OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

2008 Census Dress Rehearsal

IC 3668 under ICR 200710-0607-006 · OMB 0607-0919.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
DX-5(L) Advance Letter with Director's signature.pdf Other-Advance Letter (English)
DX-5(L)(ES) Bilingual Advance Letter with Director's signautre.pdf Other-Advance Letter Bilingual
DX-5(L)(UL) Advance Letter for Update Leave Areas with Director's signature.pdf Other-Advance Letter Update Leave
DX-9 Reminder Postcard with Director's signature.pdf Other-Reminder Postcard English
DX-9(L)(ES) Bilingual Reminder Postcard with Director's signature.pdf Other-Reminder Letter Bilingual (Eng
DX-9(L)(UL) Reminder Postcard for Update Leave Areas with Director's signature.pdf Other-Reminder Postcard Update Leave
DX-10(L) Cover Letter for Be Counted Questionnaire with Director's signature.pdf Other-Cover Letter - Be Counted (Eng
DX-16(L) Cover Letter for Mailback Questionnaire with Director's signature.pdf Other-Cover Letter - Initial Mailing
DX-16(L)(UL) Cover Letter for Update Leave Questionnaire with Director's signature.pdf Other-Cover Letter - Update Leave an
DX-16(L)(ES) Cover Bilingual Letter for Bilingual Questionnaire Mailing with Director's signature.pdf Other-Cover Letter - Bilingual Maili
DX-17(L) Cover Letter for Replacement Mailing with Director's signature.pdf Other-Cover Letter - Replacement Mai
DX-350(L)(FM) Letter to Facility Manager for Group Quarters with Director's signature.pdf Other-Group Quarters Advance Visit L
DX-350(L)(HC) Letter to Health Care Facilities for Group Quarters with Director's sigtnature.pdf Other-Group Quarters Advance Visit L
DX-350(L)(SH) Letter to Student Housing for Group Quarters with Director's signature.pdf Other-Group Quarters Advance Visit L
DX-5 Outgoing Envelope for Advance Letter & Reminder Letter.pdf Other-Outgoing Envelope for Advance
DX-6A Outgoing Envelope for Initial Mailing.pdf Other-Outgoing Envelope for Initial
DX-6(UL) Outgoing Envelope for Update Leave.pdf Other-Outgoing Envelope for Update L
DX-6B Outgoing Envelope for Bilingual Mailing.pdf Other-Outgoing Envelope for English
DX-6(ES) Outgoing Envelope for Bilingual Fulfillment.pdf Other-Outgoing Envelope for Bilingua
DX-6C Outgoing Envelope for Replacement.pdf Other-Outgoing Envelope for Replacem
DX-6(Chinese) Outgoing Envelope for Chinese Fulfillment.pdf Other-Outgoing Envelope for Chinese
DX-8A Return Envelope for Initial Mailing.pdf Other-Return Envelope for Initial Ma
DX-8B Return Envelope for Bilingual.pdf Other-Return Envelope for Initial Bi
DX-8C Return Envelope for UL, UL Adds, Replacement, Fulfillment (English & Chinese).pdf Other-Return Envelope for U/L, U/L A
DX-8D Return Envelope for Bilingual UL, UL Adds & Fulfillment.pdf Other-Return Envelope for Bilingual
DX-12 Outgoing Envelope for Be Counted (English).pdf Other-Outgoing Envelope for Be Count
DX-12(S) Outgoing Envelope for Be Counted (Spanish).pdf Other-Outgoing Envelope for Be Count
DX-12(Chinese) Outgoing Envelope for Be Counted (Chinese).pdf Other-Outgoing Envelope for Be Count
DX-40 Outgoing-Return Envelope for ICR.pdf Other-Outgoing/Return Envelope for I
DX-40(S) Outgoing-Return Envelope for ICR (Spanish).pdf Other-Outgoing/Return Envelope for I
DX-1(F) Information Sheet (English-Flashcard).pdf Other-Flashcard Booklet
