Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
The Boundary and Annexation Survey (BAS)
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
BAS-1
Boundary & Annexation Survey, Incorporated Places
bas1_13.pdf
http://www.census.gov/geo/www/bas/bashome.html
Yes
Yes
Fillable Fileable
Form
BAS-2
Boundary & Annexation Survey, Counties and Equivalent Areas
bas2_13.pdf
http://www.census.gov/geo/www/bas/bashome.html
Yes
Yes
Fillable Fileable
Form
BAS-3
Boundary & Annexation Survey, Minor Civil Divisions
bas3_13.pdf
http://www.census.gov/geo/www/bas/bashome.html
Yes
Yes
Fillable Fileable
Form
BAS-4
Boundary & Annexation Survey, Newly Incorporated Places and Newly Activated Governments
bas4_13.pdf
http://www.census.gov/geo/www/bas/bashome.html
Yes
Yes
Fillable Fileable
Form
BAS-5
Boundary & Annexation Survey, American Indian Reservations and Off-Reservation Trust Lands
bas5_13.pdf
http://www.census.gov/geo/www/bas/bashome.html
Yes
Yes
Fillable Fileable
Form
BAS-6
Boundary & Annexation Survey, Consolidated BAS
bas6_13.pdf
http://www.census.gov/geo/www/bas/bashome.html
Yes
Yes
Fillable Fileable
Form
BAS-ARF
Boundary & Annexation Survey, Annual Response Form
bas-arf_13.pdf
http://www.census.gov/geo/www/bas/bashome.html
Yes
Yes
Fillable Fileable
Other-BAS Respondent Guide -- Paper Respondents
13_RespondentGuide_PaperBAS_WorkingDraft_09_10_12.doc
Yes
Yes
Fillable Fileable
Other-BAS Respondent Guide -- MTPS Respondents
13_RespondentGuide_MTPS_WorkingDraft_09_10_12.doc
Yes
Yes
Fillable Fileable
Other-BAS Respondent Guide -- Digital Respondents
13_508_RespondentGuide_DigitalBAS_Local_v0.5_WorkingDraft_09_10_12.doc
Yes
Yes
Fillable Fileable
Other-BAS Respondent Guide -- Tribal Digital Respondents
13_508_RespondentGuide_DigitalBAS_Tribal_v0.5_Working_Draft_09_10_12.doc
Yes
Yes
Fillable Fileable
Other-BAS Respondent Guide - State Certification participants
2013StateCertification_RespondentGuide.docx
Yes
Yes
Fillable Fileable
Other-Annual Response Letter, will be sent to the BAS contact with the Annual Response Form
bas1l_13.pdf
Yes
Yes
Fillable Fileable
Other-Annual Response Letter, will be sent to the American Indian Area (AIA) BAS contact with the Annual Response Form
bas2l_13.pdf
Yes
Yes
Fillable Fileable
Other-CBAS letter, will be sent to all local governments that are part of either a county or state consolidation agreement.
bas3l_13.pdf
Yes
Yes
Fillable Fileable
Other-BAS Response Methods Insert. This is printed on the back side of the Annual Response Form
BAS-4I_Fixed.doc
Yes
Yes
Fillable Fileable
Other-BAS Response Methods and Materials Insert. This is included with the regular BAS package
bas5i_13.pdf
Yes
Yes
Fillable Fileable
Other-Consolidated County Package Letter, this is sent to counties in a consolidation agreement
bas8L_13.pdf
Yes
Yes
Fillable Fileable
Other-County Package Letter with BAS Survey Form 2, will be sent to the BAS contact unless one has not been identified, when it will go to the HEO.
bas9L_13.pdf
Yes
Yes
Fillable Fileable
Other-Incorporated Place and Minor Civil Division Package Letter with BAS Survey Form 3, will be sent to the BAS contact unless one has not been identified, when it will go to HEO
bas10L_13.pdf
Yes
Yes
Fillable Fileable
Other-AIA Package Letter with BAS Survey Form 5, will be sent to BAS AIA contact unless one has not been identified, when it will go to Tribal Chair
bas11L_13.pdf
Yes
Yes
Fillable Fileable
Other-No Change Post Card is included in the BAS package, this is used for counties, places, MCDs and AIAs to provide a quick response of no change
bas12pc_13.pdf
Yes
Yes
Fillable Fileable
Other-Announcement for the BAS Workshops Letter , sent to HEO/TC/BAS contacts to inform them about workshops
bas13l_13.pdf
Yes
Yes
Paper Only
Other-State Certification Letter, sent to the local government, includes details of data reported to the Census Bureau, but not to the State
BASSC-1.doc
Yes
Yes
Fillable Fileable
Other-State Certification Letter, sent to the local government, includes details of data reported to the state, but not to the Census Bureau
BASSC-2.doc
Yes
Yes
Fillable Fileable
Other-State Certification Letter to the State Certifying Official to describe process and schedule
BASSC-3.docx
Yes
Yes
Fillable Fileable
Other-State Certification Letter, sent to the Governor to designate a State Certifying Official
BASSC-4.doc
Yes
Yes
Fillable Fileable
Other-Georgia Insert information about the Georgia Department of Community Affairs role in the BAS process
Georgia-Insert.doc
Yes
Yes
Fillable Fileable
Other-Indiana Insert Describes a special situation in Indiana where counties report for their MCDs
BAS14I.docx
Yes
Yes
Fillable Fileable
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:
84,464
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
50 %
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
84,464
0
10,464
0
0
74,000
Annual IC Time Burden (Hours)
169,368
0
-72,382
0
0
241,750
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.