OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Questionnaires

IC 3668 under ICR 201006-0607-003 · OMB 0607-0919.

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Information Collection (IC) Details

View Information Collection (IC)

Questionnaires
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form D-61 Informational Copy of MOMB Questionnaire D-61 Informational Copy of MOMB Questionnaire 092508.pdf Yes No Printable Only
Form D-61 (ES) Informational Copy of Bilingual MOMB Questionnaire D-61(ES) Informational Copy of Bilingual MOMB Questionnaire 092508.pdf Yes No Printable Only
Form D-61 (CR) Informational Copy of Individual Census Report D-61(ICR) Informational Copy of Individual Census Report 100908.pdf Yes No Printable Only
Form D-61 (ICR)(S) Informational Copy of Individual Census Report - Spanish D-61(ICR)(S) Informational Copy of Individual Census Report - Spanish 100908_10a.pdf Yes No Printable Only
Form D-61 (ICR) PR Informational Copy of Individual Census Report - Puerto Rico English D-61(ICR)PR Informational Copy of Individual Census Report - Puerto Rico English.pdf Yes No Printable Only
Form D-61 (ICR) PR (S) Informational Copy of Individual Census Report - Puerto Rico Spanish D-61(ICR)PR(S) Informational Copy of Individual Census Report - Puerto Rico Spanish .pdf Yes No Printable Only
Form D-61 (MCR) Informational Copy of Military Census Report D-61(MCR) Informational Copy of Military Census Report_101608.pdf Yes No Printable Only
Form D-61 (MCR) PR Informational Copy of Military Census Report - Puerto Rico English D-61(MCR)PR Informational Copy of Military Census Report - Puerto Rico English_101608.pdf Yes No Printable Only
Form D-61 (SCR) Informational Copy of Shipboard Census Report D-61(SCR) Informational Copy of Shipboard Census Report_101608.pdf Yes No Printable Only
Form D-61 (SCR) PR Informational Copy of Shipboard Census Report - Puerto Rico English D-61(SCR)PR Informational Copy of Shipboard Census Report - Puerto Rico English_101608.pdf Yes No Printable Only
Form D-1(C) Fulfillment Questionnaire - Chinese D-1(C) Chinese Fulfillment 10_17_08.pdf Yes No Printable Only
Form D-1(K) Fulfillment Questionnaire - Korean D-1(K) Korean Fulfillment 10_17_08.pdf Yes No Printable Only
Form D-1(E)(SUPP)PR(S) Nonresponse Followup Continuation - Puerto Rico - Spanish D-1(E)(SUPP)PR(S) Enumerator Reinterview Continuation 101708.pdf Yes No Printable Only
Form D-10 PR(S) Be Counted Questionnaire - Puerto Rico - Spanish D-10PR(S) Be Counted PR - Spanish_1_4 09_10_08.pdf Yes No Printable Only
Form D-15 PR(S) Enumaration at Transitory Locations - Puerto Rico - Spanish D-15PR(S) Enumeration at Transitory Location PR Spanish_10_20_08.pdf Yes No Printable Only
Form D-941 ETLRI-TL Reinterview Form for Transitory Locations Attachment 1_Form D-941 ETL RI-TL.doc No   Paper Only
Form D-941 ETLRI-EQ Reinterview Form for [ETL] Enumerator Questionnaire Attachment 2_Form D-941 ETL RI-EQs.doc No   Paper Only
Form D-1(R) Fulfillment Questionnaire - Russian D-1(R) Russian Fullfillment 10_17_08.pdf Yes No Printable Only
Form D-1(V) Fulfillment Questionnaire - Vietnamese D-10(V) Vietnamese Be Counted Questionnaire 10_30_08.pdf Yes No Printable Only
Form D-10(C) Be Counted Questionnaire - Chinese D-10(C) Chinese Be Counted Questionnaire 10_30_08.pdf Yes No Printable Only
Form D-10(K) Be Counted Questionnaire - Korean D-10(K) Korean Be Counted Questionnaire 10_30_08.pdf Yes No Printable Only
Form D-10(R) Be Counted Questionnaire - Russian D-10(R) Russian Be Counted Questionnaire 10_30_08.pdf Yes No Printable Only
