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pdfAttachment A- Revised Questionnaire Cover Letters
Draft 27 (1-3-2018)
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:
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:
• 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.
Your User ID is:
Respond by April 1 at:
survey.census.gov
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.
Enclosure
Mensaje importante: Para completar la Prueba del Censo del 2018, por favor, visite survey.census.gov
o llame gratis al 1–844–468–2020.
census.gov
DH-16(L1) (1-2018)
Base prints black 100%
Overlay prints pantone cyan #6 (10%)
FREQUENTLY ASKED QUESTIONS
How do I respond?
Go to survey.census.gov to complete the 2018 Census Test online. You will need the 12-digit User ID
found on the other side.
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.
Am I required to fill out this survey?
Yes. You are required by law to respond to this survey (Title 13, U.S. Code, Sections 141 and 193). We are
conducting this survey 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). You are not required to
respond to this survey if it does not display a valid OMB approval number. The eight-digit OMB approval
number is 0607-0999.
What is the 2018 Census Test?
The Census Bureau is researching modern and cost-efficient methods for the population to exercise its civic
obligation to be counted in the 2020 Census. By completing this survey, you help prepare for a more
accurate count of all populations in the 2020 Census.
How will the Census Bureau use the information I provide?
By law, the Census Bureau can only use your responses to produce statistics.
How long will this survey take?
The Census Bureau estimates that completing the questionnaire will take 10 minutes on average.
Send comments regarding this burden estimate or any other aspect of this burden to: Paperwork Reduction
Project 0607-0999, U.S. Census Bureau, DCMD-2H174, 4600 Silver Hill Road, Washington, DC 20233. You
may email comments to <[email protected]>; use "Paperwork Reduction Project
0607-0999" as the subject.
DH-16(L1) (1-2018)
Draft 15 (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
March 16, 2018
A Message from the Director, U.S. Census Bureau
Dear Resident:
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:
• 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.
Your User ID is:
Respond by April 1 at:
survey.census.gov
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
16 de marzo de 2018
Un mensaje del director de la Oficina del Censo de los EE. UU.
Estimado residente de esta vivienda:
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.
Los resultados del Censo del 2020 se usarán para:
• 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
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 27 (1-3-2018)
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:
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:
• 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.
Please respond by April 1 using ONE of the following options:
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.
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.
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
Mensaje importante: Para completar la Prueba del Censo del 2018, por favor, visite survey.census.gov
o llame gratis al 1–844–468–2020.
census.gov
DH-16(L2) (1-2018)
Base prints black 100%
Overlay prints pantone cyan #6 (10%)
FREQUENTLY ASKED QUESTIONS
How do I respond?
Go to survey.census.gov to complete the 2018 Census Test online. You will need the 12-digit
User ID found below the barcode on the address label.
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.
Am I required to fill out this survey?
Yes. You are required by law to respond to this survey (Title 13, U.S. Code, Sections 141 and 193). We are
conducting this survey 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). You are not required to
respond to this survey if it does not display a valid OMB approval number. The eight-digit OMB approval
number is 0607-0999.
What is the 2018 Census Test?
The Census Bureau is researching modern and cost-efficient methods for the population to exercise its civic
obligation to be counted in the 2020 Census. By completing this survey, you help prepare for a more
accurate count of all populations in the 2020 Census.
How will the Census Bureau use the information I provide?
By law, the Census Bureau can only use your responses to produce statistics.
How long will this survey take?
The Census Bureau estimates that completing the questionnaire will take 10 minutes on average.
Send comments regarding this burden estimate or any other aspect of this burden to: Paperwork Reduction
Project 0607-0999, U.S. Census Bureau, DCMD-2H174, 4600 Silver Hill Road, Washington, DC 20233. You
may email comments to <[email protected]>; use "Paperwork Reduction Project
0607-0999" as the subject.
DH-16(L2) (1-2018)
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:
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:
• 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.
Please respond by April 1 using ONE of the following options:
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.
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.
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:
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.
Los resultados del Censo del 2020 se usarán para:
• 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:
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.
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.
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 14 (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
March 20, 2018
A Message from the Director, U.S. Census Bureau
Dear Resident:
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:
Respond now at:
survey.census.gov
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.
Mensaje importante: Para completar la Prueba del Censo del 2018, por favor, visite survey.census.gov
o llame gratis al 1–844–468–2020.
census.gov
DH-16(L3) (10-2017)
Base prints black 100%
Overlay prints pantone cyan #6 (10%)
Draft 10 (9-20-2017)
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 20, 2018
A Message from the Director, U.S. Census Bureau
Dear Resident:
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.
Respond now at:
survey.census.gov
Your User ID is:
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
DC
UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR
20 de marzo de 2018
Un mensaje del director de la Oficina del Censo de los EE. UU.
Estimado residente de esta vivienda:
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
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 15 (10-18-2017)
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 20, 2018
A Message from the Director, U.S. Census Bureau
Dear Resident:
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.
Your User ID is:
Respond now at:
survey.census.gov
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.
Mensaje importante: Para completar la Prueba del Censo del 2018, por favor, visite survey.census.gov
o llame gratis al 1–844–468–2020.
census.gov
DH-16(L4) (10-2017)
Base prints black 100%
Overlay prints pantone cyan #6 (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
OFFICE OF THE DIRECTOR
March 20, 2018
A Message from the Director, U.S. Census Bureau
Dear Resident:
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:
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
OFFICE OF THE DIRECTOR
20 de marzo de 2018
Un mensaje del director de la Oficina del Censo de los EE. UU.
Estimado residente de esta vivienda:
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:
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 20 (1-3-2018)
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
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.
Complete the survey using ONLY ONE of the following options:
• 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.
• If you are unable to respond online, fill out and mail back the enclosed questionnaire in the
postage-paid envelope provided.
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.
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
Mensaje importante: Para completar la Prueba del Censo del 2018, por favor, visite survey.census.gov
o llame gratis al 1–844–468–2020.
census.gov
DH-17(L1) (1-2018)
Base prints black 100%
Overlay prints pantone cyan #6 (10%)
FREQUENTLY ASKED QUESTIONS
How do I respond?
Go to survey.census.gov to complete the 2018 Census Test online. You will need the 12-digit User
ID found below the barcode on the address label.
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.
Am I required to fill out this survey?
Yes. You are required by law to respond to this survey (Title 13, U.S. Code, Sections 141 and 193). We
are conducting this survey 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). You are
not required to respond to this survey if it does not display a valid approval number. The eight-digit OMB
number is 0607-0999.
What is the 2018 Census Test?
The Census Bureau is researching modern and cost-efficient methods for the population to exercise its
civic obligation to be counted in the 2020 Census. By completing this survey, you help prepare for a
more accurate count of all populations in the 2020 Census.
How will the Census Bureau use the information I provide?
By law, the Census Bureau can only use your responses to produce statistics.
How long will this survey take?
The Census Bureau estimates that completing the questionnaire will take 10 minutes on average.
Send comments regarding this burden estimate or any other aspect of this burden to: Paperwork
Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174, 4600 Silver Hill Road, Washington,
DC 20233. You may email comments to <[email protected]>; use "Paperwork
Reduction Project 0607-0999" as the subject.
DH-17(L1) (1-2018)
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
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.
Complete the survey using ONLY ONE of the following options:
• 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.
• If you are unable to respond online, fill out and mail back the enclosed questionnaire in the
postage-paid envelope provided.
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.
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.
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.
Complete la encuesta usando SOLO UNA de las siguientes opciones:
• 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.
• 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.
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.
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%)
Attachment B- Revised Update Leave Materials
Draft 16 (1-3-2018)
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
April 9, 2018
A Message from the Director, U.S. Census Bureau
Dear Resident:
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:
• 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.
Please respond now using ONE of the following options:
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.
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.
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
Mensaje importante: Para completar la Prueba del Censo del 2018, por favor, visite survey.census.gov
o llame gratis al 1–844–468–2020.
census.gov
DH-16(L2)(UL) (1-2018)
Base prints black 100%
Overlay prints pantone cyan #6 (10%)
FREQUENTLY ASKED QUESTIONS
How do I respond?
Go to survey.census.gov to complete the 2018 Census Test online. You will need the 12-digit
User ID found below the barcode on the address label.
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.
Am I required to fill out this survey?
Yes. You are required by law to respond to this survey (Title 13, U.S. Code, Sections 141 and 193). We are
conducting this survey 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). You are not required to
respond to this survey if it does not display a valid OMB approval number. The eight-digit OMB approval
number is 0607-0999.
What is the 2018 Census Test?
