State & Local Government Finance Forms

Forms and Documents

Document Name	Status
Form F-5 State & Local Government Finance Forms Form	Modified
OMB NonSubstantive Change Request_Local Finance and Pensions.docx Justification for No Material/Nonsubstantive Change	2015-09-21
SUPPORTING STATEMENT_SECTION_B_updated_09162015.docx Supporting Statement B	2015-09-21
SUPPORTING STATEMENT_SECTION_A_060914.docx Supporting Statement A	2014-07-02

IC Document Collections

IC ID	Document Title	Status
3476	State & Local Government Finance Forms Form	Modified

ICR Details

OMB Control No: 0607-0585	ICR Reference No: 201509-0607-017
Status: Historical Active	Previous ICR Reference No: 201407-0607-001
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: State & Local Government Finance Forms
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/07/2015
	Date Received in OIRA: 09/25/2015
Terms of Clearance: Prior to the commencement of the State & Local Government Finance worksheet distribution, the Census Bureau shall provide on its Internet site prominent links to a set of finalized survey worksheets, including instructions and cover messages, comparable to those provided for the 2012 Economic Census report forms. The final worksheets, instructions, and messages shall reflect any changes in the survey year, OMB number expiration date, and Census leadership from those submitted for review.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	09/30/2017	09/30/2017
Responses	13,135	0	13,135
Time Burden (Hours)	36,377	0	36,377
Cost Burden (Dollars)	0	0	0

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Abstract: This program provides government finance data for state and local governments. This survey is conducted annually, as a national census every 5 years, and as a sample survey in each of the 4 intervening years. The Census Bureau provides these data to the Federal Reserve Board for constructing the Nation's Flow of Funds Accounts and the Bureau of Economic Analysis for the National Income and Product Accounts. The data are also used to monitor the government sector of the economy and to formulate, develop, and review public policy. Federal agencies, state and local governments, and the private sector all use these data. The respondents to this survey are state and local government officials.

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Authorizing Statute(s): US Code: 13 USC 161, 182 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 4869	01/30/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 45424	08/05/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
State & Local Government Finance Forms	F-12S, F-5, F-11, F-12, F-13, F-28, F-29, F-32	Survey of State Tax Collections ,   Survey of Locally Administered Public-Employee Retirement Systems ,   Survey of State Administered Public-Employee Retirement Systems ,   Survey of the Finances of Insurance Trust Systems ,   Survey of County, Municipal, and Township Government Finances ,   Survey of Local Government Finances - Multi-function Special Agencies ,   Survey of Local Government Finances - Special Agencies ,   Supplemental Survey of State-Administered Public-Employee Retirement Systems

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	13,135	13,135	0	0	0	0
Annual Time Burden (Hours)	36,377	36,377	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $7,566,428

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/25/2015

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