2013 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test

SIPP-EHC-105(L)2013 (CA)
(7-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

FROM THE DIRECTOR
BUREAU OF THE CENSUS

Dear Resident:
Thank you for helping the U.S. Census Bureau collect data for the reengineered Survey of Income and
Program Participation last year. Within a few days, a Census Bureau field representative will contact you
again regarding this survey. I want you to know that your continued participation in this survey is
important and appreciated.
This survey is used to make decisions about programs that affect millions of people in the United States.
For example, policymakers use the survey’s results for such purposes as designing children’s health
insurance programs and evaluating the future needs of the Social Security system. In order to inform
and aid policymakers in planning such significant government programs, the Census Bureau needs your
help to collect accurate data.
Your participation is essential to ensure the completeness and accuracy of the data for this study.
Although there are no penalties for failure to answer any question in this voluntary study, each
unanswered question substantially lessens the accuracy of the final results.
We conduct this study under the authority of Title 13, United States Code, Section 182. Section 9 of
Title 13 requires that we hold all information about you and your household in strictest confidence. Every
Census Bureau employee including the Director, as well as every field representative, has taken an oath
to uphold this confidentiality. If an employee discloses any information that identifies you or your
household, he or she is subject to a prison term, a fine, or both.
Additional information is explained on the back of this letter. Learn more at our Web site:
.
Thank you for your cooperation. I am grateful for your help.

A Message From the Director
For More information, contact:
REGIONAL DIRECTOR
US CENSUS BUREAU
15350 SHERMAN WAY STE 400
VAN NUYS CA 91406-4203

census.gov

SIPP-EHC-105(L)2013 (CO)
(7-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

FROM THE DIRECTOR
BUREAU OF THE CENSUS

Dear Resident:
Thank you for helping the U.S. Census Bureau collect data for the reengineered Survey of Income and
Program Participation last year. Within a few days, a Census Bureau field representative will contact you
again regarding this survey. I want you to know that your continued participation in this survey is
important and appreciated.
This survey is used to make decisions about programs that affect millions of people in the United States.
For example, policymakers use the survey’s results for such purposes as designing children’s health
insurance programs and evaluating the future needs of the Social Security system. In order to inform
and aid policymakers in planning such significant government programs, the Census Bureau needs your
help to collect accurate data.
Your participation is essential to ensure the completeness and accuracy of the data for this study.
Although there are no penalties for failure to answer any question in this voluntary study, each
unanswered question substantially lessens the accuracy of the final results.
We conduct this study under the authority of Title 13, United States Code, Section 182. Section 9 of
Title 13 requires that we hold all information about you and your household in strictest confidence. Every
Census Bureau employee including the Director, as well as every field representative, has taken an oath
to uphold this confidentiality. If an employee discloses any information that identifies you or your
household, he or she is subject to a prison term, a fine, or both.
Additional information is explained on the back of this letter. Learn more at our Web site:
.
Thank you for your cooperation. I am grateful for your help.

A Message From the Director
For More information, contact:
REGIONAL DIRECTOR
US CENSUS BUREAU
6950 W JEFFERSON AVE STE 250
DENVER CO 80235-2377

census.gov

SIPP-EHC-105(L)2013 (GA)
(7-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

FROM THE DIRECTOR
BUREAU OF THE CENSUS

Dear Resident:
Thank you for helping the U.S. Census Bureau collect data for the reengineered Survey of Income and
Program Participation last year. Within a few days, a Census Bureau field representative will contact you
again regarding this survey. I want you to know that your continued participation in this survey is
important and appreciated.
This survey is used to make decisions about programs that affect millions of people in the United States.
For example, policymakers use the survey’s results for such purposes as designing children’s health
insurance programs and evaluating the future needs of the Social Security system. In order to inform
and aid policymakers in planning such significant government programs, the Census Bureau needs your
help to collect accurate data.
Your participation is essential to ensure the completeness and accuracy of the data for this study.
Although there are no penalties for failure to answer any question in this voluntary study, each
unanswered question substantially lessens the accuracy of the final results.
We conduct this study under the authority of Title 13, United States Code, Section 182. Section 9 of
Title 13 requires that we hold all information about you and your household in strictest confidence. Every
Census Bureau employee including the Director, as well as every field representative, has taken an oath
to uphold this confidentiality. If an employee discloses any information that identifies you or your
household, he or she is subject to a prison term, a fine, or both.
Additional information is explained on the back of this letter. Learn more at our Web site:
.
Thank you for your cooperation. I am grateful for your help.

