Information Collection

Special Census Program

IC 219039 under ICR 202210-0607-001 · OMB 0607-0368.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0368 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SC-Q Special Census Program	Form
DRAFT_Special Census ISR Screenshots_100722.pdf	Other-Internet Self Response Screens
DRAFT_Special Census ISR Screenshots_100722.pdf	Other-Internet Self Response Screens
HU Enumeration Materials.pdf	Other-Housing Unit Enumeration Mater
HU Enumeration Materials.pdf	Other-Housing Unit Enumeration Mater
Mailing Materials.pdf	Other-Mail Materials
Mailing Materials.pdf	Other-Mail Materials
GQ Enumeration Materials.pdf	Other-Group Quarters Enumeration Mat
GQ Enumeration Materials.pdf	Other-Group Quarters Enumeration Mat
TL Enumeration Materials.pdf	Other-Transitory Location Enumeratio
TL Enumeration Materials.pdf	Other-Transitory Location Enumeratio
Address Listing Pages.pdf	Other-Address Listing Pages
Address Listing121922.pdf	Other-Address Listing Pages
SC-Q Housing Unit Enumerator Questionnaire DRAFT_HU Questionnaire_SC-Q_072522.pdf	Form
SC-Q Housing Unit Enumerator Questionnaire DRAFT_HU Questionnaire_SC-Q_072522.pdf	Form
SC-Q(S) Housing Unit Enumerator Questionnaire (Spanish) DRAFT_Spanish HU Questionnaire_SC-Q(S)_071822.pdf	Form
SC-Q(S) Housing Unit Enumerator Questionnaire (Spanish) DRAFT_Spanish HU Questionnaire_SC-Q(S)_071822.pdf	Form
SC-CQ HU Enumerator Continuation Questionnaire (English) DRAFT_HU Continuation Questionnaire_SC-CQ_082522.pdf	Form
SC-CQ HU Enumerator Continuation Questionnaire (English) DRAFT_HU Continuation Questionnaire_SC-CQ_082522.pdf	Form
SC-CQ(S) HU Enumerator Continuation Questionnaire (Spanish) DRAFT_Spanish HU Continuation Questionnaire_SC-CQ(S)_082522.pdf	Form
SC-CQ(S) HU Enumerator Continuation Questionnaire (Spanish) DRAFT_Spanish HU Continuation Questionnaire_SC-CQ(S)_082522.pdf	Form
SC-Q-GE GQ Individual Census Questionnaire (English) DRAFT_GQ Questionnaire_SC-Q-GE_101722.pdf	Form
SC-Q-GE GQ Individual Census Questionnaire (English) DRAFT_GQ Questionnaire_SC-Q-GE_101722.pdf	Form
SC-Q-GE(S) GQ Individual Census Questionnaire (Spanish) DRAFT_Spanish GQ Questionnaire_SC-Q-GE(S)_101722.pdf	Form
SC-Q-GE(S) GQ Individual Census Questionnaire (Spanish) DRAFT_Spanish GQ Questionnaire_SC-Q-GE(S)_101722.pdf	Form
SC-Q-TL Transitory Unit Questionnaire (English) DRAFT_TU Questionnaire SC-Q-TL_100722n.pdf	Form
SC-Q-TL Transitory Unit Questionnaire (English) DRAFT_TU Questionnaire SC-Q-TL_100722n.pdf	Form
SC-Q-TL(S) Transitory Unit Questionnaire (Spanish) DRAFT_Spanish TU Questionnaire_SC-Q-TL(S)_100522n.pdf	Form
SC-Q-TL(S) Transitory Unit Questionnaire (Spanish) DRAFT_Spanish TU Questionnaire_SC-Q-TL(S)_100522n.pdf	Form
SC-CQ-TL Transitory Unit Continuation Questionnaire (English) DRAFT_TU Continuation Questionnaire_SC-CQ-TL_100722n.pdf	Form
SC-CQ-TL Transitory Unit Continuation Questionnaire (English) DRAFT_TU Continuation Questionnaire_SC-CQ-TL_100722n.pdf	Form
SC-CQ-TL(S) Transitory Unit Continuation Questionnaire (Spanish) DRAFT_Spanish TU Continuation Questionnaire_SC-CQ-TL(S)_100722n.pdf	Form
