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Special Census Program
Special Census Program
OMB: 0607-0368
IC ID: 3416
OMB.report
DOC/CENSUS
OMB 0607-0368
ICR 201206-0607-005
IC 3416
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0368 can be found here:
2022-10-21 - Reinstatement with change of a previously approved collection
2015-11-24 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form SC-1
Special Census Program
Form
SC-1 Special Census Enumerator Questionnaire
Att A -- SC-1_Draft 21_040912[1] Latest A.pdf
Form
SC-1(PHONE/WYC) Special Census Phone/WYC Questionnaire
Att C -- sc1_phoneWYC_Draft 2_021012[1] C.pdf
Form
SC-2 Individual Census Report
Att D -- SC-2_Final Draft 05.10.12.D.pdf
Form
SC-116 Group Quarters Enumeration Control Record
Att F -- sc116_Draft 10_040912[1]Latest F.pdf
Form
SC-351 Group Quarters Initial Contact Checklist
AttG-SC351-5.pdf
Form
SC-920 Address Listing Page
Att I -- SC-920.Address Listing Page I.pdf
Form
SC-921(HU) Housing Unit Add Page
Att J -- SC-921hu[1].05.31.12 (XX.XX.XXXX).pdf
Form
SC-921(GQ) Group Quarters Add Page
Att K -- SC-921(GQ) 05.10.12 K.pdf
Form
SC-921(TU) Transitory Unit Add Page
Att L -- SC-921(TU) 06.07.12.L.pdf
Form
SC-117 Transitory Locations Enumeration Record
Att G -- SC-117_Draft4_121511[1]Latest[1] G.pdf
Form
SC-3(RI) Enumeration Reinterview Form
Att E -- SC-3(RI)_Draft 5_011312Latest[1].E.pdf
Form
SC-1SUPP Continuation Questionnaire
Att B -- sc1(supp)_Draft 8_112911Latest - B.pdf
Form
SC-1(F) Information Sheet
Att M -- SC-1F[1].06.08.12 M 06.08.12.pdf
Form
SC-31/SC-31(S) Group Quarters Information Sheet
Att N -- SC-31 (E.S) 06.12.12.N.pdf
Form
SC-26 Notice of Visit
Att O -- SC-26_doc[1] 06.07.12.O.pdf
Form
SC-901 Address Listing Notes Page
Att P -- SC-901[1].06.07.12. P.pdf
Form
SC-3309 Language Identification Flashcard
Att Q -- SC-3309[1] 05.15.12 Q.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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SC-1
Special Census Enumerator Questionnaire
Att A -- SC-1_Draft 21_040912[1] Latest A.pdf
No
Paper Only
Form
SC-1(PHONE/WYC)
Special Census Phone/WYC Questionnaire
Att C -- sc1_phoneWYC_Draft 2_021012[1] C.pdf
No
Paper Only
Form
SC-2
Individual Census Report
Att D -- SC-2_Final Draft 05.10.12.D.pdf
No
Paper Only
Form
SC-116
Group Quarters Enumeration Control Record
Att F -- sc116_Draft 10_040912[1]Latest F.pdf
No
Paper Only
Form
SC-351
Group Quarters Initial Contact Checklist
AttG-SC351-5.pdf
No
Paper Only
Form
SC-920
Address Listing Page
Att I -- SC-920.Address Listing Page I.pdf
No
Paper Only
Form
SC-921(HU)
Housing Unit Add Page
Att J -- SC-921hu[1].05.31.12 (XX.XX.XXXX).pdf
No
Paper Only
Form
SC-921(GQ)
Group Quarters Add Page
Att K -- SC-921(GQ) 05.10.12 K.pdf
No
Paper Only
Form
SC-921(TU)
Transitory Unit Add Page
Att L -- SC-921(TU) 06.07.12.L.pdf
No
Paper Only
Form
SC-117
Transitory Locations Enumeration Record
Att G -- SC-117_Draft4_121511[1]Latest[1] G.pdf
No
Paper Only
Form
SC-3(RI)
Enumeration Reinterview Form
Att E -- SC-3(RI)_Draft 5_011312Latest[1].E.pdf
No
Paper Only
Form
SC-1SUPP
Continuation Questionnaire
Att B -- sc1(supp)_Draft 8_112911Latest - B.pdf
No
Paper Only
Form
SC-1(F)
Information Sheet
Att M -- SC-1F[1].06.08.12 M 06.08.12.pdf
No
Paper Only
Form
SC-31/SC-31(S)
Group Quarters Information Sheet
Att N -- SC-31 (E.S) 06.12.12.N.pdf
No
Paper Only
Form
SC-26
Notice of Visit
Att O -- SC-26_doc[1] 06.07.12.O.pdf
No
Paper Only
Form
SC-901
Address Listing Notes Page
Att P -- SC-901[1].06.07.12. P.pdf
No
Paper Only
Form
SC-3309
Language Identification Flashcard
Att Q -- SC-3309[1] 05.15.12 Q.pdf
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:
248,430
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
248,430
0
248,430
0
0
0
Annual IC Time Burden (Hours)
53,527
0
53,527
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.