The Census Bureau is researching modern and cost-efficient methods for the population to exercise its civic
obligation to be counted in the 2020 Census. By completing this survey, you help prepare for a more
accurate count of all populations in the 2020 Census.
How will the Census Bureau use the information I provide?
By law, the Census Bureau can only use your responses to produce statistics.
How long will this survey take?
The Census Bureau estimates that completing the questionnaire will take 10 minutes on average.
Send comments regarding this burden estimate or any other aspect of this burden to: Paperwork Reduction
Project 0607-0999, U.S. Census Bureau, DCMD-2H174, 4600 Silver Hill Road, Washington, DC 20233. You
may email comments to <[email protected]>; use "Paperwork Reduction Project
0607-0999" as the subject.
DH-16(L2)(UL) (1-2018)
Draft 11 (10-5-2017)
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
April 9, 2018
A Message from the Director, U.S. Census Bureau
Dear Resident:
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:
• 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.
Please respond now using ONE of the following options:
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.
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.
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)(UL)(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
9 de abril de 2018
Un mensaje del director de la Oficina del Censo de los EE. UU.
Estimado residente de esta vivienda:
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.
Los resultados del Censo del 2020 se usarán para:
• 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 ahora usando UNA de las siguientes opciones:
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.
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.
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)(UL)(E/S) (10-2017)
Base prints black 100%
Overlay prints pantone green #368 (10%)
Attachment C – Revised Nonresponse Followup Materials
Draft 9 (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
A Message from the Director, U.S. Census Bureau
Dear Resident:
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:
• 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.
Please respond now using ONE of the following options:
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.
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.
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(LN)(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
Un mensaje del director de la Oficina del Censo de los EE. UU.
Estimado residente de esta vivienda:
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.
Los resultados del Censo del 2020 se usarán para:
• 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 ahora usando UNA de las siguientes opciones:
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.
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.
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(LN)(E/S) (10-2017)
Base prints black 100%
Overlay prints pantone green #368 (10%)
Attachment D – Revised Postcards
Draft 10 (10-4-2017)
U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
1201 E 10th Street
Jeffersonville IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300
DH-9 (10-2017)
Your response is required by law.
PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. CENSUS BUREAU
PERMIT NO. G-58
DH-9 (10-2017)
DC
UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR
April 23, 2018
A Message from the Director, U.S. Census Bureau
Dear Resident:
It is not too late to respond to the 2018 Census Test! Make sure you are counted!
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.
Mensaje importante: Para completar la Prueba del Censo del 2018, por favor, visite
survey.census.gov o llame gratis al 1–844–468–2020.
OMB No. 0607-0999: Approval Expires 09/30/2020
Draft 21 (9-28-2017)
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
DH-9(AR)(E/S) (9-2017)
Your response is required by law.
La ley requiere que usted responda.
DH-9(AR)(E/S) (9-2017)
DC
UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR
May 10, 2018
10 de mayo 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:
Around April 1, 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.
Alrededor del 1 de abril 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 usted no ha respondido aún, complete ahora mismo
esta breve encuesta de 10 minutos.
Respond now at survey.census.gov
Responda ahora en survey.census.gov
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. While you may not receive any more personal visits
from a Census Bureau interviewer, you can still respond.
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 need help completing your survey, please call toll-free
1–844–330–2020.
La ley requiere que usted responda a esta encuesta. Ayúdenos a conservar
recursos naturales, a procesar los datos de manera más eficiente y a
ahorrarles dinero a las personas que pagan impuestos respondiendo por
internet. Aunque es posible que no reciba más visitas en persona de un
entrevistador de la Oficina del Censo, todavía puede responder.
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 necesita ayuda para completar su encuesta, llame gratis al
1–844–468–2020.
OMB No. 0607-0999: Approval Expires 09/30/2020
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020
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
DH-9(C)(E/S) (12-2017)
Your response is required by law.
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
March 30, 2018
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:
Now is the time to respond.
Ahora es el momento de responder.
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.
Respond now at survey.census.gov
OR complete and return the paper questionnaire
that we sent you earlier.
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.
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 13 (9-27-2017)
U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
1201 E 10th Street
Jeffersonville IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300
DH-9(E/S) (9-2017)
Your response is required by law.
La ley requiere que usted responda.
PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. CENSUS BUREAU
PERMIT NO. G-58
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
April 23, 2018
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:
It is not too late to respond to the 2018 Census Test! Make
sure you are counted!
¡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.
OMB No. 0607-0999: Approval Expires 09/30/2020
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020
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
DH-9(P)(E/S) (12-2017)
Your response is required by law.
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
March 30, 2018
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:
Now is the time to respond.
Ahora es el momento de responder.
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.
Respond now at survey.census.gov
Responda ahora en survey.census.gov
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
Draft 15 (10-4-2017)
U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
1201 E 10th Street
Jeffersonville IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300
DH-9(C) (10-2017)
Your response is required by law.
PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. CENSUS BUREAU
PERMIT NO. G-58
DH-9(C) (10-2017)
DC
UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR
March 30, 2018
A Message from the Director, U.S. Census Bureau
Dear Resident:
Now is the time to respond.
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.
Respond now at survey.census.gov OR complete and return the paper questionnaire that we sent you earlier.
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 send you another paper questionnaire next week. If you need help completing your
survey, please call toll-free 1–844–330–2020.
Mensaje importante: Para completar la Prueba del Censo del 2018, por favor, visite survey.census.gov o llame gratis
al 1–844–468–2020.
OMB No. 0607-0999: Approval Expires 09/30/2020
Draft 17 (10-4-2017)
U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
1201 E 10th Street
Jeffersonville IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300
DH-9(P) (10-2017)
Your response is required by law.
PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. CENSUS BUREAU
PERMIT NO. G-58
DH-9(P) (10-2017)
DC
UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR
March 30, 2018
A Message from the Director, U.S. Census Bureau
Dear Resident:
Now is the time to respond.
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.
Respond now at survey.census.gov
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.
Mensaje importante: Para completar la Prueba del Censo del 2018, por favor, visite survey.census.gov
o llame gratis al 1–844–468–2020.
OMB No. 0607-0999: Approval Expires 09/30/2020
Attachment E – Revised Information Inserts
UNITED STATES DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. Census Bureau
Washington, DC 20233-0001
OFFICE OF THE DIRECTOR
For help completing your 2018 Census Test questionnaire, call
toll-free 1–844–330–2020.
Para recibir ayuda para completar su cuestionario de la Prueba del
Censo del 2018, llame gratis al 1-844-468-2020.
如果您需要协助填写 2018 年人口普查测试问卷，请拨打免费电话
1-844-391-2020 (普通话)，1-844-398-2020 (粤语) 。
2018 년 인구 센서스 시범 조사에 도움이 필요하시면, 무료 번호
1-844-392-2020 으로 전화해 주십시오.
Để được trợ giúp hoàn thành phiếu câu hỏi Điều tra Dân số Thử
nghiệm năm 2018 của quý vị, hãy gọi đến đường dây miễn phí
theo số 1-844-461-2020.
Если Вам необходима помощь в заполнении Bашей анкеты
тестирования переписи 2018 года, позвоните бесплатно на
1-844-417-2020.
،2018 ﻟﻠﺤﺼﻮل ﻋﻠﻰ ﻣﺴﺎﻋﺪة ﻓﻲ إﻛﻤﺎل اﺳﺘﻘﺼﺎء اﻹﺣﺼﺎء اﻟﺘﺠﺮﻳﺒﻲ ﻟﻌﺎم
.1-844-416-2020اﺗﺼﻞ ﺑﺮﻗﻢ اﻟﻬﺎﺗﻒ اﻟﻤﺠﺎﻧﻲ
Para sa tulong na makumpleto ang iyong Palatanungang Pagsubok ng
Senso ng 2018, tumawag nang walang bayad sa 1-844-478-2020.
DH-17(CQA) (10-6-2017)
OMB No. 0607-0999: Approval Expires 09/30/2020
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) (10-6-2017)
Draft 19 (1-3-2018)
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
FREQUENTLY ASKED QUESTIONS
survey.census.gov
How do I respond?
Go to survey.census.gov to complete the 2018 Census Test online. You will need the
12-digit User ID found below the barcode on the address label.
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.
Am I required to fill out this survey?
Yes. You are required by law to respond to this survey (Title 13, U.S. Code, Sections 141
and 193). We are conducting this survey 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). You are not required to respond to this survey if it does not
display a valid OMB approval number. The eight-digit OMB approval number is 0607-0999.
What is the 2018 Census Test?
