The American Community Survey

ACS-18(L)(GQ)(PR)(S)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

Para: Administrador de la instalación
Su instalación ha sido seleccionada al azar para participar en una encuesta nacional muy
importante conocida como la Encuesta sobre la Comunidad de Puerto Rico (PRCS, por
sus siglas en inglés), la cual es llevada a cabo por el Negociado del Censo de los EE.UU.
La PRCS es una encuesta mensual continua que nos indica cómo es la población y cómo
vive. Participar en la PRCS es importante y también es requerido por la ley (Título 13 del
código de los Estados Unidos (U.S.C.), Secciones 141, 193, 221 y 223).
Los estimados basados en los datos de la PRCS son utilizados por el gobierno federal, el
de Puerto Rico y los gobiernos municipales, al igual que por organizaciones privadas sin
fines de lucro y comunidades, por ejemplo:
• Los gobiernos municipales y de Puerto Rico utilizan estos datos para preparar

presupuestos, evaluar programas y planificar proyectos de desarrollo comunitario, tales
como para las personas de edad avanzada, programas de niños y niñas escuchas,
bibliotecas y hospitales.
• Otras organizaciones usan esta información para proveer servicios a la comunidad y
para planificar o establecer nuevas instalaciones, edificios y programas.
• Los administradores en su propia instalación pueden utilizar la información de la PRCS.
Durante el año, los representantes de la PRCS contactan diferentes instalaciones, tales
como instituciones de corrección, instituciones para jóvenes, barracas militares y residencias
estudiantes. Dentro del próximo mes, uno de nuestros representantes de la PRCS lo(a)
contactará a usted o a alguien en su oficina para conversar sobre la encuesta y hacer una
cita para visitar su instalación.

census.gov

El representante del Negociado del Censo:
• le contestará cualquier pregunta que usted tenga sobre la PRCS o sobre los
procedimientos para las entrevistas con los residentes de su instalación.
• recopilará y verificará información básica sobre su instalación, tal como el nombre y la
dirección.
• solicitará una lista de las personas que actualmente residen o permanecen en la
instalación, con el fin de crear una base para la muestra.
• seleccionará al azar una muestra de residentes para que participen en la PRCS.
• entrevistará a los residentes seleccionados. Si algún residente no puede participar en la
entrevista, el representante del Negociado del Censo trabajará con usted para determinar
si hay otra manera de obtener la información necesaria.
Se les pedirá a los residentes seleccionados que respondan a la PRCS y que provean
información sobre varios temas, tales como la educación y el empleo. Toda la información
que el Negociado del Censo recopila se mantiene confidencial por ley (Título 13, U.S.C.
Sección 9).
Su cooperación es esencial para el éxito de la PRCS y el representante podrá llegar a
necesitar su asistencia para recopilar información de la encuesta de la muestra de residentes.
El representante del Censo necesitará tener acceso a los residentes seleccionados.
El folleto que se incluye provee respuestas a las preguntas más frecuentes sobre la PRCS.
Si usted desea aprender más sobre la PRCS, visite la página del Negociado del Censo en
http://www.census.gov/acs.
Si tiene alguna otra pregunta, por favor, llame a la Oficina Regional del Negociado del Censo
en New York al número de teléfono 1–800–991–2520 (ext. 3400) y pida por el supervisor del
PRCS. Se le agradece por adelantado por su cooperación y esperamos poder contar con
usted.
Atentamente,

Robert M. Groves
Director
Negociado del Censo de los EE.UU.
Anejo

ACS-18(L)(GQ)(PR)(S)(2013) (1-2012)

ACS-18(L)(C)(GQ)(ATLANTA)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Director of Student Housing
Your student housing facility has been randomly selected to participate in a very important
national survey conducted by the U.S. Census Bureau called the American Community
Survey (ACS). The ACS is an on-going survey that tells us what the population looks like and
how it lives. A sample of students who live or stay in student housing is included in the ACS.
Participating in the ACS is important and also required by law (Title 13, United States Code,
Sections 141, 193, 221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
businesses and private nonprofit organizations.
• The ACS estimates are used by federal agencies to determine the distribution of
Title I funding and college tuition grant and loan programs.
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for libraries and
new schools.
• Other organizations use this information to provide services to the community and
to plan or establish new facilities, buildings, and programs.
• Researchers and planners at your own institution almost certainly use ACS estimates
themselves.
Throughout the year, representatives for the ACS contact different facilities, such as college
residence halls, dormitories, and fraternity/sorority housing recognized by the college or
university. During the next month, one of our ACS field representatives will contact you or
someone in your office to discuss the survey and to schedule an appointment to visit
your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents
of your facility.
• collect and verify basic information about your student housing facility such as the
facility name and address.
census.gov

• ask for a list of students who are currently living or staying at the sampled
student housing facility to establish a basis for their sample. According to the
Family Education Rights and Privacy Act (FERPA) the Census Bureau is
permitted to collect this information.
• select a random sample of students to take part in the ACS.
• interview the selected students. If a student is unable to participate in an interview,
the field representative will work with you to determine if there are other ways to
get the needed information.
Selected students will be asked to respond to the ACS and provide information about various
topics, such as education and employment. All the information the U.S. Census Bureau
collects is confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may
need your assistance in collecting survey information from the sample of students. The field
representative will need access to the students chosen. For those students who do not
complete the survey, colleges and universities can lawfully disclose directory information from
student records to the Census Bureau without prior consent of the student, parents, or guardians
as stated in the FERPA. Directory information includes a student’s name, date of birth, school
address, and dates of attendance.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Atlanta Regional Office toll-free
number at 1–800–424–6974, and ask for the ACS supervisor. Thank you in advance for your
cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(C)(GQ)(ATLANTA)(2013)(1-2012)

