Attachment C: Notice of Visit Letter
OMB No. 0607-XXXX: Approval Expires xx/xx/xxxx
Form COFA-NOV (2018)
2018 Survey of Compact of Free Association (COFA) Migrants
Dear Resident:
Sorry I missed you.
The U.S. Census Bureau is conducting a survey to determine the impact of the Compact of Free Association (COFA). The U.S. Census Bureau chose your address, not you, as part of a randomly selected sample. I stopped by today to complete a survey questionnaire for your household, but you were not home. If you would like to provide the information over the phone – it generally takes about 20 minutes – you can telephone me at the number listed below. Otherwise, I will stop back in the next day or two.
I want to emphasize that the Census Bureau is required by law to keep your information confidential (Title 13, United States Code, Section 9). The Census Bureau is not permitted to publicly release your responses in a way that could identify you or this 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. By law, the Census Bureau can only use your responses to produce statistics.
The results of this survey will be used to disburse funds for health, educational, social, or public safety programs.
The success of this survey depends on you. Thank you.
My name is ____________________________________________
I can be reached at ______________________________________
The best time to call is
a.m. a.m.
From ______ p.m. To _________ p.m.
Agency Disclosure Notice: This information collection is authorized by OMB No. 0607-XXXX. Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to U.S. Department of Commerce, U.S. Census Bureau, 4600 Silver Hill Road, 8H590, Washington, DC 20233. You may email comments to [email protected]; use “COFA Paperwork Project 0607-XXXX” as the subject. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
Office name and phone number ID No. ___________________
_________________________ Map Spot No. _____Block No._____
File Type | application/msword |
File Title | Notice of Visit |
Author | guzma003 |
Last Modified By | SYSTEM |
File Modified | 2018-02-23 |
File Created | 2018-02-23 |