The Census Bureau is researching modern and cost-efficient methods for the population to
exercise its civic obligation to be counted in the 2020 Census. By completing this survey,
you help prepare for a more accurate count of all populations in the 2020 Census.
How will the Census Bureau use the information I provide?
By law, the Census Bureau can only use your responses to produce statistics.
How long will this survey take?
The Census Bureau estimates that completing the questionnaire will take 10 minutes on
average.
Send comments regarding this burden estimate or any other aspect of this burden to:
Paperwork Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. You may email comments to
<[email protected]>; use "Paperwork Reduction Project 0607-0999" as
the subject.
FORM DH-17I(E/S) (1-3-2018)
OMB No. 0607-0999: Approval Expires 09/30/2020
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
PREGUNTAS FRECUENTES
survey.census.gov
¿Cómo respondo a la encuesta?
Visite survey.census.gov para completar la Prueba del Censo del 2018 por internet. Usted va a
necesitar el número de identificación de usuario de 12 cifras, que se encuentra debajo del código
de barras en la etiqueta de la dirección.
¿Mis respuestas son confidenciales y privadas?
Sí. La Oficina del Censo está obligada por ley a proteger su información (Sección 9 del Título 13
del Código de los EE. UU.). A la Oficina del Censo no se le permite divulgar sus respuestas de
manera que usted o su hogar pudieran ser identificados. En conformidad con la Ley para el
Fortalecimiento de la Seguridad Cibernética Federal del 2015, sus datos están protegidos contra los
riesgos de seguridad cibernética mediante los controles aplicados a los sistemas que los transmiten.
Todas las transmisiones de datos por internet están cifradas para proteger su privacidad.
El Título 13 del Código de los EE. UU. protege la confidencialidad de toda su información. Violar la
confidencialidad de una persona entrevistada es un delito federal que acarrea sanciones severas,
incluso una sentencia de hasta cinco años en una prisión federal, una multa de hasta $250,000, o
ambas. Solo personas autorizadas tienen acceso a los datos almacenados, y la información que
usted proporcione a la Oficina del Censo puede ser usada solamente por un número limitado de
personas autorizadas que han jurado de por vida proteger la confidencialidad de sus respuestas
individuales. Sus respuestas no pueden ser usadas en su contra por ninguna agencia o tribunal del
gobierno.
Para obtener más información sobre cómo protegemos su información, visite nuestro sitio web
census.gov y haga clic en “Data Protection and Privacy Policy” en la parte inferior de la página
principal. La página sobre protección de datos y normas de privacidad también incluye información
sobre la recopilación, almacenamiento y uso de esos registros; haga clic en "System of Records
Notices (SORN)" (Avisos sobre el Sistema de Registros) y busque Privacy Act System of Records
Notice COMMERCE/CENSUS-5, Decennial Census Program (Aviso sobre el Sistema de Registros
de la Ley sobre la Privacidad COMMERCE/CENSUS-5, Programa del Censo Decenal)
¿Tengo la obligación de llenar esta encuesta?
Sí. A usted se le requiere por ley que responda a esta encuesta (Secciones 141 y 193 del Título 13
del Código de los EE. UU.). Estamos llevando a cabo esta encuesta en conformidad con las
Secciones 141,193 y 221 del Título 13 del Código de los EE. UU. Esta recopilación de información
ha sido aprobada por la Oficina de Administración y Presupuesto (OMB, por sus siglas en inglés).
Usted no tiene la obligación de responder a esta encuesta si no se muestra un número de
aprobación válido de la OMB. El número de aprobación de ocho dígitos de la OMB es 0607-0999.
¿Qué es la Prueba del Censo del 2018?
La Oficina del Censo está investigando métodos modernos y económicos para que la población
pueda ejercer su obligación cívica de ser contada en el Censo del 2020. Al completar esta
encuesta, usted nos ayuda a preparar un conteo más preciso de todas las poblaciones en el
Censo del 2020.
¿Cómo usará la Oficina del Censo la información que yo proporcione?
Por ley, la Oficina del Censo solo puede usar sus respuestas para producir estadísticas.
¿Cuánto tiempo va a tomar esta encuesta?
La Oficina del Censo calcula que completar el cuestionario tomará 10 minutos como promedio.
Los comentarios sobre el estimado del tiempo o cualquier otro aspecto relacionado deben
dirigirse a: Paperwork Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. Puede enviar comentarios por correo electrónico a
<[email protected]>; use "Paperwork Reduction Project 0607-0999" como tema.
FORM DH-17I(E/S) (1-3-2018)
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020
Draft 16 (1-3-2018)
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
FREQUENTLY ASKED QUESTIONS
survey.census.gov
How do I respond?
Go to survey.census.gov to complete the 2018 Census Test online. You will need the
12-digit User ID found on the enclosed letter.
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.
Am I required to fill out this survey?
Yes. You are required by law to respond to this survey (Title 13, U.S. Code, Sections 141
and 193). We are conducting this survey 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). You are not required to respond to this survey if it does not
display a valid OMB approval number. The eight-digit OMB approval number is 0607-0999.
How will the Census Bureau use the information I provide?
By law, the Census Bureau can only use your responses to produce statistics.
How long will this survey take?
The Census Bureau estimates that completing the questionnaire will take 10 minutes on
average.
Send comments regarding this burden estimate or any other aspect of this burden to:
Paperwork Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. You may email comments to
<[email protected]>; use "Paperwork Reduction Project 0607-0999" as
the subject.
FORM DH-17I(E/S)P1 (1-3-2018)
OMB No. 0607-0999: Approval Expires 09/30/2020
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
PREGUNTAS FRECUENTES
survey.census.gov
¿Cómo respondo a la encuesta?
Visite survey.census.gov para completar la Prueba del Censo del 2018 por internet. Usted va a
necesitar el número de identificación de usuario de 12 cifras, que se encuentra en la carta adjunta.
¿Mis respuestas son confidenciales y privadas?
Sí. La Oficina del Censo está obligada por ley a proteger su información (Sección 9 del Título 13
del Código de los EE. UU.). A la Oficina del Censo no se le permite divulgar sus respuestas de
manera que usted o su hogar pudieran ser identificados. En conformidad con la Ley para el
Fortalecimiento de la Seguridad Cibernética Federal del 2015, sus datos están protegidos contra los
riesgos de seguridad cibernética mediante los controles aplicados a los sistemas que los transmiten.
Todas las transmisiones de datos por internet están cifradas para proteger su privacidad.
El Título 13 del Código de los EE. UU. protege la confidencialidad de toda su información. Violar la
confidencialidad de una persona entrevistada es un delito federal que acarrea sanciones severas,
incluso una sentencia de hasta cinco años en una prisión federal, una multa de hasta $250,000, o
ambas. Solo personas autorizadas tienen acceso a los datos almacenados, y la información que
usted proporcione a la Oficina del Censo puede ser usada solamente por un número limitado de
personas autorizadas que han jurado de por vida proteger la confidencialidad de sus respuestas
individuales. Sus respuestas no pueden ser usadas en su contra por ninguna agencia o tribunal del
gobierno.
Para obtener más información sobre cómo protegemos su información, visite nuestro sitio web
census.gov y haga clic en “Data Protection and Privacy Policy” en la parte inferior de la página
principal. La página sobre protección de datos y normas de privacidad también incluye información
sobre la recopilación, almacenamiento y uso de esos registros; haga clic en "System of Records
Notices (SORN)" (Avisos sobre el Sistema de Registros) y busque Privacy Act System of Records
Notice COMMERCE/CENSUS-5, Decennial Census Program (Aviso sobre el Sistema de Registros
de la Ley sobre la Privacidad COMMERCE/CENSUS-5, Programa del Censo Decenal)
¿Tengo la obligación de llenar esta encuesta?
Sí. A usted se le requiere por ley que responda a esta encuesta (Secciones 141 y 193 del Título 13
del Código de los EE. UU.). Estamos llevando a cabo esta encuesta en conformidad con las
Secciones 141,193 y 221 del Título 13 del Código de los EE. UU. Esta recopilación de información
ha sido aprobada por la Oficina de Administración y Presupuesto (OMB, por sus siglas en inglés).
Usted no tiene la obligación de responder a esta encuesta si no se muestra un número de
aprobación válido de la OMB. El número de aprobación de ocho dígitos de la OMB es 0607-0999.
¿Qué es la Prueba del Censo del 2018?
La Oficina del Censo está investigando métodos modernos y económicos para que la población
pueda ejercer su obligación cívica de ser contada en el Censo del 2020. Al completar esta
encuesta, usted nos ayuda a preparar un conteo más preciso de todas las poblaciones en el
Censo del 2020.
