Self Response -Internet/Telephone/Paper

Draft 1 (5-5-2017)

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
DH-6B(IN)(E/S) (5-2017)

T

AN EQUAL OPPORTUNITY EMPLOYER

AF

YOUR RESPONSE IS
REQUIRED BY LAW

D

R

SU RESPUESTA ES
REQUERIDA POR LEY

Size 9-1/4" x 5-7/8"

covered window 5" x 1-5/8"

T
AF
R

D

Available in English online
Disponible en español en internet

survey.census.gov

Size 9-1/4" x 5-7/8"