Census 2010 - American Samoa, the Commonwealth of the Northern Marianas Islands, Guam, and the U.S. Virgin Islands

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form D-806 IA Reinterview and Reconciliation Questionnaire	Form	New	Available
Form D-23 PI Shipboard Census Report, Pacific Islands	Form	New	Available
Form D-21 PI Military Census Report, Pacific Islands	Form	New	Available
Form D-20 VI (S) Individual Census Report, U.S. Virgin Islands, Spanish	Form	New	Available
Form D-20 VI Individual Census Report, U.S. Virgin Islands	Form	New	Available
Form D-20 PI Individual Census Report, Pacific Islands	Form	New	Available
Form D-2(E) SUPP VI (S) Enumerator Questionnaire Supplement, U.S. Virgin Islands, Spanish	Form	New	Available
Form D-2(E) SUPP VI Enumerator Questionnaire Supplement, U.S. Virgin Islands	Form	New	Available
Form D-2(E) SUPP Guam Enumerator Questionnaire Supplement, Guam	Form	New	Available
Form D-2(E) SUPP CNMI Enumerator Questionnaire Supplement, CNMI	Form	New	Available
Form D-2(E) SUPP AS Enumerator Questionnaire Supplement, American Samoa	Form	New	Available
Form D-2(E) VI (S) Enumerator Questionnaire, U.S. Virgin Islands, Spanish	Form	New	Available
Form D-2(E) VI Enumerator Questionnaire, U.S. Virgin Islands	Form	New	Available
Form D-2(E) G Enumerator Questionnaire, Guam	Form	New	Available
Form D-2(E) CNMI Enumerator Questionnaire, CNMI	Form	New	Available
Form D-2(E) AS Enumerator Questionnaire, American Samoa	Form	New	Available
Form D-13 G Advanced Census Report, Guam	Form	New	Available
Form D-13 CNMI Advanced Census Report, CNMI	Form	New	Available
Form D-13 AS Advanced Census Report, American Samoa	Form	New	Available
Form D-13 VI Advanced Census Report,VI	Form	New	Available
Interagency_USVI.pdf	Supplementary Document	Uploaded 2009-05-08	Available
Interagency_Guam.pdf	Supplementary Document	Uploaded 2009-05-08	Available
Interagency_CNMI.pdf	Supplementary Document	Uploaded 2009-05-08	Available
Interagency_AS.pdf	Supplementary Document	Uploaded 2009-05-08	Available
2010 Census_Part B_Info Collection Stat Methods _0607-0860_IslandAreas.doc	Supporting Statement B	Uploaded 2009-02-06	Available
2010 Census_Supporting Statement_Part A_0607-0860_IslandAreas.doc	Supporting Statement A	Uploaded 2009-02-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
37209	Letters	Other-Advance Letter, American Samoa	Modified
188094	Other Public Use Forms	Other-Confidentiality Notice, Pacific Islands	New
188093	Envelopes	Other-Outgoing Envelope for ACR, American Samoa	New
188092	Questionnaires	Form	New	Reinterview and Reconciliation Questionnaire
188092	Questionnaires	Form	New	Shipboard Census Report, Pacific Islands
188092	Questionnaires	Form	New	Military Census Report, Pacific Islands
188092	Questionnaires	Form	New	Individual Census Report, U.S. Virgin Islands, Spanish
188092	Questionnaires	Form	New	Individual Census Report, U.S. Virgin Islands
188092	Questionnaires	Form	New	Individual Census Report, Pacific Islands
188092	Questionnaires	Form	New	Enumerator Questionnaire Supplement, U.S. Virgin Islands, Spanish
188092	Questionnaires	Form	New	Enumerator Questionnaire Supplement, U.S. Virgin Islands
188092	Questionnaires	Form	New	Enumerator Questionnaire Supplement, Guam
188092	Questionnaires	Form	New	Enumerator Questionnaire Supplement, CNMI
188092	Questionnaires	Form	New	Enumerator Questionnaire Supplement, American Samoa
188092	Questionnaires	Form	New	Enumerator Questionnaire, U.S. Virgin Islands, Spanish
188092	Questionnaires	Form	New	Enumerator Questionnaire, U.S. Virgin Islands
188092	Questionnaires	Form	New	Enumerator Questionnaire, Guam
188092	Questionnaires	Form	New	Enumerator Questionnaire, CNMI
188092	Questionnaires	Form	New	Enumerator Questionnaire, American Samoa
188092	Questionnaires	Form	New	Advanced Census Report, Guam
188092	Questionnaires	Form	New	Advanced Census Report, CNMI
188092	Questionnaires	Form	New	Advanced Census Report, American Samoa
188092	Questionnaires	Form	New	Advanced Census Report,VI

ICR Details

OMB Control No: 0607-0860	ICR Reference No: 200902-0607-003
Status: Historical Active	Previous ICR Reference No: 200003-0607-011
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Census 2010 - American Samoa, the Commonwealth of the Northern Marianas Islands, Guam, and the U.S. Virgin Islands
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/11/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/05/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2010	12/31/2010
Responses	160,133	0	0
Time Burden (Hours)	111,675	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Census is an official count of the population of the United States. The geographic scope of the decennial census is specified in Title 13 U.S.C., Section 191 as covering the 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, the Commonwealth of the Northern Mariana Islands, Guam, and any other areas as may be determined by the Department of State. In the 2010 Census, we also will enumerate the Pacific Island Areas of American Samoa.

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Authorizing Statute(s): US Code: 13 USC 141, 191
  

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 35121	06/20/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 9214	03/03/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Envelopes
Letters
Other Public Use Forms
Questionnaires	D-13 AS, D-2(E) CNMI, D-13 G, D-13 CNMI, D-2(E) SUPP CNMI, D-2(E) SUPP VI (S), D-2(E) VI (S), D-13 VI, D-20 PI, D-2(E) SUPP VI, D-20 VI, D-20 VI (S), D-21 PI, D-23 PI, D-806 IA, D-2(E) AS, D-2(E) G, D-2(E) VI, D-2(E) SUPP AS, D-2(E) SUPP Guam	Advanced Census Report, American Samoa ,   Advanced Census Report, CNMI ,   Advanced Census Report, Guam ,   Advanced Census Report,VI ,   Enumerator Questionnaire, American Samoa ,   Enumerator Questionnaire, CNMI ,   Enumerator Questionnaire, Guam ,   Enumerator Questionnaire, U.S. Virgin Islands ,   Enumerator Questionnaire, U.S. Virgin Islands, Spanish ,   Enumerator Questionnaire Supplement, American Samoa ,   Enumerator Questionnaire Supplement, CNMI ,   Enumerator Questionnaire Supplement, Guam ,   Enumerator Questionnaire Supplement, U.S. Virgin Islands ,   Enumerator Questionnaire Supplement, U.S. Virgin Islands, Spanish ,   Individual Census Report, Pacific Islands ,   Individual Census Report, U.S. Virgin Islands ,   Individual Census Report, U.S. Virgin Islands, Spanish ,   Military Census Report, Pacific Islands ,   Shipboard Census Report, Pacific Islands ,   Reinterview and Reconciliation 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	160,133	0	0	46,133	0	114,000
Annual Time Burden (Hours)	111,675	0	0	39,054	0	72,621
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The change in burden is due the collection being submitted as a reinstatement of an expired collection.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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)? No

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: 03/05/2009

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