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Questionnaires
Census 2010 - American Samoa, the Commonwealth of the Northern Marianas Islands, Guam, and the U.S. Virgin Islands
OMB: 0607-0860
IC ID: 188092
OMB.report
DOC/CENSUS
OMB 0607-0860
ICR 200902-0607-003
IC 188092
( )
Documents and Forms
Document Name
Document Type
Form D-13 VI
Questionnaires
Form
D-13 AS Advanced Census Report, American Samoa
d13as.pdf
Form
D-13 CNMI Advanced Census Report, CNMI
d13cnmi.pdf
Form
D-13 G Advanced Census Report, Guam
d13g.pdf
Form
D-13 VI Advanced Census Report,VI
d13vi.pdf
Form
D-2(E) AS Enumerator Questionnaire, American Samoa
d2eas.pdf
Form
D-2(E) CNMI Enumerator Questionnaire, CNMI
d2ecnmi.pdf
Form
D-2(E) G Enumerator Questionnaire, Guam
d2eg.pdf
Form
D-2(E) VI Enumerator Questionnaire, U.S. Virgin Islands
d2evi.pdf
Form
D-2(E) VI (S) Enumerator Questionnaire, U.S. Virgin Islands, Spanish
D-2 (E) VI (S).doc
Form
D-2(E) SUPP AS Enumerator Questionnaire Supplement, American Samoa
d2esuppas.pdf
Form
D-2(E) SUPP CNMI Enumerator Questionnaire Supplement, CNMI
d2esuppcnmi.pdf
Form
D-2(E) SUPP Guam Enumerator Questionnaire Supplement, Guam
d2esuppg.pdf
Form
D-2(E) SUPP VI Enumerator Questionnaire Supplement, U.S. Virgin Islands
d2esuppvi.pdf
Form
D-2(E) SUPP VI (S) Enumerator Questionnaire Supplement, U.S. Virgin Islands
D-2 (E) SUPP VI (S).doc
Form
D-20 PI Individual Census Report, Pacific Islands
d20pi.pdf
Form
D-20 VI Individual Census Report, U.S. Virgin Islands
d20vi.pdf
Form
D-20 VI (S) Individual Census Report, U.S. Virgin Islands, Spanish
D-20 VI (S).doc
Form
D-21 PI Military Census Report, Pacific Islands
d21pi.pdf
Form
D-23 PI Shipboard Census Report, Pacific Islands
d23pi.pdf
Form
D-806 IA Reinterview and Reconciliation Questionnaire
D-806 IA.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Questionnaires
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
D-13 VI
Advanced Census Report,VI
d13vi.pdf
No
Paper Only
Form
D-2(E) AS
Enumerator Questionnaire, American Samoa
d2eas.pdf
No
Paper Only
Form
D-2(E) CNMI
Enumerator Questionnaire, CNMI
d2ecnmi.pdf
No
Paper Only
Form
D-2(E) G
Enumerator Questionnaire, Guam
d2eg.pdf
No
Paper Only
Form
D-2(E) VI
Enumerator Questionnaire, U.S. Virgin Islands
d2evi.pdf
No
Paper Only
Form
D-2(E) VI (S)
Enumerator Questionnaire, U.S. Virgin Islands, Spanish
D-2 (E) VI (S).doc
No
Paper Only
Form
D-2(E) SUPP AS
Enumerator Questionnaire Supplement, American Samoa
d2esuppas.pdf
No
Paper Only
Form
D-2(E) SUPP CNMI
Enumerator Questionnaire Supplement, CNMI
d2esuppcnmi.pdf
No
Paper Only
Form
D-2(E) SUPP Guam
Enumerator Questionnaire Supplement, Guam
d2esuppg.pdf
No
Paper Only
Form
D-2(E) SUPP VI
Enumerator Questionnaire Supplement, U.S. Virgin Islands
d2esuppvi.pdf
No
Paper Only
Form
D-2(E) SUPP VI (S)
Enumerator Questionnaire Supplement, U.S. Virgin Islands, Spanish
D-2 (E) SUPP VI (S).doc
No
Paper Only
Form
D-20 PI
Individual Census Report, Pacific Islands
d20pi.pdf
No
Paper Only
Form
D-20 VI
Individual Census Report, U.S. Virgin Islands
d20vi.pdf
No
Paper Only
Form
D-20 VI (S)
Individual Census Report, U.S. Virgin Islands, Spanish
D-20 VI (S).doc
No
Paper Only
Form
D-21 PI
Military Census Report, Pacific Islands
d21pi.pdf
No
Paper Only
Form
D-23 PI
Shipboard Census Report, Pacific Islands
d23pi.pdf
No
Paper Only
Form
D-806 IA
Reinterview and Reconciliation Questionnaire
D-806 IA.doc
No
Paper Only
Form
D-13 AS
Advanced Census Report, American Samoa
d13as.pdf
No
Paper Only
Form
D-13 CNMI
Advanced Census Report, CNMI
d13cnmi.pdf
No
Paper Only
Form
D-13 G
Advanced Census Report, Guam
d13g.pdf
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:
158,700
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
160,130
0
160,130
0
0
0
Annual IC Time Burden (Hours)
111,675
0
111,675
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.