Information Collection Request

Special Census Program

ICR 202509-0607-004 · OMB 0607-0368 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SC-900 RCE Special Census Cost Estimate Request Form Form Modified Repair queued
Form SC-900 RCE Governmental Unit Cost Estimate Request Form Modified Repair queued
Form SC-688(TLAC) Special Census Transitory Location Advance Contact In-Field Script Form and Instruction Modified Repair queued
Form SC-920 Special Census Address Listing Page Form Modified Available
Form SC-921 Special Census Add Page Form Modified Available
Form SC-117 Transitory Location Control Record Form Modified Available
Form SC-351 Special Census Group Quarters Advance Contact Script Form Modified Repair queued
Form SC-116 Group Quarters Control Record Form Modified Available
Form SC-QE-ISR Special Census Internet Self-Response Screens Form Modified Available
Form SC-QE-ISR 1 Special Census Internet Self-Response Screens Form Modified Repair queued
Form SC-50.1a Special Census Office Job Aids - Telephone Script Form and Instruction Modified Available
Form SC-693.2(ETL) Transitory Location Listing Sheet Form Modified Available
Form SC-435 Reinterview Dependent Quality Check Record Form Modified Available
Form SC-RQ(S) Reinterview Questionnaire (Spanish) Form Modified Available
Form SC-RQ Reinterview Questionnaire (English) Form Modified Available
Form SC-CQ-TL(S) Transitory Unit Continuation Questionnaire (Spanish) Form Modified Available
Form SC-CQ-TL Transitory Unit Continuation Questionnaire (English) Form Modified Available
Form SC-Q-TL(S) Transitory Unit Questionnaire (Spanish) Form Modified Available
Form SC-Q-TL Transitory Unit Questionnaire (English) Form Modified Available
Form SC-Q-GE(S) GQ Individual Census Questionnaire (Spanish) Form Modified Available
Form SC-Q-GE GQ Individual Census Questionnaire (English) Form Modified Available
Form SC-CQ(S) HU Enumerator Continuation Questionnaire (Spanish) Form Modified Available
Form SC-CQ HU Enumerator Continuation Questionnaire (English) Form Modified Available
Form SC-Q(S) Housing Unit Enumerator Questionnaire (Spanish) Form Modified Available
Form SC-Q Housing Unit Enumerator Questionnaire Form Modified Available
Form SC-Q Special Census Program Form Modified Repair queued
Special Census Program 30d FRN 2025-11-21.pdf Supplementary Document Uploaded 2025-11-21 Available
Special Census Program 30d FRN 2025-11-21.pdf Supplementary Document Uploaded 2025-11-21 Repair queued
Attachment A - 2020 Special Census Documents List.docx Supplementary Document Uploaded 2025-09-23 Repair queued
Attachment A - 2020 Special Census Documents List.docx Supplementary Document Uploaded 2025-09-23 Repair queued
Special Census_SupportingStatementA FINALv1.2.docx Supporting Statement A Uploaded 2025-09-24 Available
Special Census_SupportingStatementA FINALv1.2.docx Supporting Statement A Uploaded 2025-09-24 Repair queued
SpecialCensusProgram_SSB_2025-06-06.docx Supporting Statement B Uploaded 2025-09-24 Available
SpecialCensusProgram_SSB_2025-06-06.docx Supporting Statement B Uploaded 2025-09-24 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
256411 Governmental Unit Cost Estimate Request Form ModifiedSpecial Census Cost Estimate Request Form
256411 Governmental Unit Cost Estimate Request Form Modified
219039 Special Census Program Form and Instruction ModifiedSpecial Census Transitory Location Advance Contact In-Field Script
219039 Special Census Program Form ModifiedSpecial Census Address Listing Page
219039 Special Census Program Form ModifiedSpecial Census Add Page
219039 Special Census Program Form ModifiedTransitory Location Control Record
219039 Special Census Program Form ModifiedSpecial Census Group Quarters Advance Contact Script
219039 Special Census Program Form ModifiedGroup Quarters Control Record
219039 Special Census Program Form ModifiedSpecial Census Internet Self-Response Screens
219039 Special Census Program Form ModifiedSpecial Census Internet Self-Response Screens
219039 Special Census Program Other-Reminder Postcard-SC-P3Rev(ES) Modified
219039 Special Census Program Form and Instruction ModifiedSpecial Census Office Job Aids - Telephone Script
219039 Special Census Program Form ModifiedTransitory Location Listing Sheet
219039 Special Census Program Form ModifiedReinterview Dependent Quality Check Record
219039 Special Census Program Form ModifiedReinterview Questionnaire (Spanish)
219039 Special Census Program Form ModifiedReinterview Questionnaire (English)
219039 Special Census Program Form ModifiedTransitory Unit Continuation Questionnaire (Spanish)
219039 Special Census Program Form ModifiedTransitory Unit Continuation Questionnaire (English)
219039 Special Census Program Form ModifiedTransitory Unit Questionnaire (Spanish)
219039 Special Census Program Form ModifiedTransitory Unit Questionnaire (English)
219039 Special Census Program Form ModifiedGQ Individual Census Questionnaire (Spanish)
219039 Special Census Program Form ModifiedGQ Individual Census Questionnaire (English)
219039 Special Census Program Form ModifiedHU Enumerator Continuation Questionnaire (Spanish)
219039 Special Census Program Form ModifiedHU Enumerator Continuation Questionnaire (English)
219039 Special Census Program Form ModifiedHousing Unit Enumerator Questionnaire (Spanish)
219039 Special Census Program Form ModifiedHousing Unit Enumerator Questionnaire
219039 Special Census Program Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2028 36 Months From Approved 12/31/2025
357,080 0 357,080
59,560 0 59,560
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Governmental Unit Cost Estimate Request SC-900 RCE
Special Census Program SC-435, SC-Q-TL, SC-693.2(ETL), SC-50.1a, SC-QE-ISR 1, SC-QE-ISR, SC-116, SC-351, SC-117, SC-921, SC-920, SC-688(TLAC), 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) ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  

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


Reginfo record details
  No