D-1670 LTW Option 3 Product Preference

OMB No. 0607-0795
FORM D-1670(LTW)
(6-12-2007)

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

ENTITY ID

U.S. CENSUS BUREAU

PRODUCT PREFERENCE
OPTION 3 – NON-TITLE 13 LOCAL ADDRESS LIST SUBMISSION
LOCAL UPDATE OF CENSUS ADDRESSES (LUCA) PROGRAM
2010 Decennial Census
1. Government name – Please Print

Telephone number
Area code

Number

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Number and street name
2. Delivery
address*

State

City

ZIP Code

OPTION 3 – NON-TITLE LOCAL ADDRESS LIST SUBMISSION –
Confidentiality Agreement is not required
Please select a media format for your LUCA products.
Media Choice – Mark (X) one.
MTPS application – The MAF/TIGER Partnership Software (MTPS)
application combines the Census Bureau’s Address Count List and shapefiles
into a GIS software package.
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

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