DX-26 Notice of Visit (English & Spanish).pdf Other-Notice of Visit
DX-31 Privacy Act Notice (English & Spanish).pdf Other-Privacy Act Notice
DX-60 Language Assistance Guide.pdf Other-Language Assistance Guide
DX-3309 Language Identification Card.pdf Other-Language ID Flashcard
DX-10(L)(S) Cover Letter for Be Counted Spanish Questionnaire with Director's signature.pdf Other-Cover Letter for Be Counted Fo
dx16l_chinese - Fulfillment Cover Letter.pdf Other-Cover Letter -- Chinese Fulfil
DX-14 Return Envelope for Be Counted (English).pdf Other-Return Envelope -- Be Counted
DX-10(L)(C) Cover Letter for Be Counted Chinese Questionnaire with Director's signature.pdf Other-Cover Letter for Be Counted Ch
DX-14(C) Return Envelope for Be Counted (Chinese).pdf Other-Return Envelope for Be Counted
DX-14(S) Return Envelope for Be Counted (Spanish).pdf Other-Return Envelope for Be Counted
DX-1 Mailback - English (Initial, U/L, Replacement and Fulfil
DX-1 Mailback Questionnaire.pdf
www.census.gov/2010census/2008_dress_rehearsal/ 		Form
DX-1(UL) Update Leave (ADD)
DX-1(UL) Update Leave Add Questionnaire.pdf
www.census.gov/2010census/2008_dress_rehearsal/ 		Form
DX-1(ES) Bilingual - English/Spanish (Initial and Fulfillment)
DX-1(ES) Bilingual Questionnaire.pdf
www.census.gov/2010census/2008_dress_rehearsal/ 		Form
DX-1(C) Chinese Fulfillment
DX-1(C) Chinese Fulfillment Questionnaire.pdf
www.census.gov/2010census/2008_dress_rehearsal/ 		Form
DX-10 Be Counted - English
DX-10 Be Counted (English) Questionnaire.pdf
www.census.gov/2010census/2008_dress_rehearsal/ 		Form
DX-10(C) Be Counted - Chinese
DX-10(Chinese) Be Counted (Chinese) Questionnaire.pdf
www.census.gov/2010census/2008_dress_rehearsal/ 		Form
DX-15 Enumeration at Transitory Locations
DX-15 Enumeration of Transitory Locations Questionnaire.pdf
www.census.gov/2010census/2008_dress_rehearsal/ 		Form
DX-20 Individual Census Report - English
DX-20 Individual Census Report with Director's signature (English).pdf
www.census.gov/2010census/2008_dress_rehearsal/ 		Form
DX-20(S) Individual Census Report - Spanish
DX-20(S) Individual Census Report with Director's signatue (Spanish).pdf
www.census.gov/2010census/2008_dress_rehearsal/ 		Form
DX-21 Military Census Report - English
DX-21 Militay Census Report with Director's signature (English only).pdf
www.census.gov/2010census/2008_dress_rehearsal/ 		Form
DX-10(S) Be Counted Form (Spanish)
DX-10(S) Be Counted (Spanish) Questionnaire.pdf
www.census.gov/2010census/2008_dress_rehearsal/ 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Other-Outgoing Envelope for English Fulfillment DX-6B Outgoing Envelope for Bilingual Mailing.pdf No   Paper Only
Other-Outgoing Envelope for Bilingual Fulfillment DX-6(ES) Outgoing Envelope for Bilingual Fulfillment.pdf No   Paper Only
Other-Outgoing Envelope for Replacement Mailing and English Fulfillment DX-6C Outgoing Envelope for Replacement.pdf No   Paper Only
Other-Outgoing Envelope for Chinese Fulfillment DX-6(Chinese) Outgoing Envelope for Chinese Fulfillment.pdf No   Paper Only
Other-Return Envelope for Initial Mailing (2nd window for postal tracking barcode) DX-8A Return Envelope for Initial Mailing.pdf No   Paper Only
Other-Return Envelope for Initial Bilingual (2nd window for postal tracking barcode) DX-8B Return Envelope for Bilingual.pdf No   Paper Only
