POPCEN-CBMS FORM 6

PSA Approval Number: PSA-2418-02

Expiry Date: 30 April 2025

2024 CENSUS OF POPULATION AND COMMUNITY-BASED MONITORING SYSTEM

BARANGAY LISTING OF SERVICE FACILITIES AND GOVERNMENT PROJECTS
Dear Sir/Madam,

The Philippine Statistics Authority (PSA) is currently implementing the Community-Based Monitoring System (CBMS), pursuant to Republic Act No. 11315, otherwise known as the CBMS Act. The CBMS, as defined by the law, refers to an organized
technology-based system of collecting, processing and validating necessary disaggregated data that may be used for planning, program implementation and impact monitoring at the local level while empowering communities to participate in the
process.

One preliminary activity to be conducted for the 2024 CBMS, which will be conducted simultaneously with the Census of Population (thereby referred to as 2024 Census of Population and Community-Based Monitoring System, or the 2024 POPCEN-
CBMS) is the administration of the Barangay Profile Questionnaire (POPCEN-CBMS Form 5) and the Barangay Listing of Service Facilities and Government Projects (POPCEN-CBMS Form 6). This undertaking aims to capture and collect relevant and
timely information in the barangay on essential basic services and infrastructure, and to generate a reference list that shall be used in the 2024 POPCEN-CBMS Geotagging of Service Facilities and Government Projects. Meanwhile, geotagging will be
undertaken to gather spatial (location) and attribute (name, sector, implementing/operating and funding institution, etc.) data of these structures in the locality. The collected data will be used in generating thematic maps, serving as effective tools to
come up with sound decisions in making programs and allocating resources for economic development and poverty alleviation.

All barangay LGUs are requested to accomplish this form completely. Meanwhile, by filling out this form, you are authorizing PSA to collect data about your barangay. Such data will also be shared with national government agencies for monitoring
purposes, as well as for providing possible assistance to the LGUs.

If you have inquiries, you may contact PSA by sending a message through the following e-mail addresses: cbms@psa.gov.ph and gmd.staff@psa.gov.ph.

Thank you very much.

CLAIRE DENNIS S. MAPA, PhD

Undersecretary
National Statistician and Civil Registrar General

GEOGRAPHIC IDENTIFICATION FORM DISTRIBUTION AND ORIENTATION

REGION EXPECTED DATE OF DURATION OF ORIENTATION

DATE DISTRIBUTED
COMPLETION
(MM/DD/YYYY) TIME STARTED PM
PROVINCE/HUC (MM/DD/YYYY) ____ : ____ AM

CITY/MUNICIPALITY _____ / _____ / _____ _____ / _____ / _____ TIME ENDED ____ : ____ AM PM

BARANGAY
GENERAL INSTRUCTIONS

1. Fill all the fields with the necessary information. 5. For SAQ-D mode of data collection, follow conditional formattings and data validations implemented in certain cells:
2. Use the prescribed alphanumeric values for items requiring codes. Please refer to the Code Book for specific codes. a. Cell color fills are interpreted as follows:
3. If an answer needs further explanation or clarification, write it down in the REMARKS portion of the listing page/s. i. Cell fills in YELLOW indicate that the cell requires user input.
4. For SAQ-P mode of data collection: ii. Cell fills in RED indicate that the cell has an invalid entry and needs to be corrected.
a. Write neatly and legibly. Use a pencil when filling out the form, except when the Punong Barangay shall use a ballpen iii. Cell fills in BLUE indicate that the encoded item in the cell is a duplicate entry.
when signing the Certification at the Summary Report page. b. An Input Message provides a brief description for the current item.
b. Use additional listing pages as needed. c. Error Alerts are also raised on invalid entries/parameters.

