D-1670 Participation Option/Product Preference Form

OMB No. 0607-0795
FORM D-1670
(5-31-2007)

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

ENTITY ID

U.S. CENSUS BUREAU

PARTICIPATION OPTION/PRODUCT PREFERENCE
LOCAL UPDATE OF CENSUS ADDRESSES (LUCA) PROGRAM
2010 Decennial Census
1. Government name – Please Print

Telephone number
Area code

Number

–

–

Number and street name
2. Delivery
address*

State

City

ZIP Code

The MAF/TIGER Partnership Software (MTPS) application combines the Census Bureau’s Address List
(option 1 and option 2), Address Count List, and shapefile into a GIS software package.
If you have 6000 or more addresses, you can receive the Address List and Address Count List in
computer-readable format only. Computer-readable versions of the lists are available on CD-ROM.
The paper printout of the Address List contains six (6) addresses per page; the Address Count List contains
50 census blocks per page.

Please mark (X) one participation option, then select a media choice for that participation option.
OPTION 1 Title 13 Full Address List Review
Signed Confidentiality Agreement Form required by law.
Media Choice – Mark (X) one.
MTPS application – Computer-readable Address List, Address Count List, and shapefiles
All computer-readable – Address List, Address Count List, and shapefiles on CD-ROM
All paper – Address List, Address Count List, and paper maps – Mark (X) only one address list sort.
Census Tract#/Block#/Street Name/House#/Unit# (default sort)
Street Name/House#/Unit# (alphanumeric sort)
Combination A – Computer-readable Address List and Address Count List on CD-ROM and
paper maps
Combination B – Paper Address List and Address Count List and shapefiles on CD-ROM
Mark (X) only one address list sort.
Census Tract#/Block#/Street Name/House#/Unit# (default sort)
Street Name/House#/Unit# (alphanumeric sort)
OPTION 2 Title 13 Local Address List Submission
Signed Confidentiality Agreement Form required by law.
Media Choice – Mark (X) one.
MTPS application – Computer-readable Address List, Address Count List, and shapefiles
All computer-readable – Address List, Address Count List, and shapefiles on CD-ROM
Combination – Computer-readable Address List and Address Count List on CD-ROM and
paper maps
OPTION 3 Non-Title 13 Local Address List Submission
Confidentiality Agreement is not required.
Media Choice – Mark (X) one.
MTPS application – Computer-readable Address Count List and shapefiles
All computer-readable – Address Count List and shapefiles on CD-ROM
Combination – Computer-readable Address Count List on CD-ROM and paper maps
*The Census Bureau will ship all materials via FedEx.
FedEx will not deliver to PO ZIP Codes.

USCENSUSBUREAU