CCM Independent Listing Forms

2010 Census Coverage Measurement Independent Listing Operation

Documents and Forms

Document Name Document Type
Form D-1302 (PR) CCM Independent Listing Forms Form
Attachment C - U.S. Confidentiality Notice, Form D-31(CCM-IL).pdf Other-U.S. Confidentiality Notice
Attachment D -Puerto Rico Confidentiality Notice, Form D-31(CCM-IL)PR.pdf Other-Puerto Rico Confidentiality No
D-1302 CCM Independent Listing Book (U.S.) Attachment A - U.S. Independent Listing Book, Form D-1302.pdf Form
D-1302 (PR) CCM Independent Listing Book (Puerto Rico) Attachment B - D-1302 Spanish Translation and PR address information.doc Form

Information Collection (IC) Details

IC Title:	CCM Independent Listing Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	D-1302 (PR)	CCM Independent Listing Book (Puerto Rico)	Attachment B - D-1302 Spanish Translation and PR address information.doc	No	Paper Only
Other-U.S. Confidentiality Notice			Attachment C - U.S. Confidentiality Notice, Form D-31(CCM-IL).pdf	No	Paper Only
Other-Puerto Rico Confidentiality Notice			Attachment D -Puerto Rico Confidentiality Notice, Form D-31(CCM-IL)PR.pdf	No	Paper Only
Form	D-1302	CCM Independent Listing Book (U.S.)	Attachment A - U.S. Independent Listing Book, Form D-1302.pdf	No	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,156,900	1,156,900
Annual IC Time Burden (Hours)	38,563	38,563
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.