Island Areas Censuses - Housing Units

2020 Census

IAC Address Registers Tranisitory Locations 041119

Island Areas Censuses - Housing Units

OMB: 0607-1006

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0607-1006 can be found here:
2021-11-10 - No material or nonsubstantive change to a currently approved collection
Document [pdf]
Download: pdf | pdf
FORM

D-ARCP-TL-AS (4-9-2019)

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

TRANSITORY LOCATIONS 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)
Transitory
Units
Listed

Date
Number

4. ENUMERATOR DAILY PROGRESS RECORD (ENUMERATION)
Transitory
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 Transitory Units.
There are no duplicate addresses listed in the Address Listing Page for Transitory Locations and Address Listing Page for Transitory Units.
There is an entry of 0 in Pop. Count for vacant units in the Address Listing Page for Transitory Locations and Address Listing Page for Transitory 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-TL-AS (4-9-2019)

FORM

D-ARCP-TL-GU (4-9-2019)

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

TRANSITORY LOCATIONS 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)
Transitory
Units
Listed

Date
Number

4. ENUMERATOR DAILY PROGRESS RECORD (ENUMERATION)
Transitory
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 Transitory Units.
There are no duplicate addresses listed in the Address Listing Page for Transitory Locations and Address Listing Page for Transitory Units.
There is an entry of 0 in Pop. Count for vacant units in the Address Listing Page for Transitory Locations and Address Listing Page for Transitory 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-TL-GU (4-9-2019)

FORM

D-ARCP-TL-MI (4-9-2019)

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

TRANSITORY LOCATIONS 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)
Transitory
Units
Listed

Date
Number

4. ENUMERATOR DAILY PROGRESS RECORD (ENUMERATION)
Transitory
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 Transitory Units.
There are no duplicate addresses listed in the Address Listing Page for Transitory Locations and Address Listing Page for Transitory Units.
There is an entry of 0 in Pop. Count for vacant units in the Address Listing Page for Transitory Locations and Address Listing Page for Transitory 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-TL-MI (4-9-2019)

FORM

D-ARCP-TL-VI (4-9-2019)

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

TRANSITORY LOCATIONS 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)
Transitory
Units
Listed

Date
Number

4. ENUMERATOR DAILY PROGRESS RECORD (ENUMERATION)
Transitory
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 Transitory Units.
There are no duplicate addresses listed in the Address Listing Page for Transitory Locations and Address Listing Page for Transitory Units.
There is an entry of 0 in Pop. Count for vacant units in the Address Listing Page for Transitory Locations and Address Listing Page for Transitory 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-TL-VI (4-9-2019)

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

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

DC

ADDRESS LISTING PAGE FOR TRANSITORY LOCATIONS
2020 Census of American Samoa
American Samoa
Date Assigned

Transitory Location ID

Map Spot
No.

(2)

(1)
(1)

(2)

(16) Establishment Open between
3/2/2020 and 4/15/2020? (Y/N)

(3)

(17) Case Status Code –
Enumeration

50 – Racetrack
60 – Circus or Carnival
90 – Other Transitory Locations

Case Status Codes
A – Appointment
GC – Gated Community
IC – Interview Conducted
LB – Language Barrier
NC – No Contact

NV – Left Notice of Visit
RA – Restricted Access
RE – Refusal
UN – Unsafe
OT – Other

Transitory Location
Name

Address No.

Complete Street
Name OR

Apt/Unit/Slip
No.

Village OR

Transitory Location Point of
Contact Name

(5)

(7)

(9)

(11)

(13)

TL Type
Code

Physical Location
Description

ZIP Code

Estate –
U.S. Virgin Islands Only

Title

Telephone
Number

(6)

(8)

(10)

(12)

(14)

(15)

(4)

(3)

TL Type Codes
10 – Campground
20 – Recreational Vehicle Park
30 – Marina
40 – Hotel and Motel

BCU

County

(4)

(5)

(7)

(9)

(11)

(13)

(6)

(8)

(10)

(12)

(14)

(15)

(21) Case Status Code
– FFU

(22) Contact
(23) Pop.
Attempts –
Count
FFU (Tally)

(25) JIC1

(26) JIC2

(18) Contact Attempts (19) Mailable? (20) Date
– Enumeration
(Y/N/DK)
Enumerated
(Tally)

Abbreviations
Apt – Apartment
BCU – Basic Collection Unit
FFU – Field Followup
No. – Number
Pop. – Population
QC – Quality Control
TL – Transitory Location
Y/N/DK – Yes, No, or Don’t Know

Remarks

(24) QC
Action

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

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

DC

ADDRESS LISTING PAGE FOR TRANSITORY LOCATIONS
2020 Census of Guam
Guam
Date Assigned

Transitory Location ID

Map Spot
No.

