Information Collection

Census Employment Inquiry

IC 3363 under ICR 201806-0607-002 · OMB 0607-0139.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0139 can be found here:

Documents and Forms

Document Name Document Type
Form BC-171 Census Employment Inquiry Form and Instruction
Attachment 5 CSHaRPS Mock Screens (1).pdf Other-Mock screens
BC-170 Census Jobs! Attachment 1 BC-170.pdf www.census.gov/programs-surveys/decennial-census/2020-census/jobs.html Form and Instruction
BC-170(SP) ?Trabajos del Censo! Attachment 2 BC-170(SP).pdf www.census.gov/programs-surveys/decennial-census/2020-census/jobs.html Form and Instruction
BC-171 Additional Applicant Information BC171_doc FINAL 8_20_2018.pdf www.census.gov/programs-surveys/decennial-census/2020-census/jobs.html Form and Instruction
BC-171(SP) Información Adicional sobre el Solicitante Attachment 4 BC-171(SP).pdf www.census.gov/programs-surveys/decennial-census/2020-census/jobs.html Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Census Employment Inquiry	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BC-171	Additional Applicant Information	BC171_doc FINAL 8_20_2018.pdf	https://www.census.gov/programs-surveys/decennial-census/2020-census/jobs.html	Yes	Yes	Fillable Printable
Other-Mock screens			Attachment 5 CSHaRPS Mock Screens (1).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	BC-170	Census Jobs!	Attachment 1 BC-170.pdf	https://www.census.gov/programs-surveys/decennial-census/2020-census/jobs.html	Yes	Yes	Fillable Printable
Form and Instruction	BC-170(SP)	Â¡Trabajos del Censo!	Attachment 2 BC-170(SP).pdf	https://www.census.gov/programs-surveys/decennial-census/2020-census/jobs.html	Yes	Yes	Fillable Printable
Form and Instruction	BC-171(SP)	InformaciÃ³n Adicional sobre el Solicitante	Attachment 4 BC-171(SP).pdf	https://www.census.gov/programs-surveys/decennial-census/2020-census/jobs.html	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,000,000	930,000	70,000
Annual IC Time Burden (Hours)	333,333	315,833	17,500
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.