State & Local Government Finance Forms

ALFIN-L1
(02-08-2017)

A Message from the Director, U.S. Census Bureau:
We are requesting your cooperation with the 2017 Census of Governments, Survey of Local
Government Finances. This survey provides the only source of nationwide, comprehensive
information on state and local government finances. Results of this survey are used by the U.S.
Congress, federal agencies, state governments, other local governments, educational and research
organizations, and the general public.

Please report online using the information below and keep this letter for future reference:
Website:
User ID:
Password:
Due Date:
We estimate this survey will take an average of 1.5 to 6 hours to complete. Information about the
authority, confidentiality, and burden of this data collection can be found on the back of this letter.
If you need assistance completing this voluntary survey, visit us online at the website above or call
our customer help line at 1-800-832-2839, Monday through Friday, 8:00 a.m. to 5:00 p.m. Eastern
time.
Thank you in advance for your voluntary participation, and for helping the U.S. Census Bureau
measure America’s people, places, and economy. Your response makes a difference.
Sincerely,

John H. Thompson
Director
U.S. Census Bureau

ALFIN-L1
(02-08-2017)

OMB Number
This collection has been approved by the Office of Management and Budget (OMB). The eight-digit
OMB approval number is 0607-0585 and appears at the upper right of the login screen. Without
this approval, we could not conduct this survey.
Authority and Confidentiality
Title 13 United States Code, Sections 161 and 182, authorizes the Census Bureau to conduct this
collection and request your voluntary assistance. These data are subject to provisions of Title 13
United States Code, Section 9(b), exempting data that are customarily provided in public records
from rules of confidentiality.
Burden Estimate Statement
We estimate this survey will take an average of 1.5 to 6 hours to complete, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information. Send comments regarding
this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to:
ITMD Survey Comments 0607-0585
U.S. Census Bureau
4600 Silver Hill Road
Room ITMD-5K158
Washington, DC 20233
You may email comments to itmd.surveys@census.gov. Be sure to use “ITMD Survey Comments
0607-0585” as the subject.

ALFIN-L1R
(02-08-2017)

DUE DATE REMINDER
Recently, the U.S. Census Bureau mailed you a letter asking you to go online to complete the
2017 Census of Governments, Survey of Local Government Finances. If you have
submitted your survey in the past few weeks, thank you. If you have not yet reported, please do
so before the due date noted below.
Website:
User ID:
Password:
Due Date:
Thank you in advance for your time and cooperation, and for helping the U.S. Census Bureau
measure America’s people, places, and economy. Your response makes a difference.
Sincerely,

Dale C. Kelly
Chief, International Trade Management Division
U.S. Census Bureau

ALFIN-L2
(02-08-2017)

PAST DUE NOTICE
Our records indicate that we have not received your 2017 Census of Governments, Survey of
Local Government Finances. Please complete the survey online using the following
information:
Website:
User ID:
Password:
Due Date:
If you need assistance completing this survey, visit us online at the website above or call our
customer help line at 1-800-832-2839, Monday through Friday, 8:00 a.m. to 5:00 p.m. Eastern time.
Thank you in advance for your time and cooperation, and for helping the U.S. Census Bureau
measure America’s people, places, and economy. Your response makes a difference.
Sincerely,

Dale C. Kelly
Chief, International Trade Management Division
U.S. Census Bureau

January 5, 2017

NAME
Title
Address 1
Address 2
City, ST Zip
Dear NAME:
We are writing to request information for our 2017 Census of Governments, Survey of Local
Government Finances. This survey provides the only source of nationwide, comprehensive
information on state and local government finances. Results of this survey are used by the U.S.
Congress, federal agencies, state governments, and other local governments, educational and
research organizations and the general public.
Title 13 United States Code (U.S.C.), Sections 161 and 182 authorize the U.S. Census Bureau to
conduct this collection and to request your voluntary assistance and has been approved by the
U.S. Office of Management and Budget number 0607-0585. These data are subject to provisions
of Title 13 U.S.C., Section 9(b) exempting data that are customarily provided in public records
from rules of confidentiality.
As in previous survey years, we would like to obtain copies of the reports specified below for all
county, city, township, and special purpose governments in STATE. The data we are
requesting is for local governments with fiscal years ending July 1, 2016 through June 30, 2017.
•
•
•
•

File 1
File 2
File 3
File 4

Please send the reports via e-mail to ewd.local.finance@census.gov. If the requested reports are
not available electronically, or if you need further assistance, please call our customer help line
at 1-800-832-2839, Monday through Friday, 8 AM to 5 PM Eastern Time or via the e-mail
address above.
Thank you in advance for your time and cooperation, and for helping the U.S. Census Bureau
measure America’s people, places, and our economy. Your response makes a difference.
Sincerely,

Randy A. Moore
Branch Chief, Local Finance Statistics Branch
International Trade Management Division of the U.S. Census Bureau

