View Information Collection (IC)

View Information Collection (IC)

IC Title:	Special Census Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	SC-1	Enumerator Questionnaire	Attachment A_SC-1.pdf		No		Paper Only
Form	SC-1 (Supp)	Enumeration Continuation Questionnaire	Attachment B_SC-1(supp).pdf		No		Paper Only
Form and Instruction	SC-1 (phone)	Phone/WYC Questionnaire	Attachment C_SC-1(phone).pdf		No		Paper Only
Form	SC-2	Special Census Individual Census Report	Attachment D_SC-2.pdf		No		Paper Only
Form and Instruction	SC-3 (RI)	Enumeration Reinterview Form	Attachment E_SC-3.pdf		No		Paper Only
Form	SC-116	GQ Enumeration Control Record	Attachment F_SC-116.pdf		No		Paper Only
Form	SC-117	TL Enumeration Record	Attachment G_SC-117.pdf		No		Paper Only
Form and Instruction	SC-351	GQ Initail Contact Checklist	Attachment H_SC-351.pdf		No		Paper Only
Form	SC-920	Address Listing Page	Attachment I_SC-920.pdf		No		Paper Only
Form and Instruction	SC-921 (HU)	Housing Unit Add Page	Attachment J_SC-921(HU).pdf		No		Paper Only
Form	SC-921 (GQ)	Group Quarter Add Page	Attachment K_SC-921(GQ).pdf		No		Paper Only
Form and Instruction	SC -921 (TU)	Transitory Unit Add Page	Attachment L_SC-921(TU).pdf		No		Paper Only
Instruction			Attachment M_SC-1(F).pdf		No		Paper Only
Instruction			Attachment N_SC-31.pdf		No		Paper Only
Other-Notice of Visit			Attachment O_SC-26.pdf		No		Paper Only
Other-Enumerator's Notes			Attachment P_SC-901.pdf		No		Paper Only
Instruction			Attachment Q_SC-3309.pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 248,430	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	248,430	0	248,430	0	0	0
Annual IC Time Burden (Hours)	52,998	0	52,998	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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