2020 NSCH Redesigned Production Letters

Appendix F_2020 NSCH Redesigned Production Letters.pdf

National Survey of Children's Health

2020 NSCH Redesigned Production Letters

OMB: 0607-0990

Document [pdf]
Download: pdf | pdf
Appendix F

2020 National Survey of Children’s
Health Redesigned Production Letters

U.S. Census Bureau

DC

Results from the
National Survey of
Children’s Health
are used to:

Washington, DC 20233
Office of the Director

Your address has been selected to participate in the National Survey of Children’s Health.
This survey collects information that is used to improve the health of children and families
in your community and throughout the United States. We ask for your response because
this survey is the only way we have to gather this important information.

Responding to this survey is easy:
1. Go to: https://respond.census.gov/nsch

• Identify the
financial burdens
families face
when paying for
children's health
care
• Improve access to
mental health
care for children
• Identify ways for
communities and
families to help
children be ready
for school
• Determine state
level funding for
children’s health
programs

2. Enter your Login ID:
Even if there are no children 0-17 years old in your
household, please log in to let us know.
If you are unable to complete the survey online, complete the enclosed paper
questionnaire and return it in the postage-paid envelope provided.
Answers to frequently asked questions are on the back of this letter. If you need
assistance or have additional questions, please call 1–800–845–8241 or email us at
[email protected].
The success of this survey depends on your participation. The results will help your
state better understand and respond to the health care needs of children and families.
Thank you for your help.

Steven D. Dillingham, Director
Enclosure
NSCH-11P(AR) (05-19-20)

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-11P(AR) (05-19-20)

U.S. Census Bureau

DC

Results from the
National Survey of
Children’s Health
are used to:
• Identify the
financial burdens
families face
when paying for
children's health
care
• Improve access to
mental health
care for children
• Identify ways for
communities and
families to help
children be ready
for school
• Determine state
level funding for
children’s health
programs

Washington, DC 20233
Office of the Director

Your address has been selected to participate in the National Survey of Children’s Health.
This survey collects information that is used to improve the health of children and families
in your community and throughout the United States. We ask for your response because
this survey is the only way we have to gather this important information.
Responding to this survey is easy:
1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:
Even if there are no children 0-17 years old in your
household, please log in to let us know.

Answers to frequently asked questions are on the back of this letter. If you are unable
to complete the survey online, need assistance, or have additional questions, please call
1–800–845–8241 or email us at [email protected].
The success of this survey depends on your participation. The results will help your
state better understand and respond to the health care needs of children and families.
Thank you for your help.

Steven D. Dillingham, Director

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.

NSCH-11W(AR) (05-19-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-11W(AR) (05-19-20)

U.S. Census Bureau

DC

Results from the
National Survey of
Children’s Health
are used to:

Washington, DC 20233
Office of the Director

Your address has been selected to participate in the National Survey of Children’s
Health. This survey collects information that is used to improve the health of children
and families in your community and throughout the United States. We ask for your
response because this survey is the only way we have to gather this important
information. We have enclosed a small token of appreciation for your participation.

Responding to this survey is easy:

• Identify the
financial burdens
families face
when paying for
children's health
care
• Improve access to
mental health
care for children
• Identify ways for
communities and
families to help
children be ready
for school
• Determine state
level funding for
children’s health
programs

1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:
Even if there are no children 0-17 years old in your
household, please log in to let us know.

Answers to frequently asked questions are on the back of this letter. If you are
unable to complete the survey online, need assistance, or have additional questions,
please call 1–800–845–8241 or email us at [email protected].
The success of this survey depends on your participation. The results will help your
state better understand and respond to the health care needs of children and families.
Thank you for your help.

Steven D. Dillingham, Director
Enclosure 

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.
NSCH-11W(BR) (05-20-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-11W(BR) (05-20-20)

U.S. Census Bureau

DC

Results from the
National Survey of
Children’s Health
are used to:

Washington, DC 20233
Office of the Director

Recently, we requested your participation in the National Survey of Children’s Health
(NSCH). If you have completed the NSCH prior to receiving this mailing, please accept our
thanks. If you have not yet responded, we encourage you to complete the survey online.
This survey collects information that is used to improve the health of children and families
in your community and throughout the United States.
Responding to this survey is easy:

1. Go to: https://respond.census.gov/nsch

• Identify gaps in
access to health
care services for
children
• Determine state
level funding for
children’s health
programs
• Develop school
programs for
children with
learning
disabilities
• Identify the
financial burdens
families face
when paying for
children's health
care

2. Enter your Login ID:
Even if there are no children 0-17 years old in your
household, please log in to let us know.
If you are unable to complete the survey online, complete the enclosed paper
questionnaire and return it in the postage-paid envelope provided.
Answers to frequently asked questions are on the back of this letter. If you need
assistance or have additional questions, please call 1–800–845–8241 or email us at
[email protected].
The success of this survey depends on your participation. The results will help your
state better understand and respond to the health care needs of children and families.
Thank you for your help.

