ACS Methods Panel Test

American Community Survey Methods Panel Tests

ACS MP IMPS and ROIL NSC_Materials_Attachments A and B

ACS Methods Panel Test

OMB: 0607-0936

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0607-0936 can be found here:

Document [pdf]

Download: pdf | pdf

Attachment A: Mailings 1 through 5 for all Treatments

Mailing 1
Production Envelope:
ACS(Control 46IM(2020)(02Sorted
Separately) 07-2019)
Instruction
Card:
ACS-34IM(0213-2019)

Mailing 2
Pressure
Seal
Reminder
Letter:
ACS20(L)(2020)
(08-022019)

*Note: All other
materials are
the same as
production
Treatment 2 Pressure Seal
Mailer: ACS13PSX-IMPST2
Treatment 3 Pressure Seal
Mailer: ACS13PSX-IMPST3
Treatment 4 Pressure Seal
Mailer: ACS13PSX-IMPST4

Follow Up
Letter: ACS14(L)(2020) (0802-2019)

Mailing 4
Reminder
Postcard:
ACS29(2020)
(05-212019)

Mailing 5
Pressure
Seal Final
Reminder
Letter:
ACS23(L)(2020)
(08-052019)

Envelopes
Incoming/Return:
6385-47(2020)
(12-12-2018)

Letter:
ACS13(L)(2020)
(08-02-2019)
Multilingual
Brochure:
ACS-9
(2021)(03-192020)
Treatment 1 Letter:
ACS13(LX)IMPST1

Mailing 3
Questionnaire:
ACS-1(2021)
(05-18-2020)

Outgoing
Envelope: ACS46(2020) (02-072019)

(Same as
Production)

(Same as
(Same as
Production) Production)

(Same as
Production)

(Same as
(Same as
Production) Production)

(Same as
Production)

(Same as
(Same as
Production) Production)

(Same as
Production)

(Same as
(Same as
Production) Production)

Attachment A: ACS Production Materials 2021
I. Mailing 1: Initial Mailing
Envelope: ACS-46IM(2020) (02-07-2019)
Instruction Card: ACS-34IM (02-13-2019)
Letter: ACS-13(L)(2020) (08-02-2019)
Multilingual Brochure: ACS-9 (2021) (03-19-2019)
II. Mailing 2: First Reminder
Pressure Seal Reminder Letter: ACS-20(L)(2020) (08-02-2019)
III. Mailing 3: Questionnaire Package
Questionnaire: ACS-1(2021) (05-18-2020)
Follow Up Letter: ACS-14(L)(2020) (08-02-2019)
Envelopes Incoming/Return: 6385-47(2020) (12-12-2018)
Outgoing Envelope: ACS-46(2020) (02-07-2019)
IV. Mailing 4: Second Reminder
Reminder Postcard: ACS-29(2020) (05-21-2019)
V. Mailing 5: Final Reminder
Pressure Seal Final Reminder Letter: ACS-23(L)(2020) (08-05-2019)

Production: Initial Mailing Envelope
PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

OPEN IMMEDIATELY
The American Community Survey

YOUR RESPONSE IS
REQUIRED BY LAW

ACS-46IM(2020) (02-07-2019)

Production: Initial Mailing Instruction Card

American Community Survey
Go to https://respond.census.gov/acs to complete the American Community Survey online.

(Vea el otro lado
para español.)

IMPORTANT: You will need information from the address label on this card to log in. If you need help or have
questions about the American Community Survey, call the toll-free number 1-800-354-7271.

American Community Survey

Vaya a https://respond.census.gov/acs para completar la Encuesta sobre la Comunidad Estadounidense por
Internet en español.

ATENCIÓN: Necesitará información que aparece en la etiqueta en el otro lado de esta tarjeta para iniciar la sesión.
Si usted necesita ayuda para llenar la encuesta o tiene preguntas acerca de la Encuesta sobre la Comunidad
Estadounidense, llame sin cargo al 1-877-833-5625.

