OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Special Census Program

IC 219039 under ICR 202501-0607-003 · OMB 0607-0368.

Documents and Forms
Document Name
Document Type
Form
Other-Internet Self Response Screens
Other-Internet Self Response Screens
Other-Housing Unit Enumeration Mater
Other-Housing Unit Enumeration Mater
Other-Mail Materials
Other-Mail Materials
Other-Group Quarters Enumeration Mat
Other-Group Quarters Enumeration Mat
Other-Transitory Location Enumeratio
Other-Transitory Location Enumeratio
Other-Address Listing Pages
Other-Address Listing Pages
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Special Census Program
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL 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

General Government Central Records & Statistical Mgt

 

357,000 0
   
Individuals or Households
 
   75 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 357,000 0 0 0 0 357,000
Annual IC Time Burden (Hours) 59,500 0 0 0 0 59,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.