Group Quarters

Draft 5 (5-12-2017)

AN EQUAL OPPORTUNITY EMPLOYER
U. S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

YOUR RESPONSE
IS REQUIRED BY LAW

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The Census Bureau is conducting the 2018 Census Test. To ensure the accuracy of this
census, it is important that everyone be counted. Please complete the enclosed census
questionnaire. Put the completed questionnaire in this envelope and seal.

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DO NOT MAIL. Return as instructed.

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Return To:

Return By Date:

FOR OFFICIAL USE ONLY
GQ

DH-40 (5-2017)

Envelope 9 x 12 with no window

PN

DC

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Thank you for participating in the 2018 Census Test.

Your Answers Are Confidential

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The Census Bureau is not permitted to publicly release your responses in
a way that could identify you. We are conducting this survey under the
authority of Title 13, U.S. Code, Sections 141, 193, 221 and 223. Federal
law protects your privacy and keeps your answers confidential (Title 13,
U.S. Code, Section 9). By law, the Census Bureau can only use
your responses to produce statistics.
Per the Federal Cybersecurity Enhancement Act of 2015, your data are
protected from cybersecurity risks through screening of the systems that
transmit your data. For more information about how we protect your
information, please visit our website at census.gov, and at the bottom
of the home page, click on “Data Protection and Privacy Policy.”
Thank you for your cooperation. The Census Bureau appreciates your help.