POPCEN-CBMS FORM 6 - Cover Page -

 CODE BOOK FOR SERVICE FACILITIES
(4) TYPE OF OPERATING INSTITUTION (5) SF SECTORAL TYPE
1 Barangay Government 6 Government-Owned and Controlled Corporation 01 Healthcare 06 Utility Service
2 City/Municipal Government (GOCC) 02 Education and Literacy 07 Financial and Credit Institution
3 Provincial Government 7 Non-Government Organization (NGO)/Non-Profit 03 Public Building and Open Space 08 Garbage and Waste Disposal
4 National Government Institution Serving Household (NPISH) 04 Public Safety 09 Transport
5 Private (Business/Profit-Oriented) 05 Agriculture and Public Enterprise

(6) SPECIFIC TYPE OF FACILITY AND (7) OTHER USAGE/S OF THE FACILITY
01 HEALTHCARE 02 EDUCATION AND LITERACY 03 PUBLIC BUILDING AND OPEN SPACE 04 PUBLIC SAFETY
0101 Health Center/Station 0201 Day Care Center 0301 Barangay Hall 0401 Police Station/ Substation
0102 Rural Health Unit (RHU)/Urban Health Center 0202 Preschool/ Kindergarten 0302 Town/City Hall/Provincial Capitol 0402 Jail/Penal Institution
0103 Level I Hospital 0203 Elementary School 0303 Other Government Offices 0403 Fire Station/Substation
0104 Level II Hospital 0204 Junior High School (JHS) 0304 Multi-purpose hall (separate from barangay hall) 0404 Designated Evacuation Center
0105 Level III Hospital 0205 Senior High School (SHS) 0305 Public Plaza/Garden/Park/Sports Facility (standalone; emergency sites)
0106 Maternity/Lying-in Clinic 0206 College/University (gymnasium, court, etc.) 0405 Disaster Risk Reduction Management Office
0107 Pediatric/Child Clinic 0207 TVET Institution/Training Institute 0306 Post Office/Postal Service (Local DRRMO, Barangay DRRMO)
0108 Private Medical/General Clinic 0208 Alternative Learning System (ALS) Community 0307 Cemetery/Memorial Park
0109 Diagnostic/Dialysis Center Learning Center
0110 Blood Service Facility/Center 0209 SPED Center
0111 Botika ng Barangay (BnB)/Bayan (BNB) 0210 Library/Reading Center
0112 Drug Treatment Center
0113 Rehabilitation/Habilitation/Mental Health Center

05 AGRICULTURE AND PUBLIC ENTERPRISE 06 UTILITY SERVICE 07 FINANCIAL AND CREDIT INSTITUTION 09 TRANSPORT
0501 Public Market 0601 Well (Level I) 0701 Authorized Government Depository Banks 0901 Airport
0502 Agricultural Produce Market (Bagsakan) 0602 Communal Faucet System or Standpost (Level II) 0702 Community/ Barangay Cooperative 0902 Seaport
0503 Agricultural Warehouse 0603 Reservoir, Piped Distribution within 0903 Land Transport Terminal
0504 Fish Landing Center Adequate Network(Level III)
0505 Slaughterhouse 0604 Rainwater Collection System
0506 Go Negosyo Center 0605 Water Impounding Facility
0606 Barangay Storage/Warehouse 08 GARBAGE AND WASTE DISPOSAL
0801 Materials Recovery Facility
0802 Sanitary Landfill
0803 Compost Pit

(8) LISTING STATUS

1 Verified 3 Added
2 Updated 4 Deleted

POPCEN-CBMS FORM 6 - SF Code Book -

 CODE BOOK FOR GOVERNMENT PROJECTS
(4) GP MAIN SECTORAL TYPE

01 Physical Connectivity 06 Energy and Power 10 Housing and Settlement

Information and Communications Technology
02 Healthcare 07 Solid Waste Management 11
(ICT)/Digital Connectivity
03 Education 08 Safety and Security 12 Property Development

04 Water and Sanitation 09 Tourism 99 Other Infrastructure

05 Agriculture/Food Security

(5) STATUS

1 Completed

2 Ongoing

3 Discontinued

(9) FUNDING INSTITUTION (10) LISTING STATUS

Government-Owned and Controlled Corporation
A National Government E 1 Verified
(GOCC)
B Provincial Government F Private 2 Updated
Non-Government Organization (NGO)/
C City/Municipal Government G 3 Added
Non-Profit Institution
D Barangay Government 4 Deleted

POPCEN-CBMS FORM 6 - GP Code Book -

 6A Please record all required service facilities in your locality. Input all the needed information in this form. Use additional listing pages as necessary.

