dd5l_2015_p1_doc_20150121

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

June 15, 2015

Dear Resident:
We are contacting you regarding a brief, one-time survey called 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. Sometime in the next few weeks, a Census
Bureau representative may contact you to ask a few simple questions about your
household.
Your cooperation in this research is required by law. Results from the next census will
determine congressional representation as required by the U.S. Constitution. Accurate
data are crucial in deciding how federal and state funds are distributed each year,
including funding for highways, schools, health facilities and many other programs you
and your neighbors use and need.
If you would like more information, please visit www.census.gov/survey_participants or call
our toll-free number at 1–866–226–2836.
Thank you.
Sincerely,

John H. Thompson
Director

OMB No. xxxx-xxxx: Approval Expires xx/xx/xxxx

Mensaje importante: Para completar la Prueba del Censo del 2015, por favor, visite
https://survey.census.gov/censustest o llame sin cargo al 1–888–262–5931

census.gov
DD-5(L)(2015b) (1-2015)

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 and click on
“2015 Census Test.”
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 10 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-5(L)(2015b) (1-2015)