Group Quarters

2018 End-to-End Census Test – Peak Operations

OMB: 0607-0999

IC ID: 227088

Documents and Forms
Document Name
Document Type
Other-Envelope
Other-Envelope-eResponse
Other-Envelope
Other-Envelope
Other-Envelope- Spanish
Other-Brochure- Group Quarters Enume
Other-Brochure-Service-Based Enumera
Other-Confidentiality Notice
Other-GQ Reinterview Form
Other-GQ Facility Manager Letter
Other-GQ Facility Manager Letter - E
Other-GQ Facility Manager Letter- En
Other-GQ Facility Manager Letter- En
Other-Living Quarters Flashcard- Eng
Other-Living Quarters Flashcard- Spa
Other-Enumeration Records
Other-GQ Advance Contact Call Script
Other-GQ Advance Contact Call Script
Other-GQ Advance Contact Call Script
Other-GQ Advance Contact Call Script
Other-eResponse Template
Instruction
Other-Group Quarters Listing Sheet
Other-Group Quarters Enumerator Chec
Other-Group Quarters Enumerator Chec
Other-Group Quarters Enumeration-Cen
Other-Self-Enumerating Group Quarter
Other-GQ Facility Manager Letter- eR
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Group Quarters
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Group Quarters Listing Sheet DH-116 draft.xlsx No   Paper Only
Other-Group Quarters Enumerator Checklist DH-1054(GQE) draft.xlsx No   Paper Only
Other-Group Quarters Enumerator Checklist-Service Based Enumeration DH-1054(SBE) draft.xlsx No   Paper Only
Other-Group Quarters Enumeration-Census Field Supervisor Checklist DH-1055(GQE) draft.xlsx No   Paper Only
Form DH-20 Individual Census Questionnaire- English DH-20_051717.pdf No   Paper Only
Form DH-20(S) Individual Census Questionnaire- Spanish DH-20(S)_051717.pdf No   Paper Only
Form DH-61(ICQ) Individual Census Questionnaire-Informational Copy DH-61(ICQ)_050317.pdf No   Paper Only
Form DH-61(ICQ)S Individual Census Questionnaire-Informational Copy- Spanish DH-61(ICQ)S_050317.pdf No   Paper Only
Other-Envelope dh_5_gq_20170509.pdf No   Paper Only
Other-Envelope-eResponse dh_5_eresponse_20170515.pdf No   Paper Only
Other-Envelope dh_40_20170512.pdf No   Paper Only
Other-Envelope dh_40_gq_20170512.pdf No   Paper Only
Other-Envelope- Spanish dh_40_s_20170512.pdf No   Paper Only
Other-Brochure- Group Quarters Enumeration GQE Brochure 2018 _20170511.pdf No   Paper Only
Other-Brochure-Service-Based Enumeration SBE Brochure20170517.pdf No   Paper Only
Other-Confidentiality Notice dh_31_gq_es_20170515.pdf No   Paper Only
Other-GQ Reinterview Form DH-941(GQE).pdf No   Paper Only
Other-GQ Facility Manager Letter dh_18_gq_20170515.pdf No   Paper Only
Other-GQ Facility Manager Letter - English/Spanish dh_30_l_fm_es_20170516.pdf No   Paper Only
Other-GQ Facility Manager Letter- Engish/Spanish dh_30_l_hc_es_20170516.pdf No   Paper Only
Other-GQ Facility Manager Letter- English/Spanish dh_30_l_sh_es_20170516.pdf No   Paper Only
Other-Living Quarters Flashcard- English DH_1028_4 20170310.pdf No   Paper Only
Other-Living Quarters Flashcard- Spanish DH_1028_4S_ 20170310.pdf No   Paper Only
Other-Enumeration Records DH-352.1 (GQE) All Enumeration Records (See bottom Tabs for type) 5_16_17.DD_DRAFT.xls No   Paper Only
Other-GQ Advance Contact Call Script- Non-SBE GQ Advance Contact Calling Script_ NON-SBE GQ_05162017_DRAFT.docx No   Paper Only
Other-GQ Advance Contact Call Script-Emergency and Transitional Centers Advance Contact Calling Script_EMERGENCY AND TRANSITIONAL CENTERS_05162017_DRAFT.docx No   Paper Only
Other-GQ Advance Contact Call Script- Mobile Food Vans Advance Contact Calling Script_MOBILE FOOD VAN_05162017_DRAFT.docx No   Paper Only
Other-GQ Advance Contact Call Script- Soup Kitchen Advance Contact Calling Script_SOUP KITCHEN_05162017_DRAFT.docx No   Paper Only
Other-eResponse Template eResponseTemplate_2018_DRAFT.xlsx Yes Yes Fillable Fileable
Instruction eResponse Video Script_DRAFT.docx No   Paper Only
Other-Self-Enumerating Group Quarters-Facility Contact Checklist DH-1059(SE) draft.xlsx No   Paper Only
Other-GQ Facility Manager Letter- eResponse dh_18_eresponse_20170608.pdf Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

30,690 0
   
Individuals or Households
 
   25 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 30,690 0 30,690 0 0 0
Annual IC Time Burden (Hours) 5,115 0 5,115 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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