BAS-2 BAS 2 - County Form

BAS-2

FORM
OMB Control No. 0607-0151
ExpirationDate:XX-XX-XXXX

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

BOUNDARY AND ANNEXATION SURVEY (BAS)
COUNTIES AND EQUIVALENT AREAS
Boundaries as of —

GENERAL
INSTRUCTIONS

To report changes for your county, parish, borough or equivalent area, please complete this form.
• It is important that all questions on the form are answered completely.
• If there are no boundary changes to report, please email [email protected], call 1–800–972–5651, or respond
electronically at https://www.census.gov/programs-surveys/bas.html.
• Please do not return all of the maps. Sign and return only the maps with changes.
• Return the completed form(s) and updated map(s) using the preaddressed envelope or return label.
• For further instructions on filling out this form, please refer to the BAS Respondent Guide.
Type

County, parish, borough or equivalent area

STATE CODE

BAS ID

State

COUNTY CODE

IMPORTANT – ANNOTATE EACH CHANGE ON THE MAP(S) WITH THE APPROPRIATE DOCUMENTATION ACCORDING TO THE
INSTRUCTIONS PROVIDED IN THE BAS RESPONDENT GUIDE. Please update the map(s) USING THE APPROPRIATE COLORED PENCILS.

Question 1

LEGAL COUNTY BOUNDARY CHANGES DURING THIS PERIOD

Please mark (X) the appropriate boxes.
1a. Have there been any legal boundary changes to this county, parish, borough or equivalent area during the time period shown above?
Yes – Please record all legal changes (annexations, deannexations, and other actions) in the Documentation of Changes
section of this form and update the map(s) USING THE ENCLOSED RED PENCIL. Continue with question 1b.
No – Continue with question 1b.
1b. Are there any legal boundary changes to the county, parish, borough or equivalent area that occurred prior to the time period shown
for question 1, but do not appear on the enclosed maps?
Yes – Please update the map(s) with the RED PENCIL. Continue with question 1c.
No – Continue with question 1c.
1c. Besides legal changes, are there any boundary corrections that need to be made to your boundary on the map(s)?
Yes – Correct the map(s) USING THE RED PENCIL and the letters "BC" to indicate a boundary correction.
Enter the total number of boundary corrections that were
made to the county or equivalent area’s boundary.

Continue with question 1d.

No – Continue with question 1d.
1d. Is your county a consolidated BAS respondent? If you are unfamiliar with this approach, please consult your BAS Respondent Guide.
Yes – Continue with question 2.
No – Please encourage the MCD and/or incorporated place BAS respondents in your county, parish, borough or equivalent
area to report their changes. Continue with question 2d.
Question 2

OTHER CHANGES – Mark (X) applicable box(es).

2a. Have there been any legal boundary changes to the minor civil divisions or incorporated places (if any) within this county,
parish, borough or equivalent area during the time period shown for question 1, above?
Yes – Please update the map(s) with the RED PENCIL. Continue with question 2b.
No – Continue with question 2b.
2b. Are there any legal boundary changes to the minor civil divisions or incorporated places (if any) that occurred prior to the
time period shown for question 1, but do not appear on the enclosed maps?
Yes – Please update the map(s) with the RED PENCIL. Continue with question 2c.
No – Continue with question 2c.
2c. Are there any corrections that should be made to the boundaries shown on the map(s) of your minor civil divisions (MCDs) or
incorporated places?
Yes – Please update the map(s) with the RED PENCIL and the letters "BC" to indicate a boundary correction.
Enter the total number of boundary corrections that
were made to MCDs and incorporated places.

Continue with question 2d.

No – Continue with question 2d.
2d. Do you wish to report any additions, deletions or other changes to the features (other than boundaries) shown on the map(s)?
Yes – Please update the map(s) with the PURPLE PENCIL. Continue with question 3.

No – Continue with question 3.

We estimate that completing this form will take 30 minutes on average. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to [email protected]. This collection has been approved by the Office of Management and Budget (OMB). The eight digit
OMB approval number that appears at the upper left of the form confirms this approval. If this number were not displayed, we could not conduct this survey. The Census
Bureau conducts this program under the legal authority of the Title 13 U.S. Code, Section 6.

Question 3

CONTACT INFORMATION – Please fill in your contact information in the space provided below.
BAS Respondent

Mailing
Address

Mark (X) one government type for the BAS Respondent.

(The BAS respondent is the person filling out this form.)

Local

County/equivalent

Regional

Name
Address
Position
Department

City

Telephone

(

)

Fax

(

)

Ext.

State

ZIP code

E-mail

Mark (X) this box if the BAS Respondent
is the same as the BAS Mailing Contact.

Question 4

Mark (X) this box if the BAS Respondent is
the same as the Highest Elected Official.

CONTACT INFORMATION – Please fill in or correct the contact information below.
Mark (X) one government type for the BAS Mailing Contact.

BAS Mailing Contact

Mailing
Address

(Provide address where BAS materials should be sent.)

Local

County/equivalent

Regional

Name
Address
Position
Department

City

Telephone

(

)

Fax

(

)

Ext.

State

ZIP code

E-mail

Highest Elected Official

Mailing
Address

(for county, parish, borough or equivalent area)

Name
Address
Position
Department

City

Telephone

(

)

Fax

(

)

Ext.

State

ZIP code

E-mail

RETURN FORMS TO:
U.S. Census Bureau
National Processing Center
ATTN: BAS RETURNS, BLDG 63E
1201 East 10th Street
Jeffersonville, IN 47132

Questions?

