Information Collection

Special Census Program

IC 219039 under ICR 202509-0607-004 · OMB 0607-0368.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SC-Q Special Census Program	Form
Form SC-Q Housing Unit Enumerator Questionnaire Special Census Program	Form
Form SC-Q(S) Housing Unit Enumerator Questionnaire (Spanish) Special Census Program	Form
Form SC-CQ HU Enumerator Continuation Questionnaire (English) Special Census Program	Form
Form SC-CQ(S) HU Enumerator Continuation Questionnaire (Spanish) Special Census Program	Form
Form SC-Q-GE GQ Individual Census Questionnaire (English) Special Census Program	Form
Form SC-Q-GE(S) GQ Individual Census Questionnaire (Spanish) Special Census Program	Form
Form SC-Q-TL Transitory Unit Questionnaire (English) Special Census Program	Form
Form SC-Q-TL(S) Transitory Unit Questionnaire (Spanish) Special Census Program	Form
Form SC-CQ-TL Transitory Unit Continuation Questionnaire (English) Special Census Program	Form
Form SC-CQ-TL(S) Transitory Unit Continuation Questionnaire (Spanish) Special Census Program	Form
Form SC-RQ Reinterview Questionnaire (English) Special Census Program	Form
Form SC-RQ(S) Reinterview Questionnaire (Spanish) Special Census Program	Form
Form SC-435 Reinterview Dependent Quality Check Record Special Census Program	Form
Form SC-693.2(ETL) Transitory Location Listing Sheet Special Census Program	Form
Form SC-50.1a Special Census Office Job Aids - Telephone Script Special Census Program	Form and Instruction
Form SC-QE-ISR 1 Special Census Internet Self-Response Screens Special Census Program	Form
Form SC-QE-ISR Special Census Internet Self-Response Screens Special Census Program	Form
Form SC-116 Group Quarters Control Record Special Census Program	Form
Form SC-351 Special Census Group Quarters Advance Contact Script Special Census Program	Form
Form SC-117 Transitory Location Control Record Special Census Program	Form
Form SC-921 Special Census Add Page Special Census Program	Form
Form SC-920 Special Census Address Listing Page Special Census Program	Form
Form SC-688(TLAC) Special Census Transitory Location Advance Contact In-Field Script Special Census Program	Form and Instruction
Reminder Postcard_SC-P3Rev(ES)info.pdf	Other-Reminder Postcard-SC-P3Rev(ES)
Reminder Postcard_SC-P3Rev(ES)info.pdf	Other-Reminder Postcard-SC-P3Rev(ES)
Invitation Letter_SC-L1Rev(ES)info.pdf	Other-Invitation Letter - SC-L1Rev(E
Invitation Letter_SC-L1Rev(ES)info.pdf	Other-Invitation Letter - SC-L1Rev(E
Information Sheet (Spanish)_SC-IS(S)_03272023info.pdf	Other-Information Sheet (Spanish) SC
Information Sheet (Spanish)_SC-IS(S)_03272023info.pdf	Other-Information Sheet (Spanish) SC
FAQs_SC-FL(ES)_final Info.pdf	Other-Frequently Asked Questions Ins
FAQs_SC-FL(ES)_final Info.pdf	Other-Frequently Asked Questions Ins
Final Postcard_SC-P4Rev(ES)info.pdf	Other-Final Reminder Postcard SC-PAR
Final Postcard_SC-P4Rev(ES)info.pdf	Other-Final Reminder Postcard SC-PAR
Reminder Letter_SC-L2Rev(ES)info (1).pdf	Other-Reminder Letter SC-L2Rev(ES)
Reminder Letter_SC-L2Rev(ES)info (1).pdf	Other-Reminder Letter SC-L2Rev(ES)
Information Sheet SC-IS_03292023info.pdf	Other-Information Sheet (English) SC
Information Sheet SC-IS_03292023info.pdf	Other-Information Sheet (English) SC
TL Information Sheet (English)_SC-IS-TL_03292023info.pdf	Other-Transitory Location Informatio
TL Information Sheet (English)_SC-IS-TL_03292023info.pdf	Other-Transitory Location Informatio
TL Information Sheet (Spanish)_SC-IS-TL(S)_03272023info.pdf	Other-Transitory Location Informatio
TL Information Sheet (Spanish)_SC-IS-TL(S)_03272023info.pdf	Other-Transitory Location Informatio
Multi-Unit Manager Information Sheet_SC-IS2(ES)_04032023info.pdf	Other-Multi-Unit Manager Information
