C-411(v) Survey Of Residential Building Or Zoning Permit Systems

FORM C-411(V)
(1-6-2021)

OMB No. 0607-0350: Approval Expires 5/31/2021
U.S. DEPARTMENT OF COMMERCE

SURVEY OF RESIDENTIAL
BUILDING OR ZONING PERMIT SYSTEMS

U.S. CENSUS BUREAU

Title 13, United States Code, Sections 131 and 182, authorizes the Census Bureau to conduct this collection and to request your voluntary assistance. These data are typically
provided in public records and are not subject to confidentiality. This collection has been approved by the Office of Management and Budget (OMB). The eight-digit OMB
approval number is 0607-0350 and appears at the upper right of this page. Without this approval we could not conduct this survey. We estimate this survey will take an average
of 15 minutes to complete. More information about this estimate and an address where you may write with comments is on the back of this form.

Person Completing
This Survey
Name
Title
Telephone (Include area code)
Fax (Include area code)
E-mail address
Internet web address

This survey form is used to help us
identify permit-issuing jurisdictions
in the United States.

(Please correct any errors in name, address, and ZIP Code)

Mail or Fax to:
U.S. Census Bureau
Economic Indicators Division
Residential Construction Branch
Washington, DC 20233–6900
(Fax) 1–301–763–8587

We would appreciate your response within 30 days
For further information call 1–800–845–8244

The following narrative describes our record of the latest information of your jurisdiction’s geographic coverage:

Is this information correct?
No – Please explain in comments.

Yes – Please return this form now.
Comments

If more space is needed, please attach a separate sheet.