Information Collection

Boundary and Annexation Survey

IC 219080 under ICR 201912-0607-001 · OMB 0607-0151.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0151 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
bas1l_18.pdf	Instruction
bas2l_18.pdf	Instruction
bas3l_18.pdf	Instruction
bas4l_18.pdf	Instruction
bas5l_18.pdf	Instruction
bas9l_18.pdf	Instruction
bas5i_18.pdf	Other-Insert - Materials Checklist
bas14i_18.pdf	Other-Insert - Response Methods Indi
bas15i_18.pdf	Other-Insert - Response Methods Geor
BAS-TribalFlyer_18.pdf	Other-BAS Tribal Flyer
BAS-Flyer_18.pdf	Other-BAS Flyer
2018_BAS_Email_BAS1L_FINAL.docx	Instruction
2018_BAS_Email_BAS2L_FINAL.docx	Instruction
2018_BAS_Email_BAS3L_FINAL.docx	Instruction
2018_BAS_Email_BAS4L_FINAL.docx	Instruction
2018_BAS_Email_BAS5L_FINAL.docx	Instruction
2018_BAS_Email_BASHEOTCCourtesyCopy_FINAL.docx	Other-Courtesy Email to HEO
2018_BAS_Email_BASYesChangeResponse_FINAL.docx	Instruction
2018_BAS_Email_BASYesChangeResponseToken_FINAL.docx	Other-SWIM token
2018_BAS_Email_BASYesChangeResponseHasAcct_FINAL.docx	Instruction
2018_BAS_Email_NonResponse_Template_FINAL.docx	Instruction
2018_BAS_Email_NonResponseYesChangeNoResponse_FINAL.docx	Instruction
2018_BAS_Email_State Agreement_FINAL.docx	Instruction
2018_BAS_Email_State Data Center_FINAL.docx	Instruction
BASSC 1L.docx	Instruction
BASSC 2L.docx	Instruction
BASSC 3L.docx	Instruction
19_BAS_RespondentGuide_State Certification_09052018.pdf	Other-State Certification Respondent
BASSC_Discrepancy_EmailBody_1.docx	Other-Email
BASSC_Discrepancy_EmailBody_2.docx	Other-Email
BASSC_SCO_EmailBody_text.docx	Other-Email
BAS16I.pdf	Other-Indiana Insert- 2020 Indiana s
2018_BAS_Email_BAS6L_Final.docx	Instruction
2018_BAS_Email_BAS7L_Final.docx	Instruction
Readme_BoundaryandAnnexationSurvey.txt	Instruction
ReadMe_BoundaryandAnnexationSurvey_GUPS.txt	Instruction
BASSC-4L_StateCert_SCO_Letter_MCD_09062018.docx	Instruction
BASSC-4L_StateCert_SCO_Letter_CCD_09062018.docx	Instruction
BASSC 4L.docx	Instruction
BAS-1 BAS 1 - Place Form BAS1.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-2 BAS 2 - County Form BAS2.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-3 BAS 3 - MCD Form BAS3.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-5 BAS 5 - AIA Form BAS5.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-6 BAS 6 - Consolidated BAS BAS6.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-ARF BAS Annual Response Form BAS-ARF.pdf www.census.gov/programs-surveys/bas.html	Form
BASSC 1L State Certification Program BASSC 1L Form.pdf	Form
BASSC 2L Boundary Changes Not Reported to Census Bureau BASSC 2L Form.pdf	Form
BASSC State Certifying Official Sign-Up Form BASSC Form.pdf	Form
BASRespondentGuide_Paper.docx BAS Paper Respondent Guide	IC Document
BASRespondentGuide_Digital.docx BAS Digital Non-Tribal Respondent Guide	IC Document
BASRespondentGuide_TribalDigital.docx BAS Digital Tribal Respondent Guide	IC Document
BASRespondentGuide_Digital_GUPS.docx BAS GUPS Respondent Guide	IC Document
BASRespondentGuide_GUPSQuickStart.docx BAS GUPS Quick Reference Guide	IC Document
BASRespondentGuide_DigitalQuickStart.docx BAS Digital QuickStart	IC Document
BASRespondentGuide_Tribal_GUPS.docx BAS Tribal GUPS	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Boundary and Annexation Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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
Instruction			2018_BAS_Email_NonResponseYesChangeNoResponse_FINAL.docx		Yes	Yes	Fillable Fileable
Instruction			2018_BAS_Email_State Agreement_FINAL.docx		Yes	Yes	Fillable Fileable
Instruction			2018_BAS_Email_State Data Center_FINAL.docx		Yes	Yes	Fillable Fileable
Form	BASSC 1L	State Certification Program	BASSC 1L Form.pdf		Yes	Yes	Fillable Fileable
Form	BASSC 2L	Boundary Changes Not Reported to Census Bureau	BASSC 2L Form.pdf		Yes	Yes	Fillable Fileable
Form	BASSC	State Certifying Official Sign-Up Form	BASSC Form.pdf		Yes	Yes	Fillable Fileable