Multi-Unit Manager Information Sheet_SC-IS2(ES)_04032023info.pdf	Other-Multi-Unit Manager Information
Language Identification Card SC-ID_082622_finalinfo.pdf	Other-Language Identification Card S
Language Identification Card SC-ID_082622_finalinfo.pdf	Other-Language Identification Card S
Notice of Visit_SC-NV(ES)_finalinfo.pdf	Other-Notice of Visit SC-NV(ES)
Notice of Visit_SC-NV(ES)_finalinfo.pdf	Other-Notice of Visit SC-NV(ES)
Confidentiality Notice_SC-CN(ES)_final Info.pdf	Other-Confidentiality Notice SC-CN(E
Confidentiality Notice_SC-CN(ES)_final Info.pdf	Other-Confidentiality Notice SC-CN(E
GQE Facility Manager Letter_SC-LFM-GERev(ES)info.pdf	Other-Group Quarters Facility Manage
GQE Facility Manager Letter_SC-LFM-GERev(ES)info.pdf	Other-Group Quarters Facility Manage
TL Facility Manager Letter_SC-LFM-TLRev(ES)info.pdf	Other-Transitory Location Facility M
TL Facility Manager Letter_SC-LFM-TLRev(ES)info.pdf	Other-Transitory Location Facility M
ICQ for GQ Privacy Envelope_SC-E-GE(ES)_finalinfo.pdf	Other- ICQ Privacy Envelope (English
ICQ for GQ Privacy Envelope_SC-E-GE(ES)_finalinfo.pdf	Other- ICQ Privacy Envelope (English
SC-Q Housing Unit Enumerator Questionnaire HU Questionnaire (English)_SC-Qinfo.pdf	Form
SC-Q Housing Unit Enumerator Questionnaire HU Questionnaire (English)_SC-Qinfo.pdf	Form
SC-Q(S) Housing Unit Enumerator Questionnaire (Spanish) HU Questionnaire (Spanish)_SC-Q(S)info.pdf	Form
SC-Q(S) Housing Unit Enumerator Questionnaire (Spanish) HU Questionnaire (Spanish)_SC-Q(S)info.pdf	Form
SC-CQ HU Enumerator Continuation Questionnaire (English) HU Continuation Questionnaire (English)_SC-CQinfo.pdf	Form
SC-CQ HU Enumerator Continuation Questionnaire (English) HU Continuation Questionnaire (English)_SC-CQinfo.pdf	Form
SC-CQ(S) HU Enumerator Continuation Questionnaire (Spanish) HU Continuation Questionnaire (Spanish)_SC-CQ(S)info.pdf	Form
SC-CQ(S) HU Enumerator Continuation Questionnaire (Spanish) HU Continuation Questionnaire (Spanish)_SC-CQ(S)info.pdf	Form
SC-Q-GE GQ Individual Census Questionnaire (English) ICQ (English)_SC-Q-GEinfo.pdf	Form
SC-Q-GE GQ Individual Census Questionnaire (English) ICQ (English)_SC-Q-GEinfo.pdf	Form
SC-Q-GE(S) GQ Individual Census Questionnaire (Spanish) ICQ (Spanish)_SC-Q-GE(S)info.pdf	Form
SC-Q-GE(S) GQ Individual Census Questionnaire (Spanish) ICQ (Spanish)_SC-Q-GE(S)info.pdf	Form
SC-Q-TL Transitory Unit Questionnaire (English) TL Questionnaire (English)_SC-Q-TLinfo.pdf	Form
SC-Q-TL Transitory Unit Questionnaire (English) TL Questionnaire (English)_SC-Q-TLinfo.pdf	Form
SC-Q-TL(S) Transitory Unit Questionnaire (Spanish) TL Questionnaire (Spanish)_SC-Q-TL(S)info.pdf	Form
SC-Q-TL(S) Transitory Unit Questionnaire (Spanish) TL Questionnaire (Spanish)_SC-Q-TL(S)info.pdf	Form
SC-CQ-TL Transitory Unit Continuation Questionnaire (English) TL Continuation Questionnaire (English)_SC-CQ-TLinfo.pdf	Form
SC-CQ-TL Transitory Unit Continuation Questionnaire (English) TL Continuation Questionnaire (English)_SC-CQ-TLinfo.pdf	Form
SC-CQ-TL(S) Transitory Unit Continuation Questionnaire (Spanish) TL Continuation Questionnaire (Spanish)_SC-CQ-TL(S)info.pdf	Form
SC-CQ-TL(S) Transitory Unit Continuation Questionnaire (Spanish) TL Continuation Questionnaire (Spanish)_SC-CQ-TL(S)info.pdf	Form
SC-RQ Reinterview Questionnaire (English) SC-RQ.pdf	Form
SC-RQ Reinterview Questionnaire (English) SC-RQ.pdf	Form
SC-RQ(S) Reinterview Questionnaire (Spanish) DRAFT_Spanish Reinterview Questionnaire_SC-RQ(S)_100722n.pdf	Form
SC-RQ(S) Reinterview Questionnaire (Spanish) DRAFT_Spanish Reinterview Questionnaire_SC-RQ(S)_100722n.pdf	Form
SC-435 Reinterview Dependent Quality Check Record SC-435.pdf	Form
SC-435 Reinterview Dependent Quality Check Record SC-435.pdf	Form
