C-411(V) Survey of Residential Building or Zoning Permit Systems

C-411(V)

FORM
(MM-DD-YYYY)

OMB No. 0607-0350: Approval Expires MM/DD/YYYY

SURVEY OF RESIDENTIAL
BUILDING OR ZONING PERMIT SYSTEMS

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

Title 13, United States Code, Sections 131 and 182, authorizes the Census Bureau to conduct this collection and to request your voluntary assistance. These data are typically provided in
public records and are not subject to confidentiality. This collection has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number is
0607-0350 and appears at the upper right of this page. Without this approval we could not conduct this survey. We estimate this survey will take an average of 15 minutes to complete.
More information about this estimate and an address where you may write with comments is in the letter that accompanies this form.

Person Completing This Survey
Name
Title
Telephone (Include area code)

SAMPLE FORM

Fax (Include area code)
E-mail address
Internet web address

This survey form is used to help us
identify permit-issuing jurisdictions
in the United States.

(Please correct any errors in name, address, and ZIP Code)

Mail or Fax to:
U.S. Census Bureau
Manufacturing and Construction Division
Residential Construction Branch
Washington, DC 20233–6900
(Fax) 1–301–763–8587

We would appreciate your response within 30 days
For further information call 1–800–845–8244

The following narrative describes our record of the latest information on your jurisdiction's geographic coverage:

Is this information correct?
Yes – Please return this form now.

No – Please explain in comments below.
Comments

If more space is needed, please attach a separate sheet.