Various Demographic Area Pretesting Activities

Generic Clearance for Questionnaire Pretesting Research

omb1312coveragetestingenc9

Various Demographic Area Pretesting Activities

OMB: 0607-0725

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Receipt for Participation




I have voluntarily taken part in a study to improve the materials that will be used for the 2020 Census. This study is being conducted by RTI International and RSS Inc. for the U.S. Census Bureau. By my signature below, I confirm that I have received $40.00 in cash in appreciation for my participation in this project.


____________ ________________________

Participant Signature Date



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