Island Areas Censuses - Housing Units

FORM

D-ARCP-AS (4-11-2019)

OMB No. 0607-1006: Approval Expires 11/30/2021

This listing contains confidential information, including Title 13 and Personally Identifiable Information (PII), the release of which is protected by the
Privacy Act of 1974.

1. IDENTIFICATION

HOUSING UNIT ADDRESS REGISTER
2020 Census of American Samoa

County
BCU
Book

of

2. ASSIGNMENT INFORMATION
Name – Please Print

Employee ID
Number

Telephone Number

Date
Assigned

Completed

Certification Statement – I certify that the information is
true to the best of my knowledge and the work completed
according to Census Bureau procedures.
The Crew Leader and all Enumerators must sign this
certification statement.

Crew Leader
Enumerator
Reassigned Enumerator
Reassigned Enumerator

3. ENUMERATOR DAILY PROGRESS RECORD (LISTING)
Housing Units
Listed

Date
Number

4. ENUMERATOR DAILY PROGRESS RECORD (ENUMERATION)
Housing Units
Enumerated

Date
Number

Remarks

DC

5. OFFICE USE ONLY
Name of Reviewer

American Samoa

Date

Initials

The contents of this Address Register are confidential by law (Title 13, U.S.
Code). It may be seen only by sworn persons with a need to know and used
solely for statistical purposes.

CREW LEADER REVIEW CHECKLIST
Before sending to the Census Office, verify the following:
The Enumerator has made entries in a legible manner.
All appropriate fields are completed in the Address Listing Page for Housing Units.
There are no duplicate addresses listed in the Address Listing Page for Housing Units.
There is an entry of 0 in Pop. Count for vacant units in the Address Listing Page for Housing Units.
The Enumerator completed the Assignment Information section.
The Quality Control check is complete.

SPECIAL NOTICE
INFORMATION CONTAINED IN THIS ADDRESS REGISTER IS CONFIDENTIAL.
ALL ENTRIES MADE IN THIS ADDRESS REGISTER MUST BE LEGIBLE,
COMPLETE, AND ACCURATE.

FORM D-ARCP-AS (4-11-2019)

FORM

D-ARCP-GU (4-11-2019)

OMB No. 0607-1006: Approval Expires 11/30/2021

This listing contains confidential information, including Title 13 and Personally Identifiable Information (PII), the release of which is protected by the
Privacy Act of 1974.

1. IDENTIFICATION

HOUSING UNIT ADDRESS REGISTER
2020 Census of Guam

County
BCU
Book

of

2. ASSIGNMENT INFORMATION
Name – Please Print

Employee ID
Number

Telephone Number

Date
Assigned

Completed

Certification Statement – I certify that the information is
true to the best of my knowledge and the work completed
according to Census Bureau procedures.
The Crew Leader and all Enumerators must sign this
certification statement.

Crew Leader
Enumerator
Reassigned Enumerator
Reassigned Enumerator

3. ENUMERATOR DAILY PROGRESS RECORD (LISTING)
Housing Units
Listed

Date
Number

4. ENUMERATOR DAILY PROGRESS RECORD (ENUMERATION)
Housing Units
Enumerated

Date
Number

Remarks

DC

5. OFFICE USE ONLY
Name of Reviewer
Guam

Date

Initials

The contents of this Address Register are confidential by law (Title 13, U.S.
Code). It may be seen only by sworn persons with a need to know and used
solely for statistical purposes.

CREW LEADER REVIEW CHECKLIST
Before sending to the Census Office, verify the following:
The Enumerator has made entries in a legible manner.
All appropriate fields are completed in the Address Listing Page for Housing Units.
There are no duplicate addresses listed in the Address Listing Page for Housing Units.
There is an entry of 0 in Pop. Count for vacant units in the Address Listing Page for Housing Units.
The Enumerator completed the Assignment Information section.
The Quality Control check is complete.

SPECIAL NOTICE
INFORMATION CONTAINED IN THIS ADDRESS REGISTER IS CONFIDENTIAL.
ALL ENTRIES MADE IN THIS ADDRESS REGISTER MUST BE LEGIBLE,
COMPLETE, AND ACCURATE.

FORM D-ARCP-GU (4-11-2019)

FORM

D-ARCP-MI (4-11-2019)

OMB No. 0607-1006: Approval Expires 11/30/2021

This listing contains confidential information, including Title 13 and Personally Identifiable Information (PII), the release of which is protected by the
Privacy Act of 1974.

