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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2020 Census LUCA
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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-2001
Contact Information Update Form
D-2001 2020 LUCA Contact Information Update Form DRAFT_10_28_2016.docx
Yes
Yes
Fillable Printable
Form
D-2002
Registration Form
D-2002 2020 LUCA Registration Form DRAFT_10_28_2016.docx
Yes
Yes
Fillable Printable
Form
D-2003
Product Preference Form
D-2003 2020 LUCA Product Preference Form DRAFT_10_28_2016.docx
Yes
Yes
Fillable Printable
Form
D-2003 (SG)
State Government Product Preference Form
D-2003(SG) 2020 LUCA State Product Preference Form DRAFT_10_28_2016.docx
Yes
Yes
Fillable Printable
Form
D-2005
Confidentiality Agreement Form
D-2005 2020 LUCA Confidentiality Agreement Form DRAFT_10_28_2016.docx
Yes
Yes
Fillable Printable
Other-Paper Address List
D-2007 2020 LUCA Paper Address List DRAFT_10_28_2016.docx
No
Paper Only
Other-Paper Address List Add Page
D-2008 2020 LUCA Address List Add Page DRAFT_10_28_2016.docx
Yes
No
Paper Only
Form
D-2011
Inventory Return Form
D-2011 2020 LUCA Inventory Return Form DRAFT_10_28_2016.docx
Yes
Yes
Fillable Printable
Form
D-2012
Destruction or Return Form
D-2012 2020 LUCA Destruction or Return Form DRAFT_10_28_2016.doc
Yes
Yes
Fillable Printable
Form and Instruction
D-2004
Confidentiality and Security Guidelines
D-2004 2020 LUCA Confidentiality Security Guidelines DRAFT_10_28_2016.doc
Yes
No
Paper Only
Form and Instruction
D-2006
Self-Assessment Security Checklist
D-2006 2020 LUCA Security Checklist DRAFT_10_28_2016.docx
Yes
No
Paper Only
Other-Paper Address Count List
D-2009 2020 LUCA Address Count List DRAFT_10_28_2016.docx
No
Paper Only
Other-Map Sheet to Block Relationship List
D-2010 2020 LUCA Map Sheet to Block Number Relationship List DRAFT_10_28_2016.docx
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:
40,000
Number of Respondents for Small Entity:
34,000
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
25 %
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
40,000
0
0
0
0
40,000
Annual IC Time Burden (Hours)
845,600
0
0
0
0
845,600
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.