See other side for English.
ACS-34 IM (2-13-2019)

Production: Initial Mailing Letter

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

A message from the Director of the U.S. Census Bureau:
Your address has been randomly selected by the U.S. Census Bureau to participate in the
American Community Survey. The Census Bureau conducts this survey each year to give our
country an up-to-date picture of how we live – including our education, housing, and jobs.
Communities across the country rely on information from this survey to decide where important
services are needed, including:
● Improving roads and reducing trafﬁc
● Building schools
● Planning for the health care needs of the elderly

Respond now at https://respond.census.gov/acs
Your response is required by U.S. law.
Because your household has been asked to participate on behalf of your community, it is vital
that you complete this survey to help meet critical needs in your area.
If you are unable to complete the survey online, we will send you a paper questionnaire in a
few weeks. The Census Bureau is using the internet to collect this information to conserve natural
resources, save taxpayers’ money, and process data more efﬁciently.
If you need help completing the survey or have questions, please call our toll-free number
(1–800–354–7271).
Thank you in advance for your prompt response.
Sincerely,

Steven D. Dillingham
Enclosures

American Community Survey data help determine the annual distribution of
more than
ACS-13(L)(2020) (08-02-2019)

$675 billion

in federal funds to communities nationwide.
census.gov

Will my response be conﬁdential?
Yes. The U.S. Census Bureau is required by law to protect this information. 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, United States Code, Sections 141 and
193. Federal law protects your privacy and keeps your answers conﬁdential (Title 13, United
States 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.
Am I required to ﬁll out the survey?
Yes. Your response to this survey is required by law (Title 13, U.S. Code, Sections 141, 193, and
221). Title 13, as changed by Title 18, imposes a penalty for not responding. As a randomly
selected representative of your community, you are the voice of your neighbors and peers. To
create an accurate picture of your community, it is critical that you respond.
How will the Census Bureau use the information I provide?
By law, the Census Bureau can only use your responses to produce statistics. Your information
will be used in combination with information from other households to produce data for your
community. Similar data will be produced for communities across Puerto Rico and the United
States.
We may combine your answers with information that you gave to other agencies to enhance the
statistical uses of these data. This information will be given the same protections as your survey
information. Based on the information that you provide, you may be asked to participate in
other Census Bureau surveys that are voluntary.

Production: Initial Mailing Multilingual Brochure
The U.S. Census Bureau is conducting
the American Community Survey
In a few weeks you will receive
an American Community Survey
questionnaire in the mail. Because you
are living in the United States, you are
required by law to respond to this survey.
If you have questions about the form,
please call us at 1-800-354-7271.
What is the American Community
Survey?
The American Community Survey is
an important survey conducted by the
Census Bureau. It is designed to give
communities current information about
its people and housing. In order to make
well-informed decisions, a community
needs accurate and reliable information.
By responding to this survey, you are
helping your community to get this kind
of information.
Will my answers to this survey be kept
confidential?
Yes. The U.S. Census Bureau is required
by law to keep your information
confidential. The Census Bureau is
not permitted to publicly release your
responses in a way that could identify
you. Per the Federal Cybersecurity
Enhancement Act of 2015, your data
are protected from cybersecurity risks
through screening of the systems that
transmit your data.

ACS-9_March_03-19-2020.indd 1

Important
Information From the
U.S. Census Bureau

La Oficina del Censo de los Estados
Unidos está realizando la Encuesta
sobre la Comunidad Estadounidense
En unas semanas, usted recibirá por
correo un cuestionario de la Encuesta
sobre la Comunidad Estadounidense.
Como usted está viviendo en los
Estados Unidos, la ley exige que
usted responda a esta encuesta. Si
tiene preguntas sobre el cuestionario,
llámenos al 1-877-833-5625.
¿Qué es la Encuesta sobre la
Comunidad Estadounidense?
La encuesta sobre la Comunidad
Estadounidense es una encuesta
importante realizada por la Oficina
del Censo de los Estados Unidos. Está
diseñada para brindar información
actual a las comunidades sobre
las personas y las viviendas. Para
poder tomar buenas decisiones, una
comunidad necesita información
precisa y confiable. Al responder a
esta encuesta, usted está ayudando a
su comunidad a obtener este tipo de
información.
¿Serán confidenciales mis respuestas a
esta encuesta?
Sí. La Oficina del Censo de los EE.UU.
está obligada por ley a mantener
confidencial su información. A la
Oficina del Censo no se le permite
divulgar sus respuestas de manera que
este hogar pudiera ser identificado.
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
transmiten su información.

