bc-649 Not Found Form

FORM BC-649(L)
(2-28-2019)

OMB No. 0607-0117:

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
National Processing Center
Jeffersonville, IN 47132-0001

Re:

In response to your application, a search has been made of the records of the census listed below,
but we were unable to find the name of:
Name

Address

Census date

If you can furnish a new or corrected address for the census year listed above, a search will be made
in this census year without an additional fee if your reply is received within 90 days. Use the area
below to provide the information.

Census date

Number and street

City, town, township

County and State

Name of person with whom living (head of household)

Relationship of head of household

If you desire a search in a census year other than the census year listed above, it will be necessary for you
to fill out and sign a new application and return it to the U.S. Census Bureau, Personal Census Search
Unit, PO Box 1545, Jeffersonville, IN 47131-0001, with another fee.

census.gov

The average time it should take you to fill out the BC-649, "Not Found Form," including the time spent reading instructions is
6 minutes.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to: Deborah Johnson, U.S. Census Bureau, NPC, 1201 E. 10th St., Jeffersonville, In 47132. You may
e-mail comments to Deborah.Johnson@census.gov; use "Paperwork Project 0607-0117" as the subject.
Respondents are not required to respond to any information collection unless it displays a valid approval number from the
Office of Management and Budget. This 8-digit number appears in the top left corner on the front of this form.

The U.S. Census Bureau is required by law to protect your information. The Census Bureau is not permitted to publicly
release your responses in a way that could identify you or your household. Title 13, United States Code, Section 8(a)
permits release to the person whom the information pertains or to their legal representative. Several Federal laws protect
your privacy and keeps your answers confidential (5 U.S.C. § 552a and Title 13, United States Code, Section 9). Per the
Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the
systems that transmit your data.
The information provided to us may be shared with other Census Bureau staff for the work-related purposes per the
published routine uses as identified in the Privacy Act System of Records Notice COMMERCE/Census-6, Population Census
Records for 1910 and All Subsequent Decennial Censuses.
Furnishing this information is voluntary. Failure to do so may affect the Census Bureau’s ability to provide the information
requested.

FORM BC-649(L) (2-28-2019)