Steven D. Dillingham, Director
Enclosure

NSCH-12P(BR) (05-19-20)

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-12P(BR) (05-19-20)

U.S. Census Bureau

DC

Results from the
National Survey of
Children’s Health
are used to:
• Identify gaps in
access to health
care services for
children
• Determine state
level funding for
children’s health
programs
• Develop school
programs for
children with
learning
disabilities
• Identify the
financial burdens
families face
when paying for
children's health
care

Washington, DC 20233
Office of the Director

Recently, we requested your participation in the National Survey of Children’s
Health (NSCH). If you have completed the NSCH prior to receiving this mailing,
please accept our thanks. If you have not yet responded, we encourage you to
complete the survey online. This survey collects information that is used to
improve the health of children and families in your community and throughout
the United States.
Responding to this survey is easy:
1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:
Even if there are no children 0-17 years old in
your household, please log in to let us know.
Answers to frequently asked questions are on the back of this letter. If you need
assistance or have additional questions, please call 1–800–845–8241 or email us
at [email protected].
The success of this survey depends on your participation. The results will help
your state better understand and respond to the health care needs of children
and families.
Thank you for your help.

Steven D. Dillingham, Director

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.
NSCH-12W(AR) (05-19-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-12W(AR) (05-19-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Recently, we wrote asking for your help with the National Survey of Children’s Health. If
you have already responded, thank you. If you have not, we are asking you to complete
this survey because your participation is important for its success. The survey period is
ending soon.

Results from the
National Survey
of Children’s
Health are used
to:

Responding to this survey is easy:
1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:

• Identify ways for
communities and
families to help
children be ready
for school

Even if there are no children 0-17 years old in your
household, please log in to let us know.

• Improve access to
mental health care
for children
• Determine state
level funding for
children’s health
programs
• Identify the
financial burdens
families face when
paying for
children's health
care

If you are unable to complete the survey online, complete the enclosed paper
questionnaire and return it in the postage-paid envelope provided.
Answers to frequently asked questions are on the back of this letter. If you need
assistance or have additional questions, please call 1–800–845–8241 or email us at
[email protected].
The results of the survey will help us better understand the health and health care needs
of children in the United States. Your household was randomly selected from all of the
households in the country and will represent thousands of other households.
Thank you for your help.

Steven D. Dillingham, Director
Enclosure

NSCH-13R (05-19-20)

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-13R (05-19-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

In July, we requested your participation in the National Survey of Children’s Health. We are
contacting you today one final time to ask for your help with this very important survey.

Results from the
National Survey of
Children’s Health
are used to:

This is your last opportunity to ensure that the survey results reflect the characteristics of
households like yours. If you have already responded to the survey, please accept our
sincere thanks. If you have not yet responded, please respond today.
Responding to this survey is easy:
1. Go to: https://respond.census.gov/nsch

• Determine state
level funding for
children’s health
programs

2. Enter your Login ID:
Even if there are no children 0-17 years old in your
household, please log in to let us know.

• Develop school
programs for
children with
learning disabilities

If you are unable to complete the survey online, complete the enclosed paper questionnaire
and return it in the postage-paid envelope provided.

• Improve access to
mental health care
for children

Answers to frequently asked questions are on the back of this letter. If you need assistance
or have additional questions, please call 1–800–845–8241 or email us at
[email protected].

• Identify the
financial burdens
families face when
paying for children's
health care

The information gathered in this survey is critical to understanding children’s health care needs
in your state and across the country. It provides key insights about the health and welfare of the
youngest members of our society and what they need to thrive.
Thank you for your help.

