Special Census Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SC-900 Special Census Cost Estimate Request Form	Form	Unchanged	Available
Form SC-900 Governmental Unit Cost Estimate Request	Form	Unchanged	Repair queued
Form SC-435 Reinterview Dependent Quality Check Record	Form	Unchanged	Available
Form SC-RQ(S) Reinterview Questionnaire (Spanish)	Form	Unchanged	Available
Form SC-RQ Reinterview Questionnaire (English)	Form	Unchanged	Available
Form SC-CQ-TL(S) Transitory Unit Continuation Questionnaire (Spanish)	Form	Unchanged	Available
Form SC-CQ-TL Transitory Unit Continuation Questionnaire (English)	Form	Unchanged	Available
Form SC-Q-TL(S) Transitory Unit Questionnaire (Spanish)	Form	Unchanged	Available
Form SC-Q-TL Transitory Unit Questionnaire (English)	Form	Unchanged	Available
Form SC-Q-GE(S) GQ Individual Census Questionnaire (Spanish)	Form	Unchanged	Available
Form SC-Q-GE GQ Individual Census Questionnaire (English)	Form	Unchanged	Available
Form SC-CQ(S) HU Enumerator Continuation Questionnaire (Spanish)	Form	Unchanged	Available
Form SC-CQ HU Enumerator Continuation Questionnaire (English)	Form	Unchanged	Available
Form SC-Q(S) Housing Unit Enumerator Questionnaire (Spanish)	Form	Unchanged	Available
Form SC-Q Housing Unit Enumerator Questionnaire	Form	Unchanged	Available
Form SC-Q Special Census Program	Form	Unchanged	Repair queued
2025 NSC- SC-50.1a, Special Census Office Job Aids_Telephone Script Extract.pdf	Supplementary Document	Uploaded 2025-01-23	Available
2025 NSC- SC-50.1a, Special Census Office Job Aids_Telephone Script Extract.pdf	Supplementary Document	Uploaded 2025-01-23	Repair queued
2025 NSC - Special Census Outbound Telephone.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-06-06	Repair queued
2025 NSC - Special Census Outbound Telephone.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-01-23	Repair queued
Special Census Attachment A_121922.pdf	Supplementary Document	Uploaded 2022-12-19	Available
Special Census Attachment A_121922.pdf	Supplementary Document	Uploaded 2022-12-19	Missing upstream
SpecialCensusProgram_SSA_100322.docx	Supporting Statement A	Uploaded 2022-10-17	Available
SpecialCensusProgram_SSA_100322.docx	Supporting Statement A	Uploaded 2022-10-17	Missing upstream
SpecialCensusProgram_SSB_2025-06-06.docx	Supporting Statement B	Uploaded 2025-06-06	Repair queued
SpecialCensusProgram_SSB_092222.docx	Supporting Statement B	Uploaded 2022-10-13	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
256411	Governmental Unit Cost Estimate Request	Form	Unchanged	Special Census Cost Estimate Request Form
256411	Governmental Unit Cost Estimate Request	Form	Unchanged
219039	Special Census Program	Other-Internet Self Response Screenshots	Unchanged
219039	Special Census Program	Form	Unchanged	Reinterview Dependent Quality Check Record
219039	Special Census Program	Form	Unchanged	Reinterview Questionnaire (Spanish)
219039	Special Census Program	Form	Unchanged	Reinterview Questionnaire (English)
219039	Special Census Program	Form	Unchanged	Transitory Unit Continuation Questionnaire (Spanish)
219039	Special Census Program	Form	Unchanged	Transitory Unit Continuation Questionnaire (English)
219039	Special Census Program	Form	Unchanged	Transitory Unit Questionnaire (Spanish)
219039	Special Census Program	Form	Unchanged	Transitory Unit Questionnaire (English)
219039	Special Census Program	Form	Unchanged	GQ Individual Census Questionnaire (Spanish)
219039	Special Census Program	Form	Unchanged	GQ Individual Census Questionnaire (English)
219039	Special Census Program	Form	Unchanged	HU Enumerator Continuation Questionnaire (Spanish)
219039	Special Census Program	Form	Unchanged	HU Enumerator Continuation Questionnaire (English)
219039	Special Census Program	Form	Unchanged	Housing Unit Enumerator Questionnaire (Spanish)
219039	Special Census Program	Form	Unchanged	Housing Unit Enumerator Questionnaire
219039	Special Census Program	Form	Unchanged

ICR Details

OMB Control No: 0607-0368	ICR Reference No: 202501-0607-003
Status: Historical Active	Previous ICR Reference No: 202210-0607-001
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: Special Census Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/09/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/27/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2025	12/31/2025	12/31/2025
Responses	357,080	0	357,080
Time Burden (Hours)	59,560	0	59,560
Cost Burden (Dollars)	0	0	0

---

Abstract: A Special Census is a basic enumeration of population, housing units, group quarters, and units at transitory locations, conducted by the Census Bureau at the request of a Governmental Unit. Title 13, United States Code, section 196 authorizes the Census Bureau to conduct Special Censuses on a cost reimbursable basis for the government of any state, county, city, or other political subdivision. This includes the District of Columbia, American Indian Reservations, Alaska Native villages, Puerto Rico, the U.S. Island Areas, and other Governmental Units that require current population data between decennial censuses. A full Special Census is a basic enumeration of population, housing units, group quarters, and units at transitory locations for an area entirely within the jurisdiction of a local Governmental Unit requesting the Special Census. A partial Special Census is conducted using the same methodologies and procedures as a regular or full Special Census, but it is for a subset of areas within the jurisdiction of the local Governmental Unit. The areas requested in a partial Special Census must contain at least one full tract that is completely within the jurisdiction of the Governmental Unit and can contain additional contiguous tracts or blocks. For example, Governmental Units may choose to conduct a partial Special Census with just those tracts that might have experienced a large population growth or a boundary change.

---

Authorizing Statute(s): US Code: 13 USC 196
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 31855	05/25/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 64003	10/21/2022
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Governmental Unit Cost Estimate Request	SC-900	Special Census Cost Estimate Request Form
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	Housing Unit Enumerator Questionnaire ,   Housing Unit Enumerator Questionnaire (Spanish) ,   HU Enumerator Continuation Questionnaire (English) ,   HU Enumerator Continuation Questionnaire (Spanish) ,   GQ Individual Census Questionnaire (English) ,   GQ Individual Census Questionnaire (Spanish) ,   Transitory Unit Questionnaire (English) ,   Transitory Unit Questionnaire (Spanish) ,   Transitory Unit Continuation Questionnaire (English) ,   Transitory Unit Continuation Questionnaire (Spanish) ,   Reinterview Questionnaire (English) ,   Reinterview Questionnaire (Spanish) ,   Reinterview Dependent Quality Check Record

---

ICR Summary of Burden

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	357,080	0	0	0	0
Annual Time Burden (Hours)	59,560	59,560	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: For the 2020 Special Census Program, the Census Bureau will use an internet self-response instrument for respondents to self-respond to their Special Census. This is a change from previous Special Censuses which did not include any options for respondents to self-respond. This program change was made to provide respondents with an additional option for responding to the Special Census. This change will reduce costs for the GUs and improve efficiency of data collection. Additionally, the Special Census Program will no longer require GUs to pay a fee when submitting a Special Census Cost Estimate Request form.

---

Annual Cost to Federal Government: $2,900,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/27/2025

---