(2)

(1)
(1)

(2)

(16) Establishment Open between
3/2/2020 and 4/15/2020? (Y/N)

(3)

(17) Case Status Code –
Enumeration

50 – Racetrack
60 – Circus or Carnival
90 – Other Transitory Locations

Case Status Codes
A – Appointment
GC – Gated Community
IC – Interview Conducted
LB – Language Barrier
NC – No Contact

NV – Left Notice of Visit
RA – Restricted Access
RE – Refusal
UN – Unsafe
OT – Other

Transitory Location
Name

Address No.

Complete Street
Name OR

Apt/Unit/Slip
No.

Village OR

Transitory Location Point of
Contact Name

(5)

(7)

(9)

(11)

(13)

TL Type
Code

Physical Location
Description

ZIP Code

Estate –
U.S. Virgin Islands Only

Title

Telephone
Number

(6)

(8)

(10)

(12)

(14)

(15)

(4)

(3)

TL Type Codes
10 – Campground
20 – Recreational Vehicle Park
30 – Marina
40 – Hotel and Motel

BCU

County

(4)

(5)

(7)

(9)

(11)

(13)

(6)

(8)

(10)

(12)

(14)

(15)

(21) Case Status Code
– FFU

(22) Contact
(23) Pop.
Attempts –
Count
FFU (Tally)

(25) JIC1

(26) JIC2

(18) Contact Attempts (19) Mailable? (20) Date
– Enumeration
(Y/N/DK)
Enumerated
(Tally)

Abbreviations
Apt – Apartment
BCU – Basic Collection Unit
FFU – Field Followup
No. – Number
Pop. – Population
QC – Quality Control
TL – Transitory Location
Y/N/DK – Yes, No, or Don’t Know

Remarks

(24) QC
Action

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

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

DC

ADDRESS LISTING PAGE FOR TRANSITORY LOCATIONS
2020 Census of the Commonwealth of the Northern Mariana Islands
Commonwealth of the
Northern Mariana Islands

Date Assigned

Transitory Location ID

Map Spot
No.

(2)

(1)
(1)

(2)

(16) Establishment Open between
3/2/2020 and 4/15/2020? (Y/N)

(3)

(17) Case Status Code –
Enumeration

50 – Racetrack
60 – Circus or Carnival
90 – Other Transitory Locations

Case Status Codes
A – Appointment
GC – Gated Community
IC – Interview Conducted
LB – Language Barrier
NC – No Contact

NV – Left Notice of Visit
RA – Restricted Access
RE – Refusal
UN – Unsafe
OT – Other

Transitory Location
Name

Address No.

Complete Street
Name OR

Apt/Unit/Slip
No.

Village OR

Transitory Location Point of
Contact Name

(5)

(7)

(9)

(11)

(13)

TL Type
Code

Physical Location
Description

ZIP Code

Estate –
U.S. Virgin Islands Only

Title

Telephone
Number

(6)

(8)

(10)

(12)

(14)

(15)

(4)

(3)

TL Type Codes
10 – Campground
20 – Recreational Vehicle Park
30 – Marina
40 – Hotel and Motel

BCU

County

(4)

(5)

(7)

(9)

(11)

(13)

(6)

(8)

(10)

(12)

(14)

(15)

(21) Case Status Code
– FFU

(22) Contact
(23) Pop.
Attempts –
Count
FFU (Tally)

(25) JIC1

(26) JIC2

(18) Contact Attempts (19) Mailable? (20) Date
– Enumeration
(Y/N/DK)
Enumerated
(Tally)

Abbreviations
Apt – Apartment
BCU – Basic Collection Unit
FFU – Field Followup
No. – Number
Pop. – Population
QC – Quality Control
TL – Transitory Location
Y/N/DK – Yes, No, or Don’t Know

Remarks

(24) QC
Action

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

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

DC

ADDRESS LISTING PAGE FOR TRANSITORY LOCATIONS
2020 Census of the U.S. Virgin Islands
U.S. Virgin Islands

Date Assigned

Transitory Location ID

Map Spot
No.