Steven D. Dillingham, Director
Enclosure
NSCH-14R (05-19-20)

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-14R (05-19-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:

Results from the
National Survey of
Children’s Health
are used to:
• Identify the
financial burdens
families face
when paying for
children's health
care
• Improve access to
mental health
care for children
• Identify ways for
communities and
families to help
children be ready
for school
• Determine state
level funding for
children’s health
programs

A few weeks ago, you responded to the National Survey of Children’s Health.
We greatly appreciate your participation. The final step of this survey is to
answer some follow-up questions about:

This survey should be filled out by a parent or adult caregiver who lives in this
household and who is familiar with this child’s health and health care. Please
return your completed questionnaire in the postage-paid envelope provided.
The success of this survey depends on your participation. The results will help
our nation better understand and respond to the health care needs of children
and families in your state and across the country.
Answers to frequently asked questions are on the back of this letter. If you need
assistance with the survey or have questions, please call 1–800–845–8241
or email [email protected].
Thank you once again for your help.

Steven D. Dillingham, Director
Enclosure

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.
NSCH-21(AR) (05-19-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-21(AR) (05-19-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:

Results from the
National Survey of
Children’s Health
are used to:
• Identify the
financial burdens
families face
when paying for
children's health
care
• Improve access to
mental health
care for children
• Identify ways for
communities and
families to help
children be ready
for school
• Determine state
level funding for
children’s health
programs

A few weeks ago, you responded to the National Survey of Children’s Health. We
greatly appreciate your participation. The final step of this survey is to answer some
follow-up questions about one of your children:

We have randomly selected this child to ensure the survey results represent the
unique health and health care needs of America’s children.
This survey should be filled out by a parent or adult caregiver who lives in this
household and who is familiar with this child’s health and health care. Please
return your completed questionnaire in the postage-paid envelope provided.
The success of this survey depends on your participation. The results will help our
nation better understand and respond to the health care needs of children and
families in your state and across the country.
Answers to frequently asked questions are on the back of this letter. If you need
assistance with the survey or have questions, please call 1–800–845–8241
or email [email protected].
Thank you once again for your help.

Steven D. Dillingham, Director
Enclosure

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.
NSCH-21(BR) (05-19-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-21(BR) (05-19-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:

Results from the
National Survey of
Children’s Health
are used to:

A few weeks ago, you responded to the National Survey of Children’s Health.
We greatly appreciate your participation. The final step of this survey is to
answer some follow-up questions about:

• Identify the
financial burdens
families face
when paying for
children's health
care

This survey should be filled out by a parent or adult caregiver who lives in this
household and who is familiar with this child’s health and health care. Please
return your completed questionnaire in the postage-paid envelope provided.
Since the survey period is ending soon, this is your last opportunity to help. We
hope that you will complete the questionnaire and mail it back.

• Improve access to
mental health
care for children

The success of this survey depends on your participation. The results will help
our nation better understand and respond to the health care needs of children
and families in your state and across the country.

• Identify ways for
communities and
families to help
children be ready
for school

Answers to frequently asked questions are on the back of this letter. If you need
assistance with the survey or have questions, please call 1–800–845–8241 or
email [email protected].

• Determine state
level funding for
children’s health
programs

Thank you once again for your help.

Steven D. Dillingham, Director
Enclosure
Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.

NSCH-21(CR) (05-19-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-21(CR) (05-19-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:

Results from the
National Survey of
Children’s Health
are used to:
• Identify the
financial burdens
families face
when paying for
children's health
care
• Improve access to
mental health
care for children
• Identify ways for
communities and
families to help
children be ready
for school
• Determine state
level funding for
children’s health
programs

A few weeks ago, you responded to the National Survey of Children’s Health. We
greatly appreciate your participation. The final step of this survey is to answer some
follow-up questions about one of your children:

We have randomly selected this child to ensure the survey results represent the unique
health and health care needs of America’s children.
This survey should be filled out by a parent or adult caregiver who lives in this
household and who is familiar with this child’s health and health care. Please return
your completed questionnaire in the postage-paid envelope provided. Since the survey
period is ending soon, this is your last opportunity to help. We hope that you will
complete the questionnaire and mail it back.
The success of this survey depends on your participation. The results will help our
nation better understand and respond to the health care needs of children and families
in your state and across the country.
Answers to frequently asked questions are on the back of this letter. If you need
assistance with the survey or have questions, please call 1–800–845–8241 or email
[email protected].
Thank you once again for your help.

Steven D. Dillingham, Director
Enclosure
Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.