1. IDENTIFICATION

HOUSING UNIT ADDRESS REGISTER
2020 Census of the Commonwealth of the Northern Mariana Islands

County
BCU
Book

of

2. ASSIGNMENT INFORMATION
Name – Please Print

Employee ID
Number

Telephone Number

Date
Assigned

Completed

Certification Statement – I certify that the information is
true to the best of my knowledge and the work completed
according to Census Bureau procedures.
The Crew Leader and all Enumerators must sign this
certification statement.

Crew Leader
Enumerator
Reassigned Enumerator
Reassigned Enumerator

3. ENUMERATOR DAILY PROGRESS RECORD (LISTING)
Housing Units
Listed

Date
Number

4. ENUMERATOR DAILY PROGRESS RECORD (ENUMERATION)
Housing Units
Enumerated

Date
Number

Remarks

DC

5. OFFICE USE ONLY
Name of Reviewer
Commonwealth of the
Northern Mariana Islands

Date

Initials

The contents of this Address Register are confidential by law (Title 13, U.S.
Code). It may be seen only by sworn persons with a need to know and used
solely for statistical purposes.

CREW LEADER REVIEW CHECKLIST
Before sending to the Census Office, verify the following:
The Enumerator has made entries in a legible manner.
All appropriate fields are completed in the Address Listing Page for Housing Units.
There are no duplicate addresses listed in the Address Listing Page for Housing Units.
There is an entry of 0 in Pop. Count for vacant units in the Address Listing Page for Housing Units.
The Enumerator completed the Assignment Information section.
The Quality Control check is complete.

SPECIAL NOTICE
INFORMATION CONTAINED IN THIS ADDRESS REGISTER IS CONFIDENTIAL.
ALL ENTRIES MADE IN THIS ADDRESS REGISTER MUST BE LEGIBLE,
COMPLETE, AND ACCURATE.

FORM D-ARCP-MI (4-11-2019)

FORM

D-ARCP-VI (4-11-2019)

OMB No. 0607-1006: Approval Expires 11/30/2021

This listing contains confidential information, including Title 13 and Personally Identifiable Information (PII), the release of which is protected by the
Privacy Act of 1974.

1. IDENTIFICATION

HOUSING UNIT ADDRESS REGISTER
2020 Census of the U.S. Virgin Islands

County
BCU
Book

of

2. ASSIGNMENT INFORMATION
Name – Please Print

Employee ID
Number

Telephone Number

Date
Assigned

Completed

Certification Statement – I certify that the information is
true to the best of my knowledge and the work completed
according to Census Bureau procedures.
The Crew Leader and all Enumerators must sign this
certification statement.

Crew Leader
Enumerator
Reassigned Enumerator
Reassigned Enumerator

3. ENUMERATOR DAILY PROGRESS RECORD (LISTING)
Housing Units
Listed

Date
Number

4. ENUMERATOR DAILY PROGRESS RECORD (ENUMERATION)
Housing Units
Enumerated

Date
Number

Remarks

DC

5. OFFICE USE ONLY
Name of Reviewer

U.S. Virgin Islands

Date

Initials

The contents of this Address Register are confidential by law (Title 13, U.S.
Code). It may be seen only by sworn persons with a need to know and used
solely for statistical purposes.

CREW LEADER REVIEW CHECKLIST
Before sending to the Census Office, verify the following:
The Enumerator has made entries in a legible manner.
All appropriate fields are completed in the Address Listing Page for Housing Units.
There are no duplicate addresses listed in the Address Listing Page for Housing Units.
There is an entry of 0 in Pop. Count for vacant units in the Address Listing Page for Housing Units.
The Enumerator completed the Assignment Information section.
The Quality Control check is complete.

SPECIAL NOTICE
INFORMATION CONTAINED IN THIS ADDRESS REGISTER IS CONFIDENTIAL.
ALL ENTRIES MADE IN THIS ADDRESS REGISTER MUST BE LEGIBLE,
COMPLETE, AND ACCURATE.

FORM D-ARCP-VI (4-11-2019)

FORM

OMB No. 0607-1006: Approval Expires 11/30/2021

D-ARLP-AS (4-11-2019)

DC

ADDRESS LISTING PAGE FOR HOUSING UNITS
2020 Census of American Samoa

County

American Samoa
BCU

Line
No.

