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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Boundary and Annexation Survey
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
BAS 1 - Place Form
BAS1.pdf
https://www.census.gov/programs-surveys/bas.html
Yes
Yes
Fillable Fileable
Form
BAS-2
BAS 2 - County Form
BAS2.pdf
https://www.census.gov/programs-surveys/bas.html
Yes
Yes
Fillable Fileable
Form
BAS-3
BAS 3 - MCD Form
BAS3.pdf
https://www.census.gov/programs-surveys/bas.html
Yes
Yes
Fillable Fileable
Form
BAS-5
BAS 5 - AIA Form
BAS5.pdf
https://www.census.gov/programs-surveys/bas.html
Yes
Yes
Fillable Fileable
Form
BAS-6
BAS 6 - Consolidated BAS
BAS6.pdf
https://www.census.gov/programs-surveys/bas.html
Yes
Yes
Fillable Fileable
Instruction
2021BAS-1L.pdf
Yes
Yes
Fillable Fileable
Instruction
2021BAS-2L.pdf
Yes
Yes
Fillable Fileable
Instruction
2021BAS-3L.pdf
Yes
Yes
Fillable Fileable
Instruction
2021BAS-4L.pdf
Yes
Yes
Fillable Fileable
Instruction
2021BAS-5L.pdf
Yes
Yes
Fillable Fileable
Instruction
2021BAS-9L.pdf
Yes
Yes
Fillable Fileable
Other-Insert - Materials Checklist
bas5i_18.pdf
Yes
Yes
Fillable Fileable
Other-Insert - Response Methods Indiana
bas14i_18.pdf
Yes
Yes
Fillable Fileable
Other-Insert - Response Methods Georgia
bas15i_18.pdf
Yes
Yes
Fillable Fileable
Other-BAS Tribal Flyer
BAS-TribalFlyer_18.pdf
No
Paper Only
Other-BAS Flyer
BAS-Flyer_18.pdf
No
Paper Only
Instruction
2021BAS-E-1L.pdf
Yes
Yes
Fillable Fileable
Instruction
2021BAS-E-2L.pdf
Yes
Yes
Fillable Fileable
Instruction
2021BAS-E-3L.pdf
Yes
Yes
Fillable Fileable
Instruction
2021BAS-E-4L.pdf
Yes
Yes
Fillable Fileable
Instruction
2021BAS-E-5L.pdf
Yes
Yes
Fillable Fileable
Other-Courtesy Email to HEO
2021BAS-E-HEOTC_CC.pdf
Yes
Yes
Fillable Fileable
Instruction
2021BAS-E-PTR_YesChangeResponse.pdf
Yes
Yes
Fillable Fileable
Other-SWIM token
2021BAS-E-SWIM-Token.pdf
Yes
Yes
Fillable Fileable
Instruction
2021BAS-E-SWIM-HasAcct.pdf
Yes
Yes
Fillable Fileable
Form
BAS-ARF
BAS Annual Response Form
BAS-ARF.pdf
https://www.census.gov/programs-surveys/bas.html
Yes
Yes
Fillable Fileable
Instruction
2021BAS-E-NRFU1 - No Response.pdf
Yes
Yes
Fillable Fileable
Instruction
2021BAS-E-NRFU2 - Yes Change_No Sub.pdf
Yes
Yes
Fillable Fileable
Instruction
2018_BAS_Email_State Agreement_FINAL.docx
Yes
Yes
Fillable Fileable
Instruction
2018_BAS_Email_State Data Center_FINAL.docx
Yes
Yes
Fillable Fileable
Form
BASSC 1L
State Certification Program
BASSC 1L Form.pdf
Yes
Yes
Fillable Fileable
Form
BASSC 2L
Boundary Changes Not Reported to Census Bureau
BASSC 2L Form.pdf
Yes
Yes
Fillable Fileable
Form
BASSC
State Certifying Official Sign-Up Form
BASSC Form.pdf
Yes
Yes
Fillable Fileable
Instruction
BASSC 1L.docx
Yes
Yes
Fillable Fileable
Instruction
BASSC 2L.docx
Yes
Yes
Fillable Fileable
Instruction
BASSC 3L.docx
Yes
Yes
Fillable Fileable
Other-State Certification Respondent Guide
19_BAS_RespondentGuide_State Certification_09052018.pdf
Yes
Yes
Paper Only
Other-Email
BASSC_Discrepancy_EmailBody_1.docx
Yes
Yes
Fillable Fileable
Other-Email
BASSC_Discrepancy_EmailBody_2.docx
Yes
Yes
Fillable Fileable
Other-Email
BASSC_SCO_EmailBody_text.docx
Yes
Yes
Fillable Fileable
Other-Indiana Insert- 2020 Indiana specific information
BAS16I.pdf
Yes
Yes
Fillable Fileable
Instruction
2018_BAS_Email_BAS6L_Final.docx
Yes
Yes
Fillable Fileable
Instruction
2018_BAS_Email_BAS7L_Final.docx
Yes
Yes
Fillable Fileable
Instruction
Readme_BoundaryandAnnexationSurvey.txt
Yes
Yes
Fillable Fileable
Instruction
ReadMe_BoundaryandAnnexationSurvey_GUPS.txt
Yes
Yes
Fillable Fileable
Instruction
BASSC-4L_StateCert_SCO_Letter_MCD_09062018.docx
Yes
Yes
Fillable Fileable
Instruction
BASSC-4L_StateCert_SCO_Letter_CCD_09062018.docx
Yes
Yes
Fillable Fileable
Instruction
BASSC 4L.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:
84,465
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
75 %
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
84,465
0
0
0
0
84,465
Annual IC Time Burden (Hours)
170,056
0
0
0
0
170,056
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
BAS Paper Respondent Guide
21_BASRespondentGuide_Paper_508.pdf
12/09/2020
BAS Digital Non-Tribal Respondent Guide
21_BASRespondentGuide_Digital_508.pdf
12/09/2020
BAS Digital Tribal Respondent Guide
21_BASRespondentGuide_TribalDigital_508.pdf
12/09/2020
BAS GUPS Respondent Guide
21_BASRespondent Guide_Digital_GUPS_508.pdf
12/09/2020
BAS GUPS Quick Reference Guide
21_BASRespondentGuide_GUPSQuickStart_508.pdf
12/09/2020
BAS Digital QuickStart
21_BASRespondentGuide_DigitalQuickStart_508.pdf
12/09/2020
BAS Tribal GUPS
21_BAS_RespondentGuide_Tribal_GUPS_508.pdf
12/09/2020
BAS Partnership Tools
21 BAS Partnership Tools_508.pdf
12/09/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.