NSCH-21(DR) (05-19-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-21(DR) (05-19-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:

Results from the
National Survey of
Children’s Health
are used to:
• Identify gaps in
access to health
care services for
children
• Determine state
level funding for
children’s health
programs
• Develop school
programs for
children with
learning
disabilities
• Identify the
financial burdens
families face
when paying for
children's health
care

We recently contacted you to ask for your participation in the final step of
the National Survey of Children’s Health. The final step is to answer some
follow-up questions about:

Your household was randomly selected and will represent thousands of other
households in the United States. The information collected in this survey will
help your state better understand and respond to the health care needs of
children and families. We ask for your response because this survey is the only
way we have to gather this important information.
Answers to frequently asked questions are on the back of this letter. If you
need assistance or have additional questions, please call 1–800–845–8241 or
email us at [email protected].
Thank you for your help.

Steven D. Dillingham, Director
Enclosure

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.
NSCH-22(AR) (05-19-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-22(AR) (05-19-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:

Results from the
National Survey of
Children’s Health
are used to:
• Identify gaps in
access to health
care services for
children
• Determine state
level funding for
children’s health
programs
• Develop school
programs for
children with
learning
disabilities
• Identify the
financial burdens
families face
when paying for
children's health
care

We recently contacted you to ask for your participation in the final step of the
National Survey of Children’s Health. The final step is to answer some follow-up
questions about one of your children:

This child was selected to ensure the survey results represent every type of child
and health situation. Your household was randomly selected and will represent
thousands of other households in the United States.
The information collected in this survey will help your state better understand
and respond to the health care needs of children and families. We ask for your
response because this survey is the only way we have to gather this important
information.
Answers to frequently asked questions are on the back of this letter. If you
need assistance or have additional questions, please call 1–800–845–8241 or
email us at [email protected].
Thank you for your help.

Steven D. Dillingham, Director
Enclosure
Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.

NSCH-22(BR) (05-14-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-22(BR) (05-14-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:

Results from the
National Survey of
Children’s Health
are used to:
• Identify gaps in
access to health
care services for
children
• Determine state
level funding for
children’s health
programs
• Develop school
programs for
children with
learning
disabilities
• Identify the
financial burdens
families face
when paying for
children's health
care

We recently contacted you to ask for your participation in the final step of the
National Survey of Children’s Health. The final step is to answer some follow-up
questions about:

Your household was randomly selected and will represent thousands of other
households in the United States. The information collected in this survey will
help your state better understand and respond to the health care needs of
children and families.
We ask for your response because this survey is the only way we have to gather
this important information. Since the survey period is ending soon, this is your
last opportunity to help. We hope that you will complete the questionnaire and
mail it back.
Answers to frequently asked questions are on the back of this letter. If you
need assistance or have additional questions, please call 1–800–845–8241 or
email us at [email protected].
Thank you for your help.

Steven D. Dillingham, Director
Enclosure

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.
NSCH-22(CR) (05-14-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-22(CR) (05-14-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:

Results from the
National Survey of
Children’s Health
are used to:

We recently contacted you to ask for your participation in the final step of the
National Survey of Children’s Health. The final step is to answer some follow-up
questions about one of your children:

• Identify gaps in
access to health
care services for
children

This child was selected to ensure the survey results represent every type of child
and health situation. Your household was randomly selected and will represent
thousands of other households in the United States. The information collected
in this survey will help your state better understand and respond to the health
care needs of children and families.

• Determine state
level funding for
children’s health
programs

We ask for your response because this survey is the only way we have to gather
this important information. Since the survey period is ending soon, this is your
last opportunity to help. We hope that you will complete the questionnaire and
mail it back.

• Develop school
programs for
children with
learning
disabilities

Answers to frequently asked questions are on the back of this letter. If you
need assistance or have additional questions, please call 1–800–845–8241 or
email us at [email protected].

• Identify the
financial burdens
families face
when paying for
children's health
care

Steven D. Dillingham, Director

Thank you for your help.

