Information Collection

LUCA Forms, Letters, User Guides, and other Items

IC 105427 under ICR 200705-0607-009 · OMB 0607-0795.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0795 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form D-1668 LUCA Forms, Letters, User Guides, and other Items	Form
D-1685(LG)pdf_Invitation letter_local Governments.pdf	Other-Invitation letter to local hig
D-1685(LTP)pdf_Invitation letter_local governments_partially within a reservation.pdf	Other-Invitation letter to local HEO
D-1685(LTW)pdf_Invitationletter_local governments_wholly within a reservation.pdf	Other-Invitation letter to local HEO
D-1685(TG)_pdf_Invitation letter to Tribal Governments.pdf	Other-Invitation letter to Tribal HE
D-1685(SG)_pdf_Invitation to state governor.pdf	Other-Invitation letter to state Gov
D-1685(SGPW)_pdf_Invtiation letter to state governor with entities wholly_partially within reservations.pdf	Other-Invitation letter to the Gover
D-1686(LG)_pdf_Courtesy Copy_Invitation letter_local governments.pdf	Other-Invitation courtesy copy - loc
D-1686(LTP)_pdf_Courtesy Invitation letter to local government partially within a reservation.pdf	Other-Invitation courtesy letter to
D-1686(LTW)_pdf_Courtesy Invitation letter to local governemnts wholly on a reservation.pdf	Other-Invitation courtesy letter to
D-1686(TG)_pdf_Courtesy Invitation letter to tribal governments.pdf	Other-Invitation courtesy copy - Tri
D-1686(SG)_pdf_Courtesy Invitation letter to states.pdf	Other-Invitation courtesy copy to st
D-1686(SGPW)_pdf_Courtesy Invitation letter to states with area whooly or partially on reservations.pdf	Other-Invitation courtesy copy to st
D-1700_pdf_LUCA_Announcement Letter to Regional Planning Agencies.pdf	Other-Invitation announcement to Reg
luca_closeout_letter_draft_53107_pdf.pdf	Other-Closeout letter to participant
2010 LUCA User Guide Option 1, paper format .pdf	Other-User Guide Option 1 - Full Add
2010 LUCA User Guide Option 1 CR format.pdf	Other-User Guide Option 1 - Full Add
2010 LUCA Option 2 User Guide.pdf	Other-User Guide Option 2 - Title 13
2010 LUCA User Guide Option 3.pdf	Other-User Guide Option 3 - Non-Titl
MTPS_Userguide__May 31.pdf	Other-User Guide for the MAF/TIGER P
2010 LUCA confidentiality and agreement guidelines approved.pdf	Other-Confidentiality and Security G
LUCA Prototype Map.pdf	Other-Draft LUCA map
LUCA flier.pdf	Other-flyer -- "Will Your Community
D-1668 Registration Form (English) d1668_Registration_Form.pdf	Form
D-1669 Confidentiality Agreement Form (English) d1669_ConfidentialityAgreement.pdf	Form
D-1670 Participation Option/Product Preference Form d1670_Participation_ProductPreference_Local Governments.pdf	Form
D-1670(LTW) Product Preference Form - Mailed to entities wholly with d1670ltw_ProductPreference_Option3_Local Governments.pdf	Form
D-1670(SG) Participation Option/GIS Preference/County Selection For d1670sgtestp01_Participation Option_StateGovernments.pdf	Form
D-1671 Inventory Form - English d1671_InventoryForm_LUCA_Submissions.pdf	Form
D-1674 Return/Destruction Form - English d1674_Return_Destruction_Title13Materials_Form.pdf	Form
D-1676 Self-Assessment Checklist - English d1676_Self_Assessment Checklist_Form.pdf	Form
D-1690(LG) Address List - local government AL_Local_CensusAddressList_LocalGovernments.pdf	Form
D-1690(TG) Address List - tribal government AL-Tribal_CensusAddressList_Tribal Governments.pdf	Form
D-1690(PR)(S) Address List - Puerto Rico (Spanish) AL-PR_Census Address List_PuertoRico.pdf	Form
D-1691(LG) Address List Add Page - local government D-1691_Address List Add Page.pdf	Form
D-1691(TG) Address List Add Page - tribal government D-1691(TG)_Tribal Address List Add Page.pdf	Form
D-1691(PR)(S) Address List Add Page - Puerto Rico (Spanish) D-1691(PR)_Puerto Rico Address List Add Page.pdf	Form
D-1692(LG) Address Count List - local government Local ACL_Address Count List_Local Governments.pdf	Form
D-1692(TG) Address Count List - tribal government Tribal ACL_AddressCountList_Tribal Governments.pdf	Form
D-1692(PR) Address Count List - Puerto Rico ACL_PR_AddressCountList_PuertoRico.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