¿Cómo usará la Oficina del Censo la información que yo proporcione?
Por ley, la Oficina del Censo solo puede usar sus respuestas para producir estadísticas.
¿Cuánto tiempo va a tomar esta encuesta?
La Oficina del Censo calcula que completar el cuestionario tomará 10 minutos como promedio.
Los comentarios sobre el estimado del tiempo o cualquier otro aspecto relacionado deben
dirigirse a: Paperwork Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. Puede enviar comentarios por correo electrónico a
<[email protected]>; use "Paperwork Reduction Project 0607-0999" como tema.
FORM DH-17I(E/S)P1 (1-3-2018)
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020
Attachment F – Revised Brochures
USES OF CENSUS DATA
PRIVACY AND CONFIDENTIALITY
The federal government is the main user of census
data. Many federal laws require the use of census data
to distribute funding, monitor important programs,
and enforce laws against discrimination. Below are
some examples of how the data are used:
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 anyone at
your facility. 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). 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.
• School districts use census data about families and
children to make long-term building, staffing, and
funding decisions.
• Census data help communities and organizations
provide programs and services that enable older
adults, children, and families to enroll in and
be eligible for housing, education, and financial
assistance programs designed to assist them.
• States, cities, counties, and tribal governments
use census data to plan programs, services, and
development, and enforce laws, regulations, and
policies against discrimination.
• Census data help communities understand whether
available housing meets the needs of residents.
When housing is not sufficient or affordable,
these data can help communities enroll eligible
households in programs designed to assist them,
and can help communities qualify for grants as
well.
• Businesses use census data to plan new sites for
warehouses, factories, and storefronts, and recruit
and hire workers.
• Governments, communities, and organizations
use census data to qualify for many federal grant
programs that fund all of these important programs
and services.
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.
Issued November 2017
OMB No. 0607-0999: Approval Expires 09/30/2020
DH-1183(GQE)
Group Quarters
Enumeration
2018 Census Test
HOW THIS OPERATION WORKS
ABOUT GROUP QUARTERS ENUMERATION
The goal of Group Quarters Enumeration is to count
people who live in group quarters. Group quarters
are places where people live or stay in a group living
arrangement. These places are owned or managed by
an entity or organization providing housing and/or
services for the residents. These services may include
custodial or medical care as well as other types of
assistance, and residency is commonly restricted to
those receiving these services. This is not a typical
household-type living arrangement. People living in
group quarters are usually not related to each other.
EXAMPLES OF GROUP QUARTERS
• Group homes
• Nursing facilities/skilled nursing facilities (nursing
homes)
• Residential treatment facilities
• College/university or seminary student housing
(residence halls or buildings), fraternity or sorority
houses
• Religious group living quarters (e.g. convents,
monasteries, and abbeys)
• Correctional facilities
• In-patient hospice facilities
The U.S. Census Bureau will collect respondent data
(name, sex, date of birth, age on Census Day, Hispanic
origin, race, and an alternate address) as of April 1,
2018, using one of the following enumeration methods
for group quarters (GQ):
• Electronic Response Data Transfer (eResponse): The
GQ administrator will electronically send the Census
Bureau a listing of census response data through a
secure system using the online census template.
• In-Person Interview: A Census Bureau worker will
conduct a face-to-face interview using the Individual
Census Questionnaire for each person living, staying,
or receiving services at the facility.
• Drop Off / Pick Up Questionnaire: A Census Bureau
worker will leave census questionnaires to be
completed by/for each person served at the GQ, and
then pick up the completed questionnaires at an
agreed upon time.
• Paper Response Data Collection: A Census Bureau
worker will meet with the administrator of the facility
to obtain a paper listing of census response data.
HOW YOU CAN HELP
99 Provide Electronic Response Data Transfer
(eResponse) transfer or a paper list of residents who
were living, staying, or receiving services at the
facility on April 1, 2018.
99 Assure residents and staff that all information
collected will remain confidential.
• Hospitals
99 Explain the importance of the 2018 Census Test to
members of the facility.
• Workers’ group living quarters
99 Remind staff of the upcoming enumeration.
• Job Corps centers or vocational training f acilities
99 Be sure there is a private area for the enumerators
to work.
ABOUT THE 2018 CENSUS TEST
To prepare for the 2020 Census, the Census Bureau is
conducting the 2018 Census Test. The Census Bureau
is researching modern and cost-efficient methods
for the population to exercise its civic obligation to
be counted in the 2020 Census. The Census Bureau
is committed to making the mandatory count quick,
easy, safe, and confidential for all to participate.
The 2018 Census Test supports the goal of the 2020
Census, which is to count everyone once, only once,
and in the right place. Throughout the decade, the
Census Bureau has conducted extensive research
and testing to inform the 2020 C
ensus design. The
2018 Census Test is the culmination of that research,
providing a rich environment to test all major
components of the 2020 Census.
Please visit census.gov/2018censustest/gq for more
information about the 2018 Census Test.
ADDITIONAL INFORMATION
ABOUT PRIVACY
Health Insurance Portability and Accountability
Act (HIPAA) The major goal of this privacy rule
is to ensure that individuals’ health information is
properly protected, while allowing the flow of health
information needed to provide and promote high
quality health care and to protect the public’s health
and well-being. The census questionnaires do not
have questions related to health or health issues and
therefore do not conflict with this act.
Family Educational Rights and Privacy Act
(FERPA) The U.S. Census Bureau data collection
is compliant with this act in terms of disclosing
information. Colleges and universities can disclose
directory information from student records without
prior consent from the student or his or her parents
to the Census Bureau. Directory information includes
a student’s name, date of birth, address, and dates
of attendance.
USES OF CENSUS DATA
PRIVACY AND CONFIDENTIALITY
The federal government is the main user of
census data. Many federal laws require the use
of census data to distribute funding, monitor
important programs, and enforce laws against
discrimination. Below are some examples of
how the data are used:
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
anyone at your facility. 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). 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.
• School districts use census data about
families and children to make long-term
building, staffing, and funding decisions.
• Census data help communities and
organizations provide programs and
services that enable older adults, children,
and families to enroll in and be eligible for
housing, education, and financial assistance
programs designed to assist them.
• States, cities, counties, and tribal
governments use census data to plan
programs, services, and development, and
enforce laws, regulations, and policies
against discrimination.
• Census data help communities understand
whether available housing meets the
needs of residents. When housing is not
sufficient or affordable, these data can help
communities enroll eligible households in
programs designed to assist them, and can
help communities qualify for grants as well.
• Businesses use census data to plan new sites
for warehouses, factories, and storefronts,
and recruit and hire workers.
• Governments, communities, and
organizations use census data to qualify for
many federal grant programs that fund all of
these important programs and services.
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.
Issued January 2018
OMB No. 0607-0999: Approval Expires 09/30/2020
DH-1184(SBE)
Service-Based
Enumeration
2018 Census Test
HOW THIS OPERATION WORKS
A U.S. Census Bureau worker will count people and
collect data from people at each site.
ABOUT SERVICE-BASED
ENUMERATION
On a set date, a Census Bureau worker will:
The goal of Service-Based Enumeration is to
include people who may not be counted when we
count people at their home. During the ServiceBased Enumeration operation, we count people
who receive services at the following types of
locations:
• Meet with a staff person.
• Emergency and Transitional Shelters for People
Experiencing Homelessness: Where people
experiencing homelessness stay overnight.
(Examples: missions, hotels and motels used
as shelters, and places for children who
are runaways, neglected, or experiencing
homelessness.)
• Where people who may be experiencing
homelessness are offered meals. These places
may use service lines or serve bag or box
lunches.
• Regularly Scheduled Mobile Food Vans: Where
people experiencing homelessness are regularly
scheduled to be visited by mobile food vans at
certain locations and provided food.
• Where people who may be experiencing
homelessness can be provided food at regularly
scheduled mobile food van stops.
• Visit the location or mobile food van stops.
• Quickly count and collect data from the people
at this location.
HOW YOU CAN HELP
99 Let your clients and staff know
when Census Bureau workers will
be coming.
99 Assure residents and staff that all
information collected will remain
confidential.
99 Explain the importance of the 2018
Census Test to members of the
facility.
99 Remind staff of the upcoming
enumeration.
99 Ensure that informed staff is on
duty the date of the enumeration.
99 Be sure there is a private area for
the Census Bureau workers to work.