Issued 03-19-2020
ACS-9 (2021)
Connect with us @uscensusbureau

3/19/2020 11:38:26 AM

几周后，您将收到通过邮件发送的问卷，
即美国社区问卷调查。由于您居住在美
国，法律要求您必须回答此问卷调查。
如果您对表格有任何问题，请致电
1-800-638-5945 联系我们。

是的。 根据法律规定，美国人口普查
局将对您的信息保密。人口普查局不得
以可识别您的身份的方式公开发布您的
回复。依据2015年联邦增强网络安全法
案，通过监察传输您资料的系统，来确
保您个人资料受到保护，避免网络安全
风险。

ACS-9_March_03-19-2020.indd 2

Một vài tuần nữa quý vị sẽ nhận bản câu hỏi Khảo
Sát Cộng Đồng tại Mỹ được gửi qua bưu điện. Vì
quý vị đang sống ở Hoa Kỳ, pháp luật quy định
quý vị phải trả lời khảo sát này. Nếu quý vị có thắc
mắc về mẫu đơn này, vui lòng gọi cho chúng tôi
theo số 1-877-221-9436.

Có. Cục Thống Kê Dân Số Hoa Kỳ được pháp
luật yêu cầu bảo mật thông tin của quý vị. Cục
Thống kê không được phép công bố công khai
các phản hồi của quý vị theo cách có thể nhận
diện quý vị. Theo Luật Tăng Cường An Ninh
Mạng của Liên Bang 2015, số liệu của quí vị sẽ
được bảo vệ để tránh khỏi các nguy cơ về an
ninh mạng qua cách kiểm duyệt các hệ thống
chuyển số liệu của quí vị.

Через несколько недель Вы получите по
почте анкету Анкетирования населения
США по месту жительства. Поскольку
Вы живете в Соединенных Штатах, закон
требует, чтобы Вы ответили на этот опрос.
Если у Вас имеются вопросы по этой форме,
пожалуйста, звоните нам по телефону
1-866-225-2297.

Да. По закону Бюро переписи
населения США обязано соблюдать
конфиденциальность ваших данных. Ему
запрещено публично разглашать Ваши
ответы таким образом, чтобы по ним
можно было установить Вашу личность.
Защиту Ваших данных от кибер-рисков
регулирует федеральный закон «О
повышении кибербезопасности» от 2015
года, в соответствии с которым регулярно
проводится проверка систем передачи
данных.

귀하께서는 몇 주 내에 미국 지역사회
조사설문지를 우편으로 받게 되실 것입니다.
귀하께서 미국에 거주하고 계시기 때문에 법에
따라 이 설문조사에 응답할 의무가 있습니다.
설문지 양식에 대해 질문이 있으시면
1-800-772-6728 번호로 문의해 주십시오.

네. 미국 인구조사국은 법에 따라 귀하의
정보를 비밀로 유지해야 할 의무가 있습니다.
미국 인구조사국은 귀하가 응답한 정보를
귀하의 신상을 알 수 있는 형태로 일반에 공개할
수 없으며, 2015년 연방 사이버보안강화법에
따라, 귀하의 데이터는 데이터 전송
시스템의 철저한 검사를 통해 사이버 보안의
위험으로부터 보호됩니다.

3/19/2020 11:38:27 AM

Production: Pressure Seal Reminder Letter

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

A message from the Director of the U.S. Census Bureau:
A few days ago, you should have received instructions for completing the American Community
Survey online. Local communities depend on information from this survey to decide where schools,
highways, hospitals, and other important services are needed. If you have not already responded,
please do so now.

Respond now at https://respond.census.gov/acs
Log in using this user ID:
If we do not receive your response online, we will mail a paper questionnaire to your address.

