Information Collection

Boundary and Annexation Survey

IC 219080 under ICR 202210-0607-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form BAS-1 Boundary and Annexation Survey	Form
BAS-1L_508.pdf	Other-Letter
BAS-1L_508.pdf	Other-Letter
BAS-2L_508.pdf	Other-Letter
BAS-2L_508.pdf	Other-Letter
BAS-3L_508.pdf	Other-Letter
BAS-3L_508.pdf	Other-Letter
BAS-4L_508.pdf	Other-Letter
BAS-4L_508.pdf	Other-Letter
BAS-5L_508.pdf	Other-Letter
BAS-5L_508.pdf	Other-Letter
BAS-6L_508.pdf	Other-Letter
BAS-6L_508.pdf	Other-Letter
BAS-5I_508.pdf	Other-Insert - Materials Checklist
BAS-5I_508.pdf	Other-Insert - Materials Checklist
BAS-E-1L_508.pdf	Other-Email
BAS-E-1L_508.pdf	Other-Email
BAS-E-2L_508.pdf	Other-Email
BAS-E-2L_508.pdf	Other-Email
BAS-E-3L_508.pdf	Other-Email
BAS-E-3L_508.pdf	Other-Email
BAS-E-4L_508.pdf	Other-Email
BAS-E-4L_508.pdf	Other-Email
BAS-E-5L_508.pdf	Other-Email
BAS-E-5L_508.pdf	Other-Email
BAS-E-6L_508.pdf	Other-Email
BAS-E-6L_508.pdf	Other-Email
BAS-E-7L_508.pdf	Other-Email
BAS-E-7L_508.pdf	Other-Email
BAS-E-SWIM-Token_508.pdf	Other-Email
BAS-E-SWIM-Token_508.pdf	Other-Email
BAS-E-SWIM-HasAcct_508.pdf	Other-Email
BAS-E-SWIM-HasAcct_508.pdf	Other-Email
BAS-E-NRFU1_508.pdf	Other-Email
BAS-E-NRFU1_508.pdf	Other-Email
BAS-E-NRFU2_508.pdf	Other-Email
BAS-E-NRFU2_508.pdf	Other-Email
BAS-E-SA_508.pdf	Other-Email
BAS-E-SA_508.pdf	Other-Email
BAS-9L_508.pdf www.census.gov/programs-surveys/bas.html	Other-Letter
BAS-9L_508.pdf www.census.gov/programs-surveys/bas.html	Other-Letter
BASSC-E-1L_508.pdf	Other-Email
BASSC-E-1L_508.pdf	Other-Email
BASSC-E-2L-CCD_508.pdf	Other-Email
BASSC-E-2L-CCD_508.pdf	Other-Email
BASSC-E-2L-MCD_508.pdf	Other-Email
BASSC-E-2L-MCD_508.pdf	Other-Email
BASSC-E-3L_508.pdf	Other-Email
BASSC-E-3L_508.pdf	Other-Email
BASSC-E-4L_508.pdf	Other-Email
BASSC-E-4L_508.pdf	Other-Email
BASSC-E-NRFU1_508.pdf	Other-Email
BASSC-E-NRFU1_508.pdf	Other-Email
BASSC-E-NRFU2_508.pdf	Other-Email
BASSC-E-NRFU2_508.pdf	Other-Email
BAS GUPS How-to Guide_508.pdf	Instruction
BAS GUPS How-to Guide_508.pdf	Instruction
BAS Paper How-to Guide_508.pdf	Instruction
BAS Paper How-to Guide_508.pdf	Instruction
BAS Partnership Toolbox How-to Guide_508.pdf	Instruction
BAS Partnership Toolbox How-to Guide_508.pdf	Instruction
BAS State Certification How-to Guide_508.pdf	Instruction
BAS State Certification How-to Guide_508.pdf	Instruction
BAS-1 BAS 1 - Incorporated Places Form bas1_22.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-1 BAS 1 - Incorporated Places Form bas1_22.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-2 BAS 2 - Counties Form bas2_22.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-2 BAS 2 - Counties Form bas2_22.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-3 BAS 3 - MCD Form bas3_22.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-3 BAS 3 - MCD Form bas3_22.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-5 BAS 5 - Tribal Form bas5_22.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-5 BAS 5 - Tribal Form bas5_22.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-6 BAS 6 - CBAS Agreement Form bas6_22.pdf www.census.gov/programs-surveys/bas.html	Form
BAS-6 BAS 6 - CBAS Agreement Form bas6_22.pdf www.census.gov/programs-surveys/bas.html	Form
BASSC 1L State Certification Program BASSC-1L.pdf	Form
BASSC 1L State Certification Program BASSC-1L.pdf	Form
BASSC 2L Discrepancy Form- Boundary Changes Not Reported to Censu BASSC-3L.pdf	Form
BASSC 2L Discrepancy Form- Boundary Changes Not Reported to Censu BASSC-3L.pdf	Form
BASSC-4L Discrepancy Form- Boundary Changes Marked For Removal BASSC-4L.pdf	Form
BASSC-4L Discrepancy Form- Boundary Changes Marked For Removal BASSC-4L.pdf	Form

