2017 Census Test - Self Response

2017 Census Test

dg_6a_1_in_es_20160901

2017 Census Test - Self Response

OMB: 0607-0996

Document [pdf]
Download: pdf | pdf
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Draft 4 (9-1-2016)

U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau

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

1201 E 10th Street
Jeffersonville IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

2-5/16"

DG-6A(1)(IN)(E/S) (8-2016)

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YOUR RESPONSE IS
REQUIRED BY LAW

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AN EQUAL OPPORTUNITY EMPLOYER

6-1/16"

We have not yet received your response

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SU RESPUESTA ES
REQUERIDA POR LEY

1"

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2-3/4"

Todavía no hemos recibido su respuesta

4-1/4"

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4-13/16"

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10-1/16"

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1"
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Size 10-1/16 x 6-1/16" Open window 4-1/4" x 2-3/4"

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DG-6A(1)(IN)(E/S) Specifications

Available in English online
Disponible en español en internet

survey.census.gov


File Typeapplication/pdf
File Titleuntitled
File Modified2016-09-01
File Created2016-09-01

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