Information Collection

Questionnaires

IC 3668 under ICR 200808-0607-003 · OMB 0607-0919.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0919 can be found here:

2010-06-17 - No material or nonsubstantive change to a currently approved collection
2010-03-04 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form D-1 Questionnaires	Form
D-1 Mailout Form D-1 Mailout.pdf	Form
D-1 PR(S) UpdateLeave PR Sp D-1 PR(S)_UpdateLeave PR Sp.pdf	Form
D-1 PR English Fulfillment PR D-1 PR_English Fulfillment PR.pdf	Form
D-1(E) Enumerator-NRFU D-1(E)_1_5_082708.pdf	Form
D-1(E) PR(S) Enumerator PR Sp D-1(E) PR(S) Enumerator PR Sp.pdf	Form
D-1(E)(RI) Enumeratior-NRFU Reinterview D1-(E)RI_1_4_082808.pdf	Form
D-1(E)(SUPP) Enumerator-NRFU Supplemental D-1(E)(SUPP) Enumerator-NRFU Supplemental.pdf	Form
D-1(ES) Bilingual Form D-1(ES) Bilingual.pdf	Form
D-1(S) Spanish Fulfillment D-1(S) Spanish Fulfillment.pdf	Form
D-1(UL) PR(S) Update Leave Add and Sp Fulfillment D-1(UL) PR(S)_Update Leave Add and Sp Fulfillment.pdf	Form
D-1(UL) Update Leave Add D-1(UL) Update Leave Add.pdf	Form
D-10 Be Counted D-10 Be Counted.pdf	Form
D-10 PR Be Counted PR Eng D-10 PR Be Counted PR Eng.pdf	Form
D-10(S) Be Counted Spanish D-10(S) Be Counted Spanish.pdf	Form
D-15 Enum at Transitory Locations D-15_1_6[1] 9-10-08.pdf	Form
D-20 Individual Census Report D-20 Individual Census Report_1 D7 100608.pdf	Form
D-20 PR(S) Individual Census Report PR Sp D-20PR(S) Individual Census Report (ICR) - PR Spanish_D5 100608.pdf	Form
D-20 PR Individual Census Report PR Eng D-20PR Individual Census Report (ICR) - PR English_D7 100708.pdf	Form
D-20(S) Individual Census Report (Spanish) D-20(S) Individual Census Report - Spanish D10 100708.pdf	Form
D-21 Military Census Report D-21 Military Census Report 101408.pdf	Form
D-21 PR Military Census Report PR D-21(PR) Military Census Report D5_101408.pdf	Form
D-23 PR Shipboard Census Report PR D-23 PR_Shipboard Census Report PR.pdf	Form
D-23 Shipboard Census Report D-23 Shipboard Census Report.pdf	Form
D-351(CF)(GQV) GQV Correctional Facility Continuation D-351(CF)(GQV) GQV Correctional Facility Continuation.pdf	Form
D-351(CF)(GQV) PR( GQV Correctional Facility Continuation PR Sp D-351(CF)(GQV) PR(S)_GQV Correctional Facility Continuation PR Sp.pdf	Form
D-351(GQV) GQ Validation D-351(GQV) GQ Validation.pdf	Form
D-351(GQV) PR(S) GQ Validation PR Sp D-351(GQV) PR(S)_GQ Validation PR Sp.pdf	Form
D-351(HU)( GQV) GQV Housing Unit Continuation D-351(HU)( GQV) GQV Housing Unit Continuation.pdf	Form
D-351(HU)(GQV) PR( GQV Housing Unit Continuation PR Sp D-351(HU)(GQV) PR(S)_GQV Housing Unit Continuation PR Sp.pdf	Form
D-61 Informational Copy of MOMB Questionnaire D-61 Informational Copy of MOMB Questionnaire 092508.pdf	Form
D-61 (ES) Informational Copy of Bilingual MOMB Questionnaire D-61(ES) Informational Copy of Bilingual MOMB Questionnaire 092508.pdf	Form
D-61 (CR) Informational Copy of Individual Census Report D-61(ICR) Informational Copy of Individual Census Report 100908.pdf	Form