OMB Number
This collection has been approved by the Office of Management and Budget (OMB). The eight-digit
OMB approval number is 0607-0585 and appears at the upper right of the login screen. Without
this approval, we could not conduct this survey.
Authority and Confidentiality
Title 13 United States Code, Sections 161 and 182, authorizes the Census Bureau to conduct this
collection and request your voluntary assistance. These data are subject to provisions of Title 13
United States Code, Section 9(b), exempting data that are customarily provided in public records
from rules of confidentiality.
Burden Estimate Statement
We estimate this survey will take an average of 24 hours to complete, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information. Send comments regarding
this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to:
ITMD Survey Comments 0607-0585
U.S. Census Bureau
4600 Silver Hill Road
Room ITMD-5K158
Washington, DC 20233
You may email comments to itmd.surveys@census.gov. Be sure to use “ITMD Survey Comments
0607-0585” as the subject.

COGS-L1
Draft

A Message from the Director, U.S. Census Bureau:
We are requesting your cooperation with the 2017 Census of Governments, Survey of State
Government Finances. This survey provides measures of revenue by source, expenditures by
character and function, indebtedness by term, and cash and investments by purpose for the 50
state governments in the United States. It is the only comprehensive source of information on the
finances of all state governments in the United States. The information collected serves as an
integral part of the foundation for developing national economic and public policy by measuring
public activity.

Please complete the enclosed questionnaire and return it to the Census Bureau in the envelope
provided.
We estimate this survey will take an average of 1 hour to complete. Information about the
authority, confidentiality, and burden of this data collection can be found on the back of this letter.
If you need assistance completing this survey, please call us on 1-866-820-7210, Monday through
Friday, 7:00 a.m. to 5:00 p.m. Eastern time.
Thank you in advance for your voluntary participation, and for helping the U.S. Census Bureau
measure America’s people, places, and economy. Your response makes a difference.
Sincerely,

John H. Thompson
Director
U.S. Census Bureau

COGS-L1
Draft

OMB Number
This collection has been approved by the Office of Management and Budget (OMB). The eight-digit
OMB approval number is 0607-0585 and appears at the upper right of the login screen. Without
this approval, we could not conduct this survey.
Authority and Confidentiality
Title 13 United States Code, Sections 161 and 182, authorizes the Census Bureau to conduct this
collection and request your voluntary assistance. These data are subject to provisions of Title 13
United States Code, Section 9(b), exempting data that are customarily provided in public records
from rules of confidentiality.
Burden Estimate Statement
Please note that this collection of information applies to governments with wide differences in the
size of their service areas, the amount of population served, and the extent and complexity of their
activities. We estimate the time to complete this survey varies from 30 minutes to 2 hours, with an
average of 1 hour, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden, to:
ITMD Survey Comments 0607-0585
U.S. Census Bureau
4600 Silver Hill Road
Room ITMD-5K158
Washington, DC 20233
You may email comments to itmd.surveys@census.gov. Be sure to use “ITMD Survey Comments
0607-0585” as the subject.

COGS-L2
Draft

PAST DUE NOTICE
Our records indicate that we have not received your 2017 Census of Governments, Survey of
State Government Finances.
Please complete the enclosed questionnaire and return it to the Census Bureau in the envelope
provided. If you have already submitted your survey, thank you for your response.
If you need assistance completing this survey, please call us on 1-866-820-7210, Monday through
Friday, 7:00 a.m. to 5:00 p.m. Eastern time.
Thank you in advance for your time and cooperation, and for helping the U.S. Census Bureau
measure America’s people, places, and economy. Your response makes a difference.
Sincerely,

Dale C. Kelly
Chief, International Trade Management Division
U.S. Census Bureau

COGP-L1
(DRAFT)

A Message from the Director, U.S. Census Bureau:
We are requesting your cooperation with the 2017 Census of Governments, Survey of Public
Pensions. This survey is the only source of comprehensive information on the finances of state
and locally administered public employee defined benefit plans in the United States. The
information collected serves as an integral part of the foundation for developing national
economic and public policy by measuring public activity.

Please report online using the information below and keep this letter for future reference:
Website:
User ID:
Password:
Due Date:
We estimate this survey will take an average of 2.5 hours to complete. Information about the
authority, confidentiality, and burden of this data collection can be found on the back of this letter.
If you need assistance completing this survey, visit us online at the website above or call our
customer help line at 1-800-832-2839, Monday through Friday, 8:00 a.m. to 5:00 p.m. Eastern time.
Thank you in advance for your voluntary participation, and for helping the U.S. Census Bureau
measure America’s people, places, and economy. Your response makes a difference.
Sincerely,

John H. Thompson
Director
U.S. Census Bureau

COGP-L1
(DRAFT)

