Information Collection Request

Special Census Program

ICR 202210-0607-001 · OMB 0607-0368 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SC-900 Special Census Cost Estimate Request Form Form New Available
Form SC-900 Governmental Unit Cost Estimate Request Form New Repair queued
Form SC-435 Reinterview Dependent Quality Check Record Form Modified Available
Form SC-RQ(S) Reinterview Questionnaire (Spanish) Form Modified Available
Form SC-RQ Reinterview Questionnaire (English) Form Modified Available
Form SC-CQ-TL(S) Transitory Unit Continuation Questionnaire (Spanish) Form Modified Available
Form SC-CQ-TL Transitory Unit Continuation Questionnaire (English) Form Modified Available
Form SC-Q-TL(S) Transitory Unit Questionnaire (Spanish) Form Modified Available
Form SC-Q-TL Transitory Unit Questionnaire (English) Form Modified Available
Form SC-Q-GE(S) GQ Individual Census Questionnaire (Spanish) Form Modified Available
Form SC-Q-GE GQ Individual Census Questionnaire (English) Form Modified Available
Form SC-CQ(S) HU Enumerator Continuation Questionnaire (Spanish) Form Modified Available
Form SC-CQ HU Enumerator Continuation Questionnaire (English) Form Modified Available
Form SC-Q(S) Housing Unit Enumerator Questionnaire (Spanish) Form Modified Available
Form SC-Q Housing Unit Enumerator Questionnaire Form Modified Available
Form SC-Q Special Census Program Form Modified Repair queued
Special Census Attachment A_101722.docx Supplementary Document Uploaded 2022-10-17 Repair queued
SpecialCensusProgram_SSA_100322.docx Supporting Statement A Uploaded 2022-10-17 Repair queued
SpecialCensusProgram_SSB_092222.docx Supporting Statement B Uploaded 2022-10-13 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
256411 Governmental Unit Cost Estimate Request Form NewSpecial Census Cost Estimate Request Form
256411 Governmental Unit Cost Estimate Request Form New
219039 Special Census Program Other-Internet Self Response Screenshots Modified
219039 Special Census Program Form ModifiedReinterview Dependent Quality Check Record
219039 Special Census Program Form ModifiedReinterview Questionnaire (Spanish)
219039 Special Census Program Form ModifiedReinterview Questionnaire (English)
219039 Special Census Program Form ModifiedTransitory Unit Continuation Questionnaire (Spanish)
219039 Special Census Program Form ModifiedTransitory Unit Continuation Questionnaire (English)
219039 Special Census Program Form ModifiedTransitory Unit Questionnaire (Spanish)
219039 Special Census Program Form ModifiedTransitory Unit Questionnaire (English)
219039 Special Census Program Form ModifiedGQ Individual Census Questionnaire (Spanish)
219039 Special Census Program Form ModifiedGQ Individual Census Questionnaire (English)
219039 Special Census Program Form ModifiedHU Enumerator Continuation Questionnaire (Spanish)
219039 Special Census Program Form ModifiedHU Enumerator Continuation Questionnaire (English)
219039 Special Census Program Form ModifiedHousing Unit Enumerator Questionnaire (Spanish)
219039 Special Census Program Form ModifiedHousing Unit Enumerator Questionnaire
219039 Special Census Program Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2025 36 Months From Approved
357,080 0 0
59,560 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Governmental Unit Cost Estimate Request SC-900
Special Census Program SC-Q, SC-Q(S), SC-CQ, SC-CQ(S), SC-Q-GE, SC-Q-GE(S), SC-Q-TL(S), SC-CQ-TL, SC-CQ-TL(S), SC-RQ, SC-RQ(S) , SC-435, SC-Q-TL ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 357,080 0 0 357,080 0 0
Annual Time Burden (Hours) 59,560 0 0 59,560 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No