BAS-ARF Boundary & Annexation Survey, Annual Response Form

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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2013
BOUNDARY AND ANNEXATION SURVEY
ANNUAL RESPONSE AND CONTACT UPDATE FORM

BAS-ARF

FORM
(8-8-2012)

OMB No. 0607-0151 Approval Expires: 12/31/2015

Please review Boundary and Annexation Survey (BAS) materials on the BAS website:
http://www.census.gov/geo/www/bas/bashome.html
To access BAS forms in PDF format on the website use the username: bas and password: basforms
Mark (X) one box.
Our government does not have boundary changes to report. Do not send materials.
Our government has boundary changes to report and we would like to:
Download shapefiles/PDF maps/MTPS (username: bas and password: basmtps) from the BAS
website and submit updates. (Refer to Response Methods for additional instructions.)
Receive Digital Materials (MTPS/Shapefiles) on a CD/DVD
Receive maps in PDF format on CD
PAPER MAP REQUESTS: Please refer to http://www.census.gov/geo/www/bas/bas13/bas13 details.html before
making your paper selection.
Paper Maps – Boundary Ring Sheets Only
Paper Maps – All Sheets
Paper Maps – Indicate Sheet(s) or Entity(ies) needed on the line below, i.e., 1–5 or 1, 3, 10, A1 or Argo Town.
Maps Sheet(s):
CONTACT INFORMATION: BAS materials will be mailed to the Highest Elected Official (HEO) or Tribal
Chair (TC) if there is no BAS contact information printed below. If you prefer to have your BAS materials shipped
directly to a person responsible for updating your boundaries, provide the contact information in the space
below. Please use black ink to correct any preprinted information.
Our records indicate the HEO/TC contact is:

Name of person filling out this form

To save nonresponse follow-up
costs, respond online, email,
mail, or fax the form to the
U.S. Census Bureau within 10
calendar days.

Our records indicate the BAS contact is:

Position

U.S. Census Bureau
National Processing Center
1201 East 10th Street
Jeffersonville, IN 47132-0001
Fax Number: 1–800–416–3262

Date

E-mail questions/comments to:
[email protected];
use "BAS-ARF" as the subject.
Phone: 1–800–972–5651