Information Collection

2010 Census Count Question Resolution Program

IC 3623 under ICR 201011-0607-001 · OMB 0607-0879.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0879 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att C-2010 CQR Brochure Engl 111210r.pdf	Other-CQR Brochure sent to HEOs
Att C-2010 CQR Brochure Span 111210r.pdf	Other-CQR Brochure (Spanish) sent to
Att B-2010 OMB Supporting Statement CQR Letters 110910.pdf	Other-Various Letters sent to CQR pa
CQR10BLK240037022063000_prototype.pdf	Other-CQR Split Block Map Template
CQR10BLK240037022063003_prototype.pdf	Other-CQR Block Map Template
PL10BLK_C24003_019.pdf	Other-PL Block Map Template
TemplateCityStyleExcel.xls	Other-Address List Template: City St
TemplateGQExcel.xls	Other-Address List Template: GQE
TemplateNONCityStyleExcel.xls	Other-Address List Template: Non-Cit
TemplatePRCityStyleExcel.xls	Other-Address List Template: PR City
TemplatePRGQExcel.xls	Other-Address List Template: PR GQE
TemplatePRNONCityStyleExcel.xls	Other-Address List Template: PR Non-

IC Title:

2010 Census Count Question Resolution Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-CQR Brochure sent to HEOs	Att C-2010 CQR Brochure Engl 111210r.pdf	No	Paper Only
Other-CQR Brochure (Spanish) sent to HEOs	Att C-2010 CQR Brochure Span 111210r.pdf	No	Paper Only
Other-Various Letters sent to CQR participants	Att B-2010 OMB Supporting Statement CQR Letters 110910.pdf	No	Paper Only
Other-Address List Template: PR GQE	TemplatePRGQExcel.xls	No	Paper Only
Other-Address List Template: PR Non-City Style	TemplatePRNONCityStyleExcel.xls	No	Paper Only
Other-PL Block Map Template	PL10BLK_C24003_019.pdf	No	Paper Only
Other-Address List Template: GQE	TemplateGQExcel.xls	No	Paper Only
Other-Address List Template: Non-City Style	TemplateNONCityStyleExcel.xls	No	Paper Only
Other-Address List Template: PR City Style	TemplatePRCityStyleExcel.xls	No	Paper Only
Other-CQR Block Map Template	CQR10BLK240037022063003_prototype.pdf	No	Paper Only
Other-Address List Template: City Style	TemplateCityStyleExcel.xls	No	Paper Only
Other-CQR Split Block Map Template	CQR10BLK240037022063000_prototype.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: 1,500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,500	-1,500	3,000
Annual IC Time Burden (Hours)	7,800	-7,800	15,600
Annual IC Cost Burden (Dollars)	0	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.