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LUCA Forms, Letters, User Guides, and other Items
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-2010 LUCA Local User Guide Option 1, paper format 1. 2010 LUCA Local User Guide Option 1, paper format.pdf No   Paper Only
Other-2010 LUCA PR User Guide Option 1, paper format 2. 2010 LUCA PR User Guide Option 1, paper format.pdf No   Paper Only
Other-2010 LUCA Tribal User Guide Option 1, paper format 3. 2010 LUCA Tribal User Guide Option 1, paper format.pdf No   Paper Only
Other-LUCA_UserGuide_OPT1_LG 4. LUCA_UserGuide_OPT1_LG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT1_MLG 5. LUCA_UserGuide_OPT1_MLG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT1_MPG 6. LUCA_UserGuide_OPT1_MPG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT1_MTG 7. LUCA_UserGuide_OPT1_MTG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT1_PRG 8. LUCA_UserGuide_OPT1_PRG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT1_SG 9. LUCA_UserGuide_OPT1_SG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT1_TG 10. LUCA_UserGuide_OPT1_TG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT2_LG 11. LUCA_UserGuide_OPT2_LG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT2_MLG 12. LUCA_UserGuide_OPT2_MLG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT2_MTG 13. LUCA_UserGuide_OPT2_MTG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT2_SG 14. LUCA_UserGuide_OPT2_SG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT2_TG 15. LUCA_UserGuide_OPT2_TG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT3_LG 16. LUCA_UserGuide_OPT3_LG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT3_MLG 17. LUCA_UserGuide_OPT3_MLG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT3_MTG 18. LUCA_UserGuide_OPT3_MTG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT3_SG 19. LUCA_UserGuide_OPT3_SG.pdf No   Paper Only
Other-LUCA_UserGuide_OPT3_TG 20. LUCA_UserGuide_OPT3_TG.pdf No   Paper Only
Other-LUCA_UserGuide_PRSG 21. LUCA_UserGuide_PRSG.pdf No   Paper Only
Other-MTPS State User Guide Option 1 22. MTPS State User Guide Option 1.pdf No   Paper Only
Other-MTPS State User Guide Option 2 23. MTPS State User Guide Option 2.pdf No   Paper Only
Other-MTPS State User Guide Option 3 24. MTPS State User Guide Option 3.pdf No   Paper Only
Other-2010 LUCA Promotional Workshop Participant Guide 25. 2010 LUCA Promotional Workshop Participant Guide.pdf No   Paper Only
Other-2010 LUCA Promtional Workshop Participant Guide_(Espanol) 26. 2010 LUCA Promtional Workshop Participant Guide_(Espanol).pdf No   Paper Only
Other-2010 LUCA Training Workshop Participant Guide lesson 1.pdf 27.1 2010 LUCA Training Workshop Participant Guide lesson 1.pdf No   Paper Only
Other-2010 LUCA Training Workshop Participant Guide lesson 2 27.2 2010 LUCA Training Workshop Participant Guide lesson 2.pdf No   Paper Only
Other-2010 LUCA Training Workshop Participant Guide lesson 3 27.3 2010 LUCA Training Workshop Participant Guide lesson 3.pdf No   Paper Only
Other-2010 LUCA Training Workshop Participant Guide lesson 4 27.4 2010 LUCA Training Workshop Participant Guide lesson 4.pdf No   Paper Only
Other-2010 LUCA training Workshop Participant Guide lesson 5 27.5 2010 LUCA training Workshop Participant Guide lesson 5.pdf No   Paper Only
