Document
Phase 4 Certification Form (DC)
ICR 202608-0607-005 · OMB 0607-0988 · Object 172047000.
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | Phase 4 Certification Form (DC) |
| Author | U.S. Census Bureau |
| Last Modified By | Acrobat PDFMaker 24 for Word |
| File Modified | 2024-08-26 |
| File Created | 2024-08-16 |
| Conversion State | complete |
Extracted Text
OMB Control No.: 0607-0988 Expiration Date: 11/30/2024 Form: Phase 4 Certification Form District of Columbia (2026) Phase 4 Certification Form (District of Columbia) Ward Boundaries I certify there have been no changes to the ward boundaries since they were last submitted and/or verified through the Redistricting Data Program in 2024. No Changes There have been changes to the ward boundaries since they were last submitted and/or verified through the Redistricting Data Program in 2024. Select the option below that indicates whether the changes involve whole blocks or split blocks. Whole Blocks Split Blocks Name: _______________________________________________________________________________ Title: ________________________________________________________________________________ Address: _____________________________________________________________________________ Email: _______________________________________________________________________________ Phone: _______________________________________________________________________________ Fax: _________________________________________________________________________________ Signature: _____________________________________________ Date: __________________________ For questions about completing this form or any other questions on the redistricting topic, contact the Redistricting & Voting rights Data Office at 301-763-4039 or at <[email protected]>. We estimate that participating in the Redistricting Data Program will take eight 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 on this form confirms this approval. If this number were not displayed, we could not conduct this program. The Census Bureau conducts this program under the legal authority of Public Law 94-171, as amended (Title 13 United States Code (U.S.C.), Section 141(c)).