Attachment A: Special Census Program Materials List

Special Census Attachment A_121922.pdf

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
Cost Estimate

Description

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.

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.

Mailings

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)

SC-CQ(S)

Housing Unit Enumerator Continuation Questionnaire
(Spanish)

SC-IS

Information Sheet (English)

SC-IS(S)

Information Sheet (Spanish)

SC-CN(E/S)

Confidentiality Notice (English/Spanish)

This interview questionnaire will be used to collect Special
Census data at HUs when there are more than six members in
a household.
This interview questionnaire will be used to collect Special
Census data at HUs when there are more than six members in
a household.
This information sheet is provided to respondents to help them
choose response option(s) for census questions during
enumeration.
This information sheet is provided to respondents to help them
choose response option(s) for census questions during
enumeration.
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)

SC-CQ-TL(S)

Transitory Locations Enumerator Continuation
Questionnaire (Spanish)

SC-LFMTL(E/S)

Transitory Locations Facility Manager Letter
(English/Spanish)

SC-CN(E/S)

Confidentiality Notice (English/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.
This interview questionnaire will be used to collect Special
Census data at eligible units in a TL when there are more than
six people.
This letter is provided to TL facility managers to provide
information about the Special Census and procedures for
enumerating TLs.
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.
This information sheet is provided to respondents at TLs to
help them choose response option(s) for census questions
during enumeration.

SC-IS-TL

Transitory Location Information Sheet (English)

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

SC-116

Group Quarters Control Record Special Census

SC-116 (CP)

Group Quarters Control Record Continuation Page
Special Census

This continuation 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.

SC-RQ

Reinterview Questionnaire

SC-RQ(S)

Reinterview Questionnaire (Spanish)

SC-435

Dependent QA Check Record

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

Reinterview

Address Listing
SC-940

Address Register Cover Page

This page is used to track field representatives assignment
information and indicate work progress.

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.

SC-901

Notes Page

This page will be used by field representatives to enter any
relevant notes about addresses.


File Typeapplication/pdf
AuthorMeredith L Gillum (CENSUS/GEO FED)
File Modified2022-12-19
File Created2022-12-19

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