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Agenda
Reg Review
ICR
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:
Modified
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
SC-Q
Housing Unit Enumerator Questionnaire
DRAFT_HU Questionnaire_SC-Q_072522.pdf
Yes
Yes
Fillable Fileable
Form
SC-Q(S)
Housing Unit Enumerator Questionnaire (Spanish)
DRAFT_Spanish HU Questionnaire_SC-Q(S)_071822.pdf
Yes
Yes
Fillable Fileable
Form
SC-CQ
HU Enumerator Continuation Questionnaire (English)
DRAFT_HU Continuation Questionnaire_SC-CQ_082522.pdf
Yes
Yes
Fillable Fileable
Form
SC-CQ(S)
HU Enumerator Continuation Questionnaire (Spanish)
DRAFT_Spanish HU Continuation Questionnaire_SC-CQ(S)_082522.pdf
Yes
Yes
Fillable Fileable
Form
SC-Q-GE
GQ Individual Census Questionnaire (English)
DRAFT_GQ Questionnaire_SC-Q-GE_101722.pdf
No
Paper Only
Form
SC-Q-GE(S)
GQ Individual Census Questionnaire (Spanish)
DRAFT_Spanish GQ Questionnaire_SC-Q-GE(S)_101722.pdf
No
Paper Only
Form
SC-Q-TL
Transitory Unit Questionnaire (English)
DRAFT_TU Questionnaire SC-Q-TL_100722n.pdf
No
Paper Only
Form
SC-Q-TL(S)
Transitory Unit Questionnaire (Spanish)
DRAFT_Spanish TU Questionnaire_SC-Q-TL(S)_100522n.pdf
No
Paper Only
Form
SC-CQ-TL
Transitory Unit Continuation Questionnaire (English)
DRAFT_TU Continuation Questionnaire_SC-CQ-TL_100722n.pdf
No
Paper Only
Form
SC-CQ-TL(S)
Transitory Unit Continuation Questionnaire (Spanish)
DRAFT_Spanish TU Continuation Questionnaire_SC-CQ-TL(S)_100722n.pdf
No
Paper Only
Form
SC-RQ
Reinterview Questionnaire (English)
DRAFT_Reinterview Questionnaire_SC-RQ_100722n.pdf
No
Paper Only
Form
SC-RQ(S)
Reinterview Questionnaire (Spanish)
DRAFT_Spanish Reinterview Questionnaire_SC-RQ(S)_100722n.pdf
No
Fillable Fileable Signable
Form
SC-435
Reinterview Dependent Quality Check Record
DRAFT_SC-435_20220506.pdf
No
Paper Only
Other-Internet Self Response Screenshots
DRAFT_Special Census ISR Screenshots_100722.pdf
Yes
Yes
Fillable Fileable
Other-Housing Unit Enumeration Materials
HU Enumeration Materials.pdf
Yes
Yes
Fillable Fileable
Other-Mail Materials
Mailing Materials.pdf
No
Paper Only
Other-Group Quarters Enumeration Materials
GQ Enumeration Materials.pdf
No
Paper Only
Other-Transitory Location Enumeration Materials
TL Enumeration Materials.pdf
No
Paper Only
Other-Address Listing Pages
Address Listing121922.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:
357,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
75 %
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
357,000
0
357,000
0
0
0
Annual IC Time Burden (Hours)
59,500
0
59,500
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.