ABOUT THE 2018 CENSUS TEST
To prepare for the 2020 Census, the Census
Bureau is conducting the 2018 Census Test. The
Census Bureau is researching modern and costefficient methods for the population to exercise
its civic obligation to be counted in the 2020
Census. The Census Bureau is committed to
making the mandatory count quick, easy, safe, and
confidential for all to participate.
The 2018 Census Test supports the goal of the
2020 Census, which is to count everyone once,
only once, and in the right place. Throughout
the decade, the Census Bureau has conducted
extensive research and testing to inform the
2020 Census design. The 2018 Census Test is
the culmination of that research, providing a rich
environment to test all major components of the
2020 Census.
Please visit census.gov/2018censustest/gq for
more information about the 2018 Census Test.
Attachment G – Revised Group Quarters Facility Manager
Letters
Draft 29 (1-4-2018)
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
July 18, 2018
A Message from the Director, U.S. Census Bureau
To: Facility Manager
To prepare for the 2020 Census, the Census Bureau is conducting the 2018 Census Test.
For the 2018 Census Test, we need to include people who live or stay in group quarters, such
as college or university residence halls, nursing/skilled-nursing facilities, group homes,
residential treatment centers, workers’ group living quarters, and correctional facilities.
A Census Bureau worker contacted your facility to confirm a preferred enumeration method.
Our records indicate that your facility chose the Electronic Response Data Transfer
(eResponse) option. The eResponse period will be open for collection on July 30, 2018,
and conclude on August 24, 2018.
Use your unique Census ID to complete your eResponse using the following instructions:
•
•
•
•
•
•
•
•
•
Use the website located on the back of this letter to access the eResponse homepage.
Enter your Census ID on the eResponse homepage.
After entering your Census ID, you will be asked to complete a few security questions.
After you complete the security questions, eResponse will generate a PIN number.
Please retain this PIN number. The PIN number is used to log into the eResponse system
and report for the group quarters facility.
After you complete these steps, download the Census Bureau template.
Please retain and use the Census Bureau template to complete your eResponse.
Once the Census Bureau eResponse template is completed, upload it to the
Census Bureau secure website.
After your upload is complete, please print the submission confirmation for your records.
census.gov
DH-18(eResponse) (1-2018)
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 anyone at your facility. 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). 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.
Please visit our website at census.gov/2018censustest/gq for more information about the
2018 Census Test. Thank you for your cooperation, and we look forward to working with you.
Website: respond.census.gov/gqe
Please respond by August 24, 2018.
Census ID
Group Quarters Type
Group Quarters Name
Draft 31 (1-4-2018)
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
May 31, 2018
A Message from the Director, U.S. Census Bureau
To: Facility Manager
To prepare for the 2020 Census, the Census Bureau is conducting the 2018 Census Test. For the
2018 Census Test, we need to include people who live or stay in group quarters, such as college or university
residence halls, nursing/skilled-nursing facilities, group homes, residential treatment centers, workers’ group living
quarters, and correctional facilities.
A Census Bureau worker will contact you during the Group Quarters Advance Contact operation between
June 18, 2018, and July 10, 2018, to conduct a telephone interview to:
• Verify the group quarters’ name, address information, contact name, phone number, and business
email address.
• Collect an expected Census Day population count.
• Allow facility managers to choose a method of enumeration from those available to their group quarters,
such as: in-person interview, drop off/pick up of questionnaire, paper response data collection, and
electronic response data transfer (eResponse).
• Schedule an enumeration appointment starting July 25, 2018 through August 15, 2018.
Many federal laws require the use of census data to distribute funding and monitor important programs
that provide services to the community. States, cities, counties, and tribal governments use census data
to plan future programs, services, and community development projects such as those for the older population,
hospitals, libraries, and schools.
The Census Bureau collects data in compliance with the privacy rules and regulations such as the
Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Family Educational Rights
and Privacy Act (FERPA).
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 anyone at your facility. 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). 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.
Please visit our website at census.gov/2018censustest/gq for more information about the 2018 Census Test.
Additional questions can be answered when a Census Bureau worker contacts you. Thank you in advance for your
cooperation. We look forward to working with you.
census.gov
DH-18(GQ) (1-2018)
Base prints black 100%
Overlay prints pantone cyan #6 (10%)
Attachment H – Revised Confidentiality Notices
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
Your Answers Are Confidential
The U.S. 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. 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). 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.
Thank you for your cooperation. The Census Bureau appreciates your help.
The Census Bureau estimates that completing the questionnaire will take 10 minutes on average. This collection of information
has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number that appears at the
bottom left of this notice confirms this approval. If this number were not displayed, we could not conduct this survey.
Send any comments concerning this collection to Paperwork Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. Or email your comments to <[email protected]> and use
"Paperwork Reduction Project 0607-0999" as the subject.
Para ver esta información en español, véase al dorso. (For a copy of this information in Spanish, see the reverse side.)
OMB No. 0607-0999: Approval Expires 09/30/2020
FORM
DH-31(GQ)(E/S)
(1-4-2018)
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
Your Answers Are Confidential
The U.S. 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. 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). 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.
Thank you for your cooperation. The Census Bureau appreciates your help.
The Census Bureau estimates that completing the questionnaire will take 10 minutes on average. This collection of information
has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number that appears at the
bottom left of this notice confirms this approval. If this number were not displayed, we could not conduct this survey.
Send any comments concerning this collection to Paperwork Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. Or email your comments to <[email protected]> and use
"Paperwork Reduction Project 0607-0999" as the subject.
Para ver esta información en español, véase al dorso. (For a copy of this information in Spanish, see the reverse side.)
OMB No. 0607-0999: Approval Expires 09/30/2020
FORM
DH-31(GQ)(E/S)
(1-4-2018)
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
Sus Respuestas Son Confidenciales
La Oficina del Censo de los EE. UU. está obligada por ley a proteger su información (Sección 9 del Título 13 del Código de los EE. UU.). A la Oficina
del Censo no se le permite divulgar sus respuestas de manera que usted pudiera ser identificado. Estamos realizando esta encuesta en conformidad
con las Secciones 141, 193, 221 y 223 del Título 13 del Código de los EE. UU. Las leyes federales protegen su privacidad y mantienen confidenciales
sus respuestas (Sección 9 del Título 13 del Código de los EE. UU.). En conformidad con la Ley para el Fortalecimiento de la Seguridad Cibernética
Federal del 2015, sus datos están protegidos contra los riesgos de seguridad cibernética mediante los controles aplicados a los sistemas que los
transmiten. Todas las transmisiones de datos por internet están cifradas para proteger su privacidad.
El Título 13 del Código de los EE. UU. protege la confidencialidad de toda su información. Violar la confidencialidad de una persona entrevistada es
un delito federal que acarrea sanciones severas, incluso una sentencia de hasta cinco años en una prisión federal, una multa de hasta $250,000, o
ambas. Solo personas autorizadas tienen acceso a los datos almacenados, y la información que usted proporcione a la Oficina del Censo puede ser
usada solamente por un número limitado de personas autorizadas que han jurado de por vida proteger la confidencialidad de sus respuestas
individuales. Sus respuestas no pueden ser usadas en su contra por ninguna agencia o tribunal del gobierno.
Para obtener más información sobre cómo protegemos su información, visite nuestro sitio web census.gov y haga clic en “Data Protection and Privacy
Policy” en la parte inferior de la página principal. La página sobre protección de datos y normas de privacidad también incluye información sobre la
recopilación, almacenamiento y uso de esos registros; haga clic en "System of Records Notices (SORN)" (Avisos sobre el Sistema de Registros) y
busque Privacy Act System of Records Notice COMMERCE/CENSUS-5, Decennial Census Program (Aviso sobre el Sistema de Registros de la Ley
sobre la Privacidad COMMERCE/CENSUS-5, Programa del Censo Decenal).
Gracias por su cooperación. La Oficina del Censo agradece su ayuda.
La Oficina del Censo calcula que completar el cuestionario tomará 10 minutos como promedio. Esta recopilación de información
ha sido aprobada por la Oficina de Administración y Presupuesto (OMB, por sus siglas en inglés). El número de aprobación de
ocho dígitos de la OMB que aparece en la parte inferior izquierda de este aviso confirma la aprobación. De no mostrarse este
número, no podríamos realizar esta encuesta.
Envíe los comentarios sobre esta recopilación a: Paperwork Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. También puede enviar sus comentarios por correo electrónico a
<[email protected]> y use como tema del mensaje "Paperwork Reduction Project 0607-0999".
For a copy of this information in English, see the reverse side. (Para ver esta información en inglés, véase al dorso.)