Your response to this survey is required by law.
Your response is critically important to your local community and your country. Responding
promptly will prevent you from receiving additional reminder mailings, phone calls, or personal visits
from Census Bureau interviewers.
If you need help completing the survey or have questions, please call our toll-free number
(1–800–354–7271).
Thank you in advance for your prompt response.
Sincerely,

Steven D. Dillingham

census.gov

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
National Processing Center
1201 E 10th Street
Jeffersonville IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

ACS-20(L)(2020) (08-02-2019)

Production: Questionnaire Package Envelope (Front)

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

OPEN
IMMEDIATELY

The American Community Survey
Form Enclosed

YOUR RESPONSE IS
REQUIRED BY LAW

ACS-46(2020) (02-07-2019)

Production: Questionnaire Package Envelope (Back)

Production: Questionnaire (Front Cover)

13191010

The American Community Survey

Start Here
You have two ways to respond:

➜

Respond online today at:
https://respond.census.gov/acs

Please print the name and telephone number of the
person who is ﬁlling out this form. We will only
contact you if needed for ofﬁcial Census Bureau business.
Last Name

OR
First Name

Complete this form and mail it
back as soon as possible.

Area Code

Your response is required by law.
The American Community Survey is
conducted by the U.S. Census Bureau.
This survey is one of only a few
surveys for which all recipients are
required by law to respond. The
U.S. Census Bureau is required by
law to protect your information.

Number

—

➜

How many people are living or staying at this address?
● INCLUDE everyone who is living or staying here for more
than 2 months.
● INCLUDE yourself if you are living here for more than 2
months.
● INCLUDE anyone else staying here who does not have
another place to stay, even if they are here for 2 months or
less.

If you need help or have
questions about completing
this form, please call
1-800-354-7271.

● DO NOT INCLUDE anyone who is living somewhere else for
more than 2 months, such as a college student living away or
someone in the Armed Forces on deployment.

Number of people

Text Telephone (TTY):
Call 1–800–582–8330.
¿NECESITA AYUDA? Llame sin cargo
alguno al 1-877-833-5625.
For more information about the American
Community Survey, visit our website at:
https://www.census.gov/acs

➜

Fill out pages 2 – 7 for everyone, including yourself,
who is living or staying at this address for more
than 2 months. Then complete the rest of the form.

ACS-1(2021)

FORM
(05-18-2020)

§.4++¤

OMB No. 0607-0810
OMB No. 0607-0936

Production: Questionnaire (Back Cover)

13191481

Mailing
Instructions
➜ Please make sure you have...

● listed all names and answered the
questions on pages 2 – 7
● answered all Housing questions
● answered all Person questions for each
person
➜ Then...

● put the completed questionnaire into the
postage-paid return envelope. If the
envelope has been misplaced, please
mail the questionnaire to:
U.S. Census Bureau
P.O. Box 5240
Jeffersonville, IN 47199-5240
● make sure the barcode above your
address shows in the window of the
return envelope
Thank you for participating in
the American Community Survey.

For Census Bureau Use
POP

EDIT CLERK

EDIT

PHONE

TELEPHONE CLERK

JIC1

JIC2

JIC3

JIC4

The Census Bureau estimates that, for the average
household, this form will take 40 minutes to complete,
including the time for reviewing the instructions and
answers. Send comments regarding this burden
estimate or any other aspect of this collection of
information, including suggestions for reducing this
burden, to: Paperwork Project, U.S. Census Bureau,
4600 Silver Hill Road, ADDC – 4H277,
Washington, D.C. 20233. You may e-mail comments to
[email protected]; use "Paperwork Project" as the
subject. Please DO NOT RETURN your questionnaire
to this address. Use the enclosed preaddressed
envelope to return your completed questionnaire.
Respondents are not required to respond to any
information collection unless it displays a valid
approval number from the Ofﬁce of Management
and Budget. This 8-digit number appears in the
bottom right on the front cover of this form.

