Attachment A: Special Census Program Materials List

Special Census Attachment A_101722.docx

Special Census Program

Attachment A: Special Census Program Materials List

OMB: 0607-0368

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Attachment A: 2020 Special Census Materials List

Below is the list of the materials for use for the Special Census by the Census Bureau or by governmental units (GUs).

ID

Material

Description

Cost Estimate


SC-900

Special Census Cost Estimate Request Form

This form will be used by GUs to submit requests for a Special Census cost estimate to the Census Bureau.

Mailings

 

 

SC-L1(E/S)

Invitation Letter

This letter is sent to all housing units (HUs) in the Special Census area to invite them to self-respond through the Special Census internet self-response instrument. It contains information about the Special Census, a unique Special Census ID for each HU, and the URL where the HU can respond online to the Special Census.

SC-FL(E/S)

Frequently Asked Questions (FAQ) Insert

This FAQ insert will provide additional information to respondents who have census-related questions. It will also appear on the Census Bureau’s Special Census web page.

SC-EO1(E/S)

Outgoing Envelope Mailing 1

This envelope will be used to send the Invitation Letter to HUs in the Special Census area.

SC-L2(E/S)

Reminder Letter

This letter is sent to all HUs in the Special Census area to remind them to self-respond through the Special Census internet self-response instrument. This letter will contain the unique Special Census ID for each HU. It will be sent approximately one week after the Invitation Letter.

SC-EO2(E/S)

Outgoing Envelope Mailing 2

This envelope will be used to send the Reminder Letter to HUs in the Special Census area.

SC-P3(E/S)

Reminder Postcard

This postcard is sent to all HUs in the Special Census area to remind them to self-respond through the Special Census internet self-response instrument. It will be sent approximately one week after the Reminder Letter.

SC-P4(E/S)

Final Reminder Postcard

This postcard is sent to all HUs in the Special Census area to remind them to self-respond through the Special Census internet self-response instrument. This is the final reminder to HUs and it will be sent approximately one week after the Reminder Postcard.

Housing Unit Enumeration

 

SC-Q

Housing Unit Enumerator Questionnaire (English)

This interview questionnaire will be used to collect Special Census data at HUs.

SC-Q(S)

Housing Unit Enumerator Questionnaire (Spanish)

This interview questionnaire will be used to collect Special Census data at HUs.

SC-CQ

Housing Unit Enumerator Continuation Questionnaire (English)

This interview questionnaire will be used to collect Special Census data at HUs when there are more than six members in a household.

SC-CQ(S)

Housing Unit Enumerator Continuation Questionnaire (Spanish)

This interview questionnaire will be used to collect Special Census data at HUs when there are more than six members in a household.

SC-IS

Information Sheet (English)

This information sheet is provided to respondents to help them choose response option(s) for census questions during enumeration.

SC-IS(S)

Information Sheet (Spanish)

This information sheet is provided to respondents to help them choose response option(s) for census questions during enumeration.

SC-CN(E/S)

Confidentiality Notice (English/Spanish)

This notice explains how the Census Bureau is protecting respondents’ information. Special Census field staff are required to give a Confidentiality Notice to each person from whom they request census-related information.

SC-NV(E/S)

Notice of Visit (English/Spanish)

This notice is left at HUs by field representatives when they visit a HU and no one is home.

SC-IS2(E/S)

Multi-Unit Manager Information Sheet

This letter is provided to multi-unit managers to provide information about the Special Census.

SC-ID

Language Identification Card

This card is used by field representatives to identify whether the HU respondent speaks one of the listed languages and determine which language skills will be needed for a follow-up contact.

TL Enumeration

 

 

SC-Q-TL

Transitory Locations Enumerator Questionnaire (English)

This interview questionnaire will be used to collect Special Census data at eligible units in Transitory Locations (TLs), such as RV parks, marinas, campgrounds, hotels or motels.

SC-Q-TL(S)

Transitory Locations Enumerator Questionnaire (Spanish)

This interview questionnaire will be used to collect Special Census data at eligible units in TLs, such as RV parks, marinas, campgrounds, hotels or motels.

