Special Census Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SC-1SUPP Continuation Questionnaire	Form	Modified	Available
Form SC-31 Privacy Act Notice	Form	Modified	Available
Form SC-26 Notice of Visit	Form	Modified	Available
Form SC-1F Flashcards	Form	Modified	Available
Form SC-921(SP) Special Place/Group Quarters Add Page	Form	Modified	Available
Form SC-921(HU) Housing Unit Add Page	Form	Modified	Available
Form SC-920 Address Listing Page	Form	Modified	Available
Form SC-351 Initial Contact Checklist - Special Place Operations	Form	Modified	Available
Form SC-116 Group Quarters Enumeration Control Record	Form	Modified	Available
Form SC-2 Special Place Questionnaire	Form	Modified	Available
Form SC-1(PHONE/WYC) Special Census Telephone Questionnaire	Form	Modified	Available
Form SC-1 Special Census Enumerator Questionnaire	Form	Modified	Available
Special Census Supporting Statement- Part B.doc	Supporting Statement B	Uploaded 2008-05-12	Available
AttA-Special Census Program Participants.xls	Supplementary Document	Uploaded 2008-05-12	Available
Special Census Supporting Statement- Part A.doc	Supporting Statement A	Uploaded 2008-05-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
3416	Special Census Program	Form	Modified	Continuation Questionnaire
3416	Special Census Program	Form	Modified	Privacy Act Notice
3416	Special Census Program	Form	Modified	Notice of Visit
3416	Special Census Program	Form	Modified	Flashcards
3416	Special Census Program	Form	Modified	Special Place/Group Quarters Add Page
3416	Special Census Program	Form	Modified	Housing Unit Add Page
3416	Special Census Program	Form	Modified	Address Listing Page
3416	Special Census Program	Form	Modified	Initial Contact Checklist - Special Place Operations
3416	Special Census Program	Form	Modified	Group Quarters Enumeration Control Record
3416	Special Census Program	Form	Modified	Special Place Questionnaire
3416	Special Census Program	Form	Modified	Special Census Telephone Questionnaire
3416	Special Census Program	Form	Modified	Special Census Enumerator Questionnaire

ICR Details

OMB Control No: 0607-0368	ICR Reference No: 200803-0607-002
Status: Historical Active	Previous ICR Reference No: 200504-0607-002
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Special Census Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/13/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/07/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2009	06/30/2009	05/31/2008
Responses	293,687	0	709,655
Time Burden (Hours)	19,143	0	46,377
Cost Burden (Dollars)	0	0	0

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Abstract: The Special Census Program is a reimbursable service offered and performed by the Census Bureau for governmental units that require current population data between decennial censuses. The Census Bureau will update addresses on its Master Address File and enumerate populations in special censuses. Many states distribute funds based on current population statistics. In addition, special census data are used by the local jurisdictions to plan new schools, transportation systems, housing programs, and water treatment facilities.

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Authorizing Statute(s): US Code: 13 USC 196
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 4816	01/28/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 18737	04/07/2008
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Special Census Program	SC-1, SC-1SUPP, SC-1(PHONE/WYC), SC-2, SC-116, SC-351, SC-920, SC-921(HU), SC-921(SP), SC-1F, SC-31, SC-26	Special Census Enumerator Questionnaire ,   Special Census Telephone Questionnaire ,   Special Place Questionnaire ,   Group Quarters Enumeration Control Record ,   Initial Contact Checklist - Special Place Operations ,   Address Listing Page ,   Housing Unit Add Page ,   Special Place/Group Quarters Add Page ,   Flashcards ,   Notice of Visit ,   Privacy Act Notice ,   Continuation Questionnaire

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ICR Summary of Burden

table that charts list 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	293,687	709,655	0	0	-415,968	0
Annual Time Burden (Hours)	19,143	46,377	0	0	-27,234	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:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 04/07/2008

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