Form ACS-1(2021) (05-18-2020)

§.4/r¤

Production: Follow Up Letter

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

A message from the Director of the U.S. Census Bureau:
The U.S. Census Bureau recently sent you a request to complete the American Community Survey
online. If you have not already responded to this important survey, please do so now.
Complete the survey using ONLY ONE of the following options:

● Respond online at https://respond.census.gov/acs
● If you are unable to respond online, please ﬁll out and
mail back the enclosed questionnaire.
You are required by U.S. law to respond to this survey.
The Census Bureau has randomly selected your address to receive this survey as part of a nationally
representative sample. Because you will be providing important information on behalf of your
community, it is vital that you complete this survey to help meet critical needs in your area – including
determining where to locate new schools, hospitals, and ﬁre stations.
If you do not respond promptly, a Census Bureau interviewer may contact you to complete the survey.
The Census Bureau is required by law to keep your information conﬁdential.
The Census Bureau is not permitted to publicly release your responses in a way that could identify
you or your household.
If you need help completing the survey or have questions, please call our toll-free number
(1–800–354–7271).
Thank you for your prompt response.
Sincerely,

Steven D. Dillingham
Enclosures

ACS-14(L)(2020) (08-02-2019)

census.gov

draft 4 (12-12-2018) 6385-47(2020) envelope 9 x 11-1/2" W open window 5 x 7/8

Production: Questionnaire Package Return Envelope
OFFICIAL BUSINESS
Penalty for Private Use $300

NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES

BUSINESS REPLY MAIL
FIRST-CLASS MAIL

PERMIT NO. 16081

WASHINGTON DC

POSTAGE WILL BE PAID BY THE U.S. CENSUS BUREAU

Flap side

DIRECTOR
U.S. CENSUS BUREAU
PO BOX 5240
JEFFERSONVILLE IN 47199-5240

FFATTFADDDTAADTFADDFAFTDFFAADFFFAFDTFDTAFATFDFATADTTFDFDTFFFFATTF
6385-47(2020) (12-12-2018)

00 708 200644 000000000 47199 5240

Draft 3 (5/21/19)

Production: Second Reminder (Postcard)

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau

National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132

OFFICIAL BUSINESS
Penalty for Private Use $300

YOUR RESPONSE IS
REQUIRED BY LAW

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau

National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132

OFFICIAL BUSINESS
Penalty for Private Use $300

YOUR RESPONSE IS
REQUIRED BY LAW

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

YOUR RESPONSE IS
REQUIRED BY LAW

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

Draft 3 (5/21/19)

The U.S. Census Bureau has sent you repeated requests to complete the
American Community Survey. If you have not already responded, it is
imperative that you complete this survey now.

Complete and mail back your paper questionnaire now.
Or respond at https://respond.census.gov/acs

You are required by U.S. law to respond to this survey (Title 13, U.S. Code,
Sections 141, 193, and 221).

If you do not respond now, a Census Bureau interviewer may contact you to
complete the survey.

If you need help completing the survey or have questions, please call our
toll-free number (1–800–354–7271).

Thank you.

ACS-29(2020) (05-21-2019)

The U.S. Census Bureau has sent you repeated requests to complete the
American Community Survey. If you have not already responded, it is
imperative that you complete this survey now.

Complete and mail back your paper questionnaire now.
Or respond at https://respond.census.gov/acs

You are required by U.S. law to respond to this survey (Title 13, U.S. Code,
Sections 141, 193, and 221).

If you do not respond now, a Census Bureau interviewer may contact you to
complete the survey.

If you need help completing the survey or have questions, please call our
toll-free number (1–800–354–7271).

Thank you.

Thank you.
ACS-29(2020) (05-21-2019)

ACS-29(2020) (05-21-2019)

Production: Pressure Seal Final Reminder Letter

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

A message from the Director of the U.S. Census Bureau:
The U.S. Census Bureau has sent you several requests to complete the American
Community Survey. If you have not already done so, now is the time to respond.

