Decennial Language Research

Generic Clearance for Questionnaire Pretesting Research

OMB1510_2015_Census_Focus_Grps_enc8

Decennial Language Research

OMB: 0607-0725

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DD 14/17
A message from the Director, U.S. Census Bureau….
The U.S. Census Bureau is conducting the 2015 Census Test. If
you have already completed the survey, thank you.
If you have not responded, complete the survey using ONE of the
following options:
Option 1 Go to
https://respond.census.gov/censustest to complete
the survey online. You will need to provide your xx-digit
User ID, which is printed just below the bar code on
the back of the enclosed form.
Option 2 Complete and mail back the
enclosed form in the postage-paid envelope
provided.
Respond today and you can avoid a personal visit from a Census
Bureau interviewer. If you are unable to complete the survey online, or
need assistance, please call our toll-free number 1–xxx–xxx–xxxx.
You are required by U.S. law to respond to this survey. Your
answers will only be used for statistical purposes, and no
other purpose. The Census Bureau is required by U.S. law
to keep your answers confidential. This means that the
Census Bureau cannot give out information that identifies
you or your household. The Census Bureau chose your
address, not you personally, as part of a randomly selected
sample.
For more information about this survey, visit
www.census.gov/aboutus/sur_demo.html and click on
“2015 Census Test.”
Your Answers Are Confidential
We are conducting this survey under the authority of Title
13, United States Code, Sections 141 and 193. Federal
law protects your privacy and keeps your answers
confidential (Title 13, United States Code, Sections 9 and
214).
For more information about how we protect your
information, please visit our website at www.census.gov
and click on “Data Protection & Privacy Policy” at the
bottom of the homepage.

 

 

 


File Typeapplication/pdf
File TitleMicrosoft Word - DD 14-17 insert (Arabic)
Authorcrivers
File Modified2015-05-02
File Created2014-08-21

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