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020
FORM
DH-31(GQ)(E/S)
(1-4-2018)
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
Sus Respuestas Son Confidenciales
La Oficina del Censo de los EE. UU. está obligada por ley a proteger su información (Sección 9 del Título 13 del Código de los EE. UU.). A la Oficina
del Censo no se le permite divulgar sus respuestas de manera que usted pudiera ser identificado. Estamos realizando esta encuesta en conformidad
con las Secciones 141, 193, 221 y 223 del Título 13 del Código de los EE. UU. Las leyes federales protegen su privacidad y mantienen confidenciales
sus respuestas (Sección 9 del Título 13 del Código de los EE. UU.). En conformidad con la Ley para el Fortalecimiento de la Seguridad Cibernética
Federal del 2015, sus datos están protegidos contra los riesgos de seguridad cibernética mediante los controles aplicados a los sistemas que los
transmiten. Todas las transmisiones de datos por internet están cifradas para proteger su privacidad.
El Título 13 del Código de los EE. UU. protege la confidencialidad de toda su información. Violar la confidencialidad de una persona entrevistada es
un delito federal que acarrea sanciones severas, incluso una sentencia de hasta cinco años en una prisión federal, una multa de hasta $250,000, o
ambas. Solo personas autorizadas tienen acceso a los datos almacenados, y la información que usted proporcione a la Oficina del Censo puede ser
usada solamente por un número limitado de personas autorizadas que han jurado de por vida proteger la confidencialidad de sus respuestas
individuales. Sus respuestas no pueden ser usadas en su contra por ninguna agencia o tribunal del gobierno.
Para obtener más información sobre cómo protegemos su información, visite nuestro sitio web census.gov y haga clic en “Data Protection and Privacy
Policy” en la parte inferior de la página principal. La página sobre protección de datos y normas de privacidad también incluye información sobre la
recopilación, almacenamiento y uso de esos registros; haga clic en "System of Records Notices (SORN)" (Avisos sobre el Sistema de Registros) y
busque Privacy Act System of Records Notice COMMERCE/CENSUS-5, Decennial Census Program (Aviso sobre el Sistema de Registros de la Ley
sobre la Privacidad COMMERCE/CENSUS-5, Programa del Censo Decenal).
Gracias por su cooperación. La Oficina del Censo agradece su ayuda.
La Oficina del Censo calcula que completar el cuestionario tomará 10 minutos como promedio. Esta recopilación de información
ha sido aprobada por la Oficina de Administración y Presupuesto (OMB, por sus siglas en inglés). El número de aprobación de
ocho dígitos de la OMB que aparece en la parte inferior izquierda de este aviso confirma la aprobación. De no mostrarse este
número, no podríamos realizar esta encuesta.
Envíe los comentarios sobre esta recopilación a: Paperwork Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. También puede enviar sus comentarios por correo electrónico a
<[email protected]> y use como tema del mensaje "Paperwork Reduction Project 0607-0999".
For a copy of this information in English, see the reverse side. (Para ver esta información en inglés, véase al dorso.)
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020
FORM
DH-31(GQ)(E/S)
(1-4-2018)
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
Your Answers Are Confidential
The U.S. 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. We are conducting this survey under the authority of Title 13,
U.S. Code, Sections 141, 193 and 221. Federal law protects your privacy and keeps your answers confidential (Title 13, U.S. Code, Section 9).
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.
Thank you for your cooperation. The Census Bureau appreciates your help.
This collection of information has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval
number that appears at the bottom left of this notice confirms this approval. If this number were not displayed, we could not
conduct this survey.
Send any comments concerning this collection to Paperwork Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. Or email your comments to <[email protected]> and use
"Paperwork Reduction Project 0607-0999" as the subject.
Para ver esta información en español, véase al dorso. (For a copy of this information in Spanish, see the reverse side.)
OMB No. 0607-0999: Approval Expires 09/30/2020
FORM
DH-31(UL)(E/S)
(1-4-2018)
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
Your Answers Are Confidential
The U.S. 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. We are conducting this survey under the authority of Title 13,
U.S. Code, Sections 141, 193 and 221. Federal law protects your privacy and keeps your answers confidential (Title 13, U.S. Code, Section 9).
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.
Thank you for your cooperation. The Census Bureau appreciates your help.
This collection of information has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval
number that appears at the bottom left of this notice confirms this approval. If this number were not displayed, we could not
conduct this survey.
Send any comments concerning this collection to Paperwork Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. Or email your comments to <[email protected]> and use
"Paperwork Reduction Project 0607-0999" as the subject.
Para ver esta información en español, véase al dorso. (For a copy of this information in Spanish, see the reverse side.)
OMB No. 0607-0999: Approval Expires 09/30/2020
FORM
DH-31(UL)(E/S)
(1-4-2018)
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
Sus Respuestas Son Confidenciales
La Oficina del Censo de los EE. UU. está obligada por ley a proteger su información (Sección 9 del Título 13 del Código de los EE. UU.). A la Oficina
del Censo no se le permite divulgar sus respuestas de manera que usted o su hogar pudieran ser identificados. Estamos realizando esta encuesta en
conformidad con las Secciones 141, 193 y 221 del Título 13 del Código de los EE. UU. Las leyes federales protegen su privacidad y mantienen
confidenciales sus respuestas (Sección 9 del Título 13 del Código de los EE. UU.). En conformidad con la Ley para el Fortalecimiento de la Seguridad
Cibernética Federal del 2015, sus datos están protegidos contra los riesgos de seguridad cibernética mediante los controles aplicados a los sistemas
que los transmiten. Todas las transmisiones de datos por internet están cifradas para proteger su privacidad.
El Título 13 del Código de los EE. UU. protege la confidencialidad de toda su información. Violar la confidencialidad de una persona entrevistada es
un delito federal que acarrea sanciones severas, incluso una sentencia de hasta cinco años en una prisión federal, una multa de hasta $250,000, o
ambas. Solo personas autorizadas tienen acceso a los datos almacenados, y la información que usted proporcione a la Oficina del Censo puede ser
usada solamente por un número limitado de personas autorizadas que han jurado de por vida proteger la confidencialidad de sus respuestas
individuales. Sus respuestas no pueden ser usadas en su contra por ninguna agencia o tribunal del gobierno.
Para obtener más información sobre cómo protegemos su información, visite nuestro sitio web census.gov y haga clic en “Data Protection and Privacy
Policy” en la parte inferior de la página principal. La página sobre protección de datos y normas de privacidad también incluye información sobre la
recopilación, almacenamiento y uso de esos registros; haga clic en "System of Records Notices (SORN)" (Avisos sobre el Sistema de Registros) y
busque Privacy Act System of Records Notice COMMERCE/CENSUS-5, Decennial Census Program (Aviso sobre el Sistema de Registros de la Ley
sobre la Privacidad COMMERCE/CENSUS-5, Programa del Censo Decenal).
Gracias por su cooperación. La Oficina del Censo agradece su ayuda.
Esta recopilación de información ha sido aprobada por la Oficina de Administración y Presupuesto (OMB, por sus siglas en
inglés). El número de aprobación de ocho dígitos de la OMB que aparece en la parte inferior izquierda de este aviso confirma la
aprobación. De no mostrarse este número, no podríamos realizar esta encuesta.
Envíe los comentarios sobre esta recopilación a: Paperwork Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. También puede enviar sus comentarios por correo electrónico a
<[email protected]> y use como tema del mensaje "Paperwork Reduction Project 0607-0999".
For a copy of this information in English, see the reverse side. (Para ver esta información en inglés, véase al dorso.)
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020
FORM
DH-31(UL)(E/S)
(1-4-2018)
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
Sus Respuestas Son Confidenciales
La Oficina del Censo de los EE. UU. está obligada por ley a proteger su información (Sección 9 del Título 13 del Código de los EE. UU.). A la Oficina
del Censo no se le permite divulgar sus respuestas de manera que usted o su hogar pudieran ser identificados. Estamos realizando esta encuesta en
conformidad con las Secciones 141, 193 y 221 del Título 13 del Código de los EE. UU. Las leyes federales protegen su privacidad y mantienen
confidenciales sus respuestas (Sección 9 del Título 13 del Código de los EE. UU.). En conformidad con la Ley para el Fortalecimiento de la Seguridad
Cibernética Federal del 2015, sus datos están protegidos contra los riesgos de seguridad cibernética mediante los controles aplicados a los sistemas
que los transmiten. Todas las transmisiones de datos por internet están cifradas para proteger su privacidad.
