Information Collection

LUCA Forms, Letters, User Guides, and other Items

IC 105427 under ICR 200801-0607-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
1. 2010 LUCA Local User Guide Option 1, paper format.pdf	Other-2010 LUCA Local User Guide Opt
2. 2010 LUCA PR User Guide Option 1, paper format.pdf	Other-2010 LUCA PR User Guide Option
3. 2010 LUCA Tribal User Guide Option 1, paper format.pdf	Other-2010 LUCA Tribal User Guide Op
4. LUCA_UserGuide_OPT1_LG.pdf	Other-LUCA_UserGuide_OPT1_LG
5. LUCA_UserGuide_OPT1_MLG.pdf	Other-LUCA_UserGuide_OPT1_MLG
6. LUCA_UserGuide_OPT1_MPG.pdf	Other-LUCA_UserGuide_OPT1_MPG
7. LUCA_UserGuide_OPT1_MTG.pdf	Other-LUCA_UserGuide_OPT1_MTG
8. LUCA_UserGuide_OPT1_PRG.pdf	Other-LUCA_UserGuide_OPT1_PRG
9. LUCA_UserGuide_OPT1_SG.pdf	Other-LUCA_UserGuide_OPT1_SG
10. LUCA_UserGuide_OPT1_TG.pdf	Other-LUCA_UserGuide_OPT1_TG
11. LUCA_UserGuide_OPT2_LG.pdf	Other-LUCA_UserGuide_OPT2_LG
12. LUCA_UserGuide_OPT2_MLG.pdf	Other-LUCA_UserGuide_OPT2_MLG
13. LUCA_UserGuide_OPT2_MTG.pdf	Other-LUCA_UserGuide_OPT2_MTG
14. LUCA_UserGuide_OPT2_SG.pdf	Other-LUCA_UserGuide_OPT2_SG
15. LUCA_UserGuide_OPT2_TG.pdf	Other-LUCA_UserGuide_OPT2_TG
16. LUCA_UserGuide_OPT3_LG.pdf	Other-LUCA_UserGuide_OPT3_LG
17. LUCA_UserGuide_OPT3_MLG.pdf	Other-LUCA_UserGuide_OPT3_MLG
18. LUCA_UserGuide_OPT3_MTG.pdf	Other-LUCA_UserGuide_OPT3_MTG
19. LUCA_UserGuide_OPT3_SG.pdf	Other-LUCA_UserGuide_OPT3_SG
20. LUCA_UserGuide_OPT3_TG.pdf	Other-LUCA_UserGuide_OPT3_TG
21. LUCA_UserGuide_PRSG.pdf	Other-LUCA_UserGuide_PRSG
22. MTPS State User Guide Option 1.pdf	Other-MTPS State User Guide Option 1
23. MTPS State User Guide Option 2.pdf	Other-MTPS State User Guide Option 2
24. MTPS State User Guide Option 3.pdf	Other-MTPS State User Guide Option 3
25. 2010 LUCA Promotional Workshop Participant Guide.pdf	Other-2010 LUCA Promotional Workshop
26. 2010 LUCA Promtional Workshop Participant Guide_(Espanol).pdf	Other-2010 LUCA Promtional Workshop
27.1 2010 LUCA Training Workshop Participant Guide lesson 1.pdf	Other-2010 LUCA Training Workshop Pa
27.2 2010 LUCA Training Workshop Participant Guide lesson 2.pdf	Other-2010 LUCA Training Workshop Pa
27.3 2010 LUCA Training Workshop Participant Guide lesson 3.pdf	Other-2010 LUCA Training Workshop Pa
27.4 2010 LUCA Training Workshop Participant Guide lesson 4.pdf	Other-2010 LUCA Training Workshop Pa
27.5 2010 LUCA training Workshop Participant Guide lesson 5.pdf	Other-2010 LUCA training Workshop Pa
27.6 2010 LUCA Training Workshop Participant Guide lesson 6.pdf	Other-2010 LUCA Training Workshop Pa
27.7 2010 LUCA Training Workshop Participant Guide lesson 7.pdf	Other-2010 LUCA Training Workshop Pa
28. 2010 LUCA Training Workshop Participant Guide_(Espanol).pdf	Other-2010 LUCA Training Workshop Pa
31. 2010 LUCA Disclosure Notice.pdf	Other-2010 LUCA Disclosure Notice
42. LUCA Condentiality and Security Guidelines.pdf	Other-LUCA Condentiality and Securit
43. 2010 LUCA PR Confidentiality and Security Guidelines.pdf	Other-2010 LUCA PR Confidentiality a
113. LUCA_Local_Booklet.pdf	Other-Local Informational Booklet
114. LUCA_Tribal_Booklet.pdf	Other-Tribal Informational Booklet
115. LUCA_State_Booklet.pdf	Other-State Informational Booklet
116. 2010INFORMATIONBOOKLETFORPUERTORICO_LOCAL.pdf	Other-Puerto Rico (Local) Informatio
117. 2010LUCAINFORMATIONBOOKLETFORPUERTORICO_STATE.pdf	Other-Puerto Rico (State) Informatio
118. lucaflyer_latest62207.pdf	Other-LUCA Flyer
119. Sample LUCA map.pdf	Other-Sample LUCA Map
