D-1380 Post-Enumeration Survey Initial Housing Unit Followup (I

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Form
D-1380
OMB No.
0607-1010
Approval Expires 11/30/2022

U.S DEPARTMENT OF COMMERCE

(12/20/2019)

Economics and Statistics Administration

U.S. CENSUS BUREAU

Post-Enumeration Survey (PES)
Initial Housing Unit Followup (IHUFU) Quality Control (QC) Form
Page 1 of 1

2020 Census

INTRODUCTION - Hello. I am (your name) from the U.S. Census Bureau. Here is my identification. Recently, Census
employees checked addresses in this area as part of the 2020 Decennial Census. I am here to check the quality of their
work. My questions should only take 3 minutes. This notice explains that your answers are confidential.
(Hand the respondent a Confidentiality Notice and allow time for him or her to read it.)

Section A: Identification
1. BCU No.: XXXXXXXXXXXXX

2. ACO Name: Washington DC

3. ACO Code: 2355

Section B: Assignment Information
Dates
Position
(a)

FSA

Name

FR
Code

(b)

(c)

(d)

Assigned

Completed

(e)

(f)

Day

Month

Month

Day

1. QC Field Supervisor
2. QC Field Representative
3. QC Field Representative

Section C: QC Check
Followup Cases Selected for QC Check

PES
Page #
(a)

2

BCU

MSN

(b)

(c)

XXXXXXXX

00001

QC Check Results

Census

WMSN
(d)

0001

BCU

Census ID

(e)

(f)

XXXXXXXX

XXXXXXXXX

MSN

Followup Code

(g)

00001

(h)

M*

Case
Case
Correct (No
Incorrect
Critical
(One or
Errors)*
More Critical
Errors)
(i)
(j)

[

]

[

]

(Note: Listing of sample continues as needed, possibly causing section to scroll to second page.)
1. Total Number of Cases Selected for QC Check: 1

5. QC Check Outcome

(Mark (X) one):

2. Acceptance Number - BCU passes if Total
Incorrect is less than or equal to: 0
Pass (Outcome Code:882)

3. Total
Correct

4. Total
Incorrect

Fail – Rectify (Outcome Code: 883)

6. Notes

Section D: Rectification
1. Total Number of Followup Cases in BCU
2. Total Number of Incorrect Cases in BCU (Cases with One or More Critical Errors)

1

* List of Noncritical Errors:
· Spelling
· Street-type errors
· For a GQ, one of the fields for facility name or description is filled and correct, but the other is either incorrect or blank.

CENSUS CONFIDENTIAL: RESTRICTED DATA FOR OFFICIAL USE ONLY. Information contained in this report is for use by the Census Bureau and
is confidential by law (Title 13, U.S.C.). It may be seen only by persons sworn to protect the confidentiality of the data and may be used only for
statistical purposes.