Census Test Usability Testing Addendum

Generic Clearance for Questionnaire Pretesting Research

Enclosure 2 Mailing Materials

Census Test Usability Testing Addendum

OMB: 0607-0725

Document [pdf]
Download: pdf | pdf
Draft 12 (10-4-2017)

OMB No. 0607-0999: Approval Expires 09/30/2020

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

Important Note:
You are receiving this
notice because we did not
receive your response by
April 2, 2018.

April 12, 2018
A Message from the Director, U.S. Census Bureau

N
AL

Dear Resident:

A few weeks ago, the Census Bureau sent instructions for completing the 2018 Census Test online.
If you have already completed the survey, you do not need to take any further action. If you have not
already responded to this important 10-minute survey, please do so now.

IO

Complete the survey using ONLY ONE of the following options:

AT

• Respond online at survey.census.gov
You will need to provide your 12-digit User ID, which is printed just below the barcode on the
front of the enclosed questionnaire.

M

• If you are unable to respond online, fill out and mail back the enclosed questionnaire in the
postage-paid envelope provided.

FO
R

Your response is important to your community.
You are required by law to respond to this survey. It is vital that you complete this survey to help meet
critical needs in your area – including helping to put roads, parks, and hospitals where they are needed
most.
If you do not respond promptly, a Census Bureau interviewer may contact you to complete the survey.

IN

Your answers are completely confidential.
By law, the Census Bureau is required to protect your information. If you need help completing your
survey, please call toll-free 1–844–330–2020.
Thank you for your prompt response.

Enclosures

census.gov
DH-17(L1)(E/S) (10-2017)

Base prints black 100%
Overlay prints pantone cyan #6 (10%)

Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

Nota importante:
Usted está recibiendo este
aviso porque no recibimos
su respuesta antes del
2 de abril de 2018.

12 de abril de 2018
Un mensaje del director de la Oficina del Censo de los EE. UU.

N
AL

Estimado residente de esta vivienda:

Hace unas semanas la Oficina del Censo le envió instrucciones para que completara por internet la
Prueba del Censo del 2018. Si ya usted ha completado la encuesta, no tiene que hacer nada más.
Si todavía no ha respondido a esta importante encuesta de 10 minutos, tenga la bondad de hacerlo
ahora.

IO

Complete la encuesta usando SOLO UNA de las siguientes opciones:

AT

• Responda por internet en survey.census.gov
Usted deberá proporcionar su número de identificación de usuario de 12 cifras, que aparece debajo
del código de barras al dorso del cuestionario adjunto.

M

• Si usted no puede responder por internet, complete el cuestionario adjunto y envíelo por correo
postal en el sobre con franqueo pagado que se incluye.

FO
R

Su respuesta es importante para su comunidad.
La ley requiere que usted responda a esta encuesta. Es de vital importancia que complete esta
encuesta para ayudar a satisfacer importantes necesidades en su área: entre ellas, ayudar a construir
carreteras, parques y hospitales donde más se necesiten.
Si usted no responde rápido, un entrevistador de la Oficina del Censo podría comunicarse con usted
para completar la encuesta.

IN

Sus respuestas son absolutamente confidenciales.
La Oficina del Censo está obligada por ley a proteger su información. Si necesita ayuda para completar
su encuesta o tiene preguntas, llame gratis al 1–844–468–2020.
Gracias por su rápida respuesta.

Adjuntos

census.gov
DH-17(L1)(E/S) (10-2017)

Base prints black 100%
Overlay prints pantone green #368 (10%)

Draft 13 (9-27-2017)

U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
1201 E 10th Street
Jeffersonville IN 47132

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. CENSUS BUREAU
PERMIT NO. G-58

OFFICIAL BUSINESS
Penalty for Private Use $300

AL

DH-9(E/S) (9-2017)

N

Your response is required by law.

IN

FO

R

M

AT

IO

La ley requiere que usted responda.

DC

DH-9(E/S) (9-2017)

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

23 de abril de 2018

A Message from the Director, U.S. Census Bureau

Un mensaje del director de la Oficina del Censo de los EE. UU.

Dear Resident:

Estimado residente de esta vivienda:

AT
IO

N

AL

April 23, 2018

¡Todavía está a tiempo de responder a la Prueba del Censo
del 2018! ¡Asegúrese de que lo cuenten!

Please respond now at survey.census.gov or complete and
return the paper questionnaire we sent you earlier. If you are
unable to respond online, or need assistance, please call toll-free
1–844–330–2020.