El Título 13 del Código de los EE. UU. protege la confidencialidad de toda su información. Violar la confidencialidad de una persona entrevistada es
un delito federal que acarrea sanciones severas, incluso una sentencia de hasta cinco años en una prisión federal, una multa de hasta $250,000, o
ambas. Solo personas autorizadas tienen acceso a los datos almacenados, y la información que usted proporcione a la Oficina del Censo puede ser
usada solamente por un número limitado de personas autorizadas que han jurado de por vida proteger la confidencialidad de sus respuestas
individuales. Sus respuestas no pueden ser usadas en su contra por ninguna agencia o tribunal del gobierno.
Para obtener más información sobre cómo protegemos su información, visite nuestro sitio web census.gov y haga clic en “Data Protection and Privacy
Policy” en la parte inferior de la página principal. La página sobre protección de datos y normas de privacidad también incluye información sobre la
recopilación, almacenamiento y uso de esos registros; haga clic en "System of Records Notices (SORN)" (Avisos sobre el Sistema de Registros) y
busque Privacy Act System of Records Notice COMMERCE/CENSUS-5, Decennial Census Program (Aviso sobre el Sistema de Registros de la Ley
sobre la Privacidad COMMERCE/CENSUS-5, Programa del Censo Decenal).
Gracias por su cooperación. La Oficina del Censo agradece su ayuda.
Esta recopilación de información ha sido aprobada por la Oficina de Administración y Presupuesto (OMB, por sus siglas en
inglés). El número de aprobación de ocho dígitos de la OMB que aparece en la parte inferior izquierda de este aviso confirma la
aprobación. De no mostrarse este número, no podríamos realizar esta encuesta.
Envíe los comentarios sobre esta recopilación a: Paperwork Reduction Project 0607-0999, U.S. Census Bureau, DCMD-2H174,
4600 Silver Hill Road, Washington, DC 20233. También puede enviar sus comentarios por correo electrónico a
<[email protected]> y use como tema del mensaje "Paperwork Reduction Project 0607-0999".
For a copy of this information in English, see the reverse side. (Para ver esta información en inglés, véase al dorso.)
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020
FORM
DH-31(UL)(E/S)
(1-4-2018)
Attachment I – Revised Field Materials
Draft 22 (1-4-2018)
DH-26(E/S) (1-4-2018)
OMB No. 0607-0999: Approval Expires 09/30/2020
DH-26(E/S) (1-4-2018)
OMB No. 0607-0999: Approval Expires 09/30/2020
U.S. DEPARTMENT OF COMMERCE
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
Economics and Statistics Administration
U.S. CENSUS BUREAU
U.S. CENSUS BUREAU
NOTICE OF VISIT
NOTICE OF VISIT
A U.S. Census Bureau interviewer stopped by today to complete an interview
for your household.
A U.S. Census Bureau interviewer stopped by today to complete an interview
for your household.
The Census Bureau is requesting your help with a brief, one-time survey for
the 2018 Census Test. The goal of this survey is to research modern and
cost-efficient methods for the population to exercise its civic obligation to be
counted in the 2020 Census.
The Census Bureau is requesting your help with a brief, one-time survey for
the 2018 Census Test. The goal of this survey is to research modern and
cost-efficient methods for the population to exercise its civic obligation to be
counted in the 2020 Census.
Please use one of the following options to complete the survey within
the next two days:
Please use one of the following options to complete the survey within
the next two days:
• Complete the interview online by going to survey.census.gov
• Complete the interview online by going to survey.census.gov
• Call 1-844-330-2020 toll-free to provide your census information
• Call 1-844-330-2020 toll-free to provide your census information
over the phone Sunday through Saturday from 7:00 a.m. to
9:00 p.m. ET.
User ID:
–
–
over the phone Sunday through Saturday from 7:00 a.m. to
9:00 p.m. ET.
User ID:
–
–
Otherwise, someone from the Census Bureau may contact you again to
complete the interview.
Otherwise, someone from the Census Bureau may contact you again to
complete the interview.
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. We are
conducting this survey under the authority of Title 13, U.S. Code, Sections 141,
193 and 221. Federal law protects your privacy and keeps your answers
confidential (Title 13, U.S. Code, Section 9). 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.
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. We are
conducting this survey under the authority of Title 13, U.S. Code, Sections 141,
193 and 221. Federal law protects your privacy and keeps your answers
confidential (Title 13, U.S. Code, Section 9). 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.
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.
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.
Please visit census.gov/2018censustest to learn more about the 2018 Census Test.
Please visit census.gov/2018censustest to learn more about the 2018 Census Test.
Base prints black (100%)
Overlay prints cyan #6 (10%, 20% and 100%)
DH-26(E/S) (1-4-2018)
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020
DH-26(E/S) (1-4-2018)
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020
U.S. DEPARTMENT OF COMMERCE
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
Economics and Statistics Administration
U.S. CENSUS BUREAU
U.S. CENSUS BUREAU
AVISO DE VISITA
AVISO DE VISITA
Un entrevistador de la Oficina del Censo de los EE. UU. lo visitó hoy para completar
una entrevista para su hogar.
La Oficina del Censo está solicitando que nos ayude con una encuesta breve que
se llevará a cabo una sola vez para la Prueba del Censo del 2018. El objetivo
de esta encuesta es investigar métodos modernos y económicos para que la
población pueda ejercer su obligación cÝvica de ser contada en el Censo del 2020.
Un entrevistador de la Oficina del Censo de los EE. UU. lo visitó hoy para completar
una entrevista para su hogar.
La Oficina del Censo está solicitando que nos ayude con una encuesta breve que
se llevará a cabo una sola vez para la Prueba del Censo del 2018. El objetivo
de esta encuesta es investigar métodos modernos y económicos para que la
población pueda ejercer su obligación cÝvica de ser contada en el Censo del 2020.
Por favor, use una de las siguientes opciones para completar la encuesta
durante los próximos dos días:
Por favor, use una de las siguientes opciones para completar la encuesta
durante los próximos dos días:
• Complete la entrevista por internet visitando survey.census.gov
• Complete la entrevista por internet visitando survey.census.gov
• Llame gratis al 1-844-468-2020 de domingo a sábado entre las
• Llame gratis al 1-844-468-2020 de domingo a sábado entre las
7:00 a.m. y las 9:00 p.m. ET para proveer su información del censo
por teléfono.
Identificación de usuario:
–
–
De lo contrario, es posible que alguien de la Oficina del Censo se
comunique con usted de nuevo para completar la entrevista.
7:00 a.m. y las 9:00 p.m. ET para proveer su información del censo
por teléfono.
Identificación de usuario:
–
–
De lo contrario, es posible que alguien de la Oficina del Censo se
comunique con usted de nuevo para completar la entrevista.
La Oficina del Censo está obligada por ley a proteger su información (Sección 9 del
Título 13 del Código de los EE. UU.). A la Oficina del Censo no se le permite
divulgar sus respuestas de manera que usted o su hogar pudieran ser identificados.
Estamos realizando esta encuesta en conformidad con las Secciones 141, 193 y
221 del Título 13 del Código de los EE. UU. Las leyes federales protegen su
privacidad y mantienen confidenciales sus respuestas (Sección 9 del Título 13 del
Código de los EE. UU.). En conformidad con la Ley para el Fortalecimiento de la
Seguridad Cibernética Federal del 2015, sus datos están protegidos contra los
riesgos de seguridad cibernética mediante los controles aplicados a los sistemas
que los transmiten. Todas las transmisiones de datos por internet están cifradas
para proteger su privacidad.
La Oficina del Censo está obligada por ley a proteger su información (Sección 9 del
Título 13 del Código de los EE. UU.). A la Oficina del Censo no se le permite
divulgar sus respuestas de manera que usted o su hogar pudieran ser identificados.
Estamos realizando esta encuesta en conformidad con las Secciones 141, 193 y
221 del Título 13 del Código de los EE. UU. Las leyes federales protegen su
privacidad y mantienen confidenciales sus respuestas (Sección 9 del Título 13 del
Código de los EE. UU.). En conformidad con la Ley para el Fortalecimiento de la
Seguridad Cibernética Federal del 2015, sus datos están protegidos contra los
riesgos de seguridad cibernética mediante los controles aplicados a los sistemas
que los transmiten. Todas las transmisiones de datos por internet están cifradas
para proteger su privacidad.
El Título 13 del Código de los EE. UU. protege la confidencialidad de toda su
información. Violar la confidencialidad de una persona entrevistada es un delito
federal que acarrea sanciones severas, incluso una sentencia de hasta cinco años
en una prisión federal, una multa de hasta $250,000, o ambas. Solo personas
autorizadas tienen acceso a los datos almacenados, y la información que usted
proporcione a la Oficina del Censo puede ser usada solamente por un número
limitado de personas autorizadas que han jurado de por vida proteger la
confidencialidad de sus respuestas individuales. Sus respuestas no pueden ser
usadas en su contra por ninguna agencia o tribunal del gobierno.