SC-693.2(ETL) Transitory Location Listing Sheet SC-693.2(ETL).pdf	Form
SC-693.2(ETL) Transitory Location Listing Sheet SC-693.2(ETL).pdf	Form
SC-50.1a Special Census Office Job Aids - Telephone Script SC-50.1a, Special Census Office Job Aids-Telephone Script.pdf	Form and Instruction
SC-50.1a Special Census Office Job Aids - Telephone Script SC-50.1a, Special Census Office Job Aids-Telephone Script.pdf	Form and Instruction
SC-QE-ISR 1 Special Census Internet Self-Response Screens SC-QE-ISR 1.pdf	Form
SC-QE-ISR 1 Special Census Internet Self-Response Screens SC-QE-ISR 1.pdf	Form
SC-QE-ISR Special Census Internet Self-Response Screens SC-QE-ISR.pdf	Form
SC-QE-ISR Special Census Internet Self-Response Screens SC-QE-ISR.pdf	Form
SC-116 Group Quarters Control Record SC-116.pdf	Form
SC-116 Group Quarters Control Record SC-116.pdf	Form
SC-351 Special Census Group Quarters Advance Contact Script SC-351.pdf	Form
SC-351 Special Census Group Quarters Advance Contact Script SC-351.pdf	Form
SC-117 Transitory Location Control Record SC-117.pdf	Form
SC-117 Transitory Location Control Record SC-117.pdf	Form
SC-921 Special Census Add Page SC-921.pdf	Form
SC-921 Special Census Add Page SC-921.pdf	Form
SC-920 Special Census Address Listing Page SC-920_Address List Page.pdf	Form
SC-920 Special Census Address Listing Page SC-920_Address List Page.pdf	Form
SC-688(TLAC) Special Census Transitory Location Advance Contact In-Fi SC-688(TLAC).pdf	Form and Instruction
SC-688(TLAC) Special Census Transitory Location Advance Contact In-Fi SC-688(TLAC).pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Special Census Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SC-Q	Yes	Yes	Fillable Fileable
Form	SC-Q(S)	Yes	Yes	Fillable Fileable
Form	SC-CQ	Yes	Yes	Fillable Fileable
Form	SC-CQ(S)	Yes	Yes	Fillable Fileable
Form	SC-Q-GE	No		Paper Only
Form	SC-Q-GE(S)	No		Paper Only
Form	SC-Q-TL	No		Paper Only
Form	SC-Q-TL(S)	No		Paper Only
Form	SC-CQ-TL	No		Paper Only
Form	SC-CQ-TL(S)	No		Paper Only
Form	SC-RQ	No		Paper Only
Form	SC-RQ(S)	No		Fillable Fileable Signable
Form	SC-435	No		Paper Only
Form	SC-693.2(ETL)	No		Paper Only
Form and Instruction	SC-50.1a	Yes	Yes	Fillable Fileable
Other-Reminder Postcard-SC-P3Rev(ES)		No		Paper Only
Other-Invitation Letter - SC-L1Rev(ES)		No		Paper Only
Other-Information Sheet (Spanish) SC-IS(S)		No		Paper Only
Other-Frequently Asked Questions Insert SC-FL(ES)		No		Paper Only
Other-Final Reminder Postcard SC-PARev(ES)		No		Paper Only
Other-Reminder Letter SC-L2Rev(ES)		No		Paper Only
Other-Information Sheet (English) SC-IS		No		Paper Only
Other-Transitory Location Information Sheet (English) SC-IS-TL		No		Paper Only
Other-Transitory Location Information Sheet (Spanish) SC-IS-TL(S)		No		Paper Only
Other-Multi-Unit Manager Information Sheet SC-IS2(ES)		No		Paper Only
Other-Language Identification Card SC-ID		No		Paper Only
Form	SC-QE-ISR 1	Yes	Yes	Fillable Fileable
Form	SC-QE-ISR	Yes	Yes	Fillable Fileable
Other-Notice of Visit SC-NV(ES)		No		Paper Only
Other-Confidentiality Notice SC-CN(ES)		No		Paper Only
Other-Group Quarters Facility Manager Letter SC-LFM-GE Rev(ES)		No		Paper Only
Form	SC-116	No		Paper Only
Form	SC-351	Yes	Yes	Fillable Fileable
Other-Transitory Location Facility Manager Letter SC-LFM-TL Rev (ES)		No		Paper Only
Form	SC-117	No		Paper Only
Form	SC-921	No		Paper Only
Form	SC-920	No		Paper Only
Form and Instruction	SC-688(TLAC)	Yes	Yes	Fillable Fileable
Other- ICQ Privacy Envelope (English/Spanish)		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 357,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	357,000	357,000
Annual IC Time Burden (Hours)	59,500	59,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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