State & Local Government Finance Forms

Attachment 1

ASFIN-L1
(10-09-2019)

DC

UNITED STATES DEPARTMENT OF COMMERCE
U.S. Census Bureau
Office of the Director
Washington, DC 20233-0001

A Message from the Director, U.S. Census Bureau:
We request your participation with the 2019 Annual Survey of State Government Finances,
Finances of Insurance Trust Systems. 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.
For assistance with completing this survey, please call our customer helpline at
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 participation, and for helping the U.S. Census
Bureau measure America’s people, places, and economy.
Sincerely,

Ron S. Jarmin
Acng Director

census.gov

ASFIN-L1
(10-09-2019)

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 in the top right corner of the
paper survey form. Without this approval, we could not conduct this survey.
Authority and Confidentiality
Title 13, United States Code (U.S.C.), Sections 161 and 182, authorizes the U.S. Census
Bureau to conduct this collection and request your voluntary assistance. These data are
subject to provisions of Title 13, U.S.C., Section 9(b), which exempts data that are
customarily provided in public records from rules of confidentiality.
Burden Estimate Statement
We estimate the Annual Survey of State Government Finances, Finances of Insurance Trust
Systems survey will take an average of 1 hour to complete, including the time to review
instructions, search existing data sources, gather and maintain the data needed, and
complete and review the survey.

Attachment 1

ASFIN‐L2 
(10‐07‐2019)

DC

UNITED STATES DEPARTMENT OF COMMERCE
U.S. Census Bureau
Washington, DC 20233-0001

PAST  DUE  NOTICE
Our  records  indicate  that  we  have  not  received  your  2019  Annual  Survey  of  State
Government  Finances,  Finances  of  Insurance  Trust  Systems. 
Please  complete  the  enclosed  questionnaire  and  return  it  to  the  U.S.  Census  Bureau  in  the
envelope  provided. 
For  assistance  with  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  participation,  and  for  helping  the  U.S.  Census
Bureau  measure  America’s  people,  places,  and  economy. 
Sincerely,

Kimberly  P.  Moore
Chief,  Economy‐Wide  Statistics  Division
U.S.  Census  Bureau
Enclosures

census.gov

Attachment 1

ALFIN-L1
(08-25-2020)

DC

UNITED STATES DEPARTMENT OF COMMERCE
U.S. Census Bureau
Office of the Director
Washington, DC 20233-0001

A Message from the Director, U.S. Census Bureau:
We request your parcipaon with the 2020 Annual Survey of Local Government
Finances. This survey provides the only source of nationwide and 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, educaonal
and research organizations, and the general public. For example, the U.S. Department of
Justice uses our expenditure data to calculate the required pass-through percentages from
state to local governments for the Byrne Memorial Justice Assistance Grants.
Please fill out the survey online using the information below, and keep this leer 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. Informaon
about the authority, confidentiality, and burden of this data collecon can be found on the
back of this letter.
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 participation, and for helping the U.S. Census
Bureau measure America’s people and economy.
Sincerely,

Ron S. Jarmin
Acng Director

census.gov

ALFIN-L1
(08-25-2020)

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 in the top right corner of each
reporting screen. Without this approval, we could not conduct this survey.
Authority and Confidenality
Title 13, United States Code, Sections 161 and 182, authorizes the U.S. 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), which exempts data that are
customarily provided in public records from rules of confidentiality.
Burden Esmate Statement
We estimate the Annual Survey of Local Government Finances will take an average of 1.5 to
6 hours to complete, including the time to review instructions, search existing data sources,
gather and maintain the data needed, and complete and review the survey.

Attachment 1

ALFIN-L1R
(08-25-2020)

DC

UNITED STATES DEPARTMENT OF COMMERCE
U.S. Census Bureau
Washington, DC 20233-0001

The Office of Management and
Budget (OMB) approval number
for the Annual Survey of Local
Government Finances is 0607-0585.

