OMB 83-i

PAPERWORK REDUCTION ACT SUBMISSION
Please read the instructions before completing this form. For additional forms or assistance in completing this form, contact your
agency's Paperwork Clearance Officer. Send two copies of this form, the collection instrument to be reviewed, the Supporting
Statement, and any additional documentation to: Office of Information and Regulatory Affairs, Office of Management and Budget,
Docket Library, Room 10102, 725 17th Street NW, Washington, DC 20503.
2. OMB CONTROL NUMBER

1. AGENCY/SUBAGENCY ORIGINATING REQUEST

Department of Commerce/Census Bureau/Government and Trade
Management Division

a.

0112

b. NONE

4. TYPE OF REVIEW REQUESTED (X one)

3. TYPE OF INFORMATION COLLECTION (X one)

X
a. NEW COLLECTION

a. REGULAR SUBMISSION
b. EMERGENCY - APPROVAL REQUESTED BY:

b. REVISION OF A CURRENTLY APPROVED COLLECTION

X

0607

c. DELEGATED

c. EXTENSION OF A CURRENTLY APPROVED COLLECTION
d. REINSTATEMENT, WITHOUT CHANGE, OF A PREVIOUSLY
APPROVED COLLECTION FOR WHICH APPROVAL HAS EXPIRED

5. SMALL ENTITIES
Will this information collection have a significant economic
impact on a substantial number of small entities?

e. REINSTATEMENT, WITH CHANGE, OF A PREVIOUSLY
APPROVED COLLECTION FOR WHICH APPROVAL HAS EXPIRED

YES
X NO
6. REQUESTED EXPIRATION DATE

X

f. EXISTING COLLECTION IN USE WITHOUT AN OMB CONTROL
NUMBER

a. THREE YEARS FROM APPROVAL DATE
b. OTHER:

7. TITLE

Quarterly Summary of State and Local Government Tax Revenues
8. AGENCY FORM NUMBER(S) (if applicable)
F-71, F-72, F-73
9. KEYWORDS

10. ABSTRACT
The Census Bureau conducts the Quarterly Summary of State and Local Government Tax Revenue using the F-71 form (Quarterly Survey of Property Tax
Collections), the F-72 form (Quarterly Survey of State Tax Collections), and the F-73 form (Quarterly Survey of Non-Property Taxes). The Quarterly Summary of
State and Local Government Tax Revenue provides quarterly estimates of state and local government tax revenue at the national level, as well as detailed tax revenue
data for individual states.
11. AFFECTED PUBLIC (Mark primary with "P" and all others that apply with "X")
a. INDIVIDUALS OR HOUSEHOLDS

d. FARMS

b. BUSINESS OR OTHER FOR-PROFIT

e. FEDERAL GOVERNMENT

12. OBLIGATION TO RESPOND (Mark primary with "P" and all

P

a. VOLUNTARY

others that apply with "X")

b. REQUIRED TO OBTAIN OR RETAIN BENEFITS

c. MANDATORY
P f. STATE, LOCAL OR TRIBAL GOVERNMENT
13. ANNUAL REPORTING AND RECORDKEEPING HOUR BURDEN
14. ANNUALIZED COST TO RESPONDENTS (In thousands of dollars)
c. NOT-FOR-PROFIT INSTITUTIONS

a. NUMBER OF RESPONDENTS
b. TOTAL ANNUAL RESPONSES
(1) Percentage of these responses collected electronically
c. TOTAL ANNUAL HOURS REQUESTED
d. CURRENT OMB INVENTORY
e. DIFFERENCE (+, -)
f.

EXPLANATION OF
DIFFERENCE:

7,351
29,404
100
8,002
7,978
24

a. TOTAL CAPITAL/STARTUP COSTS
c. TOTAL ANNUALIZED COST REQUESTED
d. CURRENT OMB INVENTORY
e. DIFFERENCE (+, -)
f.

(2) Adustment (+, -)

16. FREQUENCY OF RECORDKEEPING OR REPORTING (X all that apply)

"P" and all others that apply with "X")
b. PROGRAM EVALUATION
c. GENERAL PURPOSE STATISTICS
d. AUDIT

17. STATISTICAL METHODS
Does this information collection employ
statistical methods?
X

YES

OMB FORM 83-I, 10/95

a. RECORDKEEPING
e. PROGRAM PLANNING
OR MANAGEMENT

NO

0.00
0.00

(2) Adustment (+, -)

24

15. PURPOSE OF INFORMATION COLLECTION (Mark primary with

P

EXPLANATION OF DIFFERENCE:
(1) Program change (+, -)

(1) Program change (+, -)

a. APPLICATION FOR BENEFITS

0.00
0.00
0.00
0
0.00

b. TOTAL ANNUAL COSTS (O&M)

X

b. THIRD PARTY DISCLOSURE

c. REPORTING:

f. RESEARCH
g. REGULATORY OR
COMPLIANCE

X

(1) On Occasion

(2) Weekly

(3) Monthly

(4) Quarterly

(5) Semi-Annually

(6) Annually

(7) Biennially

(8) Other (Describe)

18. AGENCY CONTACT (Person who can best answer questions regarding the content of this
submission)
a. NAME

Kristina Pasquino-Frates

b. TELEPHONE NUMBER (Include area code)

301-763-5034

OMB CONTROL NUMBER

0607

0112

TITLE

Quarterly Summary of State and Local Government Tax Revenues

19. CERTIFICATION FOR PAPERWORK REDUCTION ACT SUBMISSIONS
a. PROGRAM OFFICIAL CERTIFICATION (Internal DOC Use Only)
Type name Ron Jarmin, Deputy Director, U.S. Census Bureau

RON JARMIN

Digitally signed by RON JARMIN
Date: 2019.04.15 16:30:29 -04'00'

Date

04/15/2019

On behalf of this Federal agency, I certify that the collection of information encompassed by this request
complies with 5 CFR 1320.9.
NOTE: The text of 5 CFR 1320.9, and the related provisions of 5 CFR 1320.8(b)(3), appear at the end of the
instructions. The certification is to be made with reference to those regulatory provisions as set forth in the
instructions.
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 (see note in Item 19 of the instructions);
(i) If applicable, it uses effective and efficient statistical survey methodology; and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item below and explain the
reason in Item 18 of the Supporting Statement.

b. SENIOR OFFICIAL OR DESIGNEE CERTIFICATION
Type name

OMB FORM 83-I (BACK), 10/95

Date