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Federal forms, ICRs, and supporting documents

Information Collection

The Boundary and Annexation Survey (BAS)

IC 37116 under ICR 201211-0607-003 · OMB 0607-0151.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form BAS-1
The Boundary and Annexation Survey (BAS)		 Form
13_RespondentGuide_PaperBAS_WorkingDraft_09_10_12.doc Other-BAS Respondent Guide -- Paper
13_RespondentGuide_MTPS_WorkingDraft_09_10_12.doc Other-BAS Respondent Guide -- MTPS R
13_508_RespondentGuide_DigitalBAS_Local_v0.5_WorkingDraft_09_10_12.doc Other-BAS Respondent Guide -- Digita
13_508_RespondentGuide_DigitalBAS_Tribal_v0.5_Working_Draft_09_10_12.doc Other-BAS Respondent Guide -- Tribal
2013StateCertification_RespondentGuide.docx Other-BAS Respondent Guide - State C
bas1l_13.pdf Other-Annual Response Letter, will b
bas2l_13.pdf Other-Annual Response Letter, will b
bas3l_13.pdf Other-CBAS letter, will be sent to a
BAS-4I_Fixed.doc Other-BAS Response Methods Insert. T
bas5i_13.pdf Other-BAS Response Methods and Mater
bas8L_13.pdf Other-Consolidated County Package Le
bas9L_13.pdf Other-County Package Letter with BAS
bas10L_13.pdf Other-Incorporated Place and Minor C
bas11L_13.pdf Other-AIA Package Letter with BAS Su
bas12pc_13.pdf Other-No Change Post Card is include
bas13l_13.pdf Other-Announcement for the BAS Works
BASSC-1.doc Other-State Certification Letter, se
BASSC-2.doc Other-State Certification Letter, se
BASSC-3.docx Other-State Certification Letter to
BASSC-4.doc Other-State Certification Letter, se
Georgia-Insert.doc Other-Georgia Insert – information a
BAS14I.docx Other-Indiana Insert – Describes a s
BAS-1 Boundary & Annexation Survey, Incorporated Places
bas1_13.pdf
www.census.gov/geo/www/bas/bashome.html 		Form
BAS-2 Boundary & Annexation Survey, Counties and Equivalent Ar
bas2_13.pdf
www.census.gov/geo/www/bas/bashome.html 		Form
BAS-3 Boundary & Annexation Survey, Minor Civil Divisions
bas3_13.pdf
www.census.gov/geo/www/bas/bashome.html 		Form
BAS-4 Boundary & Annexation Survey, Newly Incorporated Places
bas4_13.pdf
www.census.gov/geo/www/bas/bashome.html 		Form
BAS-5 Boundary & Annexation Survey, American Indian Reservatio
bas5_13.pdf
www.census.gov/geo/www/bas/bashome.html 		Form
BAS-6 Boundary & Annexation Survey, Consolidated BAS
bas6_13.pdf
www.census.gov/geo/www/bas/bashome.html 		Form
BAS-ARF Boundary & Annexation Survey, Annual Response Form
bas-arf_13.pdf
www.census.gov/geo/www/bas/bashome.html 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form BAS-1 Boundary & Annexation Survey, Incorporated Places bas1_13.pdf http://www.census.gov/geo/www/bas/bashome.html Yes Yes Fillable Fileable
Form BAS-2 Boundary & Annexation Survey, Counties and Equivalent Areas bas2_13.pdf http://www.census.gov/geo/www/bas/bashome.html Yes Yes Fillable Fileable
Form BAS-3 Boundary & Annexation Survey, Minor Civil Divisions bas3_13.pdf http://www.census.gov/geo/www/bas/bashome.html Yes Yes Fillable Fileable
Form BAS-4 Boundary & Annexation Survey, Newly Incorporated Places and Newly Activated Governments bas4_13.pdf http://www.census.gov/geo/www/bas/bashome.html Yes Yes Fillable Fileable
Form BAS-5 Boundary & Annexation Survey, American Indian Reservations and Off-Reservation Trust Lands bas5_13.pdf http://www.census.gov/geo/www/bas/bashome.html Yes Yes Fillable Fileable
Form BAS-6 Boundary & Annexation Survey, Consolidated BAS bas6_13.pdf http://www.census.gov/geo/www/bas/bashome.html Yes Yes Fillable Fileable
Form BAS-ARF Boundary & Annexation Survey, Annual Response Form bas-arf_13.pdf http://www.census.gov/geo/www/bas/bashome.html Yes Yes Fillable Fileable
