201 Census Alternative Questionnaire Experiment

Draft 5 (3-24-2009)

U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
1201 E 10th Street
Jeffersonville IN 47190-4444
OFFICIAL BUSINESS
Penalty for Private Use $300
D-6A(IN) (3-2009)

AN EQUAL OPPORTUNITY EMPLOYER

U.S. Census Form Enclosed

YOUR RESPONSE
IS REQUIRED BY LAW

USCENSUSBUREAU
3-24-2009 - Size 10-1/16 x 6-1/16" Covered window 4-3/4" x 2-3/4"

PRESORTED
FIRST-CLASS MAIL
POSTAGE
& FEES PAID
U.S. CENSUS BUREAU
PERMIT NO. G-58