SC-CQ-TL

Transitory Locations Enumerator Continuation Questionnaire (English)

This interview questionnaire will be used to collect Special Census data at eligible units in a TL when there are more than six people.

SC-CQ-TL(S)

Transitory Locations Enumerator Continuation Questionnaire (Spanish)

This interview questionnaire will be used to collect Special Census data at eligible units in a TL when there are more than six people.

SC-LFM-TL(E/S)

Transitory Locations Facility Manager Letter (English/Spanish)

This letter is provided to TL facility managers to provide information about the Special Census and procedures for enumerating TLs.

SC-CN(E/S)

Confidentiality Notice (English/Spanish)

This notice explains how the Census Bureau is protecting respondents’ information. Special Census field staff are required to give a Confidentiality Notice to each person from whom they request census-related information.

SC-NV(E/S)

Notice of Visit (English/Spanish)

This notice is left at eligible units in a TL by field representatives when they visit a unit and no one is home.

SC-117

Transitory Location Contact Record Special Census

This form will be used by office staff to collect contact information and schedule interviews for TLs, to determine the type of TL, and to estimate the number of interviews to be conducted.

SC-IS-TL

Transitory Location Information Sheet (English)

This information sheet is provided to respondents at TLs to help them choose response option(s) for census questions during enumeration.

SC-IS-TL(S)

Transitory Location Information Sheet (Spanish)

This information sheet is provided to respondents at TLs to help them choose response option(s) for census questions during enumeration.

SC-693.2

Transitory Location Listing Sheet

This page will be used by field staff to enter information about transitory units at a TL during the enumeration of TLs. 

SC-688

Special Census Transitory Location Advance Contact In-Field Script

This advance contact script is used to set up enumeration appointments with the TL.

GQ Enumeration

 

 

SC-Q-GE

Individual Census Questionnaire for GQ (English)

This questionnaire will be used to collect Special Census data at group quarters (GQs), such as hospitals, prisons, boarding and rooming houses, college dormitories, military facilities, and convents.

SC-Q-GE(S)

Individual Census Questionnaire for GQ (Spanish)

This questionnaire will be used to collect Special Census data at GQs, such as hospitals, prisons, boarding and rooming houses, college dormitories, military facilities, and convents.

SC-E-GE(E/S)

ICQ Privacy Envelope (English/Spanish)

This envelope is used during GQ enumeration to protect the Personal Identifiable Information (PII) of each respondent that completes a Special Census Individual Census Questionnaire (ICQ).

SC-LFM-GE(E/S)

Group Quarters Facility Manager Letter (English/Spanish)

This letter is provided to GQ facility managers to provide information about the Special Census and procedures for enumerating GQs.

SC-116

Group Quarters Control Record Special Census

This page will be used by Special Census field representatives to list residents/clients at GQs.

SC-351

Special Census Group Quarters Advance Script

This advance contact script is used to set up enumeration appointments with the facility.

Reinterview

 

 

SC-RQ

Reinterview Questionnaire

This is a quality assurance questionnaire used by field representatives to conduct an independent interview at a sample of HUs. Special Census office staff will compare the data collected on this questionnaire with the original interview to make sure the original field representative followed procedures.

SC-RQ(S)

Reinterview Questionnaire (Spanish)

This is a quality assurance questionnaire used by field representatives to conduct an independent interview at a sample of HUs. Special Census office staff will compare the data collected on this questionnaire with the original interview to make sure the original field representative followed procedures.

SC-435

Dependent QA Check Record

This is a quality assurance form used by field representatives to conduct a listing quality check on the addresses in an assignment area.   

Address Listing

 

 

SC-920

Address Listing Page

This page will include existing addresses from the Master Address File (MAF). Special Census field representatives will update these addresses, if needed, at the time of enumeration.

SC-921

Add Page

This page will be used by field representatives to add units that are observed to exist on the ground and not contained on the address listing page.




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMeredith L Gillum (CENSUS/GEO FED)
File Modified0000-00-00
File Created2022-10-24

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