A Message From the Director
For More information, contact:
REGIONAL DIRECTOR
US CENSUS BUREAU
101 MARIETTA ST NW STE 3200
ATLANTA GA 30303-2711

census.gov

SIPP-EHC-105(L)2013 (IL)
(7-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

FROM THE DIRECTOR
BUREAU OF THE CENSUS

Dear Resident:
Thank you for helping the U.S. Census Bureau collect data for the reengineered Survey of Income and
Program Participation last year. Within a few days, a Census Bureau field representative will contact you
again regarding this survey. I want you to know that your continued participation in this survey is
important and appreciated.
This survey is used to make decisions about programs that affect millions of people in the United States.
For example, policymakers use the survey’s results for such purposes as designing children’s health
insurance programs and evaluating the future needs of the Social Security system. In order to inform
and aid policymakers in planning such significant government programs, the Census Bureau needs your
help to collect accurate data.
Your participation is essential to ensure the completeness and accuracy of the data for this study.
Although there are no penalties for failure to answer any question in this voluntary study, each
unanswered question substantially lessens the accuracy of the final results.
We conduct this study under the authority of Title 13, United States Code, Section 182. Section 9 of
Title 13 requires that we hold all information about you and your household in strictest confidence. Every
Census Bureau employee including the Director, as well as every field representative, has taken an oath
to uphold this confidentiality. If an employee discloses any information that identifies you or your
household, he or she is subject to a prison term, a fine, or both.
Additional information is explained on the back of this letter. Learn more at our Web site:
.
Thank you for your cooperation. I am grateful for your help.

A Message From the Director
For More information, contact:
REGIONAL DIRECTOR
US CENSUS BUREAU
1111 W 22nd ST STE 400
OAK BROOK IL 60523-1918

census.gov

SIPP-EHC-105(L)2013 (NY)
(7-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

FROM THE DIRECTOR
BUREAU OF THE CENSUS

Dear Resident:
Thank you for helping the U.S. Census Bureau collect data for the reengineered Survey of Income and
Program Participation last year. Within a few days, a Census Bureau field representative will contact you
again regarding this survey. I want you to know that your continued participation in this survey is
important and appreciated.
This survey is used to make decisions about programs that affect millions of people in the United States.
For example, policymakers use the survey’s results for such purposes as designing children’s health
insurance programs and evaluating the future needs of the Social Security system. In order to inform
and aid policymakers in planning such significant government programs, the Census Bureau needs your
help to collect accurate data.
Your participation is essential to ensure the completeness and accuracy of the data for this study.
Although there are no penalties for failure to answer any question in this voluntary study, each
unanswered question substantially lessens the accuracy of the final results.
We conduct this study under the authority of Title 13, United States Code, Section 182. Section 9 of
Title 13 requires that we hold all information about you and your household in strictest confidence. Every
Census Bureau employee including the Director, as well as every field representative, has taken an oath
to uphold this confidentiality. If an employee discloses any information that identifies you or your
household, he or she is subject to a prison term, a fine, or both.
Additional information is explained on the back of this letter. Learn more at our Web site:
.
Thank you for your cooperation. I am grateful for your help.