ACS-18(L)(C)(GQ)(CHICAGO)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Director of Student Housing
Your student housing facility has been randomly selected to participate in a very important
national survey conducted by the U.S. Census Bureau called the American Community
Survey (ACS). The ACS is an on-going survey that tells us what the population looks like and
how it lives. A sample of students who live or stay in student housing is included in the ACS.
Participating in the ACS is important and also required by law (Title 13, United States Code,
Sections 141, 193, 221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
businesses and private nonprofit organizations.
• The ACS estimates are used by federal agencies to determine the distribution of
Title I funding and college tuition grant and loan programs.
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for libraries and
new schools.
• Other organizations use this information to provide services to the community and
to plan or establish new facilities, buildings, and programs.
• Researchers and planners at your own institution almost certainly use ACS estimates
themselves.
Throughout the year, representatives for the ACS contact different facilities, such as college
residence halls, dormitories, and fraternity/sorority housing recognized by the college or
university. During the next month, one of our ACS field representatives will contact you or
someone in your office to discuss the survey and to schedule an appointment to visit
your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents
of your facility.
• collect and verify basic information about your student housing facility such as the
facility name and address.
census.gov

• ask for a list of students who are currently living or staying at the sampled
student housing facility to establish a basis for their sample. According to the
Family Education Rights and Privacy Act (FERPA) the Census Bureau is
permitted to collect this information.
• select a random sample of students to take part in the ACS.
• interview the selected students. If a student is unable to participate in an interview,
the field representative will work with you to determine if there are other ways to
get the needed information.
Selected students will be asked to respond to the ACS and provide information about various
topics, such as education and employment. All the information the U.S. Census Bureau
collects is confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may
need your assistance in collecting survey information from the sample of students. The field
representative will need access to the students chosen. For those students who do not
complete the survey, colleges and universities can lawfully disclose directory information from
student records to the Census Bureau without prior consent of the student, parents, or guardians
as stated in the FERPA. Directory information includes a student’s name, date of birth, school
address, and dates of attendance.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Chicago Regional Office toll-free
number at 1–800–865–6384, and ask for the ACS supervisor. Thank you in advance for your
cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(C)(GQ)(CHICAGO)(2013)(1-2012)

ACS-18(L)(C)(GQ)(DENVER)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Director of Student Housing
Your student housing facility has been randomly selected to participate in a very important
national survey conducted by the U.S. Census Bureau called the American Community
Survey (ACS). The ACS is an on-going survey that tells us what the population looks like and
how it lives. A sample of students who live or stay in student housing is included in the ACS.
Participating in the ACS is important and also required by law (Title 13, United States Code,
Sections 141, 193, 221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
businesses and private nonprofit organizations.
• The ACS estimates are used by federal agencies to determine the distribution of
Title I funding and college tuition grant and loan programs.
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for libraries and
new schools.
• Other organizations use this information to provide services to the community and
to plan or establish new facilities, buildings, and programs.
• Researchers and planners at your own institution almost certainly use ACS estimates
themselves.
Throughout the year, representatives for the ACS contact different facilities, such as college
residence halls, dormitories, and fraternity/sorority housing recognized by the college or
university. During the next month, one of our ACS field representatives will contact you or
someone in your office to discuss the survey and to schedule an appointment to visit
your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents
of your facility.
• collect and verify basic information about your student housing facility such as the
facility name and address.
census.gov

• ask for a list of students who are currently living or staying at the sampled
student housing facility to establish a basis for their sample. According to the
Family Education Rights and Privacy Act (FERPA) the Census Bureau is
permitted to collect this information.
• select a random sample of students to take part in the ACS.
• interview the selected students. If a student is unable to participate in an interview,
the field representative will work with you to determine if there are other ways to
get the needed information.
Selected students will be asked to respond to the ACS and provide information about various
topics, such as education and employment. All the information the U.S. Census Bureau
collects is confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may
need your assistance in collecting survey information from the sample of students. The field
representative will need access to the students chosen. For those students who do not
complete the survey, colleges and universities can lawfully disclose directory information from
student records to the Census Bureau without prior consent of the student, parents, or guardians
as stated in the FERPA. Directory information includes a student’s name, date of birth, school
address, and dates of attendance.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Denver Regional Office toll-free
number at 1–888–209–7659, and ask for the ACS supervisor. Thank you in advance for your
cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(C)(GQ)(DENVER)(2013)(1-2012)

ACS-18(L)(C)(GQ)(LOS ANGELES)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Director of Student Housing
Your student housing facility has been randomly selected to participate in a very important
national survey conducted by the U.S. Census Bureau called the American Community
Survey (ACS). The ACS is an on-going survey that tells us what the population looks like and
how it lives. A sample of students who live or stay in student housing is included in the ACS.
Participating in the ACS is important and also required by law (Title 13, United States Code,
Sections 141, 193, 221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
businesses and private nonprofit organizations.
• The ACS estimates are used by federal agencies to determine the distribution of
Title I funding and college tuition grant and loan programs.
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for libraries and
new schools.
• Other organizations use this information to provide services to the community and
to plan or establish new facilities, buildings, and programs.
• Researchers and planners at your own institution almost certainly use ACS estimates
themselves.
Throughout the year, representatives for the ACS contact different facilities, such as college
residence halls, dormitories, and fraternity/sorority housing recognized by the college or
university. During the next month, one of our ACS field representatives will contact you or
someone in your office to discuss the survey and to schedule an appointment to visit
your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents
of your facility.
• collect and verify basic information about your student housing facility such as the
facility name and address.
census.gov

