Information Collection

Boundary and Annexation Survey

IC 219080 under ICR 202012-0607-003 · OMB 0607-0151.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form BAS-1
BAS 1 - Place Form Boundary and Annexation Survey
Form
Form BAS-2
BAS 2 - County Form Boundary and Annexation Survey
Form
Form BAS-3
BAS 3 - MCD Form Boundary and Annexation Survey
Form
Form BAS-5
BAS 5 - AIA Form Boundary and Annexation Survey
Form
Form BAS-6
BAS 6 - Consolidated BAS Boundary and Annexation Survey
Form
Form BAS-ARF
BAS Annual Response Form Boundary and Annexation Survey
Form
Form BASSC 1L
State Certification Program Boundary and Annexation Survey
Form
Form BASSC 2L
Boundary Changes Not Reported to Census Bureau Boundary and Annexation Survey
Form
Form BASSC
State Certifying Official Sign-Up Form Boundary and Annexation Survey
Form
2021BAS-1L.pdf Instruction
2021BAS-2L.pdf Instruction
2021BAS-3L.pdf Instruction
2021BAS-4L.pdf Instruction
2021BAS-5L.pdf Instruction
2021BAS-9L.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
2021BAS-E-1L.pdf Instruction
2021BAS-E-2L.pdf Instruction
2021BAS-E-3L.pdf Instruction
2021BAS-E-4L.pdf Instruction
2021BAS-E-5L.pdf Instruction
2021BAS-E-HEOTC_CC.pdf Other-Courtesy Email to HEO
2021BAS-E-PTR_YesChangeResponse.pdf Instruction
2021BAS-E-SWIM-Token.pdf Other-SWIM token
2021BAS-E-SWIM-HasAcct.pdf Instruction
2021BAS-E-NRFU1 - No Response.pdf Instruction
2021BAS-E-NRFU2 - Yes Change_No Sub.pdf 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
21_BASRespondentGuide_Paper_508.pdf
BAS Paper Respondent Guide
IC Document
21_BASRespondentGuide_Digital_508.pdf
BAS Digital Non-Tribal Respondent Guide
IC Document
21_BASRespondentGuide_TribalDigital_508.pdf
BAS Digital Tribal Respondent Guide
IC Document
21_BASRespondent Guide_Digital_GUPS_508.pdf
BAS GUPS Respondent Guide
IC Document
21_BASRespondentGuide_GUPSQuickStart_508.pdf
BAS GUPS Quick Reference Guide
IC Document
21_BASRespondentGuide_DigitalQuickStart_508.pdf
BAS Digital QuickStart
IC Document
21_BAS_RespondentGuide_Tribal_GUPS_508.pdf
BAS Tribal GUPS
IC Document
21 BAS Partnership Tools_508.pdf
BAS Partnership Tools
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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
Form BAS-1 https://www.census.gov/programs-surveys/bas.html Yes Yes Fillable Fileable
Form BAS-2 https://www.census.gov/programs-surveys/bas.html Yes Yes Fillable Fileable
Form BAS-3 https://www.census.gov/programs-surveys/bas.html Yes Yes Fillable Fileable
Form BAS-5 https://www.census.gov/programs-surveys/bas.html Yes Yes Fillable Fileable
Form BAS-6 https://www.census.gov/programs-surveys/bas.html Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Other-Insert - Materials Checklist Yes Yes Fillable Fileable
Other-Insert - Response Methods Indiana Yes Yes Fillable Fileable
Other-Insert - Response Methods Georgia Yes Yes Fillable Fileable
Other-BAS Tribal Flyer No   Paper Only
Other-BAS Flyer No   Paper Only
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Other-Courtesy Email to HEO Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Other-SWIM token Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Form BAS-ARF https://www.census.gov/programs-surveys/bas.html Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Form BASSC 1L Yes Yes Fillable Fileable
Form BASSC 2L Yes Yes Fillable Fileable
Form BASSC Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Other-State Certification Respondent Guide Yes Yes Paper Only
Other-Email Yes Yes Fillable Fileable
Other-Email Yes Yes Fillable Fileable
Other-Email Yes Yes Fillable Fileable
Other-Indiana Insert- 2020 Indiana specific information Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
BAS Paper Respondent Guide 12/09/2020
BAS Digital Non-Tribal Respondent Guide 12/09/2020
BAS Digital Tribal Respondent Guide 12/09/2020
BAS GUPS Respondent Guide 12/09/2020
BAS GUPS Quick Reference Guide 12/09/2020
BAS Digital QuickStart 12/09/2020
BAS Tribal GUPS 12/09/2020
BAS Partnership Tools 12/09/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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