SC-CQ-TL(S) Transitory Unit Continuation Questionnaire (Spanish) DRAFT_Spanish TU Continuation Questionnaire_SC-CQ-TL(S)_100722n.pdf	Form
SC-RQ Reinterview Questionnaire (English) DRAFT_Reinterview Questionnaire_SC-RQ_100722n.pdf	Form
SC-RQ Reinterview Questionnaire (English) DRAFT_Reinterview Questionnaire_SC-RQ_100722n.pdf	Form
SC-RQ(S) Reinterview Questionnaire (Spanish) DRAFT_Spanish Reinterview Questionnaire_SC-RQ(S)_100722n.pdf	Form
SC-RQ(S) Reinterview Questionnaire (Spanish) DRAFT_Spanish Reinterview Questionnaire_SC-RQ(S)_100722n.pdf	Form
SC-435 Reinterview Dependent Quality Check Record DRAFT_SC-435_20220506.pdf	Form
SC-435 Reinterview Dependent Quality Check Record DRAFT_SC-435_20220506.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Special Census Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SC-Q	Housing Unit Enumerator Questionnaire	DRAFT_HU Questionnaire_SC-Q_072522.pdf	Yes	Yes	Fillable Fileable
Form	SC-Q(S)	Housing Unit Enumerator Questionnaire (Spanish)	DRAFT_Spanish HU Questionnaire_SC-Q(S)_071822.pdf	Yes	Yes	Fillable Fileable
Form	SC-CQ	HU Enumerator Continuation Questionnaire (English)	DRAFT_HU Continuation Questionnaire_SC-CQ_082522.pdf	Yes	Yes	Fillable Fileable
Form	SC-CQ(S)	HU Enumerator Continuation Questionnaire (Spanish)	DRAFT_Spanish HU Continuation Questionnaire_SC-CQ(S)_082522.pdf	Yes	Yes	Fillable Fileable
Form	SC-Q-GE	GQ Individual Census Questionnaire (English)	DRAFT_GQ Questionnaire_SC-Q-GE_101722.pdf	No		Paper Only
Form	SC-Q-GE(S)	GQ Individual Census Questionnaire (Spanish)	DRAFT_Spanish GQ Questionnaire_SC-Q-GE(S)_101722.pdf	No		Paper Only
Form	SC-Q-TL	Transitory Unit Questionnaire (English)	DRAFT_TU Questionnaire SC-Q-TL_100722n.pdf	No		Paper Only
Form	SC-Q-TL(S)	Transitory Unit Questionnaire (Spanish)	DRAFT_Spanish TU Questionnaire_SC-Q-TL(S)_100522n.pdf	No		Paper Only
Form	SC-CQ-TL	Transitory Unit Continuation Questionnaire (English)	DRAFT_TU Continuation Questionnaire_SC-CQ-TL_100722n.pdf	No		Paper Only
Form	SC-CQ-TL(S)	Transitory Unit Continuation Questionnaire (Spanish)	DRAFT_Spanish TU Continuation Questionnaire_SC-CQ-TL(S)_100722n.pdf	No		Paper Only
Form	SC-RQ	Reinterview Questionnaire (English)	DRAFT_Reinterview Questionnaire_SC-RQ_100722n.pdf	No		Paper Only
Form	SC-RQ(S)	Reinterview Questionnaire (Spanish)	DRAFT_Spanish Reinterview Questionnaire_SC-RQ(S)_100722n.pdf	No		Fillable Fileable Signable
Form	SC-435	Reinterview Dependent Quality Check Record	DRAFT_SC-435_20220506.pdf	No		Paper Only
Other-Internet Self Response Screenshots			DRAFT_Special Census ISR Screenshots_100722.pdf	Yes	Yes	Fillable Fileable
Other-Housing Unit Enumeration Materials			HU Enumeration Materials.pdf	Yes	Yes	Fillable Fileable
Other-Mail Materials			Mailing Materials.pdf	No		Paper Only
Other-Group Quarters Enumeration Materials			GQ Enumeration Materials.pdf	No		Paper Only
Other-Transitory Location Enumeration Materials			TL Enumeration Materials.pdf	No		Paper Only
Other-Address Listing Pages			Address Listing121922.pdf	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 357,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	357,000	357,000
Annual IC Time Burden (Hours)	59,500	59,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.