Telephone: 1-800-972-5651

REMINDER: Sign and date the signature box on all updated map sheets.

Thank you for your participation and timely response.
E-mail: [email protected]

website: https://www.census.gov/programs-surveys/bas.html
CENSUS USE ONLY

SPECIAL INSTRUCTIONS (If any)

FORM BAS-2 (11-15-2016)

Date
processed

Clerk ID
processed

Date
verified

Clerk ID
verified

Date form
keyed

Date GPP
updated

S/S change

Map received

Map
change

S/S no
change

Other map

Map no
change

PLAT/
Description

Map
signed

Letter

GOVERNMENT NAMES AND STATUS DOCUMENTATION
COUNTIES AND EQUIVALENT AREAS
County, parish, borough or equivalent area

BAS ID

Type

State

STATE CODE

COUNTY CODE

SPECIAL INSTRUCTIONS (If any)

Other (merger,
consolidation, etc.)

(1)

Inactive entity
became active

• Correct the spelling only
• Do not enter a date in column (9).

Active entity
became inactive

If the name shown is misspelled —

• Draw a line through it,
• Print the correct type
above it, and
• Enter the date the change
was effective in column (9).

Incorporated place or
MCD never existed

• Draw a line through it,
• Print the correct type above it, and
• Enter the date the change was effective in column (9).

If the type shown is
incorrect —

STATUS CHANGES
If changes in status have
occurred — Please mark (X)
in the appropriate column
and enter the date the
change was effective in (9).

Disincorporated place
or disorganized MCD

If the name shown has changed —

TYPE

New incorporated place
or organized MCD

NAME OF INCORPORATED PLACE OR
MINOR CIVIL DIVISION (MCD)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

Refer to the BAS Respondent Guide for instructions on filling out this table.
FORM BAS-2 (11-15-2016)

EFFECTIVE
DATE OF
CHANGE
Month, day,
year

(9)

GOVERNMENT NAMES AND STATUS DOCUMENTATION – Continued
COUNTIES AND EQUIVALENT AREAS
County or
equivalent
areaor(ifequivalent
any)
County,
parish,
borough
area

BAS ID

Type

State

STATE CODE

Other (merger,
consolidation, etc.)

(2)

Inactive entity
became active

(1)

Active entity
became inactive

If the name shown is misspelled —
• Correct the spelling only
• Do not enter a date in column (9).

Incorporated place or
MCD never existed

• Draw a line through it,
• Print the correct name above it, and
• Enter the date the change was effective in column (9).

If the type shown is
incorrect —
• Draw a line through it,
• Print the correct type
above it, and
• Enter the date the change
was effective in column (9).

STATUS CHANGES
If changes in status have
occurred — Please mark (X)
in the appropriate column
and enter the date the
change was effective in (9).
Disincorporated place
or disorganized MCD

If the name shown has changed —

TYPE

New incorporated place
or organized MCD

NAME OF INCORPORATED PLACE OR
MINOR CIVIL DIVISION

COUNTY CODE

(3)

(4)

(5)

(6)

(7)

(8)

EFFECTIVE
DATE OF
CHANGE
Month, day,
year

If additional space is needed, please use the BAS-2 "Government Names and Status Documentation" form
found in the BAS Respondent Guide.
FORM BAS-2 (11-15-2016)

(9)

Documentation of Changes
COUNTIES AND EQUIVALENT AREAS
County, parish, borough or equivalent area

Type

BAS ID

STATE CODE

State

COUNTY CODE

SPECIAL INSTRUCTIONS (If any)

Please follow the instructions below and review the preprinted entries for correctness and completeness and make changes as
necessary. For new legal changes, use the provided spaces to print the requested information for all annexations, deannexations and
other changes that have occurred during the previous year(s).
Instructions for Entering Data in Columns
(1) Change – Enter A for annexations, D for deannexations, B for boundary corrections, or O for other changes.
(2) Authorization – Enter the authorization type. (O = Ordinance, R = Resolution, L= Local Law, S = State-level action, and X =Other)
(3) Authorization – Enter the authorization number for the change you are reporting.
(4) Date – Enter the effective date of the change. (Month, day, year)
(5) Entity – Enter the name of the entity (i.e. name of MCD, place, or county) where the change occurred.
(6) County/Equivalent – Enter the name of the county or equivalent area in which the change occurred.
(7) Minor Civil Division (MCD) – Enter the name of the minor civil division (if any) in which the change occurred.
(8) Area – Enter the estimated size (in tenths of acres) of the annexation, deannexation or other change.

Change
Type
A/D/O
(1)

Authorization
Type
O/R/L/S/X
(2)

FORM BAS-2 (11-15-2016)

Authorization
Number
(3)

Date
Month/Day,
Year

Entity
Name

County/
Equivalent
Name

(4)

(5)

(6)

Minor Civil Division
Name (if any)
(7)

Area
Acres
(tenths)
(8)

Documentation of Changes – Continued
COUNTIES AND EQUIVALENT AREAS
County, parish, borough or equivalent area

Type

BAS ID
Change
Type
A/D/O
(1)

STATE CODE
Authorization

Type
O/R/L/S/X
(2)

Authorization
Number
(3)

State

COUNTY CODE

Date
Month/Day,
Year

Entity
Name

County/
Equivalent
Name

(4)

(5)

(6)

Minor Civil Division
Name (if any)
(7)

If additional space is needed, please use the BAS-2 "Documentation of Changes" form
found in the BAS Respondent Guide.
FORM BAS-2 (11-8-2016)

Area
Acres
(tenths)
(8)