BASSC 1L State Certification Program

FORM BASSC
(10-2015)

1L

BOUNDARY CHANGES TO
REVERSED DURING STATE CERTIFICATION PROGRAM

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

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Activation Type

Authorization Type

(a)

(b)

USCENSUSBUREAU

Local Authorization Number
(c)

Page 2

Local Effective Date

Estimated Acres

(d)

(e)

FORM BASSC
(10-2015)

1L

U.S. DEPARTMENT OF COMMERCE

BOUNDARY CHANGES TO

Economics and Statistics Administration

U.S. CENSUS BUREAU

REVERSED DURING STATE CERTIFICATION PROGRAM
Activation Type

Authorization Type

(a)

(b)

USCENSUSBUREAU

Local Authorization Number
(c)

Page 3

Local Effective Date

Estimated Acres

(d)

(e)