D-61 (ICR)(S) Informational Copy of Individual Census Report - Spanish D-61(ICR)(S) Informational Copy of Individual Census Report - Spanish 100908_10a.pdf	Form
D-61 (ICR) PR Informational Copy of Individual Census Report - Puerto D-61(ICR)PR Informational Copy of Individual Census Report - Puerto Rico English.pdf	Form
D-61 (ICR) PR (S) Informational Copy of Individual Census Report - Puerto D-61(ICR)PR(S) Informational Copy of Individual Census Report - Puerto Rico Spanish .pdf	Form
D-61 (MCR) Informational Copy of Military Census Report D-61(MCR) Informational Copy of Military Census Report_101608.pdf	Form
D-61 (MCR) PR Informational Copy of Military Census Report - Puerto Ri D-61(MCR)PR Informational Copy of Military Census Report - Puerto Rico English_101608.pdf	Form
D-61 (SCR) Informational Copy of Shipboard Census Report D-61(SCR) Informational Copy of Shipboard Census Report_101608.pdf	Form
D-61 (SCR) PR Informational Copy of Shipboard Census Report - Puerto R D-61(SCR)PR Informational Copy of Shipboard Census Report - Puerto Rico English_101608.pdf	Form
D-1(C) Fulfillment Questionnaire - Chinese D-1(C) Chinese Fulfillment 10_17_08.pdf	Form
D-1(K) Fulfillment Questionnaire - Korean D-1(K) Korean Fulfillment 10_17_08.pdf	Form
D-1(R) Fulfillment Questionnaire - Russian D-1(R) Russian Fullfillment 10_17_08.pdf	Form
D-1(V) Fulfillment Questionnaire - Vietnamese D-10(V) Vietnamese Be Counted Questionnaire 10_30_08.pdf	Form
D-10(C) Be Counted Questionnaire - Chinese D-10(C) Chinese Be Counted Questionnaire 10_30_08.pdf	Form
D-10(K) Be Counted Questionnaire - Korean D-10(K) Korean Be Counted Questionnaire 10_30_08.pdf	Form
D-10(R) Be Counted Questionnaire - Russian D-10(R) Russian Be Counted Questionnaire 10_30_08.pdf	Form
D-10(V) Be Counted Questionnaire - Vietnamese D-10(V) Vietnamese Be Counted Questionnaire 10_30_08.pdf	Form
D-1(E)(RI)PR(S) Nonresponse Followup Reinterview - Puerto Rico - Spanish D-1(E)(RI)PR(S) Enumerator Reinterview - PR 10_22_08.pdf	Form
D-1(E)(SUPP)PR(S) Nonresponse Followup Continuation - Puerto Rico - Spanis D-1(E)(SUPP)PR(S) Enumerator Reinterview Continuation 101708.pdf	Form
D-10 PR(S) Be Counted Questionnaire - Puerto Rico - Spanish D-10PR(S) Be Counted PR - Spanish_1_4 09_10_08.pdf	Form
D-15 PR(S) Enumaration at Transitory Locations - Puerto Rico - Span D-15PR(S) Enumeration at Transitory Location PR Spanish_10_20_08.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Questionnaires

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	D-1	Mailout Form	D-1 Mailout.pdf	Yes	No	Printable Only
Form	D-1 PR(S)	UpdateLeave PR Sp	D-1 PR(S)_UpdateLeave PR Sp.pdf	Yes	No	Printable Only
Form	D-61	Informational Copy of MOMB Questionnaire	D-61 Informational Copy of MOMB Questionnaire 092508.pdf	Yes	No	Printable Only
Form	D-20	Individual Census Report	D-20 Individual Census Report_1 D7 100608.pdf	Yes	No	Printable Only
Form	D-21	Military Census Report	D-21 Military Census Report 101408.pdf	Yes	No	Printable Only
