Envelopes

Draft 2 (12-2-2008)

Pacific Islands
Census Form Enclosed

Pacific Islands

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

YOUR RESPONSE
IS REQUIRED BY LAW

FOR
The Office of the Census is conducting the 2010 Census. To ensure the accuracy of this
Census, it is important that everyone be counted. Please complete the enclosed census
form. Put the completed form in this envelope, seal, and:
Return To:

Return By Date:

Thank you for your participation.
Your answers are confidential and protected by law – every census worker has taken
an oath and is subject to a jail term, a fine, or both if he or she discloses ANY information
that could identify you or your household. The information you provide can only be used
for statistical purposes, and no other purpose. You are required by law to provide the
information requested. This law also requires you to provide information requested
(Title 13, United States Code).
D-40 PI (12-2-2008)

USCENSUSBUREAU

LCO number

FOR OFFICIAL USE ONLY
GQ number

PN

DC