D-1667 Contact Information Update Form 32. D1667_112007_ContactInformationUpdateForm.pdf	Form
D-1669 Confidentiality Agreement 33. d1669 Confidentiality Agreement.pdf	Form
D-1668 Registration Form 34. d1668 Registration Form.pdf	Form
D-1670 Participation Option Product Preference 35. d1670 Participation Option Product Preference.pdf	Form
D-1670 LTW Option 3 Product Preference 36. d1670ltw Option 3 Product Preference.pdf	Form
D-1670 SG Participation Option for States 37. d1670sg Participation Option for States.pdf	Form
D-1671 Inventory Form for Return 38. d1671 Inventory Form for Return.pdf	Form
D-1676 Self-Assessment 39. d1676 Self-Assessment.pdf	Form
D-1674 Return or Destruction form 40. d1674 Return or Destruction form.pdf	Form
D-1710 Insert for CBT 41. d1710 Insert for CBT.pdf	Form
D-1667 PR Contact Information Update Form for Puerto Rico 44. D-1667PR_112007_ContactInformationUpdateForm_Puerto Rico.pdf	Form
D-1668 PR Registration Form for Puerto Rico 45. d-1668(pr)_Reg.form.pdf	Form
D-1669 PR Confidentiality Agreement for Puerto Rico 46. d-1669(pr)_ConfidentialityAgreement Form.pdf	Form
D-1670lg PR Local Participation Option Form for Puerto Rico 47. d-1670lg(pr)_ParticipationOptionForm_local.pdf	Form
D-1670sg PR State Participation Option Form for Puerto Rico 48. d-1670sg(pr)_ParticipationOptionForm_state.pdf	Form
D-1671 PR Inventory Form for Puerto Rico 49. D-1671 Inventory Form (PR).pdf	Form
D-1674 PR Return or Destruction of Title 13 Materials for Puerto R 50. D-1674 Return or Destruction of Title 13 Materials (PR).pdf	Form
D-1676 PR Self Assessment Checklist for Puerto Rico 51. d-1676(pr)_SelfAssessment Checklist.pdf	Form
D-1690 Paper Address List 52. d1690 Paper Address List.pdf	Form
D-1691 Address List Add Page 53. d1691 Address List Add Page.pdf	Form
D-1692 Address Count List 54. d1692 Address Count List.pdf	Form
D-1690tg Tribal Address List example 55. d1690TG Tribal Address List example.pdf	Form
D-1690 PR Paper Address List for Puerto Rico 56. d-1690(pr)_Paper Address List.pdf	Form
D-1691 PR Address List Add Page for Puerto Rico 57. d-1691 pr) Address List Add Page (PR).pdf	Form
D-1692 PR Address Count List for Puerto Rico 58. d-1692(pr) Address Count List.pdf	Form
D-1663lg PR Advance Notice Local Governments (Spanish) for Puerto Ri 59. D-1663LG(PR)_SPANISH_112007_AdvNotice_localgovernment.pdf	Form
D-1663lg Advance Notice HEO Local Governments 60. D-1663LG_112007_AdvNotice_HEO_local Gov.pdf	Form
D-1663lgltp Advance Notice Tribal Governments 61. D-1663LGLTP_112007.pdf	Form
D-1663lgltw Advance Notice 62. D-1663LGLTW153640_112007.pdf	Form
D-1663TG Advance Notice Tribal HEO 63. D-1663TG_112007_Adv Notice Tribal HEO.pdf	Form
D-1663sg PR Advance Notice, Governor (Spanish) for Puerto Rico 64. D-1663SG(PR)_SPANISH_112007_Advnotice_Governor_Spanish.pdf	Form
D-1663sg Advance Notice, Governor 65. D-1663SG_112007_AdvNoticeGovernor.pdf	Form
D-1663sgltpw Advance Notice 66. D-1663SGLTPW_112007.pdf	Form
D-1664lg PR Advance Notice, Courtesy Local Government (Spanish) for 67. D-1664LG(PR)_SPANISH_112007_AdvNoticeCourtesy_LocalGov.pdf	Form
D-1664lg Advance Notice, Courtesy Local Government 68. D-1664LG_112007_AdvNoticeCourtesy_Local Gov.pdf	Form
D-1664lgltp Advance Notice 69. d-1664lgltp.pdf	Form
D-1664lgltw Advance Notice 70. D-1664LGLTW_112007.pdf	Form
D-1664tg Advance Notice, Courtesy Tribal 71. D-1664TG_112007_AdvNotice_CourtesyTribal.pdf	Form
D-1664sg PR Advance Notice, State Contact (Spanish) for Puerto Rico 72. D-1664SG(PR)_SPANISH_112007_AdvNotice_StateContact.pdf	Form
