Information Collection

Questionnaires

IC 3668 under ICR 200910-0607-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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(UL) PR(S) 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: Unchanged

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(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-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-1(C)	Fulfillment Questionnaire - Chinese	D-1(C) Chinese Fulfillment 10_17_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(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-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-10(R)	Be Counted Questionnaire - Russian	D-10(R) Russian Be Counted Questionnaire 10_30_08.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-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-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-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-1 PR	English Fulfillment PR	D-1 PR_English Fulfillment PR.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) PR(S)	Enumerator PR Sp	D-1(E) PR(S) Enumerator PR Sp.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-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)	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-15	Enum at Transitory Locations	D-15_1_6[1] 9-10-08.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-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-20 PR	Individual Census Report PR Eng	D-20PR Individual Census Report (ICR) - PR English_D7 100708.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-21	Military Census Report	D-21 Military Census Report 101408.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-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-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-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-61	Informational Copy of MOMB Questionnaire	D-61 Informational Copy of MOMB Questionnaire 092508.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-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-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-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

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	Previously Approved
Annual Number of Responses for this IC	150,246,045	150,246,045
Annual IC Time Burden (Hours)	24,042,726	24,042,726
Annual IC Cost Burden (Dollars)	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.