• ask for a list of students who are currently living or staying at the sampled
student housing facility to establish a basis for their sample. According to the
Family Education Rights and Privacy Act (FERPA) the Census Bureau is
permitted to collect this information.
• select a random sample of students to take part in the ACS.
• interview the selected students. If a student is unable to participate in an interview,
the field representative will work with you to determine if there are other ways to
get the needed information.
Selected students will be asked to respond to the ACS and provide information about various
topics, such as education and employment. All the information the U.S. Census Bureau
collects is confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may
need your assistance in collecting survey information from the sample of students. The field
representative will need access to the students chosen. For those students who do not
complete the survey, colleges and universities can lawfully disclose directory information from
student records to the Census Bureau without prior consent of the student, parents, or guardians
as stated in the FERPA. Directory information includes a student’s name, date of birth, school
address, and dates of attendance.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Los Angeles Regional Office
toll-free number at 1–800–992–3530 (ext.1), and ask for the ACS supervisor. Thank you in
advance for your cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(C)(GQ)(LOS ANGELES)(2013)(1-2012)

ACS-18(L)(C)(GQ)(NEW YORK)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Director of Student Housing
Your student housing facility has been randomly selected to participate in a very important
national survey conducted by the U.S. Census Bureau called the American Community
Survey (ACS). The ACS is an on-going survey that tells us what the population looks like and
how it lives. A sample of students who live or stay in student housing is included in the ACS.
Participating in the ACS is important and also required by law (Title 13, United States Code,
Sections 141, 193, 221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
businesses and private nonprofit organizations.
• The ACS estimates are used by federal agencies to determine the distribution of
Title I funding and college tuition grant and loan programs.
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for libraries and
new schools.
• Other organizations use this information to provide services to the community and
to plan or establish new facilities, buildings, and programs.
• Researchers and planners at your own institution almost certainly use ACS estimates
themselves.
Throughout the year, representatives for the ACS contact different facilities, such as college
residence halls, dormitories, and fraternity/sorority housing recognized by the college or
university. During the next month, one of our ACS field representatives will contact you or
someone in your office to discuss the survey and to schedule an appointment to visit
your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents
of your facility.
• collect and verify basic information about your student housing facility such as the
facility name and address.
census.gov

• ask for a list of students who are currently living or staying at the sampled
student housing facility to establish a basis for their sample. According to the
Family Education Rights and Privacy Act (FERPA) the Census Bureau is
permitted to collect this information.
• select a random sample of students to take part in the ACS.
• interview the selected students. If a student is unable to participate in an interview,
the field representative will work with you to determine if there are other ways to
get the needed information.
Selected students will be asked to respond to the ACS and provide information about various
topics, such as education and employment. All the information the U.S. Census Bureau
collects is confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may
need your assistance in collecting survey information from the sample of students. The field
representative will need access to the students chosen. For those students who do not
complete the survey, colleges and universities can lawfully disclose directory information from
student records to the Census Bureau without prior consent of the student, parents, or guardians
as stated in the FERPA. Directory information includes a student’s name, date of birth, school
address, and dates of attendance.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s New York Regional Office toll-free
number at 1–800–991–2520 (ext. 3400), and ask for the ACS supervisor. Thank you in advance
for your cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(C)(GQ)(NEW YORK)(2013)(1-2012)

ACS-18(L)(C)(GQ)(PHILADELPHIA)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Director of Student Housing
Your student housing facility has been randomly selected to participate in a very important
national survey conducted by the U.S. Census Bureau called the American Community
Survey (ACS). The ACS is an on-going survey that tells us what the population looks like and
how it lives. A sample of students who live or stay in student housing is included in the ACS.
Participating in the ACS is important and also required by law (Title 13, United States Code,
Sections 141, 193, 221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
businesses and private nonprofit organizations.
• The ACS estimates are used by federal agencies to determine the distribution of
Title I funding and college tuition grant and loan programs.
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for libraries and
new schools.
• Other organizations use this information to provide services to the community and
to plan or establish new facilities, buildings, and programs.
• Researchers and planners at your own institution almost certainly use ACS estimates
themselves.
Throughout the year, representatives for the ACS contact different facilities, such as college
residence halls, dormitories, and fraternity/sorority housing recognized by the college or
university. During the next month, one of our ACS field representatives will contact you or
someone in your office to discuss the survey and to schedule an appointment to visit
your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents
of your facility.
• collect and verify basic information about your student housing facility such as the
facility name and address.
census.gov