D-1664sg Advance Notice, Local Government Contact 73. D-1664SG_112007_AdvNoticeContact_local gov.pdf	Form
D-1664sgltpw Advance Notice 74. D-1664SGLTPW_112007.pdf	Form
D-1666l Advance Notice Regional Planning Agencies 75. D-1666L_112007_AdvNoticeRegPlanningAgencies.pdf	Form
D-1685lg PR Invitiation Letter Local Government (Spanish) for Puerto 76. d-1685lg(pr).pdf	Form
D-1685lg Invitiation Letter Local HEO 77. D-1685LG_112007_InvitationLetterLocal HEO.pdf	Form
D-1685ltp Invitation Letter 78. D-1685LTP_112007_.pdf	Form
D-1685ltw Invitation Letter 79. D-1685LTW_112007.pdf	Form
D-1685tg Invitation Letter 80. D-1685TG_112007_InvitationLetterTribalHEO.pdf	Form
D-1685sg PR Invitation Letter for Puerto Rico 81. d-1685sg(pr).pdf	Form
D-1685sg Invitation Letter, Governor 82. D-1685_SG_112007_InvitationLetterGovernor.pdf	Form
D-1685sgpw Invitation Letter 83. D-1685SGPW_112007.pdf	Form
D-1685lgakmeout Informational Letter, can't participate 84. d-1685lgakmeout_Informational Can't Particicipate_HEO.pdf	Form
D-1685lgakp Invitation, HEO Special Enumeration Alaska 85. D-1685lgakp_Invitation HEO_Special EnumerationAlaska.pdf	Form
D-1685lgmep Invitation, HEO Special Enumertion Maine 86. D-1685lgmep_InvitationHEO_SpecialEnumerationMaine.pdf	Form
D-1685lt-r Invitation Letter 87. D-1685(LT-R).doc	Form
D-1685sg-r Invitation Letter 88. D-1685(SG) R.doc	Form
D-1685tg-r Invitation Letter 89. D-1685(TG-R).doc	Form
D-1685sg ak Invitation Letter 90. D-1685(SG AK)tea 3 4_alaska _governor palin.doc	Form
D-1685sg me Invitation Letter 91. D-1685(SG ME)tea3 4 _maine_governor baldacci.doc	Form
D-1686lg PR Courtesty Invitation for Puerto Rico 92. d-1686lg(pr).pdf	Form
D-1686lg Courtesy Invitation 93. D-1686LG_112007_InvitationCourtesylocalgovernments.pdf	Form
D-1686ltp Courtesy Invitation 94. D-1686LTP_112007.pdf	Form
D-1686ltw Courtesy Invitation 95. D-1686LTW_112007.pdf	Form
D-1686tg Courtesy Invitation 96. D-1686TG_112007_InvitationCourtesytribal governments.pdf	Form
D-1686sg PR Courtesy Invitation for Puerto Rico 97. d-1686sg(pr).pdf	Form
D-1686sg Courtesy Invitation 98. D-1686SG_112007_InvitationCourtesystategovernments.pdf	Form
D-1686sgpw Courtesy Invitation 99. d-1686sgpw.pdf	Form
D-1686lgakmeout Courtesy Informational Can't Participate Letter 100. d-1686lgakmeout_Informational Can't Participate_Courtesy.pdf	Form
D-1686lgakp Courtesy Invitation Special Enumeration Alaska 101. D-1686lgakp_Invitation Courtesy_SpecialEnumerationAlaska.pdf	Form
D-1686lgmep Courtesy Invitation Special Enumeration Maine 102. D-1686lgmep_InvitationCourtesy_SpecialEnumerationMaine.pdf	Form
D-1686lt-r Courtesy Invitation 103. D-1686(LT-R).doc	Form
D-1686dg-r Courtesy Invitation 104. D-1686(SG-R).doc	Form
D-1686tg-r Courtesy Invitation 105. D-1686(TG-R).doc	Form
D-1686sg-ak Courtesy Invitation 106. D-1686(SG AK)kathryn_lizik_Tea 3 4_contact _AK.doc	Form
D-1686sg me Courtesy Invitation 107. D-1686(SG ME)david_kirouac_tea3 4_contact_ME.doc	Form
D-1700 Invitation Announcement, Reg Planning Agencies 108. D-1700_112007_InvitationAnnouncementReg.PlanningAgencies.pdf	Form
PC1 Reminder Postcard 109. luca_pc1_Reminder Postcard.pdf	Form
pc1 PR Reminder Postcard for Puerto Rico 110. luca_pc1(pr)_Reminder Postcard.pdf	Form
D-1706 Password Letter 111. D-1706_password letter.pdf	Form
D-1706 PR Password Letter for Puerto Rico 112. D-1706(PR)_password letter.pdf	Form

Information Collection (IC) Details

Record metadata
IC Title	LUCA Forms, Letters, User Guides, and other Items