Information Collection

1986 Census Test - Prelist Address Listing Page (form Dc-101a) - Qc Listing And Matching Record (form Dc-169)

IC 105017 under ICR 198502-0607-001 · OMB 0607-0483.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

1986 CENSUS TEST - PRELIST ADDRESS LISTING PAGE (FORM DC-101A) - QC LISTING AND MATCHING RECORD (FORM DC-169)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DC-101A				No	No
Form	DC-169				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	66,000	66,000
Annual IC Time Burden (Hours)	1,650	1,650
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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