Information Collection

Census Employment Inquiry

IC 3363 under ICR 201603-0607-006 · OMB 0607-0139.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0139 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BC-170A Census Employment Inquiry	Form and Instruction
Attach 4 Electronic BC-170D Mock-Ups.pdf	Other-BC-170D Online System Mock Scr
BC-170A Census Jobs! (for Current Surveys) Attach 1 BC-170A.pdf www.census.gov/regions/pdf/BC-170A.pdf	Form and Instruction
BC-170B Census Jobs! (for Special Censuses) Attach 2 BC-170B.pdf www.census.gov/regions/specialcensus/pdf/BC-170B.pdf	Form and Instruction
BC-170D Census Jobs! (for Decennial Tests and Censuses) Attach 3 BC-170D.pdf www.census.gov/regions/pdf/bc-170d.pdf	Form and Instruction
BC-170D PR Empleos con el Censo BC-170D PR.pdf	Form and Instruction

IC Title:

Census Employment Inquiry

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BC-170A	Census Jobs! (for Current Surveys)	Attach 1 BC-170A.pdf	https://www.census.gov/regions/pdf/BC-170A.pdf	Yes	No	Printable Only
Form and Instruction	BC-170B	Census Jobs! (for Special Censuses)	Attach 2 BC-170B.pdf	https://www.census.gov/regions/specialcensus/pdf/BC-170B.pdf	Yes	No	Printable Only
Form and Instruction	BC-170D	Census Jobs! (for Decennial Tests and Censuses)	Attach 3 BC-170D.pdf	http://www.census.gov/regions/pdf/bc-170d.pdf	Yes	No	Printable Only
Other-BC-170D Online System Mock Screens			Attach 4 Electronic BC-170D Mock-Ups.pdf		Yes	Yes	Fillable Printable
Form and Instruction	BC-170D PR	Empleos con el Censo	BC-170D PR.pdf		No		Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 70,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	70,000	5,000	65,000
Annual IC Time Burden (Hours)	17,500	1,250	16,250
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.