representative Exit Questionnaire/Decennial Field Staff Exit Questionnaire

ICR 201212-0607-001 · OMB 0607-0404 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Nonsub request.docx Justification for No Material/Nonsubstantive Change Uploaded 2012-12-05 Repair queued
POC FR Questionniare with frequencies.pdf Supplementary Document Uploaded 2012-08-10 Repair queued
POC FR Questionnaire Comments.pdf Supplementary Document Uploaded 2012-08-10 Available
Supporting StatementB revised Aug 2012.doc Supporting Statement B Uploaded 2012-08-10 Available
Supporting StatementA revised Aug 2012.doc Supporting Statement A Uploaded 2012-08-10 Available
IC Document Collections
IC IDCollectionTypeStatusForm
3428 Field Representative Exit Questionnaire/Decennial Field Staff Exit Questionnaire Other-Proposed Changes to BC-1294 Modified
ICR Details
0607-0404 201212-0607-001
Historical Active 201205-0607-001
DOC/CENSUS
Field Representative Exit Questionnaire/Decennial Field Staff Exit Questionnaire
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/07/2012
Retrieve Notice of Action (NOA) 12/07/2012
  Inventory as of this Action Requested Previously Approved
08/31/2015 08/31/2015 08/31/2015
650 0 650
84 0 84
0 0 0
Due to the monetary cost associated with turnover and the potential impact on data quality, the retention of trained field interviewing staff is a major concern for the Census Bureau. The BC-1294, Field Representative Exit Questionnaire, is the instrument we use to collect data from former current survey interviewers. We use the Exit Questionnaire to identify the reasons for interviewer turnover and to determine what the Census Bureau might have done, or can do, to influence interviewers not to leave. The information we collect from former current survey interviewers will allow for better informed management decisions regarding the future field work force and the implementation of more effective retention strategies.
US Code: 13 USC 23 Name of Law: null
   US Code: 5 USC 3101 Name of Law: null
  
None
Not associated with rulemaking
  76 FR 54732 09/02/2011
77 FR 31306 05/25/2012
Yes
  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 650 650 0 0 0 0
Annual Time Burden (Hours) 84 84 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$5,950
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Darlene Moul 3017631935
  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.
12/07/2012