OMB
.report
Search
Feedback
Boundary and Annexation Survey (BAS)
OMB: 0607-0151
IC ID: 271176
OMB.report
DOC/CENSUS
OMB 0607-0151
ICR 202409-0607-001
IC 271176
( )
Documents and Forms
Document Name
Document Type
Form Boundary and Annex
Feedback
Form
Boundary and Annex Boundary and Annexation Survey Feedback Form
BAS_FeedbackForm.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Feedback
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Boundary and Annexation Survey Feedback Form
Boundary and Annexation Survey Feedback Form
BAS_FeedbackForm.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Legislative Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
1,000
0
1,000
0
0
0
Annual IC Time Burden (Hours)
500
0
500
0
0
0
Annual IC Cost Burden (Dollars)
17,390
0
17,390
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