• ask for a list of students who are currently living or staying at the sampled
student housing facility to establish a basis for their sample. According to the
Family Education Rights and Privacy Act (FERPA) the Census Bureau is
permitted to collect this information.
• select a random sample of students to take part in the ACS.
• interview the selected students. If a student is unable to participate in an interview,
the field representative will work with you to determine if there are other ways to
get the needed information.
Selected students will be asked to respond to the ACS and provide information about various
topics, such as education and employment. All the information the U.S. Census Bureau
collects is confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may
need your assistance in collecting survey information from the sample of students. The field
representative will need access to the students chosen. For those students who do not
complete the survey, colleges and universities can lawfully disclose directory information from
student records to the Census Bureau without prior consent of the student, parents, or guardians
as stated in the FERPA. Directory information includes a student’s name, date of birth, school
address, and dates of attendance.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Philadelphia Regional Office
toll-free number at 1–866–238–1374, and ask for the ACS supervisor. Thank you in advance for
your cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(C)(GQ)(PHILADELPHIA)(2013)(1-2012)

ACS-18(L)(GQ)(ATLANTA)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Facility Manager
Your facility has been randomly selected to participate in a very important national survey
conducted by the U.S. Census Bureau called the American Community Survey (ACS).
The ACS is an on-going survey that tells us what the population looks like and how it lives. A
sample of residents who live or stay in your facility is included in the ACS. Participating in the
ACS is important and also required by law (Title 13, United States Code, Sections 141, 193,
221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
private nonprofit organizations and communities, for example:
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for the older population,
scout programs, libraries, and hospitals.
• Other organizations use this information to provide services to the community, and to
plan or establish new facilities, buildings, and programs.
• Administrators at your own facility may use ACS estimates themselves.
Throughout the year, representatives for the ACS contact different facilities, such has correctional
facilities, juvenile facilities, military barracks, and college residence halls. During the next month,
one of our ACS field representatives will contact you or someone in your office to discuss the
survey and to schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents of
your facility.
• collect and verify basic information about your facility, such as the facility name and
address.
• ask for a list of residents who are currently living or staying at your facility to establish a
basis for their sample.
census.gov

• select a random sample of residents to take part in the ACS.
• interview the selected residents. If a resident is unable to participate in an interview, the
field representative will work with you to determine if there are other ways to get the
needed information.
Selected residents will be asked to respond to the ACS and provide information about various
topics such as education and employment. All the information the U.S. Census Bureau
collects is confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may need
your assistance in collecting survey information from the sample of residents. The field
representative will need access to the residents chosen.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Atlanta Regional Office toll-free
number at 1–800–424–6974, and ask for the ACS supervisor. Thank you in advance for your
cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(GQ)(ATLANTA)(2013)(1-2012)

ACS-18(L)(GQ)(CHICAGO)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Facility Manager
Your facility has been randomly selected to participate in a very important national survey
conducted by the U.S. Census Bureau called the American Community Survey (ACS).
The ACS is an on-going survey that tells us what the population looks like and how it lives. A
sample of residents who live or stay in your facility is included in the ACS. Participating in the
ACS is important and also required by law (Title 13, United States Code, Sections 141, 193,
221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
private nonprofit organizations and communities, for example:
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for the older population,
scout programs, libraries, and hospitals.
• Other organizations use this information to provide services to the community, and to
plan or establish new facilities, buildings, and programs.
• Administrators at your own facility may use ACS estimates themselves.
Throughout the year, representatives for the ACS contact different facilities, such has correctional
facilities, juvenile facilities, military barracks, and college residence halls. During the next month,
one of our ACS field representatives will contact you or someone in your office to discuss the
survey and to schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents of
your facility.
• collect and verify basic information about your facility, such as the facility name and
address.
• ask for a list of residents who are currently living or staying at your facility to establish a
basis for their sample.

census.gov

• select a random sample of residents to take part in the ACS.
• interview the selected residents. If a resident is unable to participate in an interview, the
field representative will work with you to determine if there are other ways to get the
needed information.
Selected residents will be asked to respond to the ACS and provide information about various
topics such as education and employment. All the information the U.S. Census Bureau
collects is confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may need
your assistance in collecting survey information from the sample of residents. The field
representative will need access to the residents chosen.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Chicago Regional Office toll-free
number at 1–866–865–6384, and ask for the ACS supervisor. Thank you in advance for your
cooperation, and we look forward to working with you.
Sincerely,

Rrobert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(GQ)(CHICAGO)(2013)(1-2012)

ACS-18(L)(GQ)(DENVER)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Facility Manager
Your facility has been randomly selected to participate in a very important national survey
conducted by the U.S. Census Bureau called the American Community Survey (ACS).
The ACS is an on-going survey that tells us what the population looks like and how it lives. A
sample of residents who live or stay in your facility is included in the ACS. Participating in the
ACS is important and also required by law (Title 13, United States Code, Sections 141, 193,
221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
private nonprofit organizations and communities, for example:
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for the older population,
scout programs, libraries, and hospitals.
• Other organizations use this information to provide services to the community, and to
plan or establish new facilities, buildings, and programs.
• Administrators at your own facility may use ACS estimates themselves.
Throughout the year, representatives for the ACS contact different facilities, such has correctional
facilities, juvenile facilities, military barracks, and college residence halls. During the next month,
one of our ACS field representatives will contact you or someone in your office to discuss the
survey and to schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents of
your facility.
• collect and verify basic information about your facility, such as the facility name and
address.
• ask for a list of residents who are currently living or staying at your facility to establish a
basis for their sample.
census.gov