DUE DATE REMINDER
Recently, the U.S. Census Bureau mailed you a leer asking you to complete the 2020
Annual 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 participation, and for helping the U.S. Census
Bureau measure America’s people and economy.
Sincerely,

Kimberly P. Moore
Chief, Economy-Wide Stascs Division
U.S. Census Bureau

census.gov

U.S. DEPARTMENT OF COMMERCE
U.S. Census Bureau
1201 E 10th St
Jeffersonville IN 47132-0001
OFFICIAL BUSINESS
Penalty for Private Use $300
ALFIN-L1R (08-2020)

AN EQUAL OPPORTUNITY EMPLOYER

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

Attachment 1

ALFIN-L2
(08-25-2020)

DC

UNITED STATES DEPARTMENT OF COMMERCE
U.S. Census Bureau
Washington, DC 20233-0001

The Office of Management and
Budget (OMB) approval number
for the Annual Survey of Local
Government Finances is 0607-0585.

PAST DUE NOTICE
Our records indicate that we have not received your 2020 Annual Survey of Local
Government Finances. 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 participation, and for helping the U.S. Census
Bureau measure America’s people and economy.
Sincerely,

Kimberly P. Moore
Chief, Economy-Wide Stascs Division
U.S. Census Bureau

census.gov

Attachment 1

Subject: RESPONSE REQUESTED: Annual Survey of State Government Finances
Dear NAME:
We request your participation with the 2019 Annual 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. The statistics are used by the Census of Economic Analysis in
that agency’s mission to develop the National Income and Product Accounts – Gross Domestic Product
(GDP), national income, and the like and other Federal agencies, states, and policy makers to develop a
variety of important economic measures.
As in previous years, please provide copies of the report(s) specified below for your government’s fiscal
year that ended June 30, 2020.
CHART OF ACCOUNTS
ELECTRONIC REVENUE AND EXPEDITURE DATA
Please provide completed responses in your preferred file format (except PDF) via email at
ewd.state.finance@census.gov by Month Day, 20XX.
Please verify, correct, or add to the following information:





Telephone Number: (XXX) XXX-XXXX
Fax Number: (XXX) XXX-XXXX
E-mail address: Name@email.com (if received via email, located in To: )
Mailing Address: (if received via mail, located at top of this page)

If you have any questions about this request, the survey, or the transmission of the files, please contact
me at 1-866-820-7210, or via e-mail at: ewd.state.finance@census.gov.
We request a variety of reports for the annual survey. Some are specialized, while others are standard
(such as annual financial reports). If any of the standard reports requested from your agency are
available from an internet site, please direct us to the web pages in lieu of providing a hard copy to
eliminate this request for future surveys.
Thank you in advance for your time and participation, and for helping the U.S. Census Bureau measure
America’s people, places, and economy.

Sincerely,

Kristina Pasquino-Frates
Chief, State Finance and Tax Statistics Branch
OMB Number
This collection has been approved by the Office of Management and Budget (OMB). The eight-digit
OMB approval number is 0607-0585. Without this approval, we could not conduct this survey.
Authority and Confidentiality
Title 13, United States Code, Sections 161 and 182, authorizes the U.S. Census Bureau to conduct this
collection and to 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 up to 1 hour, including the time to review instructions, search existing
data sources, gather and maintain the data needed, and complete and review the survey.

Attachment 1

ASPP-L1
(06-26-2019)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

A Message from the Director, U.S. Census Bureau:
We request your participation with the 2020 Annual 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 fill out the survey 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.
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 participation, and for helping the U.S. Census
Bureau measure America’s people, places, and economy.
Sincerely,

Ron S. Jarmin
Acng Director

census.gov

ASPP-L1
(06-26-2019)

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 in the top right corner of each
reporting screen. Without this approval, we could not conduct this survey.
Authority and Confidentiality
Title 13, United States Code, Sections 161 and 182, authorizes the U.S. 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), which exempts 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 to
review instructions, search existing data sources, gather and maintain the data needed, and
complete and review the survey.