(2)

(1)
(1)

(2)

(16) Establishment Open between
3/2/2020 and 4/15/2020? (Y/N)

(3)

(17) Case Status Code –
Enumeration

50 – Racetrack
60 – Circus or Carnival
90 – Other Transitory Locations

Case Status Codes
A – Appointment
GC – Gated Community
IC – Interview Conducted
LB – Language Barrier
NC – No Contact

NV – Left Notice of Visit
RA – Restricted Access
RE – Refusal
UN – Unsafe
OT – Other

Transitory Location
Name

Address No.

Complete Street
Name OR

Apt/Unit/Slip
No.

Village OR

Transitory Location Point of
Contact Name

(5)

(7)

(9)

(11)

(13)

TL Type
Code

Physical Location
Description

ZIP Code

Estate –
U.S. Virgin Islands Only

Title

Telephone
Number

(6)

(8)

(10)

(12)

(14)

(15)

(4)

(3)

TL Type Codes
10 – Campground
20 – Recreational Vehicle Park
30 – Marina
40 – Hotel and Motel

BCU

County

(4)

(5)

(7)

(9)

(11)

(13)

(6)

(8)

(10)

(12)

(14)

(15)

(21) Case Status Code
– FFU

(22) Contact
(23) Pop.
Attempts –
Count
FFU (Tally)

(25) JIC1

(26) JIC2

(18) Contact Attempts (19) Mailable? (20) Date
– Enumeration
(Y/N/DK)
Enumerated
(Tally)

Abbreviations
Apt – Apartment
BCU – Basic Collection Unit
FFU – Field Followup
No. – Number
Pop. – Population
QC – Quality Control
TL – Transitory Location
Y/N/DK – Yes, No, or Don’t Know

Remarks

(24) QC
Action

FORM

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

D-ARLP-TU-AS (4-18-2019)

DC

ADDRESS LISTING PAGE FOR TRANSITORY UNITS
2020 Census of American Samoa
American Samoa

Line
No.

Questionnaire ID

Date Listed

(1)

(2)

(3)

(1)

(3)

(2)

APPLY LABEL HERE

➤

➤

(14) Case Status Code – Enumeration

Map Spot No.
(4)

Address No.

Within Map Spot ID
(5)
(4)

(6)
(6)

(5)

(15) Contact Attempts – (16) Mailable?
Enumeration (Tally)
(Y/N/DK)

Complete Street Name OR
(7)
Physical Location Description
(8)

Apt/Unit/Slip No.
(9)
ZIP Code
(10)

Village OR
(11)
Estate – U.S. Virgin Islands Only
(12)

(7)

(9)

(11)

(8)

(10)

(12)

(17) Date Enumerated

(18)

(19) Pop. Count

Self

(20) Final Interview
Outcome Code

(21) QC Action (22) Case Status
Code – FFU

(3)

(2)

APPLY LABEL HERE

➤

➤

(14) Case Status Code – Enumeration

(4)

(6)

(5)

(15) Contact Attempts – (16) Mailable?
Enumeration (Tally)
(Y/N/DK)

(23) Contact Attempts
FFU – Tally

(9)

(11)

(8)

(10)

(12)

(18)

(19) Pop. Count

Self

(20) Final Interview
Outcome Code

(21) QC Action (22) Case Status
Code – FFU

(13)

(23) Contact Attempts
FFU – Tally

Proxy
(1)

(3)

(2)

APPLY LABEL HERE

➤

(14) Case Status Code – Enumeration

➤

(4)

(5)

(15) Contact Attempts – (16) Mailable?
Enumeration (Tally)
(Y/N/DK)

(6)

(9)

(11)

(8)

(10)

(12)

(18)

(19) Pop. Count

Self

(20) Final Interview
Outcome Code

Proxy

Case Status Codes
A – Appointment
GC – Gated Community
IC – Interview Conducted
LB – Language Barrier
NC – No Contact
NV – Left Notice of Visit
RA – Restricted Access
RE – Refusal
UN – Unsafe
OT – Other

Abbreviations
Apt – Apartment
BCU – Basic Collection Unit
FFU – Field Followup
No. – Number
Pop. – Population
QC – Quality Control
Y/N/DK – Yes, No, or Don’t Know

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

(24) JIC1
(25) JIC2

(7)

(17) Date Enumerated

(24) JIC1
(25) JIC2

(7)

(17) Date Enumerated

(13)
(13)

Proxy
(1)

Remarks

(21) QC Action (22) Case Status
Code – FFU

(13)

(23) Contact Attempts
FFU – Tally

(24) JIC1
(25) JIC2

Additional Remarks

FORM

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

D-ARLP-TU-GU (4-18-2019)

DC

ADDRESS LISTING PAGE FOR TRANSITORY UNITS
2020 Census of Guam
Guam

Line
No.