OMB Number
This collection has been approved by the Office of Management and Budget (OMB). The eight-digit
OMB approval number is 0607-0585 and appears at the upper right of the login screen. Without
this approval, we could not conduct this survey.
Authority and Confidentiality
Title 13 United States Code, Sections 161 and 182, authorizes the Census Bureau to conduct this
collection and request your voluntary assistance. These data are subject to provisions of Title 13
United States Code, Section 9(b), exempting data that are customarily provided in public records
from rules of confidentiality.
Burden Estimate Statement
We estimate this survey will take an average of 2.5 hours to complete, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information. Send comments regarding
this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to:
ITMD Survey Comments 0607-0585
U.S. Census Bureau
4600 Silver Hill Road
Room ITMD-5K158
Washington, DC 20233
You may email comments to itmd.surveys@census.gov. Be sure to use “ITMD Survey Comments
0607-0585” as the subject.

COGP-L1R
(DRAFT)

DUE DATE REMINDER
Recently, the U.S. Census Bureau mailed you a letter asking you to go online to complete the
2017 Census of Governments, Survey of Public Pensions. If you have submitted your
survey in the past few weeks, thank you. If you have not yet reported, please do so before the
due date noted below.
Website:
User ID:
Password:
Due Date:
Thank you in advance for your time and cooperation, and for helping the U.S. Census Bureau
measure America’s people, places, and economy. Your response makes a difference.
Sincerely,

Dale C. Kelly
Chief, International Trade Management Division
U.S. Census Bureau

COGP-L2
(Draft)

PAST DUE NOTICE
Our records indicate that we have not received your 2017 Census of Governments, Survey of
Public Pensions. Please complete the survey online using the following information:
Website:
User ID:
Password:
Due Date:
For assistance with completing this survey, visit us online at the website above or call our
customer help line at 1-800-832-2839, Monday through Friday, 8:00 a.m. to 5:00 p.m. Eastern time.
Thank you in advance for your time and cooperation, and for helping the U.S. Census Bureau
measure America’s people, places, and economy. Your response makes a difference.
Sincerely,

Dale C. Kelly
Chief, International Trade Management Division
U.S. Census Bureau

Subject: 2017 annual Survey of State Government Tax Collections (STC)

Dear NAME:
The U.S. Census Bureau is requesting your help in providing data for the 2017 Annual Survey
of State Government Tax Collections (STC). This summary is the only comprehensive source
of details on tax collections by type of tax imposed and collected by state governments in the
United States. The U.S. Congress, federal agencies, state and local governments, educational
and research organizations, and the general public utilize these data for the following purposes:
development of gross domestic product estimates, development of the national income and
product accounts, and tax policy research.
Title 13, United States Code, Section 182, authorizes the U.S. Census Bureau to conduct this
collection and to request your voluntary assistance and has been approved by the U. S. Office of
Management and Budget (OMB) and given the number 0607-0585. Information provided in this
survey compiled from or customarily provided in public records is exempt from confidential
treatment as cited in Title 13, United States Code, Section 9.
Please complete and return the attached spreadsheet by December 31, 2017 by replying to this
email.
If the information is not currently available, please respond with an estimated date for when this
data will become available. If you identify areas where we have historically missed tax line
items, please add these tax line items directly into the spreadsheet. If there are any changes or
revisions to prior year data, please provide those corrections directly into the attached
spreadsheet, designating the revised values with an “R” in the FN column of the appropriate
year. A PDF of our tax section of the classification manual is attached as a reference for data
categorization/classification.
If you need any assistance, please contact us by phone at 1-866-820-7210 weekdays between
7 AM and 5 PM ET or by email at ewd.statetax@census.gov. You can see the published
statistics for the survey on our website: www.census.gov/govs/statetax/.
Thank you for participating in the 2017 Annual Survey of State Government Tax Collections.
The Census Bureau appreciates your help.
Sincerely,

Dale C. Kelly
Chief, International Trade Management Division
Attachments

OMB Number
This collection has been approved by the Office of Management and Budget (OMB). The eight-digit
OMB approval number is 0607-0585 and appears at the upper right of the login screen. Without
this approval, we could not conduct this survey.
Authority and Confidentiality
Title 13 United States Code, Sections 161 and 182, authorizes the Census Bureau to conduct this
collection and request your voluntary assistance. These data are subject to provisions of Title 13
United States Code, Section 9(b), exempting data that are customarily provided in public records
from rules of confidentiality.
Burden Estimate Statement
We estimate this survey will take an average of 1.5 to 10 hours to complete, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information. Send comments regarding
this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to:
ITMD Survey Comments 0607-0585
U.S. Census Bureau
4600 Silver Hill Road
Room ITMD-5K158
Washington, DC 20233
You may email comments to itmd.surveys@census.gov. Be sure to use “ITMD Survey Comments
0607-0585” as the subject.

Census Control Number CQAS-06228
GOVS:S.Curcio:4/15/14
CQAS:Review:ajcw:4/15/14;kem:4/16/14
CQAS:Final:msw:4/24/14