Decennial Language Research

Draft 6 (5-14-2014)

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

Your Answers Are Confidential
Your answers are confidential and protected by law. All U.S. Census Bureau employees have taken an
oath of confidentiality and are subject to a jail term, a fine, or both, if they disclose ANY information that
could identify you or your household. Your answers will be used only for statistical purposes. You are
required by law to provide the information requested.
These federal laws are found in the United States Code, Title 13 (Sections 9, 141, 193, 214, and 221). To
learn more about our privacy policy and data protection, please visit our website at www.census.gov and
click on "Data Protection & Privacy Policy."
Thank you for your cooperation. The Census Bureau appreciates your help.

Respondents are not required to respond to any information collection unless it displays a valid approval number from
the Office of Management and Budget (OMB).
The approval number for the 2014 Census Test is OMB XXXX-XXXX. Send any comments concerning this collection to
Paperwork Reduction Project XXXX-XXXX, U.S. Census Bureau, AMSD-3K138, 4600 Silver Hill Road, Washington, DC
20233. Or email your comments to [email protected]; use "Paperwork Project XXXX-XXXX" as the subject.

For a copy of this information in Chinese, see the reverse side.

DC-31
(5-14-2014)