Other-Return Envelope for U/L, U/L ADDs, Replacement, and Fulfillment (English and Chinese) DX-8C Return Envelope for UL, UL Adds, Replacement, Fulfillment (English & Chinese).pdf No   Paper Only
Other-Return Envelope for Bilingual U/L, U/L ADDs, and Fulfillment DX-8D Return Envelope for Bilingual UL, UL Adds & Fulfillment.pdf No   Paper Only
Other-Outgoing Envelope for Be Counted - English DX-12 Outgoing Envelope for Be Counted (English).pdf No   Paper Only
Other-Outgoing Envelope for Be Counted - Spanish DX-12(S) Outgoing Envelope for Be Counted (Spanish).pdf No   Printable Only
Other-Outgoing Envelope for Be Counted - Chinese DX-12(Chinese) Outgoing Envelope for Be Counted (Chinese).pdf No   Paper Only
Other-Outgoing/Return Envelope for Individual Census Report - English DX-40 Outgoing-Return Envelope for ICR.pdf No   Paper Only
Other-Outgoing/Return Envelope for Individual Census Report - Spanish DX-40(S) Outgoing-Return Envelope for ICR (Spanish).pdf No   Paper Only
Other-Flashcard Booklet DX-1(F) Information Sheet (English-Flashcard).pdf No   Paper Only
Other-Notice of Visit DX-26 Notice of Visit (English & Spanish).pdf No   Paper Only
Other-Privacy Act Notice DX-31 Privacy Act Notice (English & Spanish).pdf No   Paper Only
Other-Language Assistance Guide DX-60 Language Assistance Guide.pdf No   Paper Only
Other-Language ID Flashcard DX-3309 Language Identification Card.pdf No   Paper Only
Form DX-10(S) Be Counted Form (Spanish) DX-10(S) Be Counted (Spanish) Questionnaire.pdf http://www.census.gov/2010census/2008_dress_rehearsal/ Yes No Printable Only
Other-Cover Letter for Be Counted Form (Spanish) DX-10(L)(S) Cover Letter for Be Counted Spanish Questionnaire with Director's signature.pdf No   Paper Only
Other-Cover Letter -- Chinese Fulfillment package dx16l_chinese - Fulfillment Cover Letter.pdf No   Paper Only
Other-Return Envelope -- Be Counted (English) DX-14 Return Envelope for Be Counted (English).pdf No   Paper Only
Other-Cover Letter for Be Counted Chinese Questionnaire DX-10(L)(C) Cover Letter for Be Counted Chinese Questionnaire with Director's signature.pdf No   Paper Only
Other-Return Envelope for Be Counted (Chinese) DX-14(C) Return Envelope for Be Counted (Chinese).pdf No   Paper Only
Other-Return Envelope for Be Counted (Spanish) DX-14(S) Return Envelope for Be Counted (Spanish).pdf No   Paper Only
Other-Advance Letter (English) DX-5(L) Advance Letter with Director's signature.pdf No   Paper Only
Other-Advance Letter Bilingual DX-5(L)(ES) Bilingual Advance Letter with Director's signautre.pdf No   Paper Only
Other-Advance Letter Update Leave DX-5(L)(UL) Advance Letter for Update Leave Areas with Director's signature.pdf No   Paper Only
Other-Reminder Postcard English DX-9 Reminder Postcard with Director's signature.pdf No   Paper Only
Other-Reminder Letter Bilingual (English/Spanish) DX-9(L)(ES) Bilingual Reminder Postcard with Director's signature.pdf No   Paper Only
Other-Reminder Postcard Update Leave DX-9(L)(UL) Reminder Postcard for Update Leave Areas with Director's signature.pdf No   Paper Only
Other-Cover Letter - Be Counted (English) DX-10(L) Cover Letter for Be Counted Questionnaire with Director's signature.pdf No   Paper Only
Other-Cover Letter - Initial Mailing DX-16(L) Cover Letter for Mailback Questionnaire with Director's signature.pdf No   Paper Only