Form	D-1(E)(SUPP)PR(S)	Nonresponse Followup Continuation - Puerto Rico - Spanish	D-1(E)(SUPP)PR(S) Enumerator Reinterview Continuation 101708.pdf	Yes	No	Printable Only
Form	D-15 PR(S)	Enumaration at Transitory Locations - Puerto Rico - Spanish	D-15PR(S) Enumeration at Transitory Location PR Spanish_10_20_08.pdf	Yes	No	Printable Only
Form	D-1(E)(RI)PR(S)	Nonresponse Followup Reinterview - Puerto Rico - Spanish	D-1(E)(RI)PR(S) Enumerator Reinterview - PR 10_22_08.pdf	Yes	No	Printable Only
Form	D-20(S)	Individual Census Report (Spanish)	D-20(S) Individual Census Report - Spanish D10 100708.pdf	Yes	No	Printable Only
Form	D-20 PR	Individual Census Report PR Eng	D-20PR Individual Census Report (ICR) - PR English_D7 100708.pdf	Yes	No	Printable Only
Form	D-61 (CR)	Informational Copy of Individual Census Report	D-61(ICR) Informational Copy of Individual Census Report 100908.pdf	Yes	No	Printable Only
Form	D-21 PR	Military Census Report PR	D-21(PR) Military Census Report D5_101408.pdf	Yes	No	Printable Only
Form	D-61 (ES)	Informational Copy of Bilingual MOMB Questionnaire	D-61(ES) Informational Copy of Bilingual MOMB Questionnaire 092508.pdf	Yes	No	Printable Only
Form	D-10 PR(S)	Be Counted Questionnaire - Puerto Rico - Spanish	D-10PR(S) Be Counted PR - Spanish_1_4 09_10_08.pdf	Yes	No	Printable Only
Form	D-20 PR(S)	Individual Census Report PR Sp	D-20PR(S) Individual Census Report (ICR) - PR Spanish_D5 100608.pdf	Yes	No	Printable Only
Form	D-1(C)	Fulfillment Questionnaire - Chinese	D-1(C) Chinese Fulfillment 10_17_08.pdf	Yes	No	Printable Only
Form	D-1(R)	Fulfillment Questionnaire - Russian	D-1(R) Russian Fullfillment 10_17_08.pdf	Yes	No	Printable Only
Form	D-1(V)	Fulfillment Questionnaire - Vietnamese	D-10(V) Vietnamese Be Counted Questionnaire 10_30_08.pdf	Yes	No	Printable Only
Form	D-1 PR	English Fulfillment PR	D-1 PR_English Fulfillment PR.pdf	Yes	No	Printable Only
Form	D-1(E) PR(S)	Enumerator PR Sp	D-1(E) PR(S) Enumerator PR Sp.pdf	Yes	No	Printable Only
Form	D-1(E)(SUPP)	Enumerator-NRFU Supplemental	D-1(E)(SUPP) Enumerator-NRFU Supplemental.pdf	Yes	No	Printable Only
Form	D-1(ES)	Bilingual Form	D-1(ES) Bilingual.pdf	Yes	No	Printable Only
Form	D-1(S)	Spanish Fulfillment	D-1(S) Spanish Fulfillment.pdf	Yes	No	Printable Only
Form	D-1(UL) PR(S)	Update Leave Add and Sp Fulfillment	D-1(UL) PR(S)_Update Leave Add and Sp Fulfillment.pdf	Yes	No	Printable Only
Form	D-1(UL)	Update Leave Add	D-1(UL) Update Leave Add.pdf	Yes	No	Printable Only
Form	D-10	Be Counted	D-10 Be Counted.pdf	Yes	No	Printable Only
Form	D-10 PR	Be Counted PR Eng	D-10 PR Be Counted PR Eng.pdf	Yes	No	Printable Only
Form	D-10(S)	Be Counted Spanish	D-10(S) Be Counted Spanish.pdf	Yes	No	Printable Only
Form	D-23 PR	Shipboard Census Report PR	D-23 PR_Shipboard Census Report PR.pdf	Yes	No	Printable Only
Form	D-23	Shipboard Census Report	D-23 Shipboard Census Report.pdf	Yes	No	Printable Only
Form	D-351(CF)(GQV)	GQV Correctional Facility Continuation	D-351(CF)(GQV) GQV Correctional Facility Continuation.pdf	Yes	No	Printable Only
Form	D-351(CF)(GQV) PR(S)	GQV Correctional Facility Continuation PR Sp	D-351(CF)(GQV) PR(S)_GQV Correctional Facility Continuation PR Sp.pdf	Yes	No	Printable Only
