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. 

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 only. A separate Submission Form will need to be completed for each topic requested for inclusion, exclusion or modification.

Lodging submissions for the 2011 Census:
Please lodge your submission for the 2011 Census content or procedures using either this Submission Form or the on-line Submission Form at www.abs.gov.au/2011censusviews

If you are using this form, please return the completed form to:
		2011 Census Submissions	
		Population Census Publications
		Locked Bag 10 
		Belconnen ACT 2616 

Due Date
All submissions must be received by 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 and/or Submission Form, please email 2011.census@abs.gov.au or telephone 1300 175 070.
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 (eg. Mr, Mrs, Ms, Dr, etc): 
First name:
Surname:	
Postal address:
PO Box/Apartment, Flat or Unit No (if any):
Street No:
Street Name:
Suburb:				                         
State/Territory:		                             
Postcode:
Country, if not in Australia:	

Phone number:         

Mobile number: 

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 select a response below (by copying and pasting this tick box  if you are completing the form electronically):
	
q	Yes, I agree	
q	No, I do not agree	

Preliminary information

Q3.	Are you are completing this submission as a:

Please select a response below (by copying and pasting this tick box  if you are completing the form electronically):
	
q	Private individual not representing any organisation? 4 Go to Q7	
q	Representative of an organisation or government department? 4 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 indicate the address where your 		head office is located.

Name of organisation:
		
Address of organisation:	Apartment/Flat/Unit No (if any):
Street No:
Street Name:
Suburb:
State/Territory: 
Postcode:
Country, if not Australia:  

Q5.	What is your position in the organisation?

Position Title:
		
Designation/Level/Role:	

Q6.	Which sector best describes your organisation?

Please select a response below (by copying and pasting this tick box  if you are completing the form electronically):	
q	Government Sector / Federal		
q	Government Sector / State		
q	Government Sector / Local		
q	Private sector (fewer than 20 employees)		
q	Private sector (20 or more employees)		
q	Other (please specify):

Submission for the 2011 Census of Population and Housing

Please answer, in as much detail as possible, the following questions:

Q7.	Does this submission relate to:  

Please select a response below (by copying and pasting this tick box  if you are completing the form electronically):
	
q	a new topic?  4 Go to next question 	
q	change to an existing topic? 4 Go to next question	
q	the deletion of a topic? 4 Go to Q16  	
q	some other aspect of the Census? 4 Go to Q18	

Q8.	What is the name of the topic?

	

Q9.	Define the topic and/or describe modifications you are proposing for the 2011 Census 		as precisely as possible.

	

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

	

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.

	

Q12.	How, and with which other topic(s), will the information provided from the proposed 		topic be cross-classified?

	

Q13.	At what geographical level (e.g. postcode/suburb level, 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.

	

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.

	

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.

	

Q16.  	Is there any topic which you consider should be excluded from the 2011 Census?
				
Please select a response below (by copying and pasting this tick box  if you are completing the form electronically):
	
q	No 4 Go to question 18 	
q	Yes 4 Go to next question	

Q17 (a).	What is the name of the topic which you consider should be excluded from the 
		2011 Census?

	

Q17 (b).	Why do you think that this topic should be excluded from the 2011 Census?

	
Q18.	Do you have any comments on any other aspect of the Census?

	

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 submissions close?
Following assessment of submissions, 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, including recommendations on the nature and content of the 2011 Census. A decision on the 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