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
Form	BAS-1	BAS 1 - Incorporated Places Form	bas1_22.pdf	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable
Form	BAS-2	BAS 2 - Counties Form	bas2_22.pdf	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable
Form	BAS-3	BAS 3 - MCD Form	bas3_22.pdf	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable
Form	BAS-5	BAS 5 - Tribal Form	bas5_22.pdf	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable
Form	BAS-6	BAS 6 - CBAS Agreement Form	bas6_22.pdf	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable
Other-Letter			BAS-1L_508.pdf		Yes	Yes	Fillable Fileable
Other-Letter			BAS-2L_508.pdf		Yes	Yes	Fillable Fileable
Other-Letter			BAS-3L_508.pdf		Yes	Yes	Fillable Fileable
Other-Letter			BAS-4L_508.pdf		Yes	Yes	Fillable Fileable
Other-Letter			BAS-5L_508.pdf		Yes	Yes	Fillable Fileable
Other-Letter			BAS-6L_508.pdf		Yes	Yes	Fillable Fileable
Other-Insert - Materials Checklist			BAS-5I_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BAS-E-1L_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BAS-E-2L_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BAS-E-3L_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BAS-E-4L_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BAS-E-5L_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BAS-E-6L_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BAS-E-7L_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BAS-E-SWIM-Token_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BAS-E-SWIM-HasAcct_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BAS-E-NRFU1_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BAS-E-NRFU2_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BAS-E-SA_508.pdf		Yes	Yes	Fillable Fileable
Form	BASSC 1L	State Certification Program	BASSC-1L.pdf		Yes	Yes	Fillable Fileable
Form	BASSC 2L	Discrepancy Form- Boundary Changes Not Reported to Census Bureau	BASSC-3L.pdf		Yes	Yes	Fillable Fileable
Form	BASSC-4L	Discrepancy Form- Boundary Changes Marked For Removal	BASSC-4L.pdf		Yes	Yes	Fillable Fileable
Other-Letter			BAS-9L_508.pdf	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable
Other-Email			BASSC-E-1L_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BASSC-E-2L-CCD_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BASSC-E-2L-MCD_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BASSC-E-3L_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BASSC-E-4L_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BASSC-E-NRFU1_508.pdf		Yes	Yes	Fillable Fileable
Other-Email			BASSC-E-NRFU2_508.pdf		Yes	Yes	Fillable Fileable
Instruction			BAS GUPS How-to Guide_508.pdf		Yes	Yes	Fillable Fileable
Instruction			BAS Paper How-to Guide_508.pdf		Yes	Yes	Fillable Fileable
Instruction			BAS Partnership Toolbox How-to Guide_508.pdf		Yes	Yes	Fillable Fileable
Instruction			BAS State Certification How-to Guide_508.pdf		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: 40,000

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	40,000	40,000
Annual IC Time Burden (Hours)	300,000	300,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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