SC-693.2(ETL) Transitory Location Listing Sheet

FORM

Block No:

SC-693.2(ETL) (1-19-2023)

Field Representative Name:

OMB No. 0607-0368
U.S. DEPARTMENT OF COMMERCE
U.S. CENSUS BUREAU

TRANSITORY LOCATION LISTING SHEET
ENUMERATION AT TRANSITORY LOCATIONS
Special Census
This form contains confidential information, including Title 13 and Personally Identifiable Information (PII), the release of which is protected by the Privacy Act of 1974.

IDENTIFICATION

b. State
g. TL

Page

Name

a. SCID

c. County

d. Tract

–

e. Case ID

–

1. Name

Of

f. AA Number

2. Address

Print unit/site number in column (A) and indicate whether the site is occupied in column (B). If a permanent structure (PS) or mobile home (MH) occupies the unit/ site, mark (X) column (C). If the site is
occupied (’Yes’ in column (B), approach the unit/site and begin the interview using the Form SC-Q-TL, Transitory Location Questionnaire (EQ).
PRINT THE UNIT/SITE
NUMBER

IS THIS UNIT/SITE OCCUPIED?
Yes or No

PS/MH

REFUSAL

NC1
(1st No contact)

NC2
(2nd No contact)

EQ OUTCOME
CODE = CI

(B)

(C)

(D)

(E)

(F)

(G)

(A)
Yes

No – END

PS/MH

R

NC1

NC2

Yes

Yes

No – END

PS/MH

R

NC1

NC2

Yes

Yes

No – END

PS/MH

R

NC1

NC2

Yes

Yes

No – END

PS/MH

R

NC1

NC2

Yes

Yes

No – END

PS/MH

R

NC1

NC2

Yes

Yes

No – END

PS/MH

R

NC1

NC2

Yes

Yes

No – END

PS/MH

R

NC1

NC2

Yes

Yes

No – END

PS/MH

R

NC1

NC2

Yes

Yes

No – END

PS/MH

R

NC1

NC2

Yes

Yes

No – END

PS/MH

R

NC1

NC2

Yes

Yes

No – END

PS/MH

R

NC1

NC2

Yes

Yes

No – END

PS/MH

R

NC1

NC2

Yes

Yes

No – END

PS/MH

R

NC1

NC2

Yes

(H)

TOTALS FOR THIS PAGE
Units

Yes

No

PS/MH

R

NC1

NC2

NAME OF RESPONDENT
(First Name, Initial, Last Name)

Yes