• select a random sample of residents to take part in the ACS.
• interview the selected residents. If a resident is unable to participate in an interview, the
field representative will work with you to determine if there are other ways to get the
needed information.
Selected residents will be asked to respond to the ACS and provide information about various
topics such as education and employment. All the information the U.S. Census Bureau
collects is confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may need
your assistance in collecting survey information from the sample of residents. The field
representative will need access to the residents chosen.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Denver Regional Office toll-free
number at 1–888–209–7659, and ask for the ACS supervisor. Thank you in advance for your
cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(GQ)(DENVER)(2013)(1-2012)

ACS-18(L)(GQ)(LOS ANGELES)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Facility Manager
Your facility has been randomly selected to participate in a very important national survey
conducted by the U.S. Census Bureau called the American Community Survey (ACS).
The ACS is an on-going survey that tells us what the population looks like and how it lives. A
sample of residents who live or stay in your facility is included in the ACS. Participating in the
ACS is important and also required by law (Title 13, United States Code, Sections 141, 193,
221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
private nonprofit organizations and communities, for example:
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for the older population,
scout programs, libraries, and hospitals.
• Other organizations use this information to provide services to the community, and to
plan or establish new facilities, buildings, and programs.
• Administrators at your own facility may use ACS estimates themselves.
Throughout the year, representatives for the ACS contact different facilities, such has correctional
facilities, juvenile facilities, military barracks, and college residence halls. During the next month,
one of our ACS field representatives will contact you or someone in your office to discuss the
survey and to schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents of
your facility.
• collect and verify basic information about your facility, such as the facility name and
address.
• ask for a list of residents who are currently living or staying at your facility to establish a
basis for their sample.

census.gov

• select a random sample of residents to take part in the ACS.
• interview the selected residents. If a resident is unable to participate in an interview, the
field representative will work with you to determine if there are other ways to get the
needed information.
Selected residents will be asked to respond to the ACS and provide information about various
topics such as education and employment. All the information the U.S. Census Bureau
collects is confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may need
your assistance in collecting survey information from the sample of residents. The field
representative will need access to the residents chosen.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Los Angeles Regional Office
toll-free number at 1–800–992–3530 (ext. 1), and ask for the ACS supervisor. Thank you in
advance for your cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(GQ)(LOS ANGELES)(2013)(1-2012)

ACS-18(L)(GQ)(NEW YORK)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Facility Manager
Your facility has been randomly selected to participate in a very important national survey
conducted by the U.S. Census Bureau called the American Community Survey (ACS).
The ACS is an on-going survey that tells us what the population looks like and how it lives. A
sample of residents who live or stay in your facility is included in the ACS. Participating in the
ACS is important and also required by law (Title 13, United States Code, Sections 141, 193,
221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
private nonprofit organizations and communities, for example:
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for the older population,
scout programs, libraries, and hospitals.
• Other organizations use this information to provide services to the community, and to
plan or establish new facilities, buildings, and programs.
• Administrators at your own facility may use ACS estimates themselves.
Throughout the year, representatives for the ACS contact different facilities, such has correctional
facilities, juvenile facilities, military barracks, and college residence halls. During the next month,
one of our ACS field representatives will contact you or someone in your office to discuss the
survey and to schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents of
your facility.
• collect and verify basic information about your facility, such as the facility name and
address.
• ask for a list of residents who are currently living or staying at your facility to establish a
basis for their sample.

census.gov

• select a random sample of residents to take part in the ACS.
• interview the selected residents. If a resident is unable to participate in an interview, the
field representative will work with you to determine if there are other ways to get the
needed information.
Selected residents will be asked to respond to the ACS and provide information about various
topics such as education and employment. All the information the U.S. Census Bureau
collects is confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may need
your assistance in collecting survey information from the sample of residents. The field
representative will need access to the residents chosen.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s New York Regional Office toll-free
number at 1–800–991–2520 (ext. 3400), and ask for the ACS supervisor. Thank you in advance
for your cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(GQ)(NEW YORK)(2013)(1-2012)

ACS-18(L)(GQ)(PHILADELPHIA)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Facility Manager
Your facility has been randomly selected to participate in a very important national survey
conducted by the U.S. Census Bureau called the American Community Survey (ACS).
The ACS is an on-going survey that tells us what the population looks like and how it lives. A
sample of residents who live or stay in your facility is included in the ACS. Participating in the
ACS is important and also required by law (Title 13, United States Code, Sections 141, 193,
221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
private nonprofit organizations and communities, for example:
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for the older population,
scout programs, libraries, and hospitals.
• Other organizations use this information to provide services to the community, and to
plan or establish new facilities, buildings, and programs.
• Administrators at your own facility may use ACS estimates themselves.
Throughout the year, representatives for the ACS contact different facilities, such has correctional
facilities, juvenile facilities, military barracks, and college residence halls. During the next month,
one of our ACS field representatives will contact you or someone in your office to discuss the
survey and to schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents of
your facility.
• collect and verify basic information about your facility, such as the facility name and
address.
• ask for a list of residents who are currently living or staying at your facility to establish a
basis for their sample.

census.gov

• select a random sample of residents to take part in the ACS.
• interview the selected residents. If a resident is unable to participate in an interview, the
field representative will work with you to determine if there are other ways to get the
needed information.
Selected residents will be asked to respond to the ACS and provide information about various
topics such as education and employment. All the information the U.S. Census Bureau
collects is confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may need
your assistance in collecting survey information from the sample of residents. The field
representative will need access to the residents chosen.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Philadelphia Regional Office
toll-free number at 1–866–238–1374, and ask for the ACS supervisor. Thank you in advance for
your cooperation, and we look forward to working with you.
Sincerely,