Instruction			BASSC 1L.docx		Yes	Yes	Fillable Fileable
Instruction			BASSC 2L.docx		Yes	Yes	Fillable Fileable
Instruction			BASSC 3L.docx		Yes	Yes	Fillable Fileable
Other-State Certification Respondent Guide			19_BAS_RespondentGuide_State Certification_09052018.pdf		Yes	Yes	Paper Only
Other-Email			BASSC_Discrepancy_EmailBody_1.docx		Yes	Yes	Fillable Fileable
Other-Email			BASSC_Discrepancy_EmailBody_2.docx		Yes	Yes	Fillable Fileable
Other-Email			BASSC_SCO_EmailBody_text.docx		Yes	Yes	Fillable Fileable
Other-Indiana Insert- 2020 Indiana specific information			BAS16I.pdf		Yes	Yes	Fillable Fileable
Instruction			2018_BAS_Email_BAS6L_Final.docx		Yes	Yes	Fillable Fileable
Instruction			2018_BAS_Email_BAS7L_Final.docx		Yes	Yes	Fillable Fileable
Instruction			Readme_BoundaryandAnnexationSurvey.txt		Yes	Yes	Fillable Fileable
Instruction			ReadMe_BoundaryandAnnexationSurvey_GUPS.txt		Yes	Yes	Fillable Fileable
Instruction			BASSC-4L_StateCert_SCO_Letter_MCD_09062018.docx		Yes	Yes	Fillable Fileable
Instruction			BASSC-4L_StateCert_SCO_Letter_CCD_09062018.docx		Yes	Yes	Fillable Fileable
Instruction			BASSC 4L.docx		Yes	Yes	Fillable Fileable
Form	BAS-1	BAS 1 - Place Form	BAS1.pdf	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable
Form	BAS-2	BAS 2 - County Form	BAS2.pdf	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable
Form	BAS-3	BAS 3 - MCD Form	BAS3.pdf	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable
Form	BAS-5	BAS 5 - AIA Form	BAS5.pdf	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable
Form	BAS-6	BAS 6 - Consolidated BAS	BAS6.pdf	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable
Instruction			bas1l_18.pdf		Yes	Yes	Fillable Fileable
Instruction			bas2l_18.pdf		Yes	Yes	Fillable Fileable
Instruction			bas3l_18.pdf		Yes	Yes	Fillable Fileable
Instruction			bas4l_18.pdf		Yes	Yes	Fillable Fileable
Instruction			bas5l_18.pdf		Yes	Yes	Fillable Fileable
Instruction			bas9l_18.pdf		Yes	Yes	Fillable Fileable
Other-Insert - Materials Checklist			bas5i_18.pdf		Yes	Yes	Fillable Fileable
Instruction			2018_BAS_Email_NonResponse_Template_FINAL.docx		Yes	Yes	Fillable Fileable
Other-BAS Flyer			BAS-Flyer_18.pdf		No		Paper Only
Instruction			2018_BAS_Email_BAS1L_FINAL.docx		Yes	Yes	Fillable Fileable
Instruction			2018_BAS_Email_BAS2L_FINAL.docx		Yes	Yes	Fillable Fileable
Instruction			2018_BAS_Email_BAS3L_FINAL.docx		Yes	Yes	Fillable Fileable
Instruction			2018_BAS_Email_BAS4L_FINAL.docx		Yes	Yes	Fillable Fileable
Instruction			2018_BAS_Email_BAS5L_FINAL.docx		Yes	Yes	Fillable Fileable
Other-Courtesy Email to HEO			2018_BAS_Email_BASHEOTCCourtesyCopy_FINAL.docx		Yes	Yes	Fillable Fileable
Instruction			2018_BAS_Email_BASYesChangeResponse_FINAL.docx		Yes	Yes	Fillable Fileable
Other-Insert - Response Methods Indiana			bas14i_18.pdf		Yes	Yes	Fillable Fileable
Other-Insert - Response Methods Georgia			bas15i_18.pdf		Yes	Yes	Fillable Fileable
Other-BAS Tribal Flyer			BAS-TribalFlyer_18.pdf		No		Paper Only
Other-SWIM token			2018_BAS_Email_BASYesChangeResponseToken_FINAL.docx		Yes	Yes	Fillable Fileable
Instruction			2018_BAS_Email_BASYesChangeResponseHasAcct_FINAL.docx		Yes	Yes	Fillable Fileable
Form	BAS-ARF	BAS Annual Response Form	BAS-ARF.pdf	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 84,465

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	84,465	84,465
Annual IC Time Burden (Hours)	170,056	170,056
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
BAS Paper Respondent Guide	BASRespondentGuide_Paper.docx	08/28/2018
BAS Digital Non-Tribal Respondent Guide	BASRespondentGuide_Digital.docx	08/28/2018
BAS Digital Tribal Respondent Guide	BASRespondentGuide_TribalDigital.docx	08/28/2018
BAS GUPS Respondent Guide	BASRespondentGuide_Digital_GUPS.docx	08/28/2018
BAS GUPS Quick Reference Guide	BASRespondentGuide_GUPSQuickStart.docx	08/28/2018
BAS Digital QuickStart	BASRespondentGuide_DigitalQuickStart.docx	08/28/2018
BAS Tribal GUPS	BASRespondentGuide_Tribal_GUPS.docx	08/28/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.