D-1671 Inventory Form for Return

OMB No. 0607-0795
U.S. DEPARTMENT OF COMMERCE

FORM D-1671
(6-12-2007)

Economics and Statistics Administration

ENTITY ID

U.S. CENSUS BUREAU

INVENTORY FORM FOR THE RETURN/SUBMISSION OF LUCA
PROGRAM MATERIALS
LOCAL UPDATE OF CENSUS ADDRESSES (LUCA) PROGRAM
2010 Decennial Census
Please use this form to identify only the LUCA materials that you have updated and are
returning to the Census Bureau for the 2010 Decennial Census LUCA Program.
GOVERNMENT NAME

Option 1 Participants

Option 2 and Option 3 Participants

A. Paper Lists

1

1

Census Bureau Address List
Number of updated pages . . . . . . .

2

Address List Add Page
Number of updated pages

.......

Address Count List
Number of updated pages

.......

3

Local Address List File – Specify file name

Number of address records . . . . . .
2

MTPS Zip file

B. Computer-Readable Lists
1

Census Bureau Address List File –
Specify file name

MAPS – All Non-MTPS Participants
Number of updated address
records . . . . . . . . . . . . . . . . . . . . .
2

Address Count List File – Specify file name

Number of updated records

Products updated –Mark (X) all that apply.
2
3

Census Bureau Address List
Address Count List
Shapefiles

1

Shapefiles

2

Paper map
Number of updated map sheets . . .

......

C. MTPS Zip file

1

Mark (X) one box.

NOTE
If you received paper maps and have boundary
updates – Please include the appropriate Boundary
and Annexation Survey (BAS) form.