Information Collection

2020 Census LUCA

IC 224254 under ICR 201801-0607-003 · OMB 0607-0994.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0994 can be found here:

2019-11-27 - No material or nonsubstantive change to a currently approved collection
2019-06-25 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form D-2001 2020 Census LUCA	Form
D-2007 2020 LUCA Paper Address List DRAFT_10_28_2016.docx	Other-Paper Address List
D-2008 2020 LUCA Address List Add Page DRAFT_10_28_2016.docx	Other-Paper Address List Add Page
D-2009 2020 LUCA Address Count List DRAFT_10_28_2016.docx	Other-Paper Address Count List
D-2010 2020 LUCA Map Sheet to Block Number Relationship List DRAFT_10_28_2016.docx	Other-Map Sheet to Block Relationshi
D-2001 Contact Information Update Form D-2001 2020 LUCA Contact Information Update Form DRAFT_10_28_2016.docx	Form
D-2002 Registration Form D-2002 2020 LUCA Registration Form DRAFT_10_28_2016.docx	Form
D-2003 Product Preference Form D-2003 2020 LUCA Product Preference Form DRAFT_10_28_2016.docx	Form
D-2003 (SG) State Government Product Preference Form D-2003(SG) 2020 LUCA State Product Preference Form DRAFT_10_28_2016.docx	Form
D-2005 Confidentiality Agreement Form D-2005 2020 LUCA Confidentiality Agreement Form DRAFT_10_28_2016.docx	Form
D-2011 Inventory Return Form D-2011 2020 LUCA Inventory Return Form DRAFT_10_28_2016.docx	Form
D-2012 Destruction or Return Form D-2012 2020 LUCA Destruction or Return Form DRAFT_10_28_2016.doc	Form
D-2004 Confidentiality and Security Guidelines D-2004 2020 LUCA Confidentiality Security Guidelines DRAFT_10_28_2016.doc	Form and Instruction
D-2006 Self-Assessment Security Checklist D-2006 2020 LUCA Security Checklist DRAFT_10_28_2016.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

2020 Census LUCA

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	D-2001	Contact Information Update Form	D-2001 2020 LUCA Contact Information Update Form DRAFT_10_28_2016.docx	Yes	Yes	Fillable Printable
Form	D-2002	Registration Form	D-2002 2020 LUCA Registration Form DRAFT_10_28_2016.docx	Yes	Yes	Fillable Printable
Form	D-2003	Product Preference Form	D-2003 2020 LUCA Product Preference Form DRAFT_10_28_2016.docx	Yes	Yes	Fillable Printable
Form	D-2003 (SG)	State Government Product Preference Form	D-2003(SG) 2020 LUCA State Product Preference Form DRAFT_10_28_2016.docx	Yes	Yes	Fillable Printable
Form	D-2005	Confidentiality Agreement Form	D-2005 2020 LUCA Confidentiality Agreement Form DRAFT_10_28_2016.docx	Yes	Yes	Fillable Printable
Other-Paper Address List			D-2007 2020 LUCA Paper Address List DRAFT_10_28_2016.docx	No		Paper Only
Other-Paper Address List Add Page			D-2008 2020 LUCA Address List Add Page DRAFT_10_28_2016.docx	Yes	No	Paper Only
Form	D-2011	Inventory Return Form	D-2011 2020 LUCA Inventory Return Form DRAFT_10_28_2016.docx	Yes	Yes	Fillable Printable
Form	D-2012	Destruction or Return Form	D-2012 2020 LUCA Destruction or Return Form DRAFT_10_28_2016.doc	Yes	Yes	Fillable Printable
Form and Instruction	D-2004	Confidentiality and Security Guidelines	D-2004 2020 LUCA Confidentiality Security Guidelines DRAFT_10_28_2016.doc	Yes	No	Paper Only
Form and Instruction	D-2006	Self-Assessment Security Checklist	D-2006 2020 LUCA Security Checklist DRAFT_10_28_2016.docx	Yes	No	Paper Only
Other-Paper Address Count List			D-2009 2020 LUCA Address Count List DRAFT_10_28_2016.docx	No		Paper Only
Other-Map Sheet to Block Relationship List			D-2010 2020 LUCA Map Sheet to Block Number Relationship List DRAFT_10_28_2016.docx	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40,000

Number of Respondents for Small Entity: 34,000

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	845,600	845,600
Annual IC Cost Burden (Dollars)	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.