Enclosure

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.
NSCH-22(DR) (05-14-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-22(DR) (05-14-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:

Results from the
National Survey of
Children’s Health
are used to:
• Identify ways for
communities and
families to help
children be ready
for school
• Improve access to
mental health
care for children
• Determine state
level funding for
children’s health
programs
• Identify the
financial burdens
families face
when paying for
children's health
care

Over the past few months, we have contacted you to ask you to complete the
final part of the National Survey of Children’s Health. To the best of our
knowledge, we have not yet received your response to follow-up questions about:

The survey provides important information about the health status and needs of
children across the nation and in your state or community. This information gives
the public insights into how the youngest members of our society are doing and
what they need to thrive.
We know there are competing demands for your time. We ask for your response
because this survey is the only way we have to gather this important information.
Your household was randomly selected and will represent thousands of other
households in the United States.
If you have already completed the survey, please accept our sincere thanks. If you
have not yet responded, please complete and return the enclosed paper
questionnaire as soon as possible.
Answers to frequently asked questions are on the back of this letter. If you need
assistance or have additional questions, please call 1–800–845–8241 or email us
at [email protected].
Thank you for your help.

Steven D. Dillingham, Director
Enclosure
Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.
NSCH-23(AR) (05-14-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-23(AR) (05-14-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:

Results from the
National Survey of
Children’s Health
are used to:
• Identify ways for
communities and
families to help
children be ready
for school
• Improve access to
mental health
care for children
• Determine state
level funding for
children’s health
programs
• Identify the
financial burdens
families face
when paying for
children's health
care

Over the past few months, we have contacted you to ask you to complete the final part
of the National Survey of Children’s Health. To the best of our knowledge, we have not
yet received your response to follow-up questions about one of your children:

This child was selected to ensure the survey results represent every type of child and
health situation. The survey provides important information about the health status and
needs of children across the nation and in your state or community. This information
gives the public insights into how the youngest members of our society are doing and
what they need to thrive.
We know there are competing demands for your time. We ask for your response
because this survey is the only way we have to gather this important information. Your
household was randomly selected and will represent thousands of other households in the
United States.
If you have already completed the survey, please accept our sincere thanks. If you have
not yet responded, please complete and return the enclosed paper questionnaire as
soon as possible.
Answers to frequently asked questions are on the back of this letter. If you need
assistance or have additional questions, please call 1–800–845–8241 or email us at
[email protected].
Thank you for your help.

Steven D. Dillingham, Director
Enclosure
Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.
NSCH-23(BR) (05-14-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-23(BR) (05-14-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:

Results from the
National Survey of
Children’s Health
are used to:
• Identify ways for
communities and
families to help
children be ready
for school
• Improve access to
mental health
care for children
• Determine state
level funding for
children’s health
programs
• Identify the
financial burdens
families face
when paying for
children's health
care

Over the past few months, we have contacted you to ask you to complete the final
part of the National Survey of Children’s Health. To the best of our knowledge, we
have not yet received your response to follow-up questions about:

The survey provides important information about the health status and needs of
children across the nation and in your state or community. This information gives the
public insights into how the youngest members of our society are doing and what they
need to thrive.
We know there are competing demands for your time. We ask for your response
because this survey is the only way we have to gather this important information. Your
household was randomly selected and will represent thousands of other households in the
United States. Since the survey period is ending soon, this is your last opportunity to
help. We hope that you will complete the questionnaire and mail it back.
If you have already completed the survey, please accept our sincere thanks. If you
have not yet responded, please complete and return the enclosed paper questionnaire
as soon as possible.
Answers to frequently asked questions are on the back of this letter. If you need
assistance or have additional questions, please call 1–800–845–8241 or email us at
[email protected].
Thank you for your help.

Steven D. Dillingham, Director
Enclosure

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.
NSCH-23(CR) (05-14-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-23(CR) (05-14-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:

Results from the
National Survey of
Children’s Health
are used to:
• Identify ways for
communities and
families to help
children be ready
for school
• Improve access to
mental health
care for children
• Determine state
level funding for
children’s health
programs
• Identify the
financial burdens
families face
when paying for
children's health
care

Over the past few months, we have contacted you to ask you to complete the final part
of the National Survey of Children’s Health. To the best of our knowledge, we have
not yet received your response to follow-up questions about one of your children:

This child was selected to ensure the survey results represent every type of child and
health situation. The survey provides important information about the health status
and needs of children across the nation and in your state or community. This
information gives the public insights into how the youngest members of our society are
doing and what they need to thrive.
We know there are competing demands for your time. We ask for your response
because this survey is the only way we have to gather this important information. Your
household was randomly selected and will represent thousands of other households in the
United States. Since the survey period is ending soon, this is your last opportunity to
help. We hope that you will complete the questionnaire and mail it back.
If you have already completed the survey, please accept our sincere thanks. If you
have not yet responded, please complete and return the enclosed paper questionnaire
as soon as possible.
Answers to frequently asked questions are on the back of this letter. If you need
assistance or have additional questions, please call 1–800–845–8241 or email us at
[email protected].
Thank you for your help.

