Information Collection

Census 2010 Alternative Group Quarters (GQ) Evaluation

IC 188712 under ICR 201103-0607-006 · OMB 0607-0952.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form D-20(X1) Census 2010 Alternative Group Quarters (GQ) Evaluation	Form
D-20(X1) Census 2010 Individual Census Report D-20(X1)_1_4_D3_031809.pdf	Form
CPEX OMB Census 2010 Alternative Group Quarters Evaluation_032409_v2.doc Census 2010 AGQ Evaluation Plan	IC Document

IC Title:

Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	D-20(X1)	Census 2010 Individual Census Report	D-20(X1)_1_4_D3_031809.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: 60,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	60,000	60,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Census 2010 AGQ Evaluation Plan	CPEX OMB Census 2010 Alternative Group Quarters Evaluation_032409_v2.doc	05/11/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.