Form	D-351(GQV)	GQ Validation	D-351(GQV) GQ Validation.pdf	Yes	No	Printable Only
Form	D-351(GQV) PR(S)	GQ Validation PR Sp	D-351(GQV) PR(S)_GQ Validation PR Sp.pdf	Yes	No	Printable Only
Form	D-351(HU)( GQV)	GQV Housing Unit Continuation	D-351(HU)( GQV) GQV Housing Unit Continuation.pdf	Yes	No	Printable Only
Form	D-351(HU)(GQV) PR(S)	GQV Housing Unit Continuation PR Sp	D-351(HU)(GQV) PR(S)_GQV Housing Unit Continuation PR Sp.pdf	Yes	No	Printable Only
Form	D-61 (ICR)(S)	Informational Copy of Individual Census Report - Spanish	D-61(ICR)(S) Informational Copy of Individual Census Report - Spanish 100908_10a.pdf	Yes	No	Printable Only
Form	D-10(V)	Be Counted Questionnaire - Vietnamese	D-10(V) Vietnamese Be Counted Questionnaire 10_30_08.pdf	Yes	No	Printable Only
Form	D-10(R)	Be Counted Questionnaire - Russian	D-10(R) Russian Be Counted Questionnaire 10_30_08.pdf	Yes	No	Printable Only
Form	D-61 (ICR) PR	Informational Copy of Individual Census Report - Puerto Rico English	D-61(ICR)PR Informational Copy of Individual Census Report - Puerto Rico English.pdf	Yes	No	Printable Only
Form	D-61 (ICR) PR (S)	Informational Copy of Individual Census Report - Puerto Rico Spanish	D-61(ICR)PR(S) Informational Copy of Individual Census Report - Puerto Rico Spanish .pdf	Yes	No	Printable Only
Form	D-61 (MCR)	Informational Copy of Military Census Report	D-61(MCR) Informational Copy of Military Census Report_101608.pdf	Yes	No	Printable Only
Form	D-61 (MCR) PR	Informational Copy of Military Census Report - Puerto Rico English	D-61(MCR)PR Informational Copy of Military Census Report - Puerto Rico English_101608.pdf	Yes	No	Printable Only
Form	D-61 (SCR)	Informational Copy of Shipboard Census Report	D-61(SCR) Informational Copy of Shipboard Census Report_101608.pdf	Yes	No	Printable Only
Form	D-61 (SCR) PR	Informational Copy of Shipboard Census Report - Puerto Rico English	D-61(SCR)PR Informational Copy of Shipboard Census Report - Puerto Rico English_101608.pdf	Yes	No	Printable Only
Form	D-10(C)	Be Counted Questionnaire - Chinese	D-10(C) Chinese Be Counted Questionnaire 10_30_08.pdf	Yes	No	Printable Only
Form	D-10(K)	Be Counted Questionnaire - Korean	D-10(K) Korean Be Counted Questionnaire 10_30_08.pdf	Yes	No	Printable Only
Form	D-1(K)	Fulfillment Questionnaire - Korean	D-1(K) Korean Fulfillment 10_17_08.pdf	Yes	No	Printable Only
Form	D-1(E)	Enumerator-NRFU	D-1(E)_1_5_082708.pdf	Yes	No	Printable Only
Form	D-1(E)(RI)	Enumeratior-NRFU Reinterview	D1-(E)RI_1_4_082808.pdf	Yes	No	Printable Only
Form	D-15	Enum at Transitory Locations	D-15_1_6[1] 9-10-08.pdf	Yes	No	Printable 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: 147,846,045

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	Previously Approved
Annual Number of Responses for this IC	150,246,045	149,607,293	638,752
Annual IC Time Burden (Hours)	24,042,726	23,941,225	101,501
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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