LUCA Forms, Letters, User Guides, and other Items

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	D-1668	Registration Form (English)	d1668_Registration_Form.pdf	No	Paper Only
Form	D-1669	Confidentiality Agreement Form (English)	d1669_ConfidentialityAgreement.pdf	No	Paper Only
Form	D-1670	Participation Option/Product Preference Form	d1670_Participation_ProductPreference_Local Governments.pdf	No	Paper Only
Form	D-1670(LTW)	Product Preference Form - Mailed to entities wholly within a federally-recognized American Indian reservation and/or trust land	d1670ltw_ProductPreference_Option3_Local Governments.pdf	No	Paper Only
Form	D-1670(SG)	Participation Option/GIS Preference/County Selection Form - mailed to governors only (state level form)	d1670sgtestp01_Participation Option_StateGovernments.pdf	No	Paper Only
Form	D-1671	Inventory Form - English	d1671_InventoryForm_LUCA_Submissions.pdf	No	Paper Only
Form	D-1674	Return/Destruction Form - English	d1674_Return_Destruction_Title13Materials_Form.pdf	No	Paper Only
Form	D-1676	Self-Assessment Checklist - English	d1676_Self_Assessment Checklist_Form.pdf	No	Paper Only
Form	D-1690(LG)	Address List - local government	AL_Local_CensusAddressList_LocalGovernments.pdf	No	Paper Only
Form	D-1690(TG)	Address List - tribal government	AL-Tribal_CensusAddressList_Tribal Governments.pdf	No	Paper Only
Form	D-1690(PR)(S)	Address List - Puerto Rico (Spanish)	AL-PR_Census Address List_PuertoRico.pdf	No	Paper Only
Form	D-1691(LG)	Address List Add Page - local government	D-1691_Address List Add Page.pdf	No	Paper Only
Form	D-1691(TG)	Address List Add Page - tribal government	D-1691(TG)_Tribal Address List Add Page.pdf	No	Paper Only
Form	D-1691(PR)(S)	Address List Add Page - Puerto Rico (Spanish)	D-1691(PR)_Puerto Rico Address List Add Page.pdf	No	Paper Only
Form	D-1692(LG)	Address Count List - local government	Local ACL_Address Count List_Local Governments.pdf	No	Paper Only
Form	D-1692(TG)	Address Count List - tribal government	Tribal ACL_AddressCountList_Tribal Governments.pdf	No	Paper Only
Form	D-1692(PR)	Address Count List - Puerto Rico	ACL_PR_AddressCountList_PuertoRico.pdf	No	Paper Only
Other-Invitation letter to local highest elected official (HEO)			D-1685(LG)pdf_Invitation letter_local Governments.pdf	No	Paper Only
Other-Invitation letter to local HEO partially within a reservation			D-1685(LTP)pdf_Invitation letter_local governments_partially within a reservation.pdf	No	Paper Only
Other-Invitation letter to local HEO wholly within a reservation			D-1685(LTW)pdf_Invitationletter_local governments_wholly within a reservation.pdf	No	Paper Only
Other-Invitation letter to Tribal HEO			D-1685(TG)_pdf_Invitation letter to Tribal Governments.pdf	No	Paper Only
Other-Invitation letter to state Governor			D-1685(SG)_pdf_Invitation to state governor.pdf	No	Paper Only
Other-Invitation letter to the Governor of states partially/wholly within a reservation			D-1685(SGPW)_pdf_Invtiation letter to state governor with entities wholly_partially within reservations.pdf	No	Paper Only
Other-Invitation courtesy copy - local governments			D-1686(LG)_pdf_Courtesy Copy_Invitation letter_local governments.pdf	No	Paper Only
Other-Invitation courtesy letter to local HEO partially within a reservation			D-1686(LTP)_pdf_Courtesy Invitation letter to local government partially within a reservation.pdf	No	Paper Only
Other-Invitation courtesy letter to local HEO wholly within a reservation			D-1686(LTW)_pdf_Courtesy Invitation letter to local governemnts wholly on a reservation.pdf	No	Paper Only
Other-Invitation courtesy copy - Tribal governments			D-1686(TG)_pdf_Courtesy Invitation letter to tribal governments.pdf	No	Paper Only
Other-Invitation courtesy copy to state contacts			D-1686(SG)_pdf_Courtesy Invitation letter to states.pdf	No	Paper Only
Other-Invitation courtesy copy to state contacts partially/wholly within a reservation			D-1686(SGPW)_pdf_Courtesy Invitation letter to states with area whooly or partially on reservations.pdf	No	Paper Only
Other-Invitation announcement to Regional Planning Agencies			D-1700_pdf_LUCA_Announcement Letter to Regional Planning Agencies.pdf	No	Paper Only
Other-Closeout letter to participants that did not return any materials			luca_closeout_letter_draft_53107_pdf.pdf	No	Paper Only
Other-User Guide Option 1 - Full Address List Review Paper Format			2010 LUCA User Guide Option 1, paper format .pdf	No	Paper Only
Other-User Guide Option 1 - Full Address List Review Computer-Readable Format			2010 LUCA User Guide Option 1 CR format.pdf	No	Paper Only
Other-User Guide Option 2 - Title 13 Local Address List Submission			2010 LUCA Option 2 User Guide.pdf	No	Paper Only
Other-User Guide Option 3 - Non-Title 13 Local Address List Submission			2010 LUCA User Guide Option 3.pdf	No	Paper Only
Other-User Guide for the MAF/TIGER Partnership Software (MTPS)			MTPS_Userguide__May 31.pdf	No	Paper Only
Other-Confidentiality and Security Guidelines			2010 LUCA confidentiality and agreement guidelines approved.pdf	No	Paper Only
Other-Draft LUCA map			LUCA Prototype Map.pdf	No	Paper Only
Other-flyer -- "Will Your Community Be Ready for the 2010 Decennial Census Local Update of Census Addresses (LUCA) Program?"			LUCA flier.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: 19,780

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 83 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	19,780	11,813	7,967
Annual IC Time Burden (Hours)	3,909,829	3,907,173	2,656
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.