Por favor, responda ahora por internet en survey.census.gov o
complete y envíe el cuestionario impreso que le enviamos
anteriormente. Si no puede responder por internet o si necesita
ayuda, llame gratis al 1–844–468–2020.

IN

FO

R
M

It is not too late to respond to the 2018 Census Test! Make
sure you are counted!

OMB No. 0607-0999: Approval Expires 09/30/2020

Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020

Draft 3 (3-5-2018)

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 13, 2020
A Message from the Director, U.S. Census Bureau

T

Dear Resident:

R
AF

This is your invitation to respond to the 2020 Census. We need your help to count everyone in
the United States by providing basic information about all adults, children, and babies living or
staying at this address.
Results from the 2020 Census will be used to:

• Direct billions of dollars in federal funds to local communities for schools, roads, and
other public services.
• Help your community prepare to meet transportation and emergency readiness needs.
• Determine the number of seats each state has in the U.S. House of Representatives and
your political representation at all levels of government.

Your Census ID is:

D

Respond by April 1st at:
XXXX.XXXX.gov

The Census Bureau is using the internet to securely collect your information. Responding online
helps us conserve natural resources, save taxpayer money, and process data more efficiently. If
you are unable to complete your 2020 Census questionnaire online, we will send you a paper
questionnaire in a few weeks for you to complete and mail back.
The census is so important that your response is required by law, and your answers are kept
completely confidential. If you do not respond, we will need to send a Census Bureau interviewer
to your home to collect your answers in person. If you need help completing your 2020 Census
questionnaire, please call toll-free 1–844–330–2020.
Thank you in advance for your prompt response.
Enclosure

census.gov

D-LF1(3-2018)

Base prints black 100%

Overlay prints cyan #6 (10%)

FREQUENTLY ASKED QUESTIONS
XXXX-XXXX.gov
What is the 2020 Census?
The decennial census counts everyone in the United States. Article I, Section 2 of the U.S.
Constitution mandates that this population and housing count occur every 10 years. Census
Bureau data help determine how more than $675 billion of federal funding are spent on
infrastructure, programs and services each year.

T

Am I required to respond to the 2020 Census?
Yes, you are required by law to respond to the 2020 Census (Title 13 U.S. Code Sections 141
and 193). We are conducting the 2020 Census under the authority of Title 13, U.S. Code,
Sections 141, 193 and 221. This collection of information has been approved by the Office of
Management and Budget (OMB). The eight-digit OMB approval number is XXXX-XXXX. If this
number were not displayed, we could not conduct the 2020 Census.

R
AF

How long will my 2020 Census questionnaire take?
The Census Bureau estimates that completing the 2020 Census questionnaire will take 10
minutes on average.
Send comments regarding this burden estimate or any other aspect of this burden to:
Paperwork Reduction Project XXXX-XXXX, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. You may email comments to
<[email protected]>; use "Paperwork Reduction Project XXXX-XXXX"
as the subject.
How do I respond?
Go to XXXX.XXXX.gov to complete your 2020 Census questionnaire online. You will need the
12-digit Census ID found on the other side.

D

How will the Census Bureau use the information I provide?
By law, the Census Bureau can only use your responses to produce statistics.
Are my answers confidential and private?
Yes. The Census Bureau is required by law to protect your information (Title 13, U.S. Code,
Section 9). The Census Bureau is not permitted to publicly release your responses in a way
that could identify you or your household. Per the Federal Cybersecurity Enhancement Act of
2015, your data are protected from cybersecurity risks through screening of the systems that
transmit your data. All web data submissions are encrypted in order to protect your privacy.
Title 13 of the U.S. Code protects the confidentiality of all your information. Violating the
confidentiality of a respondent is a federal crime with serious penalties, including a federal
prison sentence of up to five years, a fine of up to $250,000, or both. Only authorized
individuals have access to the stored data, and the information you provide to the Census
Bureau may only be used by a restricted number of authorized individuals who are sworn for
life to protect the confidentiality of your individual responses. Your answers cannot be used
against you by any government agency or court.
For more information about how we protect your information, please visit our website at
census.gov and click on "Data Protection and Privacy Policy" at the bottom of the home page.
This page also includes information about the collection, storage, and use of these records;
click on "System of Records Notices (SORN)" and look for Privacy Act System of Records
Notice COMMERCE/CENSUS-5, Decennial Census Program.
D-LF1 (3-2018)

DC

DH-17(CQA) (10-5-2017)

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

OMB No. 0607-0999 Approval Expires 09/30/2020

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

Go to survey.census.gov and select "English," located in the upper-right
corner of the window, to access the questionnaire in English.
Visite survey.census.gov y seleccione "Español", en la esquina superior
derecha de la ventana, para acceder al cuestionario en español.

