SC-920 Special Census Address Listing Page

Special Census Program

SC-920_Address List Page

Special Census Program

OMB: 0607-0368

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

ADDRESS LIST PAGE
Special Census
SCID:
Line
No.

AA:
Case ID

Special
Situations

Page
Action
Code

Block No.

Map Spot
No.

of

Location Address or Physical Location Description

Date Listed

Address
Status

(5)

(7)

(12)

Date SC-Q
Completed

Address
Type

Physical Location Description

(15)

(13)

Zip Code

(6)

(8)

Address No.

Street or Road Name

Apt/Unit No.

FS
Use
Only

GQ or TL Name/Facility Name
(1)

(2)

(3)

Column (3), Special Situations:
PC – Proceed with Caution
X – Skip Address
FORM

SC-920

(2-1-2023)

(4)

(9)

(10)

(11)

Column (4), Action Code:
V – Verified
N – Nonresidential U – Uninhabitable DCL – Unable to Locate X – Prefilled
C – Correction CW – Cannot Work D2 – Duplicate
E – Empty Mobile Home/Trailer Site

(14)

(16)

(17)

Column (7), Address Status:

Column (8), Address Type:

HU – Housing Unit GQ – Group Quarters
TL – Transitory Location

S – Single Unit
M – Multiunit
T – Trailer/Mobile Home O – Other


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