Other-2010 LUCA Training Workshop Participant Guide lesson 6 27.6 2010 LUCA Training Workshop Participant Guide lesson 6.pdf No   Paper Only
Other-2010 LUCA Training Workshop Participant Guide lesson 7 27.7 2010 LUCA Training Workshop Participant Guide lesson 7.pdf No   Paper Only
Other-2010 LUCA Training Workshop Participant Guide_(Espanol) 28. 2010 LUCA Training Workshop Participant Guide_(Espanol).pdf No   Paper Only
Other-2010 LUCA Disclosure Notice 31. 2010 LUCA Disclosure Notice.pdf No   Paper Only
Form D-1667 Contact Information Update Form 32. D1667_112007_ContactInformationUpdateForm.pdf No   Paper Only
Form D-1669 Confidentiality Agreement 33. d1669 Confidentiality Agreement.pdf No   Paper Only
Form D-1668 Registration Form 34. d1668 Registration Form.pdf No   Paper Only
Form D-1670 Participation Option Product Preference 35. d1670 Participation Option Product Preference.pdf No   Paper Only
Form D-1670 LTW Option 3 Product Preference 36. d1670ltw Option 3 Product Preference.pdf No   Paper Only
Form D-1670 SG Participation Option for States 37. d1670sg Participation Option for States.pdf No   Paper Only
Form D-1671 Inventory Form for Return 38. d1671 Inventory Form for Return.pdf No   Paper Only
Form D-1676 Self-Assessment 39. d1676 Self-Assessment.pdf No   Paper Only
Form D-1674 Return or Destruction form 40. d1674 Return or Destruction form.pdf No   Paper Only
Form D-1710 Insert for CBT 41. d1710 Insert for CBT.pdf No   Paper Only
Other-LUCA Condentiality and Security Guidelines 42. LUCA Condentiality and Security Guidelines.pdf No   Paper Only
Other-2010 LUCA PR Confidentiality and Security Guidelines 43. 2010 LUCA PR Confidentiality and Security Guidelines.pdf No   Paper Only
Form D-1667 PR Contact Information Update Form for Puerto Rico 44. D-1667PR_112007_ContactInformationUpdateForm_Puerto Rico.pdf No   Paper Only
Form D-1668 PR Registration Form for Puerto Rico 45. d-1668(pr)_Reg.form.pdf No   Paper Only
Form D-1669 PR Confidentiality Agreement for Puerto Rico 46. d-1669(pr)_ConfidentialityAgreement Form.pdf No   Paper Only
Form D-1670lg PR Local Participation Option Form for Puerto Rico 47. d-1670lg(pr)_ParticipationOptionForm_local.pdf No   Paper Only
Form D-1670sg PR State Participation Option Form for Puerto Rico 48. d-1670sg(pr)_ParticipationOptionForm_state.pdf No   Paper Only
Form D-1671 PR Inventory Form for Puerto Rico 49. D-1671 Inventory Form (PR).pdf No   Paper Only
Form D-1674 PR Return or Destruction of Title 13 Materials for Puerto Rico 50. D-1674 Return or Destruction of Title 13 Materials (PR).pdf No   Paper Only
Form D-1676 PR Self Assessment Checklist for Puerto Rico 51. d-1676(pr)_SelfAssessment Checklist.pdf No   Paper Only
Form D-1690 Paper Address List 52. d1690 Paper Address List.pdf No   Paper Only
Form D-1691 Address List Add Page 53. d1691 Address List Add Page.pdf No   Paper Only
Form D-1692 Address Count List 54. d1692 Address Count List.pdf No   Paper Only
Form D-1690tg Tribal Address List example 55. d1690TG Tribal Address List example.pdf No   Paper Only
Form D-1690 PR Paper Address List for Puerto Rico 56. d-1690(pr)_Paper Address List.pdf No   Paper Only
Form D-1691 PR Address List Add Page for Puerto Rico 57. d-1691 pr) Address List Add Page (PR).pdf No   Paper Only
