Decennial Language Research

Generic Clearance for Questionnaire Pretesting Research

OMB1510_2015_Census_Focus_Grps_enc5

Decennial Language Research

OMB: 0607-0725

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Draft 1 (8-8-2014)

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

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

NOTICE OF VISIT

NOTICE OF VISIT

Sorry I missed you! I stopped by today to complete an interview for
your household, but you were not home.

Sorry I missed you! I stopped by today to complete an interview for
your household, but you were not home.

The Census Bureau is requesting your help with a brief, one-time
survey for the 2015 Census Test. The goal of this survey is to
develop new methods to make the next census easier, more
convenient, and less costly for taxpayers.

The Census Bureau is requesting your help with a brief, one-time
survey for the 2015 Census Test. The goal of this survey is to
develop new methods to make the next census easier, more
convenient, and less costly for taxpayers.

Please use one of the following methods to complete the survey
within the next two days; otherwise, I may contact you again
to complete the interview.

Please use one of the following methods to complete the survey
within the next two days; otherwise, I may contact you again
to complete the interview.

• Complete the interview online in English by
going to https://respond.census.gov/censustest

• Complete the interview online by going to
https://respond.census.gov/censustest

• Call 1–866–226–2836 toll-free to provide your census
information over the phone Monday through Saturday from
9:00 a.m. to 9:00 p.m. EST, and Sunday from 11:00 a.m. to
9:00 p.m. EST.

• Call 1–866–226–2836 toll-free to provide your census
information over the phone Monday through Saturday from
9:00 a.m. to 9:00 p.m. EST, and Sunday from 11:00 a.m. to
9:00 p.m. EST.

User ID:

–

–

– B

User ID:

–

–

– B

Your answers are confidential. This means the Census Bureau
cannot give out information that identifies you or your household.
Federal law protects your privacy and keeps your answers
confidential (Title 13, United States Code, Sections 9 and 214).

Your answers are confidential. This means the Census Bureau
cannot give out information that identifies you or your household.
Federal law protects your privacy and keeps your answers
confidential (Title 13, United States Code, Sections 9 and 214).

The Census Bureau is conducting this survey under the authority
of Title 13, United States Code, Sections 141 and 193. You are
required by U.S. law to respond to this survey. Our approval
number from the Office of Management and Budget is xxxx-xxxx
and this approval expires xx/xx/xxxx.

The Census Bureau is conducting this survey under the authority
of Title 13, United States Code, Sections 141 and 193. You are
required by U.S. law to respond to this survey. Our approval
number from the Office of Management and Budget is xxxx-xxxx
and this approval expires xx/xx/xxxx.

If you have questions about the legitimacy of this survey,
or want additional information, please visit
http://www.census.gov/aboutus/sur_demo.html

If you have questions about the legitimacy of this survey,
or want additional information, please visit
http://www.census.gov/aboutus/sur_demo.html

FORM DD-26B(C)
(8-8-2014)

DD-26B Base, Black ink

census.gov

DD-26B Overlay, Pantone Cyan #3015 (10%, 20% and 100%)

FORM DD-26B
(8-8-2014)

census.gov


File Typeapplication/pdf
AuthorSamantha Barron
File Modified2015-05-02
File Created2015-05-02

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