Information Collection

Special Census Program

IC 3416 under ICR 200803-0607-002 · OMB 0607-0368.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0368 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SC-1 Special Census Enumerator Questionnaire Special Census Program	Form
Form SC-1(PHONE/WYC) Special Census Telephone Questionnaire Special Census Program	Form
Form SC-2 Special Place Questionnaire Special Census Program	Form
Form SC-116 Group Quarters Enumeration Control Record Special Census Program	Form
Form SC-351 Initial Contact Checklist - Special Place Operations Special Census Program	Form
Form SC-920 Address Listing Page Special Census Program	Form
Form SC-921(HU) Housing Unit Add Page Special Census Program	Form
Form SC-921(SP) Special Place/Group Quarters Add Page Special Census Program	Form
Form SC-1F Flashcards Special Census Program	Form
Form SC-26 Notice of Visit Special Census Program	Form
Form SC-31 Privacy Act Notice Special Census Program	Form
Form SC-1SUPP Continuation Questionnaire Special Census Program	Form
SC-1 Special Census Enumerator Questionnaire AttB-SC1p.PDF	Form
SC-1(PHONE/WYC) Special Census Telephone Questionnaire AttD-SC-1 Phone WYC.pdf	Form
SC-2 Special Place Questionnaire AttE-sc2.PDF	Form
SC-116 Group Quarters Enumeration Control Record AttF-SC116.pdf	Form
SC-351 Initial Contact Checklist - Special Place Operations AttG-SC351-5.pdf	Form
SC-920 Address Listing Page AttH-SC-920.pdf	Form
SC-921(HU) Housing Unit Add Page AttI-SC-921(HU).pdf	Form
SC-921(SP) Special Place/Group Quarters Add Page AttJ-SC-921(SP).pdf	Form
SC-1F Flashcards AttK-SC-1F.pdf	Form
SC-26 Notice of Visit AttL-SC-26.pdf	Form
SC-31 Privacy Act Notice AttM-SC-31.pdf	Form
SC-1SUPP Continuation Questionnaire AttC-sc1supp.PDF	Form

Information Collection (IC) Details

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form	SC-1	No	Paper Only
Form	SC-1(PHONE/WYC)	No	Paper Only
Form	SC-2	No	Paper Only
Form	SC-116	No	Paper Only
Form	SC-351	No	Paper Only
Form	SC-920	No	Paper Only
Form	SC-921(HU)	No	Paper Only
Form	SC-921(SP)	No	Paper Only
Form	SC-1F	No	Paper Only
Form	SC-26	No	Paper Only
Form	SC-31	No	Paper Only
Form	SC-1SUPP	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: 293,687

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	293,687	-415,968	709,655
Annual IC Time Burden (Hours)	19,143	-27,234	46,377
Annual IC Cost Burden (Dollars)	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.

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