Questionnaire ID

Date Listed

(1)

(2)

(3)

(1)

(3)

(2)

APPLY LABEL HERE

➤

➤

(14) Case Status Code – Enumeration

Map Spot No.
(4)

Address No.

Within Map Spot ID
(5)
(4)

(6)
(6)

(5)

(15) Contact Attempts – (16) Mailable?
Enumeration (Tally)
(Y/N/DK)

Complete Street Name OR
(7)
Physical Location Description
(8)

Apt/Unit/Slip No.
(9)
ZIP Code
(10)

Village OR
(11)
Estate – U.S. Virgin Islands Only
(12)

(7)

(9)

(11)

(8)

(10)

(12)

(17) Date Enumerated

(18)

(19) Pop. Count

Self

(20) Final Interview
Outcome Code

(21) QC Action (22) Case Status
Code – FFU

(3)

(2)

APPLY LABEL HERE

➤

➤

(14) Case Status Code – Enumeration

(4)

(6)

(5)

(15) Contact Attempts – (16) Mailable?
Enumeration (Tally)
(Y/N/DK)

(23) Contact Attempts
FFU – Tally

(9)

(11)

(8)

(10)

(12)

(18)

(19) Pop. Count

Self

(20) Final Interview
Outcome Code

(21) QC Action (22) Case Status
Code – FFU

(13)

(23) Contact Attempts
FFU – Tally

Proxy
(1)

(3)

(2)

APPLY LABEL HERE

➤

(14) Case Status Code – Enumeration

➤

(4)

(5)

(15) Contact Attempts – (16) Mailable?
Enumeration (Tally)
(Y/N/DK)

(6)

(9)

(11)

(8)

(10)

(12)

(18)

(19) Pop. Count

Self

(20) Final Interview
Outcome Code

Proxy

Case Status Codes
A – Appointment
GC – Gated Community
IC – Interview Conducted
LB – Language Barrier
NC – No Contact
NV – Left Notice of Visit
RA – Restricted Access
RE – Refusal
UN – Unsafe
OT – Other

Abbreviations
Apt – Apartment
BCU – Basic Collection Unit
FFU – Field Followup
No. – Number
Pop. – Population
QC – Quality Control
Y/N/DK – Yes, No, or Don’t Know

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

(24) JIC1
(25) JIC2

(7)

(17) Date Enumerated

(24) JIC1
(25) JIC2

(7)

(17) Date Enumerated

(13)
(13)

Proxy
(1)

Remarks

(21) QC Action (22) Case Status
Code – FFU

(13)

(23) Contact Attempts
FFU – Tally

(24) JIC1
(25) JIC2

Additional Remarks

FORM

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

D-ARLP-TU-MI (4-18-2019)

DC

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

Line
No.

Questionnaire ID

Date Listed

(1)

(2)

(3)

(1)

(3)

(2)

APPLY LABEL HERE

➤

➤

(14) Case Status Code – Enumeration

Map Spot No.
(4)

Address No.

Within Map Spot ID
(5)
(4)

(6)
(6)

(5)

(15) Contact Attempts – (16) Mailable?
Enumeration (Tally)
(Y/N/DK)

Complete Street Name OR
(7)
Physical Location Description
(8)

Apt/Unit/Slip No.
(9)
ZIP Code
(10)

Village OR
(11)
Estate – U.S. Virgin Islands Only
(12)

(7)

(9)

(11)

(8)

(10)

(12)

(17) Date Enumerated

(18)

(19) Pop. Count

Self

(20) Final Interview
Outcome Code

(21) QC Action (22) Case Status
Code – FFU

(3)

(2)

APPLY LABEL HERE

➤

➤

(14) Case Status Code – Enumeration

(4)

(6)

(5)

(15) Contact Attempts – (16) Mailable?
Enumeration (Tally)
(Y/N/DK)

