Boundary and Annexation Survey

B ASSC-1L

(10-2015)

<DATE>

<BAS_NAME>

<BAS_POSITION>

<BAS_DEPT_NAME>

<BAS_MAILING_ADDRESS>

<BAS_CITY_STATE_ZIP>

<ENTITY_TYPE>

Dear <CONTACT_SALUTATION> + <BAS_LAST_NAME>:

Every year, the U.S. Census Bureau (Census Bureau) conducts the Boundary and Annexation Survey (BAS) to provide an opportunity for tribal, state, and local governments to ensure their legal boundaries, names, and government statuses are correctly recorded with the federal government. Following the BAS, the BAS State Certification Program provides the governor-appointed State Certifying Official (SCO) an opportunity to verify that the legal boundary, legal name, and governmental status received through the BAS were reported in accordance with the state law. This ensures the accuracy of geographic boundaries used to tabulate data for the decennial and economic censuses, and for annual estimates and surveys such as the American Community Survey and Population Estimates Program.

During the <YYYY> BAS State Certification Program, the SCO reviewed changes submitted to the <YYYY> BAS. Your state’s SCO notified the Census Bureau that one or more boundary changes were not implemented in accordance with state law. Those changes are listed on the attached form. If you believe these boundary changes are legally in effect, please ensure the required documentation is filed with the appropriate state or county level agency. Once resolved, please resubmit the boundary changes with appropriate documentation to the Census Bureau by email to [email protected].

If you have any questions, please contact Ms. Allison Shafer of the Census Bureau’s Geography Division, by email at [email protected] or by phone at 301-763-1099.

Sincerely,

Ron S. Jarmin

Performing the Non-Exclusive Functions

and Duties of the Director

Enclosure

We estimate that completing this program will take a total of 10 hours 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 letter 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.

census.gov