Form D-1692 PR Address Count List for Puerto Rico 58. d-1692(pr) Address Count List.pdf No   Paper Only
Form D-1663lg PR Advance Notice Local Governments (Spanish) for Puerto Rico 59. D-1663LG(PR)_SPANISH_112007_AdvNotice_localgovernment.pdf No   Paper Only
Form D-1663lg Advance Notice HEO Local Governments 60. D-1663LG_112007_AdvNotice_HEO_local Gov.pdf No   Paper Only
Form D-1663lgltp Advance Notice Tribal Governments 61. D-1663LGLTP_112007.pdf No   Paper Only
Form D-1663lgltw Advance Notice 62. D-1663LGLTW153640_112007.pdf No   Paper Only
Form D-1663TG Advance Notice Tribal HEO 63. D-1663TG_112007_Adv Notice Tribal HEO.pdf No   Paper Only
Form D-1663sg PR Advance Notice, Governor (Spanish) for Puerto Rico 64. D-1663SG(PR)_SPANISH_112007_Advnotice_Governor_Spanish.pdf No   Paper Only
Form D-1663sg Advance Notice, Governor 65. D-1663SG_112007_AdvNoticeGovernor.pdf No   Paper Only
Form D-1663sgltpw Advance Notice 66. D-1663SGLTPW_112007.pdf No   Paper Only
Form D-1664lg PR Advance Notice, Courtesy Local Government (Spanish) for Puerto Rico 67. D-1664LG(PR)_SPANISH_112007_AdvNoticeCourtesy_LocalGov.pdf No   Paper Only
Form D-1664lg Advance Notice, Courtesy Local Government 68. D-1664LG_112007_AdvNoticeCourtesy_Local Gov.pdf No   Paper Only
Form D-1664lgltp Advance Notice 69. d-1664lgltp.pdf No   Paper Only
Form D-1664lgltw Advance Notice 70. D-1664LGLTW_112007.pdf No   Paper Only
Form D-1664tg Advance Notice, Courtesy Tribal 71. D-1664TG_112007_AdvNotice_CourtesyTribal.pdf No   Paper Only
Form D-1664sg PR Advance Notice, State Contact (Spanish) for Puerto Rico 72. D-1664SG(PR)_SPANISH_112007_AdvNotice_StateContact.pdf No   Paper Only
Form D-1664sg Advance Notice, Local Government Contact 73. D-1664SG_112007_AdvNoticeContact_local gov.pdf No   Paper Only
Form D-1664sgltpw Advance Notice 74. D-1664SGLTPW_112007.pdf No   Paper Only
Form D-1666l Advance Notice Regional Planning Agencies 75. D-1666L_112007_AdvNoticeRegPlanningAgencies.pdf No   Paper Only
Form D-1685lg PR Invitiation Letter Local Government (Spanish) for Puerto Rico 76. d-1685lg(pr).pdf No   Paper Only
Form D-1685lg Invitiation Letter Local HEO 77. D-1685LG_112007_InvitationLetterLocal HEO.pdf No   Paper Only
Form D-1685ltp Invitation Letter 78. D-1685LTP_112007_.pdf No   Paper Only
Form D-1685ltw Invitation Letter 79. D-1685LTW_112007.pdf No   Paper Only
Form D-1685tg Invitation Letter 80. D-1685TG_112007_InvitationLetterTribalHEO.pdf No   Paper Only
Form D-1685sg PR Invitation Letter for Puerto Rico 81. d-1685sg(pr).pdf No   Paper Only
Form D-1685sg Invitation Letter, Governor 82. D-1685_SG_112007_InvitationLetterGovernor.pdf No   Paper Only
Form D-1685sgpw Invitation Letter 83. D-1685SGPW_112007.pdf No   Paper Only
Form D-1685lgakmeout Informational Letter, can't participate 84. d-1685lgakmeout_Informational Can't Particicipate_HEO.pdf No   Paper Only
Form D-1685lgakp Invitation, HEO Special Enumeration Alaska 85. D-1685lgakp_Invitation HEO_Special EnumerationAlaska.pdf No   Paper Only
Form D-1685lgmep Invitation, HEO Special Enumertion Maine 86. D-1685lgmep_InvitationHEO_SpecialEnumerationMaine.pdf No   Paper Only
Form D-1685lt-r Invitation Letter 87. D-1685(LT-R).doc No   Paper Only
Form D-1685sg-r Invitation Letter 88. D-1685(SG) R.doc No   Paper Only