Other-BAS Respondent Guide -- Paper Respondents 13_RespondentGuide_PaperBAS_WorkingDraft_09_10_12.doc Yes Yes Fillable Fileable
Other-BAS Respondent Guide -- MTPS Respondents 13_RespondentGuide_MTPS_WorkingDraft_09_10_12.doc Yes Yes Fillable Fileable
Other-BAS Respondent Guide -- Digital Respondents 13_508_RespondentGuide_DigitalBAS_Local_v0.5_WorkingDraft_09_10_12.doc Yes Yes Fillable Fileable
Other-BAS Respondent Guide -- Tribal Digital Respondents 13_508_RespondentGuide_DigitalBAS_Tribal_v0.5_Working_Draft_09_10_12.doc Yes Yes Fillable Fileable
Other-BAS Respondent Guide - State Certification participants 2013StateCertification_RespondentGuide.docx Yes Yes Fillable Fileable
Other-Annual Response Letter, will be sent to the BAS contact with the Annual Response Form bas1l_13.pdf Yes Yes Fillable Fileable
Other-Annual Response Letter, will be sent to the American Indian Area (AIA) BAS contact with the Annual Response Form bas2l_13.pdf Yes Yes Fillable Fileable
Other-CBAS letter, will be sent to all local governments that are part of either a county or state consolidation agreement. bas3l_13.pdf Yes Yes Fillable Fileable
Other-BAS Response Methods Insert. This is printed on the back side of the Annual Response Form BAS-4I_Fixed.doc Yes Yes Fillable Fileable
Other-BAS Response Methods and Materials Insert. This is included with the regular BAS package bas5i_13.pdf Yes Yes Fillable Fileable
Other-Consolidated County Package Letter, this is sent to counties in a consolidation agreement bas8L_13.pdf Yes Yes Fillable Fileable
Other-County Package Letter with BAS Survey Form 2, will be sent to the BAS contact unless one has not been identified, when it will go to the HEO. bas9L_13.pdf Yes Yes Fillable Fileable
Other-Incorporated Place and Minor Civil Division Package Letter with BAS Survey Form 3, will be sent to the BAS contact unless one has not been identified, when it will go to HEO bas10L_13.pdf Yes Yes Fillable Fileable
Other-AIA Package Letter with BAS Survey Form 5, will be sent to BAS AIA contact unless one has not been identified, when it will go to Tribal Chair bas11L_13.pdf Yes Yes Fillable Fileable
Other-No Change Post Card is included in the BAS package, this is used for counties, places, MCDs and AIAs to provide a quick response of no change bas12pc_13.pdf Yes Yes Fillable Fileable
Other-Announcement for the BAS Workshops Letter , sent to HEO/TC/BAS contacts to inform them about workshops bas13l_13.pdf Yes Yes Paper Only
Other-State Certification Letter, sent to the local government, includes details of data reported to the Census Bureau, but not to the State BASSC-1.doc Yes Yes Fillable Fileable
Other-State Certification Letter, sent to the local government, includes details of data reported to the state, but not to the Census Bureau BASSC-2.doc Yes Yes Fillable Fileable
Other-State Certification Letter to the State Certifying Official to describe process and schedule BASSC-3.docx Yes Yes Fillable Fileable
Other-State Certification Letter, sent to the Governor to designate a State Certifying Official BASSC-4.doc Yes Yes Fillable Fileable
Other-Georgia Insert – information about the Georgia Department of Community Affairs’ role in the BAS process Georgia-Insert.doc Yes Yes Fillable Fileable
Other-Indiana Insert – Describes a special situation in Indiana where counties report for their MCDs BAS14I.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 84,464 0 10,464 0 0 74,000
Annual IC Time Burden (Hours) 169,368 0 -72,382 0 0 241,750
Annual IC Cost Burden (Dollars) 0 0 0 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.