Special Census Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0368 can be found here:

Documents and Forms

Document Name Document Type
Form SC-1 Special Census Program Form
SC-1 Special Census Enumerator Questionnaire AttB-SC1p.PDF Form
SC-1(PHONE/WYC) Special Census Telephone Questionnaire AttD-SC-1 Phone WYC.pdf Form
SC-2 Special Place Questionnaire AttE-sc2.PDF Form
SC-116 Group Quarters Enumeration Control Record AttF-SC116.pdf Form
SC-351 Initial Contact Checklist - Special Place Operations AttG-SC351-5.pdf Form
SC-920 Address Listing Page AttH-SC-920.pdf Form
SC-921(HU) Housing Unit Add Page AttI-SC-921(HU).pdf Form
SC-921(SP) Special Place/Group Quarters Add Page AttJ-SC-921(SP).pdf Form
SC-1F Flashcards AttK-SC-1F.pdf Form
SC-26 Notice of Visit AttL-SC-26.pdf Form
SC-31 Privacy Act Notice AttM-SC-31.pdf Form
SC-1SUPP Continuation Questionnaire AttC-sc1supp.PDF Form

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:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	SC-1	Special Census Enumerator Questionnaire	AttB-SC1p.PDF	No	Paper Only
Form	SC-1(PHONE/WYC)	Special Census Telephone Questionnaire	AttD-SC-1 Phone WYC.pdf	No	Paper Only
Form	SC-2	Special Place Questionnaire	AttE-sc2.PDF	No	Paper Only
Form	SC-116	Group Quarters Enumeration Control Record	AttF-SC116.pdf	No	Paper Only
Form	SC-351	Initial Contact Checklist - Special Place Operations	AttG-SC351-5.pdf	No	Paper Only
Form	SC-920	Address Listing Page	AttH-SC-920.pdf	No	Paper Only
Form	SC-921(HU)	Housing Unit Add Page	AttI-SC-921(HU).pdf	No	Paper Only
Form	SC-921(SP)	Special Place/Group Quarters Add Page	AttJ-SC-921(SP).pdf	No	Paper Only
Form	SC-1F	Flashcards	AttK-SC-1F.pdf	No	Paper Only
Form	SC-26	Notice of Visit	AttL-SC-26.pdf	No	Paper Only
Form	SC-31	Privacy Act Notice	AttM-SC-31.pdf	No	Paper Only
Form	SC-1SUPP	Continuation Questionnaire	AttC-sc1supp.PDF	No	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 293,687	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	293,687	-415,968	709,655
Annual IC Time Burden (Hours)	19,143	-27,234	46,377
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.