D-2011 Inventory Return Form

Form D-2011 (XX-XX-XXXX) OMB Control No. XXXX-XXXX

U.S. DEPARTMENT OF COMMERCE ECONOMICS AND STATISTICS ADMINSTRATION U.S. CENSUS BUREAU

INVENTORY FORM FOR THE RETURN OR SUBMISSION OF MATERIALS 2020 LOCAL UPDATE OF CENSUS ADDRESSES OPERATION (LUCA)

Entity ID

Government Name

Please use this form to identify only the LUCA materials that you have updated and are returning to the Census Bureau.

Paper address list:

Census Bureau Address List number of updated pages _________

Address List Add Page number of updated pages _________

Digital address list:

Census Bureau Address List file – Specify file name

Number of updated address records _______

Geographic Update Partnership Software (GUPS) zip file:

Products updated – Mark (X) all that apply

Census Bureau Address List

Shapefile

Paper maps:

Number of updated map sheets ___________

Government shapefile: