dd16I2_20150123

Draft 6 (1-23-2015)
OMB No. xxxx-xxxx: Approval Expires xx/xx/xxxx

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

March 23, 2015
Dear Resident:
The U.S. Census Bureau is conducting the 2015 Census Test in your
area. Your response to this brief survey is important and will help in our
efforts to develop new methods that will make the next census easier,
more convenient, and less costly for taxpayers. Results from the next
census will be used to help each community get its fair share of federal
funding for many programs that you and your neighbors need.
Using the enclosed instruction card, please complete the survey online
by April 1 at:
https://survey.census.gov/censustest/ucount
Respond on time to avoid a personal visit from a Census Bureau
interviewer. Help us conserve natural resources, process data more
efficiently, and save taxpayer money by responding online. If you are
unable to complete the survey online, you may call 1–866–226–2836
toll-free to provide your census information over the phone.
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 back of
this letter contains more information about protecting your data.
Thank you.
Sincerely,

John H. Thompson
Director
Enclosure
Mensaje importante: Para completar la Prueba del Censo del 2015, por
favor, visite https://survey.census.gov/censustest/ucount
o llame sin cargo al 1–888–262–5931.
census.gov
DD-16(L)(2) (1-2015)

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Overlay prints Pantone Cyan - 10% and 20%

Your Answers Are Confidential
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.
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 this survey, visit
www.census.gov/2015censustests.
For more information about how we protect your information,
please visit our website at www.census.gov and click on “Data
Protection & Privacy Policy.”

The U.S. Census Bureau estimates that, for the average household, this form will
take about 12 minutes to complete, including the time for reviewing the instructions
and answers. Send comments regarding this burden estimate or any other aspect
of this burden to: Paperwork Reduction Project xxxx-xxxx, U.S. Census Bureau,
DMD-3H174, 4600 Silver Hill Road, Washington, DC 20233. You may e-mail
comments to ; use "Paperwork Project xxxx-xxxx" as
the subject.
Respondents are not required to respond to any information collection unless it
displays a valid approval number from the Office of Management and Budget.

DD-16(L)(2) (1-2015)

Base copy prints black ink
Overlay prints Pantone Cyan #6 - 10%