DH-17(CQA) (10-5-2017)

Draft 12 (9-28-2017)

OMB No. 0607-0999: Approval Expires 09/30/2020

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

March 16, 2018
A Message from the Director, U.S. Census Bureau
Dear Resident:

Results from the 2020 Census will be used to:

N
AL

To prepare for the 2020 Census, the Census Bureau is conducting the 2018 Census Test. The
Census Bureau conducts this important 10-minute survey to help make the 2020 Census easier, more
convenient, and less costly.

IO

• Allocate resources for schools, health services, and new business development.
• Prepare your community to meet transportation and emergency readiness needs.
• Help ensure the political representation of your community.

AT

Please respond by April 1 using ONE of the following options:

M

Option 1:
Go to survey.census.gov to complete the survey online.
You will need your 12-digit User ID, which is printed below the barcode on the
front of the enclosed questionnaire.

FO
R

Option 2:
Complete and mail back the enclosed questionnaire in the postage-paid envelope
provided.
Respond online to help us conserve natural resources, save taxpayer money, and process data more
efficiently.

IN

The census is so important that your response is required by law, and your answers are kept completely
confidential. If you do not respond, we will need to send a Census Bureau interviewer to your home
to collect your answers in person. If you need help completing your survey, please call toll-free
1–844–330–2020.
Thank you in advance for your prompt response.

Enclosures

census.gov
DH-16(L2)(E/S) (9-2017)

Base prints black 100%
Overlay prints pantone cyan #6 (10%)

Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

16 de marzo de 2018
Un mensaje del director de la Oficina del Censo de los EE. UU.
Estimado residente de esta vivienda:

Los resultados del Censo del 2020 se usarán para:

N
AL

Como preparación para el Censo del 2020, la Oficina del Censo la está llevando a cabo la
Prueba del Censo del 2018. La Oficina del Censo está llevando a cabo esta importante encuesta
de 10 minutos para ayudar a que el Censo del 2020 sea más fácil, más conveniente y menos costoso.

IO

• Asignar recursos a las escuelas, los servicios de salud y la creación de nuevos negocios.
• Preparar su comunidad para satisfacer las necesidades de transporte y disposición para emergencias.
• Ayudar a garantizar la representación política de su comunidad.
Responda antes del 1 de abril usando UNA de las siguientes opciones:

AT

Opción 1:
Visite survey.census.gov para completar la encuesta por internet.
Usted tendrá que dar su número de identificación de usuario de 12 cifras, que se
encuentra debajo del código de barras al dorso del cuestionario adjunto.

FO
R

M

Opción 2:
Complete y envíe por correo postal el cuestionario impreso adjunto en el sobre
con franqueo pagado que se provee.
Responda por internet para conservar recursos naturales, ahorrarles dinero a las personas que pagan
impuestos y procesar datos con más eficiencia.

IN

El censo es tan importante que la ley requiere que usted responda, y sus respuestas se mantienen
confidenciales. Si usted no responde, tendremos que enviar a un entrevistador de la Oficina del Censo
para que recopile sus respuestas en persona. Si necesita ayuda para completar su encuesta, llame
gratis al 1–844–468–2020.
Gracias de antemano por su rápida respuesta.

Adjuntos

census.gov
DH-16(L2)(E/S) (9-2017)

Base prints black 100%
Overlay prints pantone green #368 (10%)

Draft 13 (9-28-2017)

OMB No. 0607-0999: Approval Expires 09/30/2020

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001

N
AL

OFFICE OF THE DIRECTOR

A Message from the Director, U.S. Census Bureau

AT

Dear Resident:

IO

March 20, 2018

FO
R

M

Recently, you should have received instructions for completing the 2018 Census Test online. Local
communities depend on information from the Census Bureau to fund programs that promote the
well-being of families and children as well as equal employment opportunities for you and your
neighbors. If you have not already responded, please complete this short 10-minute survey now or
complete and return the paper questionnaire that we sent you earlier.

Respond now at:
survey.census.gov

Your User ID is:

IN

If we do not receive your response online, we will mail another paper questionnaire to your address in a
few weeks.
Your response is important to your local community and your country. By law, your response is required,
and your answers are confidential. Responding promptly will prevent you from receiving phone calls or
personal visits from Census Bureau interviewers.
If you need help completing your survey, please call toll-free 1–844–330–2020.
If you have already completed your survey, we thank you.

census.gov
DH-16(L4)(E/S) (9-2017)

Base prints black 100%
Overlay prints pantone cyan #6 (10%)

Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. Census Bureau
Washington, DC 20233-0001

N
AL

OFFICE OF THE DIRECTOR

20 de marzo de 2018

IO

Un mensaje del director de la Oficina del Censo de los EE. UU.

AT

Estimado residente de esta vivienda:

FO
R

M

Recientemente, usted debe haber recibido instrucciones para completar la Prueba del Censo del 2018
por internet. Las comunidades locales dependen de la información de la Oficina del Censo para financiar
los programas que promueven el bienestar de las familias y los niños, así como la igualdad de
oportunidades de empleo para usted y para sus vecinos. Si aún no ha respondido, por favor complete
ahora esta breve encuesta de 10 minutos o complete y envíe el cuestionario impreso que le enviamos
anteriormente.

Responda ahora en:
survey.census.gov

Su número de identificación de usuario es:

IN

Si no recibimos su respuesta por internet, le enviaremos otro cuestionario impreso a su dirección por
correo postal dentro de unas semanas.
Su respuesta es importante para su comunidad local y para su país. La ley requiere que usted
responda, y sus respuestas se mantienen confidenciales. Al responder rápido evitará las llamadas por
teléfono o las visitas en persona de los entrevistadores de la Oficina del Censo.
Si necesita ayuda para completar su encuesta, llame gratis al 1–844–468–2020.
Si ya usted ha completado su encuesta, se lo agradecemos.

census.gov
DH-16(L4)(E/S) (9-2017)

Base prints black 100%
Overlay prints pantone green #368 (10%)

Draft 18 (12-28-2017)

U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
1201 E 10th Street
Jeffersonville IN 47132

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. CENSUS BUREAU
PERMIT NO. G-58

OFFICIAL BUSINESS
Penalty for Private Use $300

AL

DH-9(C)(E/S) (12-2017)

IO
N

Your response is required by law.

IN

FO
R

M

AT

La ley requiere que usted responda.

DH-9(C)(E/S) (12-2017)

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

30 de marzo de 2018

N
AL

March 30, 2018

A Message from the Director, U.S. Census Bureau

Un mensaje del director de la Oficina del Censo de los EE. UU.

Dear Resident:

IO

Estimado residente de esta vivienda:

Ahora es el momento de responder.

AT

Now is the time to respond.

FO

R

M

The Census Bureau sent you several requests to complete the
2018 Census Test. If you have not already responded, it is important
that you complete this 10-minute survey now. Local communities depend on
information from the Census Bureau to fund programs that promote the
well-being of families and children as well as equal employment
opportunities for you and your neighbors.

La Oficina del Censo le ha enviado varias solicitudes para que complete la
Prueba del Censo del 2018. Si todavía no ha respondido, es importante
que complete ahora esta encuesta de 10 minutos. Las comunidades locales
dependen de la información de la Oficina del Censo para financiar los
programas que promueven el bienestar de las familias y los niños, así como la
igualdad de oportunidades de empleo para usted y para sus vecinos.
Responda ahora en survey.census.gov
O complete y envíe de vuelta el cuestionario
impreso que le enviamos anteriormente.

You are required by law to respond to this survey. Help us conserve natural
resources, process data more efficiently, and save taxpayer money by
responding online. Otherwise, a Census Bureau interviewer may visit you to
complete the survey.

A usted se le requiere por ley que responda a esta encuesta. Responda por
internet y ayúdenos así a conservar recursos naturales, a procesar los datos de
manera más eficiente y a ahorrarles dinero a las personas que pagan
impuestos. De lo contrario, un entrevistador de la Oficina del Censo podría
visitarlo para completar la encuesta.

IN

Respond now at survey.census.gov
OR complete and return the paper questionnaire
that we sent you earlier.

The Census Bureau is required by law to protect your information. The
Census Bureau is not permitted to publicly release your information in a
way that could identify you or your household.
If you are unable to respond online, we will send you another paper
questionnaire next week. If you need help completing your survey, please
call toll-free 1–844–330–2020.
OMB No. 0607-0999: Approval Expires 09/30/2020

La Oficina del Censo está obligada por ley a proteger su información. A la
Oficina del Censo no se le permite divulgar sus respuestas de manera que
usted o su hogar pudieran ser identificados.
Si usted no puede responder por internet, le enviaremos otro cuestionario
impreso la semana que viene. Si necesita ayuda para completar su encuesta,
llame gratis al 1–844–468–2020.
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020

Draft 15 (10-4-2017)

OMB No. 0607-0999: Approval Expires 09/30/2020

Economics and Statistics Administration

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

March 16, 2018
A Message from the Director, U.S. Census Bureau
Dear Resident:

N
AL

DC

UNITED STATES DEPARTMENT OF COMMERCE

AT

IO

To prepare for the 2020 Census, the Census Bureau is conducting the 2018 Census Test. The
Census Bureau conducts this important 10-minute survey to help make the 2020 Census easier, more
convenient, and less costly.
Results from the 2020 Census will be used to:

Your User ID is:

FO
R

M

• Allocate resources for schools, health services, and new business development.
• Prepare your community to meet transportation and emergency readiness needs.
• Help ensure the political representation of your community.

Respond by April 1 at:
survey.census.gov

IN

The Census Bureau is using the internet to securely collect your information. Respond online to help us
conserve natural resources, save taxpayer money, and process data more efficiently. If you are unable to
complete the survey online, we will send you a paper questionnaire in a few weeks for you to complete
and mail back.
The census is so important that your response is required by law, and your answers are kept completely
confidential. If you do not respond, we will need to send a Census Bureau interviewer to your home
to collect your answers in person. If you need help completing your survey, please call toll-free
1–844–330–2020.
Thank you in advance for your prompt response.

Enclosures

census.gov
DH-16(L1)(E/S) (10-2017)

Base prints black 100%
Overlay prints pantone cyan #6 (10%)

Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020

DC

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration

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

N
AL

16 de marzo de 2018

Un mensaje del director de la Oficina del Censo de los EE. UU.
Estimado residente de esta vivienda:

AT

Los resultados del Censo del 2020 se usarán para:

IO

Como preparación para el Censo del 2020, la Oficina del Censo está llevando a cabo la
Prueba del Censo del 2018. La Oficina del Censo está llevando a cabo esta importante encuesta
de 10 minutos para ayudar a que el Censo del 2020 sea más fácil, más conveniente y menos costoso.

FO
R

M

• Asignar recursos a las escuelas, los servicios de salud y la creación de nuevos negocios.
• Preparar su comunidad para satisfacer las necesidades de transporte y disposición para emergencias.
• Ayudar a garantizar la representación política de su comunidad.
Su número de identificación de usuario es:

Responda antes del 1 de abril en:
survey.census.gov

IN

La Oficina del Censo está usando internet para recopilar esta información de manera segura. Responda
por internet para conservar recursos naturales, ahorrarles dinero a las personas que pagan impuestos y
procesar datos con más eficiencia. Si usted no puede completar la encuesta por internet, le enviaremos
un cuestionario impreso dentro de unas semanas para que lo complete y lo envíe de vuelta por correo.
El censo es tan importante que la ley requiere que usted responda, y sus respuestas se mantienen
confidenciales. Si usted no responde, tendremos que enviar a un entrevistador de la Oficina del Censo
para que recopile sus respuestas en persona. Si necesita ayuda para completar su encuesta, llame
gratis al 1–844–468–2020.
Gracias de antemano por su rápida respuesta.

Adjuntos

census.gov
DH-16(L1)(E/S) (10-2017)

Base prints black 100%
Overlay prints pantone green 368 (10%)

Draft 10 (9-20-2017)

OMB No. 0607-0999: Approval Expires 09/30/2020

Economics and Statistics Administration

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

N
AL

DC

UNITED STATES DEPARTMENT OF COMMERCE

A Message from the Director, U.S. Census Bureau

AT

Dear Resident:

IO

March 20, 2018

FO
R

Respond now at:
survey.census.gov

M

Recently, you should have received instructions for completing the 2018 Census Test online. Local
communities depend on information from the Census Bureau to fund programs that promote the
well-being of families and children as well as equal employment opportunities for you and your
neighbors. If you have not already responded, please complete this short 10-minute survey now.
Your User ID is:

IN

If we do not receive your response online, we will mail a paper questionnaire to your address in a
few weeks.
Your response is important to your local community and your country. By law, your response is required,
and your answers are confidential. Responding promptly will prevent you from receiving phone calls or
personal visits from Census Bureau interviewers.
If you need help completing your survey, please call toll-free 1–844–330–2020.
If you have already completed your survey, we thank you.

census.gov
DH-16(L3)(E/S) (9-2017)

Base prints black 100%
Overlay prints pantone cyan #6 (10%)

Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020

Economics and Statistics Administration

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

N
AL

DC

UNITED STATES DEPARTMENT OF COMMERCE

20 de marzo de 2018

IO

Un mensaje del director de la Oficina del Censo de los EE. UU.

AT

Estimado residente de esta vivienda:

FO
R

M

Recientemente, usted debe haber recibido instrucciones para completar la Prueba del Censo del 2018
por internet. Las comunidades locales dependen de la información de la Oficina del Censo para financiar
los programas que promueven el bienestar de las familias y los niños, así como la igualdad de
oportunidades de empleo para usted y para sus vecinos. Si aún no ha respondido, complete ahora esta
breve encuesta de 10 minutos.
Su número de identificación de usuario es:

Responda ahora en:
survey.census.gov

IN

Si no recibimos su respuesta por internet, le enviaremos otro cuestionario impreso a su dirección por
correo postal dentro de unas semanas.
Su respuesta es importante para su comunidad local y para su país. La ley requiere que usted
responda, y sus respuestas se mantienen confidenciales. Al responder rápido evitará las llamadas
por teléfono o las visitas en persona de los entrevistadores de la Oficina del Censo.
Si necesita ayuda para completar su encuesta, llame gratis al 1–844–468–2020.
Si ya usted ha completado su encuesta, se lo agradecemos.

census.gov
DH-16(L3)(E/S) (9-2017)

Base prints black 100%
Overlay prints pantone green #368 (10%)

Draft 18 (12-28-2017)

U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
1201 E 10th Street
Jeffersonville IN 47132

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. CENSUS BUREAU
PERMIT NO. G-58

OFFICIAL BUSINESS
Penalty for Private Use $300

AL

DH-9(P)(E/S) (12-2017)

N

Your response is required by law.

IN

FO

R

M

AT

IO

La ley requiere que usted responda.

DC

DH-9(P)(E/S) (12-2017)

UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR

30 de marzo de 2018

A Message from the Director, U.S. Census Bureau

Un mensaje del director de la Oficina del Censo de los EE. UU.

Dear Resident:

Estimado residente de esta vivienda:

AT
IO

N
AL

March 30, 2018

Ahora es el momento de responder.

Now is the time to respond.

La Oficina del Censo le ha enviado varias solicitudes para que complete la
Prueba del Censo del 2018. Si todavía no ha respondido, es importante
que complete ahora esta encuesta de 10 minutos. Las comunidades locales
dependen de la información de la Oficina del Censo para financiar los
programas que promueven el bienestar de las familias y los niños, así como la
igualdad de oportunidades de empleo para usted y para sus vecinos.

Respond now at survey.census.gov

Responda ahora en survey.census.gov

FO

R
M

The Census Bureau sent you several requests to complete the
2018 Census Test. If you have not already responded, it is important that you
complete this 10-minute survey now. Local communities depend on information
from the Census Bureau to fund programs that promote the well-being of families
and children as well as equal employment opportunities for you and your
neighbors.

IN

You are required by law to respond to this survey. Help us conserve natural
resources, process data more efficiently, and save taxpayer money by
responding online. Otherwise, a Census Bureau interviewer may visit you to
complete the survey.
The Census Bureau is required by law to protect your information. The Census
Bureau is not permitted to publicly release your information in a way that could
identify you or your household.
If you are unable to respond online, we will mail you a paper questionnaire
next week. If you need help completing your survey, please call
toll-free 1–844–330–2020.
OMB No. 0607-0999: Approval Expires 09/30/2020

A usted se le requiere por ley que responda al censo. Responda por internet y
ayúdenos así a conservar recursos naturales, a procesar los datos de manera
más eficiente y a ahorrarles dinero a las personas que pagan impuestos. De lo
contrario, un entrevistador de la Oficina del Censo podría visitarlo para
completar la encuesta.
La Oficina del Censo está obligada por ley a proteger su información. A la
Oficina del Censo no se le permite divulgar sus respuestas de manera que usted
o su hogar pudieran ser identificados.
Si usted no puede responder por internet, le enviaremos un cuestionario impreso
la semana que viene. Si necesita ayuda para completar su encuesta, llame
gratis al 1–844–468–2020.
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020


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