El Título 13 del Código de los EE. UU. protege la confidencialidad de toda su
información. Violar la confidencialidad de una persona entrevistada es un delito
federal que acarrea sanciones severas, incluso una sentencia de hasta cinco años
en una prisión federal, una multa de hasta $250,000, o ambas. Solo personas
autorizadas tienen acceso a los datos almacenados, y la información que usted
proporcione a la Oficina del Censo puede ser usada solamente por un número
limitado de personas autorizadas que han jurado de por vida proteger la
confidencialidad de sus respuestas individuales. Sus respuestas no pueden ser
usadas en su contra por ninguna agencia o tribunal del gobierno.
Para obtener más información sobre cómo protegemos su información, visite nuestro
sitio web census.gov y haga clic en “Data Protection and Privacy Policy” en la parte
inferior de la página principal. La página sobre protección de datos y normas de
privacidad también incluye información sobre la recopilación, almacenamiento y uso
de esos registros; haga clic en "System of Records Notices (SORN)" (Avisos sobre
el Sistema de Registros) y busque Privacy Act System of Records Notice
COMMERCE/CENSUS-5, Decennial Census Program (Aviso sobre el Sistema de
Registros de la Ley sobre la Privacidad COMMERCE/CENSUS-5, Programa del
Censo Decenal).
Por favor visite census.gov/2018censustest para obtener más información sobre la
Prueba del Censo del 2018.
Para obtener más información sobre cómo protegemos su información, visite nuestro
sitio web census.gov y haga clic en “Data Protection and Privacy Policy” en la parte
inferior de la página principal. La página sobre protección de datos y normas de
privacidad también incluye información sobre la recopilación, almacenamiento y uso
de esos registros; haga clic en "System of Records Notices (SORN)" (Avisos sobre
el Sistema de Registros) y busque Privacy Act System of Records Notice
COMMERCE/CENSUS-5, Decennial Census Program (Aviso sobre el Sistema de
Registros de la Ley sobre la Privacidad COMMERCE/CENSUS-5, Programa del
Censo Decenal).
Por favor visite census.gov/2018censustest para obtener más información sobre la
Prueba del Censo del 2018.
Base prints black (100%)
Overlay prints green #368 (10%, 20% and 100%)
Draft 15 (1-4-2018)
DH-28(E/S) (1-4-2018)
OMB No. 0607-0999: Approval Expires 09/30/2020
DH-28(E/S) (12-18-2017)
OMB No. 0607-0999: Approval Expires 09/30/2020
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
INFORMATION SHEET
Your Answers Are Confidential
The U.S. 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. We are
conducting this survey under the authority of Title 13, U.S. Code, Sections 141,
193 and 221. Federal law protects your privacy and keeps your answers
confidential (Title 13, U.S. Code, Section 9). 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.
WHO TO COUNT ON APRIL 1st
We need to count people where
they live and sleep most of the time.
Do NOT include:
• College students who live
away from this address most
of the year
• Armed Forces personnel
Do include:
• Babies and children
living here, including
foster children
• Roommates
who live away
• People in a nursing home,
mental hospital, etc. on
April 1, 2018
• People in jail, prison,
• Boarders
• People staying here
on April 1, 2018 who
have no permanent
place to live
detention facility, etc.
on April 1, 2018
Please visit census.gov/2018censustest to learn more about the
2018 Census Test.
The Census Bureau estimates that completing the questionnaire will take 10
minutes on average. This collection of information has been approved by the
Office of Management and Budget (OMB). The eight-digit OMB approval
number that appears at the upper right of this notice confirms this approval. If
this number were not displayed, we could not conduct this survey.
Send any comments concerning this collection to Paperwork Reduction Project
0607-0999, U.S. Census Bureau, DCMD-2H174, 4600 Silver Hill Road,
Washington, DC 20233. Or email your comments to
<[email protected]> and use "Paperwork Reduction Project
0607-0999" as the subject.
DH-28(E/S) - Base prints Black Ink
DH-28(E/S) - Tone prints Pantone #6 Cyan 10% and 20%
DH-28(E/S) (1-4-2018)
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020
DH-28(E/S) (12-18-2017)
Núm. de OMB 0607-0999: Aprobado hasta 09/30/2020
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
HOJA INFORMATIVA
Sus respuestas son confidenciales
La Oficina del Censo de los EE. UU. está obligada por ley a proteger su
información (Sección 9 del Título 13 del Código de los EE. UU.). A la Oficina del
Censo no se le permite divulgar sus respuestas de manera que usted o su hogar
pudieran ser identificados. Estamos realizando esta encuesta en conformidad con
las Secciones 141, 193 y 221 del Título 13 del Código de los EE. UU. Las leyes
federales protegen su privacidad y mantienen confidenciales sus respuestas
(Sección 9 del Título 13 del Código de los EE. UU.). En conformidad con la Ley
para el Fortalecimiento de la Seguridad Cibernética Federal del 2015, sus datos
están protegidos contra los riesgos de seguridad cibernética mediante los
controles aplicados a los sistemas que los transmiten. Todas las transmisiones
de datos por internet están cifradas para proteger su privacidad.
El Título 13 del Código de los EE. UU. protege la confidencialidad de toda su
información. Violar la confidencialidad de una persona entrevistada es un delito
federal que acarrea sanciones severas, incluso una sentencia de hasta cinco
años en una prisión federal, una multa de hasta $250,000, o ambas. Solo
personas autorizadas tienen acceso a los datos almacenados, y la información
que usted proporcione a la Oficina del Censo puede ser usada solamente por un
número limitado de personas autorizadas que han jurado de por vida proteger la
confidencialidad de sus respuestas individuales. Sus respuestas no pueden ser
usadas en su contra por ninguna agencia o tribunal del gobierno.
Para obtener más información sobre cómo protegemos su información, visite
nuestro sitio web census.gov y haga clic en “Data Protection and Privacy Policy”
en la parte inferior de la página principal. La página sobre protección de datos y
normas de privacidad también incluye información sobre la recopilación,
almacenamiento y uso de esos registros; haga clic en "System of Records
Notices (SORN)" (Avisos sobre el Sistema de Registros) y busque Privacy Act
System of Records Notice COMMERCE/CENSUS-5, Decennial Census Program
(Aviso sobre el Sistema de Registros de la Ley sobre la Privacidad
COMMERCE/Census-5, Programa del Censo Decenal).
Por favor visite census.gov/2018censustest para obtener más información sobre
la Prueba del Censo del 2018.
DH-28(E/S) - Base prints Black Ink
A QUIÉN CONTAR EL 1 DE ABRIL
Necesitamos contar a las personas
donde viven y duermen la mayor
parte del tiempo.
NO incluya:
Incluya:
• Estudiantes universitarios que
• Bebés y niños que viven aquí,
no viven en esta dirección la
mayor parte del año
• Personal de las Fuerzas
Armadas que vive fuera
de aquí
• Personas que estaban en
un hogar de ancianos o
nursing home, un hospital
para enfermos mentales, etc.
el 1 de abril de 2018
incluyendo a hijos de crianza
(foster)
• Compañeros de casa o cuarto
• Inquilinos
• Personas que se quedaban
aquí el 1 de abril de 2018
y que no tienen lugar
permanente donde vivir
• Personas que estaban en
una cárcel, una prisión, un
centro de detención, etc.
el 1 de abril de 2018
Envíe los comentarios sobre esta recopilación a: Paperwork Reduction Project
0607-0999, U.S. Census Bureau, DCMD-2H174, 4600 Silver Hill Road,
Washington, DC 20233. También puede enviar sus comentarios por correo
electrónico a <[email protected]> y use como tema del
mensaje "Paperwork Reduction Project 0607-0999".
Envíe los comentarios sobre esta recopilación a: Paperwork Reduction Project
0607-0999, U.S. Census Bureau, DCMD-2H174, 4600 Silver Hill Road,
Washington, DC 20233. También puede enviar sus comentarios por correo
electrónico a <[email protected]> y use como tema del
mensaje "Paperwork Reduction Project 0607-0999".
DH-28(E/S) - Tone prints Pantone #368 green 10% and 20%
| File Type | application/pdf |
| Author | Beth Clarke Tyszka (CENSUS/DCMD FED) |
| File Modified | 2018-02-22 |
| File Created | 2018-02-22 |