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Federal forms, ICRs, and supporting documents

Information Collection

Boundary and Annexation Survey

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

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Other-Insert - Materials Checklist
Other-Insert - Response Methods Indi
Other-Insert - Response Methods Geor
Other-BAS Tribal Flyer
Other-BAS Flyer
Instruction
Instruction
Instruction
Instruction
Instruction
Other-Courtesy Email to HEO
Instruction
Other-SWIM token
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Other-State Certification Respondent
Other-Email
Other-Email
Other-Email
Other-Indiana Insert- 2020 Indiana s
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Form
Form
Form
Form
Form
Form
Form
Form
Form
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Boundary and Annexation Survey
 
No Unchanged
 
Voluntary
 

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

General Government Central Records & Statistical Mgt

 

84,465 0
   
State, Local, and Tribal Governments
 
   75 %

  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 84,465 0 0 0 0 84,465
Annual IC Time Burden (Hours) 170,056 0 0 0 0 170,056
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.