Information Collection

Boundary and Annexation Survey

IC 219080 under ICR 202609-0607-003 · OMB 0607-0151.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BAS-6 BAS-6:: Consolidated BAS (CBAS) Agreement Form Boundary and Annexation Survey	Form
BAS-E-2.docx	Other-Email
BAS-E-3.docx	Other-Email
BAS-E-4.docx	Other-Email
BAS-E-SA.docx	Other-Email
BAS-E-SDC.docx	Other-Email
BAS-E-SWIM-HasAcct.docx	Other-Email
BAS-E-SWIM-Token.docx	Other-Email
BAS Paper How-to Guide.docx	Instruction
BAS Partnership Toolbox Pro How-to Guide.docx	Instruction
BAS Technical Guide.docx	Instruction
BAS-E-1.docx	Other-Email
GEO Partnership Portal PA.docx	Other-Privacy Act Statement for the
Privacy Act Statement in Annual Response Form.docx	Other-Privacy Act Statement in Annua
Privacy Act Statement in Geographic Update Partnership Software.docx	Other-Privacy Act Statement in Geogr
Privacy Act Statement in Secure Web Incoming Module.docx	Other-Privacy Act Statement in Secur
Privacy Act Statement on BAS Website.docx	Other-Privacy Act Statement on BAS W
BAS-E-SWIM-Token-Password.docx	Other-Email
BAS-E-NRFU1.docx	Other-Email
BAS-E-NRFU2.docx	Other-Email
BAS-6 BAS-6:: Consolidated BAS (CBAS) Agreement Form BAS-6.pdf www.census.gov/programs-surveys/bas.html	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BAS-6	https://www.census.gov/programs-surveys/bas.html	Yes	Yes	Fillable Fileable
Other-Email			Yes	Yes	Fillable Fileable
Other-Email			Yes	Yes	Fillable Fileable
Other-Email			Yes	Yes	Fillable Fileable
Other-Email			Yes	Yes	Fillable Fileable
Other-Email			Yes	Yes	Fillable Fileable
Other-Email			Yes	Yes	Fillable Fileable
Other-Email			Yes	Yes	Fillable Fileable
Instruction			Yes	Yes	Fillable Fileable
Instruction			Yes	Yes	Fillable Fileable
Instruction			Yes	Yes	Fillable Fileable
Other-Email			Yes	Yes	Fillable Fileable
Other-Privacy Act Statement for the GEO Partnership Portal			Yes	Yes	Fillable Fileable
Other-Privacy Act Statement in Annual Response Form			Yes	Yes	Fillable Fileable
Other-Privacy Act Statement in Geographic Update Partnership Software			Yes	Yes	Fillable Fileable
Other-Privacy Act Statement in Secure Web Incoming Module			Yes	Yes	Fillable Fileable
Other-Privacy Act Statement on BAS Website			Yes	Yes	Fillable Fileable
Other-Email			Yes	Yes	Fillable Fileable
Other-Email			Yes	Yes	Fillable Fileable
Other-Email			Yes	Yes	Fillable Fileable

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
	Requested	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)	10,434,000	10,434,000

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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