Attachment 1

ASPP-L1R
(10-21-2019)

DC

UNITED STATES DEPARTMENT OF COMMERCE
U.S. Census Bureau
Washington, DC 20233-0001

DUE DATE REMINDER
Recently, the U.S. Census Bureau mailed you a letter asking you to complete the 2020
Annual 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 participation, and for helping the U.S. Census
Bureau measure America’s people, places, and economy.
Sincerely,

Kimberly P. Moore
Chief, Economy-Wide Statistics Division
U.S. Census Bureau

census.gov

Attachment 1

ASPP-L2
(10-21-2019)

DC

UNITED STATES DEPARTMENT OF COMMERCE
U.S. Census Bureau
Washington, DC 20233-0001

PAST DUE NOTICE
Our records indicate that we have not received your 2020 Annual 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 participation, and for helping the U.S. Census
Bureau measure America’s people, places, and economy.
Sincerely,

Kimberly P. Moore
Chief, Economy-Wide Statistics Division
U.S. Census Bureau

census.gov

Attachment 1

Subject: RESPONSE REQUESTED: Annual Survey of State Government Tax Collections

A Message from the Director, U.S. Census Bureau:
We request your participation with the 2020 Annual Survey of State Government Tax
Collections. This survey 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.
Please utilize the attached excel workbook to provide your responses by January 29, 2021.
We estimate this survey will take 1.5 to 10 hours, with an average of 3.5 hours. Information
about the authority, confidentiality, and burden of this data collection can be found at the end
of this email.
For assistance with completing this survey, please call our customer help line at 1-301-7631503, Monday through Friday, 7:00 a.m. to 5:00 p.m. Eastern time.
Thank you in advance for your time and participation, and for helping the U.S. Census Bureau
measure America’s people, places, and economy.
Sincerely,

Ron S. Jarmin
Acng Director

OMB Number
This collection has been approved by the Office of Management and Budget (OMB). The eightdigit OMB approval number is 0607-0585. Without this approval, we could not conduct this
survey.
Authority and Confidentiality
Title 13, United States Code, Sections 161 and 182, authorizes the U.S. Census Bureau to
conduct this collection and to 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 1.5 to 10 hours, with an average of 3.5 hours, including the
time to review instructions, search existing data sources, gather and maintain the data needed,
and complete and review the survey.

Attachment 1

Subject: PAST DUE NOTICE: Annual Survey of State Government Tax Collections

ATTN
GOVERNMENT
The U.S. Census Bureau recently requested your response to the 2020 Annual Survey of State
Government Tax Collections. If you have submitted your survey in the past few days, thank
you. If you have not yet submitted your survey, please do so within 10 days.
For assistance with completing your survey, please call our customer help line at 1-301-7631503, Monday through Friday, 7:00 a.m. to 5:00 p.m. Eastern time.
Thank you in advance for your time and participation, and for helping the U.S. Census Bureau
measure America’s people, places, and economy.
Sincerely,

Kimberly P. Moore
Chief, Economy-Wide Statistics Division
U.S. Census Bureau

Attachment 1

Subject: DUE DATE REMINDER: Annual Survey of State Government Tax Collections

ATTN
GOVERNMENT
The U.S. Census Bureau recently requested your response to the 2020 Annual Survey of State
Government Tax Collections. If you have submitted your survey in the past few days, thank
you. If you have not yet submitted your survey, please do so using the attached spreadsheet
before the due date noted below.
Due Date: January 29, 2021
For assistance with completing your survey, please call our customer help line at 1-301-7631503, Monday through Friday, 7:00 a.m. to 5:00 p.m. Eastern time.
Thank you in advance for your time and participation, and for helping the U.S. Census Bureau
measure America’s people, places, and economy.
Sincerely,

Kimberly P. Moore
Chief, Economy-Wide Statistics Division
U.S. Census Bureau