Rrobert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(GQ)(PHILADELPHIA)(2013)(1-2012)

ACS-18(L)(GQ)(PR)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Facility Manager
Your facility has been randomly selected to participate in a very important national survey conducted by
the U.S. Census Bureau called the Puerto Rico Community Survey (PRCS). The PRCS is an
on-going monthly survey that tells us what the population looks like and how it lives. A sample of
residents who live or stay in your facility is included in the PRCS. Participating in the PRCS is important
and also required by law (Title 13, United States Code, Sections 141, 193, 221, and 223).
Estimates from the PRCS are used by federal, Puerto Rico and municipio governments, as well as by
private nonprofit organizations and communities. For example:
• Puerto Rico and municipio governments use these estimates for budgeting, evaluating programs,
and planning for community development projects, such as those for the older population, scout
programs, libraries, and hospitals.
• Other organizations use this information to provide services to the community, and to plan or
establish new facilities, buildings, and programs.
• Administrators at your own facility may use PRCS estimates themselves.
Throughout the year, representatives for the PRCS contact different facilities such as correctional
facilities, juvenile facilities, military barracks, and college residence halls. During the next month, one of
our PRCS field representatives will contact you or someone in your office to discuss the survey and to
schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the PRCS or about interviewing residents of your
facility.
• collect and verify basic information about your facility, such as the facility name and address.
• ask for a list of residents who are currently living or staying at your facility to establish a basis for
their sample.

census.gov

• select a random sample of residents to take part in the PRCS.
• interview the selected residents. If a resident is unable to participate in an interview, the field
representative will work with you to determine if there are other ways to get the needed information.
Selected residents will be asked to respond to the PRCS and provide information about various topics
such as education and employment. All the information the U.S. Census Bureau collects is
confidential by law (Title 13, United States Code, Section 9).
Your cooperation is essential to the success of the PRCS, and the field representative may need your
assistance in collecting survey information from the sample of residents. The field representative will
need access to the residents chosen.
The enclosed brochure provides answers to frequently asked questions about the PRCS. If you want to
learn more about the PRCS, please visit the Census Bureau’s Web site at http://www.census.gov/acs.
If you have any further questions, please call the Census Bureau’s New York Regional Office toll-free
number at 1–800–991–2520 (ext. 3400), and ask for the PRCS supervisor. Thank you in advance for
your cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosures

ACS-18(L)(GQ)(PR)(2013) (1-2012)

ACS-18(L)(H)(GQ)(ATLANTA)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Health Care Facility Administrator
Your facility has been randomly selected to participate in a very important national survey
conducted by the U.S. Census Bureau called the American Community Survey (ACS).
The ACS is an ongoing survey that tells us what the population looks like and how it lives. A
sample of residents who live or stay in your hospitals, nursing facilities/skilled nursing facilities,
and inpatient hospice facilities is included in the ACS. Participating in the ACS is important
and also required by law (Title 13, United States Code, Sections 141, 193, 221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
private nonprofit organizations and communities. For example:
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for the older population,
hospitals, and senior centers.
• Other organizations use this information to provide services to the community, and to
plan or establish new facilities, buildings, and programs.
• Administrators at your own facility may use ACS estimates themselves.
Throughout the year, representatives for the ACS contact different facilities, such as hospitals,
nursing facilities/skilled nursing facilities, and inpatient hospice facilities. During the next month,
one of our ACS field representatives will contact you or someone in your office to discuss the
survey and to schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents of
your facility.
• collect and verify basic information about your facility, such as the facility name and
address.

census.gov

• ask for a list of residents who are currently living or staying at your facility to establish a
basis for their sample.
• select a random sample of residents to take part in the ACS.
• interview the selected residents. If a resident is unable to participate in an interview, the
field representative will work with you to determine if there are other ways to get the
needed information.
Selected residents will be asked to respond to the ACS and provide information about
various topics, such as education, military service, insurance coverage and disability. All the
information the U.S. Census Bureau collects is confidential by law (Title 13,
United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may
need your assistance in collecting survey information from the sample of residents. The field
representative will need access to the residents chosen. For those residents who cannot
complete the survey, according to the Health Insurance Portability and Accountability Act of
1996 (HIPAA), to the extent required by Title 13 or other law, an organization or facility covered
by HIPAA is permitted under the Privacy Rule to disclose protected health information to the
Census Bureau for survey purposes.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Atlanta Regional Office toll-free
number at 1–800–424–6974, and ask for the ACS supervisor. Thank you in advance for your
cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(H)(GQ)(ATLANTA)(2013)(1-2012)

ACS-18(L)(H)(GQ)(CHICAGO)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Health Care Facility Administrator
Your facility has been randomly selected to participate in a very important national survey
conducted by the U.S. Census Bureau called the American Community Survey (ACS).
The ACS is an ongoing survey that tells us what the population looks like and how it lives. A
sample of residents who live or stay in your hospitals, nursing facilities/skilled nursing facilities,
and inpatient hospice facilities is included in the ACS. Participating in the ACS is important
and also required by law (Title 13, United States Code, Sections 141, 193, 221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
private nonprofit organizations and communities. For example:
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for the older population,
hospitals, and senior centers.
• Other organizations use this information to provide services to the community, and to
plan or establish new facilities, buildings, and programs.
• Administrators at your own facility may use ACS estimates themselves.
Throughout the year, representatives for the ACS contact different facilities, such as hospitals,
nursing facilities/skilled nursing facilities, and inpatient hospice facilities. During the next month,
one of our ACS field representatives will contact you or someone in your office to discuss the
survey and to schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents of
your facility.
• collect and verify basic information about your facility, such as the facility name and
address.

