201 Census Alternative Questionnaire Experiment

12-3/8" x 9-1/2" with open window 5 x 2-3/4"
U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
1201 E 10th Street
Jeffersonville IN 47190-5555
OFFICIAL BUSINESS
Penalty for Private Use $300
D-6B(X13) (4-2009)

AN EQUAL OPPORTUNITY EMPLOYER

U.S. Census Form Enclosed

YOUR RESPONSE
IS REQUIRED BY LAW

USCENSUSBUREAU

Draft 1 (4-9-2009)

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