Form D-1685tg-r Invitation Letter 89. D-1685(TG-R).doc No   Paper Only
Form D-1685sg ak Invitation Letter 90. D-1685(SG AK)tea 3 4_alaska _governor palin.doc No   Paper Only
Form D-1685sg me Invitation Letter 91. D-1685(SG ME)tea3 4 _maine_governor baldacci.doc No   Paper Only
Form D-1686lg PR Courtesty Invitation for Puerto Rico 92. d-1686lg(pr).pdf No   Paper Only
Form D-1686lg Courtesy Invitation 93. D-1686LG_112007_InvitationCourtesylocalgovernments.pdf No   Paper Only
Form D-1686ltp Courtesy Invitation 94. D-1686LTP_112007.pdf No   Paper Only
Form D-1686ltw Courtesy Invitation 95. D-1686LTW_112007.pdf No   Paper Only
Form D-1686tg Courtesy Invitation 96. D-1686TG_112007_InvitationCourtesytribal governments.pdf No   Paper Only
Form D-1686sg PR Courtesy Invitation for Puerto Rico 97. d-1686sg(pr).pdf No   Paper Only
Form D-1686sg Courtesy Invitation 98. D-1686SG_112007_InvitationCourtesystategovernments.pdf No   Paper Only
Form D-1686sgpw Courtesy Invitation 99. d-1686sgpw.pdf No   Paper Only
Form D-1686lgakmeout Courtesy Informational Can't Participate Letter 100. d-1686lgakmeout_Informational Can't Participate_Courtesy.pdf No   Paper Only
Form D-1686lgakp Courtesy Invitation Special Enumeration Alaska 101. D-1686lgakp_Invitation Courtesy_SpecialEnumerationAlaska.pdf No   Paper Only
Form D-1686lgmep Courtesy Invitation Special Enumeration Maine 102. D-1686lgmep_InvitationCourtesy_SpecialEnumerationMaine.pdf No   Paper Only
Form D-1686lt-r Courtesy Invitation 103. D-1686(LT-R).doc No   Paper Only
Form D-1686dg-r Courtesy Invitation 104. D-1686(SG-R).doc No   Paper Only
Form D-1686tg-r Courtesy Invitation 105. D-1686(TG-R).doc No   Paper Only
Form D-1686sg-ak Courtesy Invitation 106. D-1686(SG AK)kathryn_lizik_Tea 3 4_contact _AK.doc No   Paper Only
Form D-1686sg me Courtesy Invitation 107. D-1686(SG ME)david_kirouac_tea3 4_contact_ME.doc No   Paper Only
Form D-1700 Invitation Announcement, Reg Planning Agencies 108. D-1700_112007_InvitationAnnouncementReg.PlanningAgencies.pdf No   Paper Only
Form PC1 Reminder Postcard 109. luca_pc1_Reminder Postcard.pdf No   Paper Only
Form pc1 PR Reminder Postcard for Puerto Rico 110. luca_pc1(pr)_Reminder Postcard.pdf No   Paper Only
Form D-1706 Password Letter 111. D-1706_password letter.pdf No   Paper Only
Form D-1706 PR Password Letter for Puerto Rico 112. D-1706(PR)_password letter.pdf No   Paper Only
Other-Local Informational Booklet 113. LUCA_Local_Booklet.pdf No   Paper Only
Other-Tribal Informational Booklet 114. LUCA_Tribal_Booklet.pdf No   Paper Only
Other-State Informational Booklet 115. LUCA_State_Booklet.pdf No   Paper Only
Other-Puerto Rico (Local) Informational Booklet 116. 2010INFORMATIONBOOKLETFORPUERTORICO_LOCAL.pdf No   Paper Only
Other-Puerto Rico (State) Informational Booklet 117. 2010LUCAINFORMATIONBOOKLETFORPUERTORICO_STATE.pdf No   Paper Only
Other-LUCA Flyer 118. lucaflyer_latest62207.pdf No   Paper Only
Other-Sample LUCA Map 119. Sample LUCA map.pdf No   Paper Only

General Government Central Records & Statistical Mgt

 

19,780 0
   
State, Local, and Tribal Governments
 
   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 0 0 0 19,780
Annual IC Time Burden (Hours) 3,909,829 0 0 0 0 3,909,829
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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