Steven D. Dillingham, Director
Enclosure
NSCH-23(DR) (05-14-20)

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-23(DR) (05-14-20)

U.S. Census Bureau

DC

Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:
In recent months we have contacted you regarding the final part of the National
Survey of Children’s Health. The final step is to answer some follow-up
questions about:

Results from the
National Survey of
Children’s Health
are used to:

If you have responded to our request to participate in the final part of the
survey, we thank you. By participating, you ensure that we gather accurate and
complete information.

• Determine state
level funding for
children’s health
programs

If you have not responded, please complete and return the enclosed survey as
soon as possible. The survey is ending soon. This is your last opportunity to
help us collect information that is critical to understanding children’s health
care needs, in your state and across the country.

• Develop school
programs for
children with
learning
disabilities
• Improve access to
mental health care
for children
• Identify the
financial burdens
families face when
paying for
children's health
care

Thousands of families have already returned their surveys. We understand that
your time is valuable. Respond today to ensure that the survey results reflect
the characteristics of households like yours.
Answers to frequently asked questions are on the back of this letter. If you are
unable to complete the survey online, need assistance, or have additional
questions, please call 1–800–845–8241 or email us at
[email protected].
Thank you for your help.

Steven D. Dillingham, Director
Enclosure

Si necesita un cuestionario en español, por favor llame al 1-800-845-8241.
NSCH-24R (05-18-20)

Frequently Asked Quesons
How was I chosen for the survey?
Your address was randomly selected to be part of this voluntary survey from all of the addresses in the United
States. We do not know who lives at each address. Everyone has a chance to be picked. This process ensures
that the addresses selected represent everyone in the United States.
Can you replace my address with another one?
You are important! No other household is the same as yours. We cannot swap one address for another. If we
did that, the survey results would not accurately describe your state or the entire country.
What are you going to ask me?
The survey asks quesons about children’s physical and emotional health. It also asks about factors that may
influence children’s well-being, including medical care, family interactions, parental health, school experiences,
and neighborhoods.
How long will it take?
The survey takes less than 5 minutes if there are no children in your household. For households with children, it
takes 38 minutes on average.
Who authorizes this survey?
The Census Bureau is conducting this survey on behalf of the U.S. Department of Health and Human Services
under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section 501(a)(2) of the Social
Security Act (42 USC §701). This survey has been approved by the Office of Management and Budget (OMB).
The eight-digit OMB approval number 0607-0990 appears the boom le corner of the survey web page and
the upper left corner on the back page of the paper questionnaire. If this number were not displayed, we could
not conduct this survey.
What laws protect my privacy?
Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C. Section 9. Under
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data.
No hablo inglés. ¿Qué es esto?
La Oficina del Censo de los EE. UU. está llevando a cabo la Encuesta Nacional de Salud de los Niños, un
importante estudio a nivel nacional. Necesitamos su ayuda. Este cuesonario hace preguntas para obtener
información importante que se usa para mejorar la salud de los niños y las familias en todos los Estados Unidos.
Es muy fácil completar este cuestionario. Si necesita un cuestionario en español, por favor llame gratos al
1–800–845–8241 o envíe un correo electrónico a [email protected].

For more information, go to: www.census.gov/nsch

NSCH-24R (05-18-20)

DC

U.S. Census Bureau
Washington, DC 20233
Office of the Director

Recently, we sent you a letter requesting your participation in the National Survey of Children’s Health. If
you have already responded to the survey, please accept our sincere thanks. If you have not yet completed
your survey online or returned the paper questionnaire we sent you, please do so as soon as possible.
Responding to this survey is easy:
1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:
If you are unable to complete the survey online, need assistance, or have questions, please call
1–800–845–8241 or email us at [email protected].
Thank you for your help.