A Message From the Director
For More information, contact:
REGIONAL DIRECTOR
US CENSUS BUREAU
395 HUDSON ST STE 800
NEW YORK NY 10014-7451

census.gov

SIPP-EHC-105(L)2013 (PA)
(7-2012)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

FROM THE DIRECTOR
BUREAU OF THE CENSUS

Dear Resident:
Thank you for helping the U.S. Census Bureau collect data for the reengineered Survey of Income and
Program Participation last year. Within a few days, a Census Bureau field representative will contact you
again regarding this survey. I want you to know that your continued participation in this survey is
important and appreciated.
This survey is used to make decisions about programs that affect millions of people in the United States.
For example, policymakers use the survey’s results for such purposes as designing children’s health
insurance programs and evaluating the future needs of the Social Security system. In order to inform
and aid policymakers in planning such significant government programs, the Census Bureau needs your
help to collect accurate data.
Your participation is essential to ensure the completeness and accuracy of the data for this study.
Although there are no penalties for failure to answer any question in this voluntary study, each
unanswered question substantially lessens the accuracy of the final results.
We conduct this study under the authority of Title 13, United States Code, Section 182. Section 9 of
Title 13 requires that we hold all information about you and your household in strictest confidence. Every
Census Bureau employee including the Director, as well as every field representative, has taken an oath
to uphold this confidentiality. If an employee discloses any information that identifies you or your
household, he or she is subject to a prison term, a fine, or both.
Additional information is explained on the back of this letter. Learn more at our Web site:
.
Thank you for your cooperation. I am grateful for your help.

A Message From the Director
For More information, contact:
REGIONAL DIRECTOR
US CENSUS BUREAU
833 CHESTNUT ST STE 504
PHILADELPHIA PA 19107-4405

census.gov

Why does the Census Bureau collect this information?
Although we conduct a census every ten years, some information needs to be updated more often. This
survey provides current data about a variety of important issues, such as changes people have
experienced in their jobs, health insurance coverage, and medical expenditures; the well-being of
children and adults; childcare and child support status; retirement and pension planning; participation in
government programs; and other information. Since the country changes rapidly, up-to-date facts are
necessary in order to create effective programs. Policymakers in government and private organizations
need current economic information to make informed decisions about programs that will affect people of
all income levels. Your voluntary participation is essential to ensure that this survey’s results are
complete and accurate.
How do I know the Census Bureau will protect my information?
The law authorizes the Census Bureau to collect information for this survey (Title 13, United States
Code (U.S.C.), Section 182). Section 9 of this law requires us to keep all information about you and your
household strictly confidential. The Census Bureau will use this information only for statistical purposes.
Everyone who has access to your responses is subject to a prison term, a fine up to $250,000, or both,
if any information is revealed that identifies you or your household.
How will the Census Bureau use the information that I provide?
Because Title 13 guarantees the confidentiality of your information, the Census Bureau will combine the
information you provide with that of others to produce statistics. To be efficient, the Census Bureau
attempts to obtain information you may have given to other agencies if you have participated in other
government programs. We do so because it helps to ensure your data are complete, and it reduces the
number of questions you are asked on this survey. The same confidentiality laws that protect your
survey answers also protect any additional information we collect (Title 13, U.S.C., Section 9). If you
wish to request that your information not be combined with information from other agencies, we ask that
you notify the field representative at the time of the interview.
How much time will the survey take?
We estimate that it will take about 60 minutes per person to collect the information. This includes time
for reviewing the instructions and completing and reviewing your answers. You may send comments
regarding time estimates or any other aspect of this data collection process, including suggestions for
reducing this burden, to Paperwork Reduction Project 0607-0957, U.S. Census Bureau, 4600 Silver Hill
Road, Room 3K138, Washington, DC 20233. You may also e-mail comments to
; use “Paperwork Project 0607-0957” as the subject.
The U.S. Office of Management and Budget (OMB) approved this survey and gave it OMB approval
number 0607-0957; the expiration date is December 31, 2013. Displaying this number shows that the
Census Bureau is authorized to conduct this survey. Please use this number in any correspondence
concerning this survey.

SIPP-EHC-105(L)2013 (7-2012)