2011 Census of Population and Housing: Submission Form for Content or Procedures Before completing this form: Please read the Information paper 2011 Census of Population and Housing: ABS Views on Content and Procedures (Cat. No. 2007.0). This publication sets out the initial ABS proposals for the content of, and procedures for, the 2011 Census and invites comment from clients and the public. The Information Paper is available from the ABS web site. More Than One Submission: Each topic will be considered on its own merits. It should be noted that each submission must be about ONE topic or procedure only. A separate Submission Form will need to be completed for each topic requested for inclusion, exclusion or modification. Lodging your Submission: After this Submission Form has been completed and saved, please return the form using one of the following options: * copy and paste the text from the completed Submission Form into the on line Submission Form or * email the completed Submission Form (as an attachment) to 2011.census@abs.gov.au or * print the completed Submission Form and mail it to: 2011 Census Submissions Population Census Publications Team Locked Bag 10 Belconnen ACT 2616 Due Date: All submissions must be received by the 31 March 2008. Help Available: If you have any queries about the submission process, have problems completing the 2011 Census of Population and Housing Submission Form, or require a hardcopy version of the Information Paper, please telephone 1300 175 070 or email <2011.Census@abs.gov.au> Contact details: Q1. Please provide your contact details so we can contact you about your submission: Note: These details must to be completed. Anonymous submissions will not be considered. Name Title: First Name: Last Name: Postal address PO Box/Apartment, Flat or Unit No/Street No: Street Name: Suburb: State/Territory: Postcode: Telephone Phone number: Mobile number: Email Email address: Q2. Do you agree to allow the ABS to publicly refer to the information provided in this submission as a statement of your, or your organisation's, views on the relevant topics or procedures? Note: The ABS may make public the views put forward in this submission. However, the ABS will not publish the names of persons or organisations making submissions unless you have given permission to do so. (Please delete the inapplicable response below) Yes, I agree No, I do not agree Q3. Are you completing this submission as a: (Please delete the inapplicable response below) Private individual not representing any organisation? > Go to Q7. Representative of an organisation or government department? > Go to next question Q4. What is the name and address of your organisation? Note: For organisations with offices at more than one location please tick the state or territory where your head office is located. Name of organisation: PO Box/Apartment, Flat or Unit No/Street No: Street Name: Suburb: State/Territory: Postcode: Q5. What is your position in the organisation? Position Title: Designation/Level/Role: Q6. Which sector best describes your organisation? (Please delete the inapplicable responses below) Government Sector / Federal Government Sector / State Government Sector / Local Private sector (fewer than 20 employees) Private sector (20 or more employees) Other (please specify): Q7. Does this submission relate to: (Please delete the inapplicable responses below) a new topic? > Go to next question change to an existing topic? > Go to next question the deletion of a topic? > Go to Q16. some other aspect of the Census? > Go to Q18. Q8. What is the name of the topic? Topic name: Q9. Define the topic and/or describe modifications you are proposing for the 2011 Census as precisely as possible. Topic definition and/or modifications: Q10. For what specific purposes will the information from your proposed topic be used? Note: Please provide details of: *how specific studies or programs rely on this information *uses in policy-making, long-term planning, social and economic applications *the benefits that flow from the data Purposes of the information: Q11. What output from the Census would be required to support the uses you have described? Note: Please provide details of the output categories required and, if appropriate, ranges/descriptions for each category. Census output required: Q12. How, and with which other topic(s), will the information provided from the proposed topic be cross-classified? Cross-classification required: Q13. At what geographical level (e.g. postcode/suburb, statistical local area, etc) do you require this information to be tabulated? Note: Please indicate the level of classification required at each geographical level. In order to protect confidentiality, detailed classifications and large cross-tabulations may not be released for small areas. Geographical level: Q14. Where information on this topic is available from other sources, indicate how these sources are inadequate for your requirements. Note: Please consult with the ABS in your state or territory if you would like to find out whether any ABS survey data is available for the topic. Limitations of other sources: Q15. What would be the consequences for your organisation (or other users) if your submission for the 2011 Census is not successful? Note: In particular, please consider: *What activities could not take place or would be significantly reduced or degraded in quality? *Would any additional costs be incurred by your organisation to collect substitute data? If so, please indicate the type of collection envisaged and its cost. Consequences if submission is not successful: Q16. Is there any topic which you consider should be excluded from the 2011 Census? (Please delete the inapplicable responses below) No > Go to question 18 Yes > Go to next question Q17a. What is the name of the topic which you consider should be excluded from the 2011 Census? Topic name: Q17b. Why do you think that this topic should be excluded from the 2011 Census? Reason/s for exclusion: Q18. Do you have any comments on any other aspect of the Census? Comments: Acknowledgement Once the ABS has received your submission, we will send you or your organisation a letter of acknowledgement, either by post or email. What happens after the consultation period closes? Following assessment of all submissions recieved, final recommendations on the nature and content of the 2011 Census will be discussed with the Australian Statistics Advisory Council (ASAC) in late 2008. The ABS will then make a submission to the Government, outlining recommendations on the nature and content of the 2011 Census. The final content of the 2011 Census is expected to be known by the end of 2009. People who have provided submissions will be advised of the outcome. Thank you for your interest in the 2011 Census