Form D-10(V) Be Counted Questionnaire - Vietnamese D-10(V) Vietnamese Be Counted Questionnaire 10_30_08.pdf Yes No Printable Only
Form D-1(E)(RI)PR(S) Nonresponse Followup Reinterview - Puerto Rico - Spanish D-1(E)(RI)PR(S) Enumerator Reinterview - PR 10_22_08.pdf Yes No Printable Only
Form D-1 Mailout Form D-1 Mailout.pdf Yes No Printable Only
Form D-1 PR(S) UpdateLeave PR Sp D-1 PR(S)_UpdateLeave PR Sp.pdf Yes No Printable Only
Form D-1 PR English Fulfillment PR D-1 PR_English Fulfillment PR.pdf Yes No Printable Only
Form D-1(E) Enumerator-NRFU D-1(E)_1_5_082708.pdf Yes No Printable Only
Form D-1(E) PR(S) Enumerator PR Sp D-1(E) PR(S) Enumerator PR Sp.pdf Yes No Printable Only
Form D-1(E)(RI) Enumeratior-NRFU Reinterview D1-(E)RI_1_4_082808.pdf Yes No Printable Only
Form D-1(E)(SUPP) Enumerator-NRFU Supplemental D-1(E)(SUPP) Enumerator-NRFU Supplemental.pdf Yes No Printable Only
Form D-1(ES) Bilingual Form D-1(ES) Bilingual.pdf Yes No Printable Only
Form D-1(S) Spanish Fulfillment D-1(S) Spanish Fulfillment.pdf Yes No Printable Only
Form D-1(UL) PR(S) Update Leave Add and Sp Fulfillment D-1(UL) PR(S)_Update Leave Add and Sp Fulfillment.pdf Yes No Printable Only
Form D-1(UL) Update Leave Add D-1(UL) Update Leave Add.pdf Yes No Printable Only
Form D-10 Be Counted D-10 Be Counted.pdf Yes No Printable Only
Form D-10 PR Be Counted PR Eng D-10 PR Be Counted PR Eng.pdf Yes No Printable Only
Form D-10(S) Be Counted Spanish D-10(S) Be Counted Spanish.pdf Yes No Printable Only
Form D-15 Enum at Transitory Locations D-15_1_6[1] 9-10-08.pdf Yes No Printable Only
Form D-20 Individual Census Report D-20 Individual Census Report_1 D7 100608.pdf Yes No Printable Only
Form D-20 PR(S) Individual Census Report PR Sp D-20PR(S) Individual Census Report (ICR) - PR Spanish_D5 100608.pdf Yes No Printable Only
Form D-20 PR Individual Census Report PR Eng D-20PR Individual Census Report (ICR) - PR English_D7 100708.pdf Yes No Printable Only
Form D-20(S) Individual Census Report (Spanish) D-20(S) Individual Census Report - Spanish D10 100708.pdf Yes No Printable Only
Form D-21 Military Census Report D-21 Military Census Report 101408.pdf Yes No Printable Only
Form D-21 PR Military Census Report PR D-21(PR) Military Census Report D5_101408.pdf Yes No Printable Only
Form D-23 PR Shipboard Census Report PR D-23 PR_Shipboard Census Report PR.pdf Yes No Printable Only
Form D-23 Shipboard Census Report D-23 Shipboard Census Report.pdf Yes No Printable Only
Form D-351(CF)(GQV) GQV Correctional Facility Continuation D-351(CF)(GQV) GQV Correctional Facility Continuation.pdf Yes No Printable Only
Form D-351(CF)(GQV) PR(S) GQV Correctional Facility Continuation PR Sp D-351(CF)(GQV) PR(S)_GQV Correctional Facility Continuation PR Sp.pdf Yes No Printable Only
Form D-351(GQV) GQ Validation D-351(GQV) GQ Validation.pdf Yes No Printable Only
Form D-351(GQV) PR(S) GQ Validation PR Sp D-351(GQV) PR(S)_GQ Validation PR Sp.pdf Yes No Printable Only
Form D-351(HU)( GQV) GQV Housing Unit Continuation D-351(HU)( GQV) GQV Housing Unit Continuation.pdf Yes No Printable Only
Form D-351(HU)(GQV) PR(S) GQV Housing Unit Continuation PR Sp D-351(HU)(GQV) PR(S)_GQV Housing Unit Continuation PR Sp.pdf Yes No Printable Only

General Government Central Records & Statistical Mgt

 

147,846,045 0
   
Individuals or Households
 
   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 150,975,798 0 0 0 0 150,975,798
Annual IC Time Burden (Hours) 24,049,796 0 318 0 0 24,049,478
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.