CCM IHUFU Forms

2010 Census Coverage Measurement Initial Housing Unit Followup

Documents and Forms

Document Name Document Type
Form D-1303 CCM IHUFU Forms Form
Attachment E_Form D31(CCM-IHUFU).pdf Other-U.S. Confidentiality Notice
Attachment F_Form D31(CCM-IHUFU)PR.pdf Other-Puerto Rico Confidentiality No
D-1303 U.S. Initial Housing Unit Followup Form Attachment A_Form D-1303.doc Form
D-1303 (PR) Puerto Rico Initial Housing Unit Followup Form Attachment B_Form D-1303(PR).doc Form
D-1380 U.S. Initial Housing Unit Followup Quality Control Form Attachment C_Form D-1380.doc Form
D-1380 (PR) Puerto Rico Initial Housing Unit Followup Quality Contro Attachment D_Form D-1380(PR).doc Form
D-1303.REF U.S. Housing Unit Reference List Attachment G_Form D-1303.REF.doc Form
D-1303.REF(PR) Puerto Rico Housing Unit Reference List Attachment H_Form D-1303.REF(PR).doc Form
D-1028.4(CCM) Definitions for Initial Housing Unit Followup U.S. Flash Attachment I_Form D1028_4(CCM).pdf Form
D-1028.4(CCM)PR Definitions for Initial Housing Unit Followup Puerto Ric AttachmentJ_Form D1028.4(CCM)PR.doc Form

Information Collection (IC) Details

IC Title:	CCM IHUFU Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	D-1303	U.S. Initial Housing Unit Followup Form	Attachment A_Form D-1303.doc	No	Paper Only
Form	D-1303 (PR)	Puerto Rico Initial Housing Unit Followup Form	Attachment B_Form D-1303(PR).doc	No	Paper Only
Form	D-1380	U.S. Initial Housing Unit Followup Quality Control Form	Attachment C_Form D-1380.doc	No	Paper Only
Form	D-1380 (PR)	Puerto Rico Initial Housing Unit Followup Quality Control Form	Attachment D_Form D-1380(PR).doc	No	Paper Only
Other-U.S. Confidentiality Notice			Attachment E_Form D31(CCM-IHUFU).pdf	No	Paper Only
Other-Puerto Rico Confidentiality Notice			Attachment F_Form D31(CCM-IHUFU)PR.pdf	No	Paper Only
Form	D-1303.REF	U.S. Housing Unit Reference List	Attachment G_Form D-1303.REF.doc	No	Paper Only
Form	D-1303.REF(PR)	Puerto Rico Housing Unit Reference List	Attachment H_Form D-1303.REF(PR).doc	No	Paper Only
Form	D-1028.4(CCM)	Definitions for Initial Housing Unit Followup U.S. Flashcard	Attachment I_Form D1028_4(CCM).pdf	No	Paper Only
Form	D-1028.4(CCM)PR	Definitions for Initial Housing Unit Followup Puerto Rico Flashcard	AttachmentJ_Form D1028.4(CCM)PR.doc	No	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	440,000	440,000
Annual IC Time Burden (Hours)	22,000	22,000
Annual IC Cost Burden (Dollars)	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.