OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

2020 Census LUCA

IC 224254 under ICR 201911-0607-008 · OMB 0607-0994.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form D-2001
Contact Information Update Form 2020 Census LUCA		 Form
Form D-2002
Registration Form 2020 Census LUCA		 Form
Form D-2003
Product Preference Form 2020 Census LUCA		 Form
Form D-2003 (SG)
State Government Product Preference Form 2020 Census LUCA		 Form
Form D-2005
Confidentiality Agreement Form 2020 Census LUCA		 Form
Form D-2011
Inventory Return Form 2020 Census LUCA		 Form
Form D-2012
Destruction or Return Form 2020 Census LUCA		 Form
Form D-2004
Confidentiality and Security Guidelines 2020 Census LUCA		 Form and Instruction
Form D-2006
Self-Assessment Security Checklist 2020 Census LUCA		 Form and Instruction
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)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form D-2001 Yes Yes Fillable Printable
Form D-2002 Yes Yes Fillable Printable
Form D-2003 Yes Yes Fillable Printable
Form D-2003 (SG) Yes Yes Fillable Printable
Form D-2005 Yes Yes Fillable Printable
Other-Paper Address List No   Paper Only
Other-Paper Address List Add Page Yes No Paper Only
Form D-2011 Yes Yes Fillable Printable
Form D-2012 Yes Yes Fillable Printable
Form and Instruction D-2004 Yes No Paper Only
Form and Instruction D-2006 Yes No Paper Only
Other-Paper Address Count List No   Paper Only
Other-Map Sheet to Block Relationship List No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 40,000 0 0 0 0 40,000
Annual IC Time Burden (Hours) 845,600 0 0 0 0 845,600
Annual IC Cost Burden (Dollars) 0 0 0 0 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.
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