Field Representative Exit Questionnaire/Decennial Field Staff Exit Questionnaire/Continuous Measurement Exit Questionnaire

Forms and Documents

Document Name	Status
justification for nonsubstantive change.doc Justification for No Material/Nonsubstantive Change	2009-06-16
Supporting StatementB.doc Supporting Statement B	2009-01-27
Supporting StatementA.doc Supporting Statement A	2009-02-06

IC Document Collections

IC ID	Document Title	Status
3428	Field Representative Exit Questionnaire/Decennial Field Staff Exit Questionnaire/Continuous Measurement Exit Questionnaire Other-Proposed Changes to BC-1294	Modified

ICR Details

OMB Control No: 0607-0404	ICR Reference No: 200906-0607-003
Status: Historical Active	Previous ICR Reference No: 200809-0607-001
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Field Representative Exit Questionnaire/Decennial Field Staff Exit Questionnaire/Continuous Measurement Exit Questionnaire
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/22/2009
	Date Received in OIRA: 06/18/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2012	02/29/2012	02/29/2012
Responses	2,500	0	2,500
Time Burden (Hours)	393	0	393
Cost Burden (Dollars)	0	0	0

---

Abstract: 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. Thus we use the Exit Questionnaires to identify the reasons for interviewer turnover and determine what the Census Bureau might have done, or can do, to influence interviewers not to leave. Information from current survey and decennial respondents will allow for better informed management decisions regarding the future field work force and the implementation of more effective retention strategies. The Exit Questionnaires are used to collect data from former current survey interviewers (BC-1294), decennial field staff (BC-1294(D)) & Coverage Measurement listers/interviewers (BC-1294(CM)).

---

Authorizing Statute(s): US Code: 13 USC 23 Name of Law: null
   US Code: 5 USC 3101 Name of Law: null
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 9521	02/21/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 59596	10/09/2008
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Field Representative Exit Questionnaire/Decennial Field Staff Exit Questionnaire/Continuous Measurement Exit Questionnaire	BC-1294, BC-1294(D), BC-1294(CM)	Decennial Field Staff Exit Questionnaire ,   Coverage Measurement Exit Questionnaire ,   Field Representative Exit Questionnaire

---

ICR Summary of Burden

	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	2,500	2,500	0	0	0	0
Annual Time Burden (Hours)	393	393	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The 83 hour program change increase in burden is due to the addition of former continuous measurement staff to the universe of eligible respondents.

---

Annual Cost to Federal Government: $37,300

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/18/2009

---