Information Collection

Other Public Use Forms

IC 188094 under ICR 200902-0607-003 · OMB 0607-0860.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
d31pi.pdf	Other-Confidentiality Notice, Pacifi
d31vi.pdf	Other-Confidentiality Notice, U.S. V
d1fpi.pdf	Other-Enumerator Job Aid, Pacific Is
d1fvi.pdf	Other-Enumerator Job Aid, U.S. Virgi
D-1 (F) VI (S).doc	Other-Enumerator Job Aid, U.S. Virgi
d26pi.pdf	Other-Notice of Visit, Pacific Islan
d26vi.pdf	Other-Notice of Visit, U.S. Virgin I
d61as.pdf	Other-Informational Questionnaire, A
d61cnmi.pdf	Other-Informational Questionnaire, C
d61g.pdf	Other-Informational Questionnaire, G
d61vi.pdf	Other-Informational Questionnaire, U
D-61 VI (S).doc	Other-Informational Questionnaire, U

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Informational Questionnaire, U.S. Virgin Islands	d61vi.pdf	No	Paper Only
Other-Informational Questionnaire, U.S. Virgin Islands, Spanish	D-61 VI (S).doc	No	Paper Only
Other-Confidentiality Notice, Pacific Islands	d31pi.pdf	No	Paper Only
Other-Confidentiality Notice, U.S. Virgin Islands (English/Spanish)	d31vi.pdf	No	Paper Only
Other-Enumerator Job Aid, Pacific Islands	d1fpi.pdf	No	Paper Only
Other-Enumerator Job Aid, U.S. Virgin Islands	d1fvi.pdf	No	Paper Only
Other-Enumerator Job Aid, U.S. Virgin Islands, Spanish	D-1 (F) VI (S).doc	No	Paper Only
Other-Notice of Visit, Pacific Islands	d26pi.pdf	No	Paper Only
Other-Notice of Visit, U.S. Virgin Islands (English/Spanish)	d26vi.pdf	No	Paper Only
Other-Informational Questionnaire, American Samoa	d61as.pdf	No	Paper Only
Other-Informational Questionnaire, CNMI	d61cnmi.pdf	No	Paper Only
Other-Informational Questionnaire, Guam	d61g.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

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
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	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.