SC-435 Reinterview Dependent Quality Check Record

FORM

SC-435 (5-6-2022)
U.S. DEPARTMENT OF COMMERCE

SCID:

AA:

Starting address line Number:

Date DQC Conducted:

U.S. CENSUS BUREAU

DEPENDENT QUALITY CHECK RECORD
Special Census
Mark (X) if you idenfy an error with the address checked
Consecuve
addresses on
the ground

HU, GQ, or TL missing from
SC-920 and SC-921
(Mark (X) and enter listing line number)

Address is on SC-920 with Action Code U, N,
DCL, or CW but should have Acon Code V or C
(Mark (X) and enter listing line number)

Address is on SC-920 with Action Code V or C,
but should have Acon Code U or N
(Mark (X) and enter listing line number)

(1)

(2)

(3)

(4)

Failed Addresses
Mark (X) if entry
in Column
(2), (3), or (4)

Notes

(5)

(6)

1

T

2

AF

3
4
5

R

6

D

7
8
9
10
11
12

If the total number of Failed Addresses is 2 or more, the AA has failed DQC
Mark (X) one:

AA Passed – Return materials

AA Failed – Recanvass AA

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DQC OUTCOME

Total number of Failed Addresses