TYPE OF SF
L SPECIFIC TYPE LISTING
SERVICE FACILITY NAME ADDRESS/LOCATION OPERATING SECTORAL OTHER USAGE/S OF THE FACILITY REMARKS
I OF FACILITY STATUS
INSTITUTION TYPE
N
E RECORD THE OFFICIAL FACILITY NAME. RECORD THE UNIT/FLOOR/ NUMBER/ NAME, ZONE, VILLAGE, SINGLE SINGLE RESPONSE. SINGLE RESPONSE. MULTIPLE RESPONSES ALLOWED. SINGLE INDICATE OTHER NECESSARY INFORMATION
SITIO, PUROK (INDICATE ALL APPLICABLE) RESPONSE. RESPONSE. ABOUT THE LISTED
USE CODES USE CODES INDICATED USE CODES INDICATED
N SPELL OUT ACRONYMS AND ABBREVIATIONS,
USE CODES INDICATED INDICATED IN THE IN THE CODE BOOK. USE CODES
SERVICE FACILITY.
WHENEVER POSSIBLE.
U IN THE IN THE CODE BOOK. INDICATED
CODE BOOK. CODE BOOK. FOR SERVICE FACILITIES WITH ONLY ONE (1) SPECIFIC TYPE. IN THE
M WRITE "N/A". CODE BOOK.
B (IF 4_DELETED, INDICATE
E NECESSARY REMARKS)
R

(1) (2) (3) (4) (5) (6) (7) (8) (9)

POPCEN-CBMS FORM 6 - Page ___ of ___ SF Listing Pages -

 6B Please record all government projects implemented by the barangay government. Input all the needed information in this form. Use additional listing pages as necessary. NOTE: Reference period for START DATE is 01 MAY 2021 to 30 APRIL 2024 .
GP COMPLETION/
L MAIN EXPECTED ALLOTED FUNDING LISTING
I GOVERNMENT PROJECT NAME ADDRESS/LOCATION STATUS START DATE REMARKS
SECTORAL COMPLETION BUDGET INSTITUTION/S STATUS
N TYPE DATE
E
SINGLE SINGLE RECORD THE START DATE RECORD THE COMPLETION/ INDICATE THE BUDGET MULTIPLE RESPONSES ALLOWED. SINGLE
RECORD THE OFFICIAL PROJECT NAME. RECORD THE UNIT/FLOOR/ NUMBER/ NAME, ZONE, RESPONSE.
INDICATE OTHER NECESSARY INFORMATION
RESPONSE. RESPONSE. OF THE PROJECT EXPECTED COMPLETION (IN PHILIPPINE PESO)
VILLAGE, SITIO, PUROK (INDICATE ALL APPLICABLE) ABOUT THE LISTED
N SPELL OUT ACRONYMS AND ABBREVIATIONS,
USING THE (IF NOT YET COMPLETED) ALLOCATED FOR THE PROJECT.
USE CODES INDICATED
IN THE CODE BOOK. USE CODES GOVERNMENT PROJECT.
USE CODES USE CODES "MM/YYYY" FORMAT. DATE OF THE PROJECT
U WHENEVER POSSIBLE. INDICATED INDICATED USING THE "MM/YYYY" WRITE "N/A" IF THE FOR PROJECTS WITH MORE THAN
INDICATED
IN THE
M IN THE IN THE Refer to the reference period FORMAT. INFORMATION IS NOT ONE (1) FUNDING INSTITUTION, CODE BOOK.
CODE BOOK. CODE BOOK. indicated above. AVAILABLE. INDICATE CODES
B SEPARATED BY (IF 4 _DELETED,
A COMMA (,). INDICATE
E Example: D, G NECESSARY
R REMARKS)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

POPCEN-CBMS FORM 6 - Page ___ of ___ GP Listing Pages -

 SUMMARY REPORT (to be filled out by the BPO)
SERVICE FACILITIES

01_HEALTHCARE 02_EDUCATION AND LITERACY 03_PUBLIC BUILDING AND OPEN SPACE 04_PUBLIC SAFETY
0101_HEALTH CENTER/STATION 0201_DAY CARE CENTER 0301_BARANGAY HALL 0401_POLICE STATION/ SUBSTATION

0102_RURAL HEALTH UNIT (RHU)/URBAN HEALTH CENTER 0202_PRESCHOOL/ KINDERGARTEN 0302_TOWN/CITY HALL/PROVINCIAL CAPITOL 0402_JAIL/PENAL INSTITUTION