(23) Contact Attempts
FFU – Tally

(9)

(11)

(8)

(10)

(12)

(18)

(19) Pop. Count

Self

(20) Final Interview
Outcome Code

(21) QC Action (22) Case Status
Code – FFU

(13)

(23) Contact Attempts
FFU – Tally

Proxy
(1)

(3)

(2)

APPLY LABEL HERE

➤

(14) Case Status Code – Enumeration

➤

(4)

(5)

(15) Contact Attempts – (16) Mailable?
Enumeration (Tally)
(Y/N/DK)

(6)

(9)

(11)

(8)

(10)

(12)

(18)

(19) Pop. Count

Self

(20) Final Interview
Outcome Code

Proxy

Case Status Codes
A – Appointment
GC – Gated Community
IC – Interview Conducted
LB – Language Barrier
NC – No Contact
NV – Left Notice of Visit
RA – Restricted Access
RE – Refusal
UN – Unsafe
OT – Other

Abbreviations
Apt – Apartment
BCU – Basic Collection Unit
FFU – Field Followup
No. – Number
Pop. – Population
QC – Quality Control
Y/N/DK – Yes, No, or Don’t Know

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

(24) JIC1
(25) JIC2

(7)

(17) Date Enumerated

(24) JIC1
(25) JIC2

(7)

(17) Date Enumerated

(13)
(13)

Proxy
(1)

Remarks

(21) QC Action (22) Case Status
Code – FFU

(13)

(23) Contact Attempts
FFU – Tally

(24) JIC1
(25) JIC2

Additional Remarks

FORM

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

D-ARLP-TU-VI (4-18-2019)

DC

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

Line
No.

Questionnaire ID

Date Listed

(1)

(2)

(3)

(1)

(3)

(2)

APPLY LABEL HERE

➤

➤

(14) Case Status Code – Enumeration

Map Spot No.
(4)

Address No.

Within Map Spot ID
(5)
(4)

(6)
(6)

(5)

(15) Contact Attempts – (16) Mailable?
Enumeration (Tally)
(Y/N/DK)

Complete Street Name OR
(7)
Physical Location Description
(8)

Apt/Unit/Slip No.
(9)
ZIP Code
(10)

Village OR
(11)
Estate – U.S. Virgin Islands Only
(12)

(7)

(9)

(11)

(8)

(10)

(12)

(17) Date Enumerated

(18)

(19) Pop. Count

Self

(20) Final Interview
Outcome Code

(21) QC Action (22) Case Status
Code – FFU

(3)

(2)

APPLY LABEL HERE

➤

➤

(14) Case Status Code – Enumeration

(4)

(6)

(5)

(15) Contact Attempts – (16) Mailable?
Enumeration (Tally)
(Y/N/DK)

(23) Contact Attempts
FFU – Tally

(9)

(11)

(8)

(10)

(12)

(18)

(19) Pop. Count

Self

(20) Final Interview
Outcome Code

(21) QC Action (22) Case Status
Code – FFU

(13)

(23) Contact Attempts
FFU – Tally

Proxy
(1)

(3)

(2)

APPLY LABEL HERE

➤

(14) Case Status Code – Enumeration

➤

(4)

(5)

(15) Contact Attempts – (16) Mailable?
Enumeration (Tally)
(Y/N/DK)

(6)

(9)

(11)

(8)

(10)

(12)

(18)

(19) Pop. Count

Self

(20) Final Interview
Outcome Code

Proxy

Case Status Codes
A – Appointment
GC – Gated Community
IC – Interview Conducted
LB – Language Barrier
NC – No Contact
NV – Left Notice of Visit
RA – Restricted Access
RE – Refusal
UN – Unsafe
OT – Other

Abbreviations
Apt – Apartment
BCU – Basic Collection Unit
FFU – Field Followup
No. – Number
Pop. – Population
QC – Quality Control
Y/N/DK – Yes, No, or Don’t Know

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

(24) JIC1
(25) JIC2

(7)

(17) Date Enumerated

(24) JIC1
(25) JIC2

(7)

(17) Date Enumerated

(13)
(13)

Proxy
(1)

Remarks

(21) QC Action (22) Case Status
Code – FFU

(13)

(23) Contact Attempts
FFU – Tally

(24) JIC1
(25) JIC2

Additional Remarks
File Type	application/pdf
Author	OneFormUser
File Modified	2019-07-03
File Created	2019-04-24