Questionnaire ID

Date
Listed

Map Spot No.
(4)
Within Map Spot ID

(1)
(1)

(2)

(3)

(2)

(3)

(5)
(4)

Address No.
(7)

Complete Street Name OR
(9)

Apt/Unit No.
(11)

Village OR
(13)

Address Type Code

Physical Location Description

ZIP Code

Estate – U.S. Virgin Islands Only

(8)

(10)

(12)

(14)

Development/Building Name OR
Subdivision/Place Name

(6)
(6)

(7)

(9)

(11)

(13)

(8)

(10)

(12)

(14)

Remarks

(15)
(15)

➤

APPLY LABEL HERE

(5)

➤

(16) Case Status Code – Enumeration

(17) Contact Attempts –
Enumeration (Tally)

(18) Mailable?
(Y/N/DK)

(19) Date Enumerated

(20)

(21) Pop. Count

Self

(22) Final Interview
Outcome Code

(23) QC Action (24) Case Status
Code – FFU

(25) Contact Attempts
FFU – Tally

(27) JIC2

Proxy
(1)

(2)

(3)

➤

APPLY LABEL HERE

➤
(2)

(3)

➤

APPLY LABEL HERE

➤

(16) Case Status Code – Enumeration

(6)

(5)

(17) Contact Attempts –
Enumeration (Tally)

(16) Case Status Code – Enumeration

(1)

(4)

(4)

(18) Mailable?
(Y/N/DK)

(19) Date Enumerated

(6)

(18) Mailable?
(Y/N/DK)

(9)

(11)

(13)

(8)

(10)

(12)

(14)

(21) Pop. Count

Self
Proxy

(5)

(17) Contact Attempts –
Enumeration (Tally)

(7)

(20)

(19) Date Enumerated

(22) Final Interview
Outcome Code

(23) QC Action (24) Case Status
Code – FFU

(9)

(11)

(13)

(8)

(10)

(12)

(14)

(21) Pop. Count

Self

(15)

(25) Contact Attempts
FFU – Tally

(22) Final Interview
Outcome Code

(23) QC Action (24) Case Status
Code – FFU

(15)

(25) Contact Attempts
FFU – Tally

Proxy
Address Type Codes
S – Single Unit
GQ – Group Quarters

Case Status Codes
A – Appointment
NV – Left Notice of Visit

M – Multi-Unit
TL – Transitory Locations
T – Trailer/Mobile NLQ – Non-Living Quarters
Home

GC – Gated Community

O – Other

NC – No Contact

RA – Restricted Access

IC – Interview Conducted RE – Refusal
LB – Language Barrier
UN – Unsafe
OT – Other

Apt – Apartment

Abbreviations
Pop. – Population

BCU – Basic Collection Unit
FFU – Field Followup
No. – Number

QC – Quality Control
Y/N/DK – Yes, No,
Don’t Know

(26) JIC1
(27) JIC2

(7)

(20)

(26) JIC1

(26) JIC1
(27) JIC2

Final Interview Outcome Codes
CI – Completed Interview MOV – Moved in After April 1 UHE – Usual Home
Elsewhere
CO – Pop Count Only
NC – No Contact
UN
–
Unsafe
LB – Language Barrier
RA – Restricted Access
PI – Partial Interview

REF – Refusal

VAC – Vacant

Page Totals
Occupied
HUs

Vacant
HUs

GQs

TLs

FORM

OMB No. 0607-1006: Approval Expires 11/30/2021

D-ARLP-GU (4-11-2019)

DC

ADDRESS LISTING PAGE FOR HOUSING UNITS
2020 Census of Guam

County

Guam
BCU

Line
No.

Questionnaire ID

Date
Listed

Map Spot No.
(4)
Within Map Spot ID

(1)
(1)

(2)

(3)

(2)

(3)

(5)
(4)

Address No.
(7)

Complete Street Name OR
(9)

Apt/Unit No.
(11)

Village OR
(13)

Address Type Code

Physical Location Description

ZIP Code

Estate – U.S. Virgin Islands Only

(8)

(10)

(12)

(14)

Development/Building Name OR
Subdivision/Place Name

(6)
(6)

(7)

(9)

(11)

(13)

(8)

(10)

(12)

(14)

Remarks

(15)
(15)

➤

APPLY LABEL HERE

(5)

➤

(16) Case Status Code – Enumeration

(17) Contact Attempts –
Enumeration (Tally)

(18) Mailable?
(Y/N/DK)

(19) Date Enumerated

(20)

(21) Pop. Count

Self

(22) Final Interview
Outcome Code

(23) QC Action (24) Case Status
Code – FFU

(25) Contact Attempts
FFU – Tally

(27) JIC2

Proxy
(1)

(2)

(3)

➤

APPLY LABEL HERE

➤
(2)

(3)

➤

APPLY LABEL HERE

➤

(16) Case Status Code – Enumeration

(6)

(5)

(17) Contact Attempts –
Enumeration (Tally)

(16) Case Status Code – Enumeration

(1)

(4)

(4)

(18) Mailable?
(Y/N/DK)

(19) Date Enumerated

(6)