0103_LEVEL 1 HOSPITAL 0203_ELEMENTARY SCHOOL 0303_OTHER GOVERNMENT OFFICES 0403_FIRE STATION/SUBSTATION

0304_MULTI-PURPOSE HALL
0104_LEVEL 2 HOSPITAL 0204_JUNIOR HIGH SCHOOL (JHS) 0404_DESIGNATED EVACUATION CENTER
(SEPARATE FROM BARANGAY HALL)
(STANDALONE; EMERGENCY SITES)
0105_LEVEL 3 HOSPITAL 0205_SENIOR HIGH SCHOOL (SHS) 0305_PUBLIC PLAZA/GARDEN/PARK/SPORTS FACILITY
0106_MATERNITY/LYING-IN CLINIC 0206_COLLEGE/UNIVERSITY (GYMNASIUM, COURT, ETC.)
0405_DISASTER RISK REDUCTION MANAGEMENT
OFFICE (LOCAL DRRMO, BARANGAY DRRMO)
0107_PEDIATRIC/CHILD CLINIC 0207_TVET INSTITUTION/TRAINING INSTITUTE 0306_POST OFFICE/POSTAL SERVICE

0108_PRIVATE MEDICAL/GENERAL CLINIC 0208_ALTERNATIVE LEARNING SYSTEM (ALS 0307_CEMETERY/MEMORIAL PARK

0109_DIAGNOSTIC/DIALYSIS CENTER COMMUNITYLEARNING CENTER

0110_BLOOD SERVICE FACILITY/CENTER 0209_SPED CENTER

0111_BOTIKA NG BARANGAY (BNB)/BAYAN (BNB) 0210_LIBRARY/READING CENTER

0112_DRUG TREATMENT CENTER

0113_REHABILITATION/HABILITATION /MENTAL HEALTH CENTER

05_AGRICULTURE AND PUBLIC ENTERPRISE 06_UTILITY SERVICES 08_GARBAGE AND WASTE DISPOSAL 09_TRANSPORT
0501_PUBLIC MARKET 0601_WELL (LEVEL I) 0801_MATERIALS RECOVERY FACILITY 0901_AIRPORT
0602_COMMUNAL FAUCET SYSTEM OR
0502_AGRICULTURAL PRODUCE MARKET (BAGSAKAN) 0802_SANITARY LANDFILL 0902_SEAPORT
STANDPOST (LEVEL II)
0503_AGRICULTURAL WAREHOUSE 0603_RESERVOIR, PIPED DISTRIBUTION WITHIN 0803_COMPOST PIT 0903_LAND TRANSPORT TERMINAL

0504_FISH LANDING CENTER ADEQUATE NETWORK(LEVEL III)

0505_SLAUGHTERHOUSE 0604_RAINWATER COLLECTION SYSTEM

GOVERNMENT PROJECTS
0506_GO NEGOSYO CENTER 0605_WATER IMPOUNDING FACILITY

0606_BARANGAY STORAGE/WAREHOUSE 01_PHYSICAL CONNECTIVITY 08_SAFETY AND SECURITY

02_HEALTHCARE 09_TOURISM
07_FINANCIAL AND CREDIT INSTITUTION 03_EDUCATION 10_HOUSING AND SETTLEMENT
0701_AUTHORIZED GOVERNMENT DEPOSITORY BANKS 04_WATER AND SANITATION 11_INFORMATION AND COMMUNICATIONS
TECHNOLOGY (ICT) / DIGITAL
0702_COMMUNITY/BARANGAY COOPERATIVE 05_AGRICULTURE/FOOD SECURITY CONNECTIVITY
06_ENERGY AND POWER 12_PROPERTY DEVELOPMENT

TOTAL NUMBER OF LISTED FEATURES AND LISTING PAGES 07_SOLID WASTE MANAGEMENT 99_OTHER INFRASTRUCTURE

CERTIFICATION
TOTAL NUMBER OF LISTED TOTAL NUMBER OF LISTED
SERVICE FACILITIES GOVERNMENT PROJECTS I hereby certify that the data provided are true and complete based on my knowledge and records of the barangay.

TOTAL NUMBER OF SF LISTING PAGES* TOTAL NUMBER OF GP LISTING PAGES*

*for SAQ-P mode of data collection only *for SAQ-P mode of data collection only

SIGNATURE OVER PRINTED NAME OF THE PUNONG BARANGAY

_____ / _____ / _____
DATE OF COMPLETION (MM/DD/YYYY)
POPCEN-CBMS FORM 6 - Summary Report -