census.gov

• ask for a list of residents who are currently living or staying at your facility to establish a
basis for their sample.
• select a random sample of residents to take part in the ACS.
• interview the selected residents. If a resident is unable to participate in an interview, the
field representative will work with you to determine if there are other ways to get the
needed information.
Selected residents will be asked to respond to the ACS and provide information about
various topics, such as education, military service, insurance coverage and disability. All the
information the U.S. Census Bureau collects is confidential by law (Title 13,
United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may
need your assistance in collecting survey information from the sample of residents. The field
representative will need access to the residents chosen. For those residents who cannot
complete the survey, according to the Health Insurance Portability and Accountability Act of
1996 (HIPAA), to the extent required by Title 13 or other law, an organization or facility covered
by HIPAA is permitted under the Privacy Rule to disclose protected health information to the
Census Bureau for survey purposes.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Chicago Regional Office toll-free
number at 1–800–865–6384, and ask for the ACS supervisor. Thank you in advance for your
cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(H)(GQ)(CHICAGO)(2013)(1-2012)

ACS-18(L)(H)(GQ)(DENVER)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Health Care Facility Administrator
Your facility has been randomly selected to participate in a very important national survey
conducted by the U.S. Census Bureau called the American Community Survey (ACS).
The ACS is an ongoing survey that tells us what the population looks like and how it lives. A
sample of residents who live or stay in your hospitals, nursing facilities/skilled nursing facilities,
and inpatient hospice facilities is included in the ACS. Participating in the ACS is important
and also required by law (Title 13, United States Code, Sections 141, 193, 221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
private nonprofit organizations and communities. For example:
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for the older population,
hospitals, and senior centers.
• Other organizations use this information to provide services to the community, and to
plan or establish new facilities, buildings, and programs.
• Administrators at your own facility may use ACS estimates themselves.
Throughout the year, representatives for the ACS contact different facilities, such as hospitals,
nursing facilities/skilled nursing facilities, and inpatient hospice facilities. During the next month,
one of our ACS field representatives will contact you or someone in your office to discuss the
survey and to schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents of
your facility.
• collect and verify basic information about your facility, such as the facility name and
address.

census.gov

• ask for a list of residents who are currently living or staying at your facility to establish a
basis for their sample.
• select a random sample of residents to take part in the ACS.
• interview the selected residents. If a resident is unable to participate in an interview, the
field representative will work with you to determine if there are other ways to get the
needed information.
Selected residents will be asked to respond to the ACS and provide information about
various topics, such as education, military service, insurance coverage and disability. All the
information the U.S. Census Bureau collects is confidential by law (Title 13,
United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may
need your assistance in collecting survey information from the sample of residents. The field
representative will need access to the residents chosen. For those residents who cannot
complete the survey, according to the Health Insurance Portability and Accountability Act of
1996 (HIPAA), to the extent required by Title 13 or other law, an organization or facility covered
by HIPAA is permitted under the Privacy Rule to disclose protected health information to the
Census Bureau for survey purposes.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Denver Regional Office toll-free
number at 1–888–209–7659, and ask for the ACS supervisor. Thank you in advance for your
cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(H)(GQ)(DENVER)(2013)(1-2012)

ACS-18(L)(H)(GQ)(LOS ANGELES)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Health Care Facility Administrator
Your facility has been randomly selected to participate in a very important national survey
conducted by the U.S. Census Bureau called the American Community Survey (ACS).
The ACS is an ongoing survey that tells us what the population looks like and how it lives. A
sample of residents who live or stay in your hospitals, nursing facilities/skilled nursing facilities,
and inpatient hospice facilities is included in the ACS. Participating in the ACS is important
and also required by law (Title 13, United States Code, Sections 141, 193, 221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
private nonprofit organizations and communities. For example:
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for the older population,
hospitals, and senior centers.
• Other organizations use this information to provide services to the community, and to
plan or establish new facilities, buildings, and programs.
• Administrators at your own facility may use ACS estimates themselves.
Throughout the year, representatives for the ACS contact different facilities, such as hospitals,
nursing facilities/skilled nursing facilities, and inpatient hospice facilities. During the next month,
one of our ACS field representatives will contact you or someone in your office to discuss the
survey and to schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents of
your facility.
• collect and verify basic information about your facility, such as the facility name and
address.

census.gov

• ask for a list of residents who are currently living or staying at your facility to establish a
basis for their sample.
• select a random sample of residents to take part in the ACS.
• interview the selected residents. If a resident is unable to participate in an interview, the
field representative will work with you to determine if there are other ways to get the
needed information.
Selected residents will be asked to respond to the ACS and provide information about
various topics, such as education, military service, insurance coverage and disability. All the
information the U.S. Census Bureau collects is confidential by law (Title 13,
United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may
need your assistance in collecting survey information from the sample of residents. The field
representative will need access to the residents chosen. For those residents who cannot
complete the survey, according to the Health Insurance Portability and Accountability Act of
1996 (HIPAA), to the extent required by Title 13 or other law, an organization or facility covered
by HIPAA is permitted under the Privacy Rule to disclose protected health information to the
Census Bureau for survey purposes.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Los Angeles Regional Office
toll-free number at 1–800–992–3530 (ext. 1), and ask for the ACS supervisor. Thank you in
advance for your cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(H)(GQ)(LOS ANGELES)(2013)(1-2012)