(18) Mailable?
(Y/N/DK)

(9)

(11)

(13)

(8)

(10)

(12)

(14)

(21) Pop. Count

Self
Proxy

(5)

(17) Contact Attempts –
Enumeration (Tally)

(7)

(20)

(19) Date Enumerated

(22) Final Interview
Outcome Code

(23) QC Action (24) Case Status
Code – FFU

(9)

(11)

(13)

(8)

(10)

(12)

(14)

(21) Pop. Count

Self

(15)

(25) Contact Attempts
FFU – Tally

(22) Final Interview
Outcome Code

(23) QC Action (24) Case Status
Code – FFU

(15)

(25) Contact Attempts
FFU – Tally

Proxy
Address Type Codes
S – Single Unit
GQ – Group Quarters

Case Status Codes
A – Appointment
NV – Left Notice of Visit

M – Multi-Unit
TL – Transitory Locations
T – Trailer/Mobile NLQ – Non-Living Quarters
Home

GC – Gated Community

O – Other

NC – No Contact

RA – Restricted Access

IC – Interview Conducted RE – Refusal
LB – Language Barrier
UN – Unsafe
OT – Other

Apt – Apartment

Abbreviations
Pop. – Population

BCU – Basic Collection Unit
FFU – Field Followup
No. – Number

QC – Quality Control
Y/N/DK – Yes, No,
Don’t Know

(26) JIC1
(27) JIC2

(7)

(20)

(26) JIC1

(26) JIC1
(27) JIC2

Final Interview Outcome Codes
CI – Completed Interview MOV – Moved in After April 1 UHE – Usual Home
Elsewhere
CO – Pop Count Only
NC – No Contact
UN
–
Unsafe
LB – Language Barrier
RA – Restricted Access
PI – Partial Interview

REF – Refusal

VAC – Vacant

Page Totals
Occupied
HUs

Vacant
HUs

GQs

TLs

FORM

OMB No. 0607-1006: Approval Expires 11/30/2021

D-ARLP-MI (4-11-2019)

DC
Line
No.

ADDRESS LISTING PAGE FOR HOUSING UNITS
2020 Census of the Commonwealth of the Northern Mariana Islands

Commonwealth of the
Northern Mariana Islands

BCU

Questionnaire ID

Date
Listed

Map Spot No.
(4)

(1)

(2)

(3)

(2)

(3)

(5)
(4)

Address No.
(7)

Complete Street Name OR
(9)

Apt/Unit No.
(11)

Village OR
(13)

Address Type Code

Physical Location Description

ZIP Code

Estate – U.S. Virgin Islands Only

(8)

(10)

(12)

(14)

Development/Building Name OR
Subdivision/Place Name

Within Map Spot ID
(1)

County

(6)
(6)

(7)

(9)

(11)

(13)

(8)

(10)

(12)

(14)

Remarks

(15)
(15)

➤

APPLY LABEL HERE

(5)

➤

(16) Case Status Code – Enumeration

(17) Contact Attempts –
Enumeration (Tally)

(18) Mailable?
(Y/N/DK)

(19) Date Enumerated

(20)

(21) Pop. Count

Self

(22) Final Interview
Outcome Code

(23) QC Action (24) Case Status
Code – FFU

(25) Contact Attempts
FFU – Tally

(27) JIC2

Proxy
(1)

(2)

(3)

➤

APPLY LABEL HERE

➤
(2)

(3)

➤

APPLY LABEL HERE

➤

(16) Case Status Code – Enumeration

(6)

(5)

(17) Contact Attempts –
Enumeration (Tally)

(16) Case Status Code – Enumeration

(1)

(4)

(4)

(18) Mailable?
(Y/N/DK)

(19) Date Enumerated

(6)

(18) Mailable?
(Y/N/DK)

(9)

(11)

(13)

(8)

(10)

(12)

(14)

(21) Pop. Count

Self
Proxy

(5)

(17) Contact Attempts –
Enumeration (Tally)

(7)

(20)

(19) Date Enumerated

(22) Final Interview
Outcome Code

(23) QC Action (24) Case Status
Code – FFU

(9)

(11)

(13)

(8)

(10)

(12)

(14)

(21) Pop. Count

Self

(15)

(25) Contact Attempts
FFU – Tally

(22) Final Interview
Outcome Code

(23) QC Action (24) Case Status
Code – FFU

(15)

(25) Contact Attempts
FFU – Tally

Proxy
Case Status Codes
A – Appointment
NV – Left Notice of Visit

Address Type Codes
S – Single Unit
GQ – Group Quarters
M – Multi-Unit
TL – Transitory Locations
T – Trailer/Mobile NLQ – Non-Living Quarters
Home

