Information Collection

2010 Census Coverage Measurement, Person Interview and Person Interview Reinterview

IC 191303 under ICR 200912-0607-003 · OMB 0607-0958.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ATTACHA - CCM PI Letter.wpd	Other-Introductory Letter
PI Instrument Spec PI Instrument Specifications ATTACHB - 2010 PI Instrument Spec - Signature Baseline 2.doc	Form
PIRI Instrument Sp PIRI Instrument Specifications ATTACHC - 2010 PI RI Instrument Specification.doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-Introductory Letter			ATTACHA - CCM PI Letter.wpd	No		Paper Only
Form	PI Instrument Specifications	PI Instrument Specifications	ATTACHB - 2010 PI Instrument Spec - Signature Baseline 2.doc	Yes	Yes	Fillable Fileable
Form	PIRI Instrument Specifications	PIRI Instrument Specifications	ATTACHC - 2010 PI RI Instrument Specification.doc	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 205,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	235,750	235,750
Annual IC Time Burden (Hours)	58,938	58,938
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.