Steven D. Dillingham, Director

Recientemente, le enviamos una carta solicitando su participación en la Encuesta Nacional de Salud de
los Niños. Si usted ya respondió a la encuesta, por favor, acepte nuestro más sincero agradecimiento. Si
usted no completó todavía la encuesta por internet ni envió por correo el cuestionario impreso que le
enviamos, por favor, hágalo lo antes posible.
Responder a esta encuesta es fácil:
1. Vaya a: https://respond.census.gov/nsch
2. Ingrese su ID de Usuario:
Si usted no puede completar la encuesta por internet, necesita ayuda o tiene preguntas, llame al
1–800–845–8241 o envíenos un correo electrónico a [email protected].
Muchas gracias por su ayuda.

Steven D. Dillingham, Director

DC

U.S. Census Bureau
Washington, DC 20233
Office of the Director

Recently, we sent you a letter requesting your participation in the National Survey of Children’s Health. If you
have already responded to the survey, please accept our sincere thanks. If you have not yet completed your
survey, please do so as soon as possible.
Responding to this survey is easy:

1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:
If you need a paper version of the survey or have questions, please call 1–800–845–8241 or email us at
[email protected].
Thank you for your help.

Steven D. Dillingham, Director

Recientemente, le enviamos una carta solicitando su participación en la Encuesta Nacional de Salud de los
Niños. Si usted ya respondió a la encuesta, por favor, acepte nuestro más sincero agradecimiento. Si usted no
completó todavía la encuesta, por favor, hágalo lo antes posible.
Responder a esta encuesta es fácil:

1. Vaya a: https://respond.census.gov/nsch
2. Ingrese su ID de Usuario:
Si necesita una versión impresa de la encuesta o tiene preguntas, llame al 1–800–845–8241 o envíenos un correo
electrónico a [email protected].
Muchas gracias por su ayuda.

Steven D. Dillingham, Director

DC

U.S. Census Bureau
Washington, DC 20233
Office of the Director

Dear Parent or Caregiver:
We recently sent you a questionnaire for the National Survey of Children’s Health. The
questionnaire asks questions about the health and health care for a child in your household.
Your response is important and will help us better understand the health care needs of
children in the U.S.
If you have already completed the questionnaire, please accept our sincere thanks. If you
have not, please do so as soon as possible.
If you need a new questionnaire or have questions, please call 1–800–845–8241 or email us
at: [email protected].
Thank you for your help.

Steven D. Dillingham, Director

Estimado(a) Padre, Madre, o Cuidador:
Recientemente le enviamos un cuestionario sobre la Encuesta Nacional de Salud de los
Niños. El cuestionario contiene preguntas sobre la salud y el cuidado de salud de un(a)
niño(a) en su hogar. Su respuesta es importante y nos ayudará a comprender mejor las
necesidades de cuidado de salud de los niños en los Estados Unidos.
Si usted ya completó el cuestionario, por favor, acepte nuestro más sincero agradecimiento. Si
no lo hizo, por favor, hágalo lo antesposible.
Si usted necesita un nuevo cuestionario o tiene preguntas, llame al 1–800–845–8241 o
envíenos un correo electrónico a: [email protected].
Muchas gracias por su ayuda.

Steven D. Dillingham, Director

DC

U.S. Census Bureau
Washington, DC 20233
Office of the Director

Recently, we sent you a letter requesting your participation in the National Survey of Children’s Health. If you
have already responded to the survey, please accept our sincere thanks. If you have not yet completed your
survey, please do so as soon as possible.
Responding to this survey is easy:

1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:
If you are unable to complete the survey online, need assistance, or have questions, please call 1-800-845-8241
or email us at [email protected].
Thank you for your help.

Steven D. Dillingham, Director

Recientemente, le enviamos una carta solicitando su participación en la Encuesta Nacional de Salud de los
Niños. Si usted ya respondió a la encuesta, por favor, acepte nuestro más sincero agradecimiento. Si usted no
completó todavía la encuesta, por favor, hágalo lo antes posible.
Responder a esta encuesta es fácil:

1. Vaya a: https://respond.census.gov/nsch
2. Ingrese su ID de Usuario:
Si usted no puede completar la encuesta por internet, necesita ayuda o tiene preguntas, llame al 1-800-845-8241
o envíenos un correo electrónico a [email protected].
Muchas gracias por su ayuda.

Steven D. Dillingham, Director


File Typeapplication/pdf
AuthorLeah Meyer (CENSUS/ADDP FED)
File Modified2020-05-20
File Created2020-01-17

© 2024 OMB.report | Privacy Policy