GC – Gated Community

O – Other

NC – No Contact

RA – Restricted Access

IC – Interview Conducted RE – Refusal
LB – Language Barrier
UN – Unsafe
OT – Other

Apt – Apartment

Abbreviations
Pop. – Population

BCU – Basic Collection Unit
FFU – Field Followup
No. – Number

QC – Quality Control
Y/N/DK – Yes, No,
Don’t Know

(26) JIC1
(27) JIC2

(7)

(20)

(26) JIC1

(26) JIC1
(27) JIC2

Final Interview Outcome Codes
CI – Completed Interview MOV – Moved in After April 1 UHE – Usual Home
Elsewhere
CO – Pop Count Only
NC – No Contact
UN
–
Unsafe
LB – Language Barrier
RA – Restricted Access
PI – Partial Interview

REF – Refusal

VAC – Vacant

Page Totals
Occupied
HUs

Vacant
HUs

GQs

TLs

FORM

OMB No. 0607-1006: Approval Expires 11/30/2021

D-ARLP-VI (4-11-2019)

DC

ADDRESS LISTING PAGE FOR HOUSING UNITS
2020 Census of the U.S. Virgin Islands

County

U.S. Virgin Islands
BCU

Line
No.

Questionnaire ID

Date
Listed

Map Spot No.
(4)
Within Map Spot ID

(1)
(1)

(2)

(3)

(2)

(3)

(5)
(4)

Address No.
(7)

Complete Street Name OR
(9)

Apt/Unit No.
(11)

Village OR
(13)

Address Type Code

Physical Location Description

ZIP Code

Estate – U.S. Virgin Islands Only

(8)

(10)

(12)

(14)

Development/Building Name OR
Subdivision/Place Name

(6)
(6)

(7)

(9)

(11)

(13)

(8)

(10)

(12)

(14)

Remarks

(15)
(15)

➤

APPLY LABEL HERE

(5)

➤

(16) Case Status Code – Enumeration

(17) Contact Attempts –
Enumeration (Tally)

(18) Mailable?
(Y/N/DK)

(19) Date Enumerated

(20)

(21) Pop. Count

Self

(22) Final Interview
Outcome Code

(23) QC Action (24) Case Status
Code – FFU

(25) Contact Attempts
FFU – Tally

(27) JIC2

Proxy
(1)

(2)

(3)

➤

APPLY LABEL HERE

➤
(2)

(3)

➤

APPLY LABEL HERE

➤

(16) Case Status Code – Enumeration

(6)

(5)

(17) Contact Attempts –
Enumeration (Tally)

(16) Case Status Code – Enumeration

(1)

(4)

(4)

(18) Mailable?
(Y/N/DK)

(19) Date Enumerated

(6)

(18) Mailable?
(Y/N/DK)

(9)

(11)

(13)

(8)

(10)

(12)

(14)

(21) Pop. Count

Self
Proxy

(5)

(17) Contact Attempts –
Enumeration (Tally)

(7)

(20)

(19) Date Enumerated

(22) Final Interview
Outcome Code

(23) QC Action (24) Case Status
Code – FFU

(9)

(11)

(13)

(8)

(10)

(12)

(14)

(21) Pop. Count

Self

(15)

(25) Contact Attempts
FFU – Tally

(22) Final Interview
Outcome Code

(23) QC Action (24) Case Status
Code – FFU

(15)

(25) Contact Attempts
FFU – Tally

Proxy
Address Type Codes
S – Single Unit
GQ – Group Quarters

Case Status Codes
A – Appointment
NV – Left Notice of Visit

M – Multi-Unit
TL – Transitory Locations
T – Trailer/Mobile NLQ – Non-Living Quarters
Home

GC – Gated Community

O – Other

NC – No Contact

RA – Restricted Access

IC – Interview Conducted RE – Refusal
LB – Language Barrier
UN – Unsafe
OT – Other

Apt – Apartment

Abbreviations
Pop. – Population

BCU – Basic Collection Unit
FFU – Field Followup
No. – Number

QC – Quality Control
Y/N/DK – Yes, No,
Don’t Know

(26) JIC1
(27) JIC2

(7)

(20)

(26) JIC1

(26) JIC1
(27) JIC2

Final Interview Outcome Codes
CI – Completed Interview MOV – Moved in After April 1 UHE – Usual Home
Elsewhere
CO – Pop Count Only
NC – No Contact
UN
–
Unsafe
LB – Language Barrier
RA – Restricted Access
PI – Partial Interview

REF – Refusal

VAC – Vacant

Page Totals
Occupied
HUs

Vacant
HUs

GQs

TLs