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pdfPAPERWORK 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/Decennial Census
Management Division and Geography Division
a.
XXXX
b. NONE
4. TYPE OF REVIEW REQUESTED (X one)
3. TYPE OF INFORMATION COLLECTION (X one)
X
X
0607
a. NEW COLLECTION
a. REGULAR SUBMISSION
b. EMERGENCY - APPROVAL REQUESTED BY:
b. REVISION OF A CURRENTLY APPROVED COLLECTION
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
NO
X YES
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
2020 Census Local Update of Census Addresses Operation (LUCA)
8. AGENCY FORM NUMBER(S) (if applicable)
D-2001, D-2001 (SP), D-2002, D-2002 (SP), D-2003, D-2003 (SP), D-2003 (SG), D-2004, D-2004 (SP), D-2005, D-2005 (SP), D-2006, D-2006 (SP), D-2008,
D-2008 (SP), D-2009, D-2009 (SP), D-2010, D-2010 (SP), D-2011, D-2011 (SP), D-2012, and D-2012 (SP).
9. KEYWORDS
N/A
10. ABSTRACT
The Local Update of Census Addresses (LUCA) Operation was developed by the U.S. Census Bureau to meet the requirements of the Census Address List
Improvement Act of 1994, Public Law 103-430. The Census Bureau will use LUCA to help develop the housing unit and group quarters address information that it
will need to conduct the 2020 Decennial Census. LUCA is a voluntary operation available to tribal, state, and local governments, the District of Columbia, and
Puerto Rico in areas for which the Census Bureau performs a pre-census Address Canvassing Operation (excluding sparsely settled areas of Alaska). This
information collection will occur between January 2017 and June 2020.
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:
X
b. PROGRAM EVALUATION
c. GENERAL PURPOSE STATISTICS
d. AUDIT
P
17. STATISTICAL METHODS
Does this information collection employ
statistical methods?
OMB FORM 83-I, 10/95
d. CURRENT OMB INVENTORY
e. DIFFERENCE (+, -)
f.
X
NO
EXPLANATION OF DIFFERENCE:
(1) Program change (+, -)
(2) Adustment (+, -)
"P" and all others that apply with "X")
YES
c. TOTAL ANNUALIZED COST REQUESTED
(2) Adustment (+, -)
a. APPLICATION FOR BENEFITS
0.00
0.00
0.00
0
0
b. TOTAL ANNUAL COSTS (O&M)
(1) Program change (+, -)
15. PURPOSE OF INFORMATION COLLECTION (Mark primary with
X
a. TOTAL CAPITAL/STARTUP COSTS
40,000
10,000
50
845,600
0
845,600
e. PROGRAM PLANNING
OR MANAGEMENT
16. FREQUENCY OF RECORDKEEPING OR REPORTING (X all that apply)
X a. RECORDKEEPING
b. THIRD PARTY DISCLOSURE
X c. REPORTING:
f. RESEARCH
g. REGULATORY OR
COMPLIANCE
(1) On Occasion
(2) Weekly
(4) Quarterly
(5) Semi-Annually
(7) Biennially
(8) Other (Describe)
(3) Monthly
X
(6) Annually
18. AGENCY CONTACT (Person who can best answer questions regarding the content of this
submission)
a. NAME
Robin Pennington
b. TELEPHONE NUMBER (Include area code)
301-763-8132
OMB CONTROL NUMBER
0607
XXXX
TITLE
2020 Census Local Update of Census Addresses Operation (LUCA)
19. CERTIFICATION FOR PAPERWORK REDUCTION ACT SUBMISSIONS
a. PROGRAM OFFICIAL CERTIFICATION (Internal DOC Use Only)
Type name
Date
Nancy A. Potok, Deputy Director and Chief Operating Officer
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
Jennifer Jessup, Departmental Paperwork Clearance Officer
OMB FORM 83-I (BACK), 10/95
Date
File Type | application/pdf |
File Title | Office of Management and Budget Form 83-I. PAPERWORK REDUCTION ACT SUBMISSION |
Subject | PAPERWORK REDUCTION ACT SUBMISSION |
Author | US Census Bureau |
File Modified | 2016-09-30 |
File Created | 2000-05-31 |