Other-Cover Letter - Update Leave and U/L ADDs DX-16(L)(UL) Cover Letter for Update Leave Questionnaire with Director's signature.pdf No   Paper Only
Other-Cover Letter - Bilingual Mailing DX-16(L)(ES) Cover Bilingual Letter for Bilingual Questionnaire Mailing with Director's signature.pdf No   Paper Only
Other-Cover Letter - Replacement Mailing DX-17(L) Cover Letter for Replacement Mailing with Director's signature.pdf No   Paper Only
Other-Group Quarters Advance Visit Letter - Facility Manager DX-350(L)(FM) Letter to Facility Manager for Group Quarters with Director's signature.pdf No   Paper Only
Other-Group Quarters Advance Visit Letter - Health Care Facilities DX-350(L)(HC) Letter to Health Care Facilities for Group Quarters with Director's sigtnature.pdf No   Paper Only
Other-Group Quarters Advance Visit Letter - Student Housing DX-350(L)(SH) Letter to Student Housing for Group Quarters with Director's signature.pdf No   Paper Only
Form DX-1 Mailback - English (Initial, U/L, Replacement and Fulfillment) DX-1 Mailback Questionnaire.pdf http://www.census.gov/2010census/2008_dress_rehearsal/ Yes No Printable Only
Form DX-1(UL) Update Leave (ADD) DX-1(UL) Update Leave Add Questionnaire.pdf http://www.census.gov/2010census/2008_dress_rehearsal/ Yes No Paper Only
Form DX-1(ES) Bilingual - English/Spanish (Initial and Fulfillment) DX-1(ES) Bilingual Questionnaire.pdf http://www.census.gov/2010census/2008_dress_rehearsal/ Yes No Printable Only
Form DX-1(C) Chinese Fulfillment DX-1(C) Chinese Fulfillment Questionnaire.pdf http://www.census.gov/2010census/2008_dress_rehearsal/ Yes No Printable Only
Form DX-10 Be Counted - English DX-10 Be Counted (English) Questionnaire.pdf http://www.census.gov/2010census/2008_dress_rehearsal/ Yes No Printable Only
Form DX-10(C) Be Counted - Chinese DX-10(Chinese) Be Counted (Chinese) Questionnaire.pdf http://www.census.gov/2010census/2008_dress_rehearsal/ Yes No Printable Only
Form DX-15 Enumeration at Transitory Locations DX-15 Enumeration of Transitory Locations Questionnaire.pdf http://www.census.gov/2010census/2008_dress_rehearsal/ Yes No Printable Only
Form DX-20 Individual Census Report - English DX-20 Individual Census Report with Director's signature (English).pdf http://www.census.gov/2010census/2008_dress_rehearsal/ Yes No Printable Only
Form DX-20(S) Individual Census Report - Spanish DX-20(S) Individual Census Report with Director's signatue (Spanish).pdf http://www.census.gov/2010census/2008_dress_rehearsal/ Yes No Printable Only
Form DX-21 Military Census Report - English DX-21 Militay Census Report with Director's signature (English only).pdf http://www.census.gov/2010census/2008_dress_rehearsal/ Yes No Printable Only
Other-Outgoing Envelope for Advance Letters and Reminder Letter DX-5 Outgoing Envelope for Advance Letter & Reminder Letter.pdf No   Paper Only
Other-Outgoing Envelope for Initial Mailing DX-6A Outgoing Envelope for Initial Mailing.pdf No   Paper Only
Other-Outgoing Envelope for Update Leave (U/L) DX-6(UL) Outgoing Envelope for Update Leave.pdf No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 638,752 0 0 0 0 638,752
Annual IC Time Burden (Hours) 101,501 0 0 0 0 101,501
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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.