OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Phase 4 Collection of Post-2020 Census Congressional and State Legislative District Plans / Non-Partisan Liaisons

IC 271087 under ICR 202509-0607-002 · OMB 0607-0988.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form Phase 4 Certificat
Phase 4 Certification Form (Commonwealth of Puerto Rico) Phase 4 Collection of Post-2020 Census Congressional and State Legislative District Plans / Non-Partisan Liaisons		 Form
Form Phase 4 Certificat
Phase 4 Certification Form (District of Columbia) Phase 4 Collection of Post-2020 Census Congressional and State Legislative District Plans / Non-Partisan Liaisons		 Form
Form Phase 4 Certificat
Phase 4 Certification Form (States with a Single Congressional District) Phase 4 Collection of Post-2020 Census Congressional and State Legislative District Plans / Non-Partisan Liaisons		 Form
Form Phase 4 Certificat
Phase 4 Certification Form (States with Multiple Congressional Districts) Phase 4 Collection of Post-2020 Census Congressional and State Legislative District Plans / Non-Partisan Liaisons		 Form
Form Phase 4 Verificati
Phase 4 Verification Form (Congressional Districts) Phase 4 Collection of Post-2020 Census Congressional and State Legislative District Plans / Non-Partisan Liaisons		 Form
Form Phase 4 Verificati
Phase 4 Verification Form (State Legislative Districts) Phase 4 Collection of Post-2020 Census Congressional and State Legislative District Plans / Non-Partisan Liaisons		 Form
26SLD_Invitation_DC.docx Other-Phase 4 Invitation District of
26SLD_Invitation_DC.docx Other-Phase 4 Invitation District of
26SLD_Invitation.docx Other-Phase 4 Invitation Single Cong
26SLD_Invitation.docx Other-Phase 4 Invitation Single Cong
26SLD_Invitation_PR.docx Other-Phase 4 Invitation Puerto Rico
26SLD_Invitation_PR.docx Other-Phase 4 Invitation Puerto Rico
120CD_26SLD_Invitation.docx Other-Phase 4 Invitation Multiple CD
120CD_26SLD_Invitation.docx Other-Phase 4 Invitation Multiple CD
Phase4_Guide.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Instruction
Phase4_Guide.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Instruction
120CD_26SLD_No_Verification.docx Other-Phase 4 No Verification Email
120CD_26SLD_No_Verification.docx Other-Phase 4 No Verification Email
120th_26SLD_Verification_Invitation_WholeBlocks.docx Other-Phase 4 Verification Invitatio
120th_26SLD_Verification_Invitation_WholeBlocks.docx Other-Phase 4 Verification Invitatio
120th_26SLD_Verification_Invitation_SplitBlocks.docx Other-Phase 4 Verification Invitatio
120th_26SLD_Verification_Invitation_SplitBlocks.docx Other-Phase 4 Verification Invitatio
120CD_26SLD_Verification_Reminder.docx Other-Phase 4 Verification Reminder
120CD_26SLD_Verification_Reminder.docx Other-Phase 4 Verification Reminder
Phase 4 Certificat Phase 4 Certification Form (Commonwealth of Puerto Rico)
26SLD_Form_PR.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Form
Phase 4 Certificat Phase 4 Certification Form (Commonwealth of Puerto Rico)
26SLD_Form_PR.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Form
Phase 4 Certificat Phase 4 Certification Form (District of Columbia)
26SLD_Form_DC.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Form
Phase 4 Certificat Phase 4 Certification Form (District of Columbia)
26SLD_Form_DC.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Form
Phase 4 Certificat Phase 4 Certification Form (States with a Single Congres
26SLD_Form.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Form
Phase 4 Certificat Phase 4 Certification Form (States with a Single Congres
26SLD_Form.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Form
Phase 4 Certificat Phase 4 Certification Form (States with Multiple Congres
120CD_26SLD_Form.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Form
Phase 4 Certificat Phase 4 Certification Form (States with Multiple Congres
120CD_26SLD_Form.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Form
Phase 4 Verificati Phase 4 Verification Form (Congressional Districts)
120CD_VerificationForm.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Form
Phase 4 Verificati Phase 4 Verification Form (Congressional Districts)
120CD_VerificationForm.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Form
Phase 4 Verificati Phase 4 Verification Form (State Legislative Districts)
26SLD_VerificationForm.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Form
Phase 4 Verificati Phase 4 Verification Form (State Legislative Districts)
26SLD_VerificationForm.pdf
www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 		Form

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
Other-Phase 4 Invitation District of Columbia Yes Yes Fillable Fileable
Other-Phase 4 Invitation Single Congressional District States Yes Yes Fillable Fileable
Other-Phase 4 Invitation Puerto Rico Yes Yes Fillable Fileable
Other-Phase 4 Invitation Multiple CD States Yes Yes Fillable Fileable
Form Phase 4 Certification Form (PR) https://www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 Yes Yes Fillable Fileable
Form Phase 4 Certification Form (District of Columbia) https://www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 Yes Yes Fillable Fileable
Form Phase 4 Certification Form (States with 1 CD) https://www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 Yes Yes Fillable Fileable
Form Phase 4 Certification Form (States Multiple CDs) https://www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 Yes Yes Fillable Fileable
Instruction https://www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 Yes Yes Fillable Fileable
Other-Phase 4 No Verification Email Yes Yes Fillable Fileable
Other-Phase 4 Verification Invitation Yes Yes Fillable Fileable
Other-Phase 4 Verification Invitation – Split Blocks Yes Yes Fillable Fileable
Other-Phase 4 Verification Reminder Email Yes Yes Fillable Fileable
Form Phase 4 Verification Form (Congressional Districts https://www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 Yes Yes Fillable Fileable
Form Phase 4 Verification Form (State Legislative Dist) https://www.census.gov/programs-surveys/decennial-census/about/rdo/program-management.html#P1 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 52 0 0 0 0 52
Annual IC Time Burden (Hours) 416 0 0 0 0 416
Annual IC Cost Burden (Dollars) 22,847 0 0 0 0 22,847

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.
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