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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
LUCA Forms, Letters, User Guides, and other Items
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
D-1668
Registration Form (English)
d1668_Registration_Form.pdf
No
Paper Only
Form
D-1669
Confidentiality Agreement Form (English)
d1669_ConfidentialityAgreement.pdf
No
Paper Only
Form
D-1670
Participation Option/Product Preference Form
d1670_Participation_ProductPreference_Local Governments.pdf
No
Paper Only
Form
D-1670(LTW)
Product Preference Form - Mailed to entities wholly within a federally-recognized American Indian reservation and/or trust land
d1670ltw_ProductPreference_Option3_Local Governments.pdf
No
Paper Only
Form
D-1670(SG)
Participation Option/GIS Preference/County Selection Form - mailed to governors only (state level form)
d1670sgtestp01_Participation Option_StateGovernments.pdf
No
Paper Only
Form
D-1671
Inventory Form - English
d1671_InventoryForm_LUCA_Submissions.pdf
No
Paper Only
Form
D-1674
Return/Destruction Form - English
d1674_Return_Destruction_Title13Materials_Form.pdf
No
Paper Only
Form
D-1676
Self-Assessment Checklist - English
d1676_Self_Assessment Checklist_Form.pdf
No
Paper Only
Form
D-1690(LG)
Address List - local government
AL_Local_CensusAddressList_LocalGovernments.pdf
No
Paper Only
Form
D-1690(TG)
Address List - tribal government
AL-Tribal_CensusAddressList_Tribal Governments.pdf
No
Paper Only
Form
D-1690(PR)(S)
Address List - Puerto Rico (Spanish)
AL-PR_Census Address List_PuertoRico.pdf
No
Paper Only
Form
D-1691(LG)
Address List Add Page - local government
D-1691_Address List Add Page.pdf
No
Paper Only
Form
D-1691(TG)
Address List Add Page - tribal government
D-1691(TG)_Tribal Address List Add Page.pdf
No
Paper Only
Form
D-1691(PR)(S)
Address List Add Page - Puerto Rico (Spanish)
D-1691(PR)_Puerto Rico Address List Add Page.pdf
No
Paper Only
Form
D-1692(LG)
Address Count List - local government
Local ACL_Address Count List_Local Governments.pdf
No
Paper Only
Form
D-1692(TG)
Address Count List - tribal government
Tribal ACL_AddressCountList_Tribal Governments.pdf
No
Paper Only
Form
D-1692(PR)
Address Count List - Puerto Rico
ACL_PR_AddressCountList_PuertoRico.pdf
No
Paper Only
Other-Invitation letter to local highest elected official (HEO)
D-1685(LG)pdf_Invitation letter_local Governments.pdf
No
Paper Only
Other-Invitation letter to local HEO partially within a reservation
D-1685(LTP)pdf_Invitation letter_local governments_partially within a reservation.pdf
No
Paper Only
Other-Invitation letter to local HEO wholly within a reservation
D-1685(LTW)pdf_Invitationletter_local governments_wholly within a reservation.pdf
No
Paper Only
Other-Invitation letter to Tribal HEO
D-1685(TG)_pdf_Invitation letter to Tribal Governments.pdf
No
Paper Only
Other-Invitation letter to state Governor
D-1685(SG)_pdf_Invitation to state governor.pdf
No
Paper Only
Other-Invitation letter to the Governor of states partially/wholly within a reservation
D-1685(SGPW)_pdf_Invtiation letter to state governor with entities wholly_partially within reservations.pdf
No
Paper Only
Other-Invitation courtesy copy - local governments
D-1686(LG)_pdf_Courtesy Copy_Invitation letter_local governments.pdf
No
Paper Only
Other-Invitation courtesy letter to local HEO partially within a reservation
D-1686(LTP)_pdf_Courtesy Invitation letter to local government partially within a reservation.pdf
No
Paper Only
Other-Invitation courtesy letter to local HEO wholly within a reservation
D-1686(LTW)_pdf_Courtesy Invitation letter to local governemnts wholly on a reservation.pdf
No
Paper Only
Other-Invitation courtesy copy - Tribal governments
D-1686(TG)_pdf_Courtesy Invitation letter to tribal governments.pdf
No
Paper Only
Other-Invitation courtesy copy to state contacts
D-1686(SG)_pdf_Courtesy Invitation letter to states.pdf
No
Paper Only
Other-Invitation courtesy copy to state contacts partially/wholly within a reservation
D-1686(SGPW)_pdf_Courtesy Invitation letter to states with area whooly or partially on reservations.pdf
No
Paper Only
Other-Invitation announcement to Regional Planning Agencies
D-1700_pdf_LUCA_Announcement Letter to Regional Planning Agencies.pdf
No
Paper Only
Other-Closeout letter to participants that did not return any materials
luca_closeout_letter_draft_53107_pdf.pdf
No
Paper Only
Other-User Guide Option 1 - Full Address List Review Paper Format
2010 LUCA User Guide Option 1, paper format .pdf
No
Paper Only
Other-User Guide Option 1 - Full Address List Review Computer-Readable Format
2010 LUCA User Guide Option 1 CR format.pdf
No
Paper Only
Other-User Guide Option 2 - Title 13 Local Address List Submission
2010 LUCA Option 2 User Guide.pdf
No
Paper Only
Other-User Guide Option 3 - Non-Title 13 Local Address List Submission
2010 LUCA User Guide Option 3.pdf
No
Paper Only
Other-User Guide for the MAF/TIGER Partnership Software (MTPS)
MTPS_Userguide__May 31.pdf
No
Paper Only
Other-Confidentiality and Security Guidelines
2010 LUCA confidentiality and agreement guidelines approved.pdf
No
Paper Only
Other-Draft LUCA map
LUCA Prototype Map.pdf
No
Paper Only
Other-flyer -- "Will Your Community Be Ready for the 2010 Decennial Census Local Update of Census Addresses (LUCA) Program?"
LUCA flier.pdf
No
Paper Only
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:
19,780
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
83 %
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
19,780
0
11,813
0
7,967
0
Annual IC Time Burden (Hours)
3,909,829
0
3,907,173
0
2,656
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.