ACS-18(L)(H)(GQ)(NEW YORK)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Health Care Facility Administrator
Your facility has been randomly selected to participate in a very important national survey
conducted by the U.S. Census Bureau called the American Community Survey (ACS).
The ACS is an ongoing survey that tells us what the population looks like and how it lives. A
sample of residents who live or stay in your hospitals, nursing facilities/skilled nursing facilities,
and inpatient hospice facilities is included in the ACS. Participating in the ACS is important
and also required by law (Title 13, United States Code, Sections 141, 193, 221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
private nonprofit organizations and communities. For example:
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for the older population,
hospitals, and senior centers.
• Other organizations use this information to provide services to the community, and to
plan or establish new facilities, buildings, and programs.
• Administrators at your own facility may use ACS estimates themselves.
Throughout the year, representatives for the ACS contact different facilities, such as hospitals,
nursing facilities/skilled nursing facilities, and inpatient hospice facilities. During the next month,
one of our ACS field representatives will contact you or someone in your office to discuss the
survey and to schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents of
your facility.
• collect and verify basic information about your facility, such as the facility name and
address.

census.gov

• ask for a list of residents who are currently living or staying at your facility to establish a
basis for their sample.
• select a random sample of residents to take part in the ACS.
• interview the selected residents. If a resident is unable to participate in an interview, the
field representative will work with you to determine if there are other ways to get the
needed information.
Selected residents will be asked to respond to the ACS and provide information about
various topics, such as education, military service, insurance coverage and disability. All the
information the U.S. Census Bureau collects is confidential by law (Title 13,
United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may
need your assistance in collecting survey information from the sample of residents. The field
representative will need access to the residents chosen. For those residents who cannot
complete the survey, according to the Health Insurance Portability and Accountability Act of
1996 (HIPAA), to the extent required by Title 13 or other law, an organization or facility covered
by HIPAA is permitted under the Privacy Rule to disclose protected health information to the
Census Bureau for survey purposes.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s New York Regional Office toll-free
number at 1–800–991–2520 (ext. 3400), and ask for the ACS supervisor. Thank you in advance
for your cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(H)(GQ)(NEW YORK)(2013)(1-2012)

ACS-18(L)(H)(GQ)(PHILADELPHIA)(2013)
(1-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

To: Health Care Facility Administrator
Your facility has been randomly selected to participate in a very important national survey
conducted by the U.S. Census Bureau called the American Community Survey (ACS).
The ACS is an ongoing survey that tells us what the population looks like and how it lives. A
sample of residents who live or stay in your hospitals, nursing facilities/skilled nursing facilities,
and inpatient hospice facilities is included in the ACS. Participating in the ACS is important
and also required by law (Title 13, United States Code, Sections 141, 193, 221, and 223).
Estimates from the ACS are used by federal, state, local, and tribal governments, as well as by
private nonprofit organizations and communities. For example:
• Local governments use these estimates for budgeting, evaluating programs, and
planning for community development projects, such as those for the older population,
hospitals, and senior centers.
• Other organizations use this information to provide services to the community, and to
plan or establish new facilities, buildings, and programs.
• Administrators at your own facility may use ACS estimates themselves.
Throughout the year, representatives for the ACS contact different facilities, such as hospitals,
nursing facilities/skilled nursing facilities, and inpatient hospice facilities. During the next month,
one of our ACS field representatives will contact you or someone in your office to discuss the
survey and to schedule an appointment to visit your facility.
The field representative will:
• answer any questions you may have about the ACS or about interviewing residents of
your facility.
• collect and verify basic information about your facility, such as the facility name and
address.

census.gov

• ask for a list of residents who are currently living or staying at your facility to establish a
basis for their sample.
• select a random sample of residents to take part in the ACS.
• interview the selected residents. If a resident is unable to participate in an interview, the
field representative will work with you to determine if there are other ways to get the
needed information.
Selected residents will be asked to respond to the ACS and provide information about
various topics, such as education, military service, insurance coverage and disability. All the
information the U.S. Census Bureau collects is confidential by law (Title 13,
United States Code, Section 9).
Your cooperation is essential to the success of the ACS, and the field representative may
need your assistance in collecting survey information from the sample of residents. The field
representative will need access to the residents chosen. For those residents who cannot
complete the survey, according to the Health Insurance Portability and Accountability Act of
1996 (HIPAA), to the extent required by Title 13 or other law, an organization or facility covered
by HIPAA is permitted under the Privacy Rule to disclose protected health information to the
Census Bureau for survey purposes.
The enclosed brochure provides answers to frequently asked questions about the ACS. If you
want to learn more about the ACS, please visit the Census Bureau’s Web site at
http://www.census.gov/acs.
If you have further questions, please call the Census Bureau’s Philadelphia Regional Office
toll-free number at 1–866–238–1374, and ask for the ACS supervisor. Thank you in advance for
your cooperation, and we look forward to working with you.
Sincerely,

Robert M. Groves
Director
U.S. Census Bureau
Enclosure

ACS-18(L)(H)(GQ)(PHILADELPHIA)(2013)(1-2012)