Respond now at https://respond.census.gov/acs
Log in using this user ID:
OR complete and mail back your paper questionnaire.
Your response is required by law.
If you do not respond promptly, a Census Bureau interviewer may contact you with a
personal visit to complete the survey. If you would like to complete the survey by
telephone or need assistance, please call our toll-free number (1–800–354–7271).
Thank you.
Sincerely,

Steven D. Dillingham

census.gov

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
National Processing Center
1201 E 10th Street
Jeffersonville IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

FINAL NOTICE
RESPOND NOW

ACS-23(L)(2020) (08-05-2019)

Attachment A: Mailings 1 for the IMPS Test Treatments
I. Mailing 1: Initial Mailing
Mailing 1: Initial Mailing
Letter(s): ACS-13(LX)IMPS-T1, ACS-13PSX-IMPS-T2, ACS-13PSX-T3, ACS-13PSX-T4

Treatment 1: Initial Mailing Letter (without paper q'naire ref.)

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

Improving roads and reducing trafﬁc
Building schools
Planning for the health care needs of the elderly

Respond now at https://respond.census.gov/acs
Your response is required by U.S. law.
Because your household has been asked to participate on behalf of your community, it is
vital that you complete this survey to help meet critical needs in your area.
The Census Bureau is using the internet to collect this information to conserve natural
resources, save taxpayers’ money, and process data more efﬁciently.
If you need help completing the survey or have questions, please call our toll-free number
(1–800–354–7271).
Thank you in advance for your prompt response.
Sincerely,

Steven D. Dillingham
Enclosures

American Community Survey data help determine the annual distribution of
more than $675 billion in federal funds to communities nationwide.
ACS-13(LX)IMPS-T1 (11-04-2020)

census.gov

Treatment 2: Pressure Seal Mailer (incl. paper q'naire ref.)

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

A message from the Director of the U.S. Census Bureau:
Your address has been randomly selected by the U.S. Census Bureau to participate in the
American Community Survey. The Census Bureau conducts this survey each year to give our
country an up-to-date picture of how we live — including our housing, education, and jobs.
Communities across the country rely on information from this survey to decide where important
services are needed, including:
●
●
●

Improving roads and reducing trafﬁc
Building schools
Planning for the health care needs of the elderly

Respond now at https://respond.census.gov/acs
Log in with this user ID:
Your response is required by U.S. law.
Because your household has been asked to participate on behalf of your community, it is vital
that you complete this survey to help meet critical needs in your area.
If you are unable to complete the survey online, we will send you a paper questionnaire
in a few weeks. The Census Bureau is using the internet to collect this information to conserve
natural resources, save taxpayers’ money, and process data more efﬁciently.
If you need help completing the survey or have questions, please call our toll-free number
(1–800–354–7271).
Thank you in advance for your prompt response.
Sincerely,

Steven D. Dillingham

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 and 193. Title 13, Section 221, as changed by Title 18, imposes a
penalty for not responding. 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 system that transmit your data. By law, the Census Bureau can only use your response to produce statistics. Your information
will be used in combination with information from other households to produce data for your community. Similar data will be
produced for communities across Puerto Rico and the United States. We may combine your answers with information that you
gave to other agencies to enhance the statistical use of these data. This information will be given the same protections as your
survey information. Based on the information that you provide, you may be asked to participate in other Census Bureau surveys
that are voluntary.

census.gov

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

The American Community Survey

YOUR RESPONSE IS
REQUIRED BY LAW

ACS-13PSX-IMPS-T2 (11-04-2020)

Treatment 3: Pressure Seal Mailer (without paper q'naire ref.)

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

A message from the Director of the U.S. Census Bureau:
Your address has been randomly selected by the U.S. Census Bureau to participate in the
American Community Survey. The Census Bureau conducts this survey each year to give our
country an up-to-date picture of how we live — including our housing, education, and jobs.
Communities across the country rely on information from this survey to decide where important
services are needed, including:
●
●
●

Improving roads and reducing trafﬁc
Building schools
Planning for the health care needs of the elderly

Respond now at https://respond.census.gov/acs
Log in with this user ID:
Your response is required by U.S. law.
Because your household has been asked to participate on behalf of your community, it is vital
that you complete this survey to help meet critical needs in your area.
The Census Bureau is using the internet to collect this information to conserve natural
resources, save taxpayers’ money, and process data more efﬁciently.
If you need help completing the survey or have questions, please call our toll-free number
(1–800–354–7271).
Thank you in advance for your prompt response.
Sincerely,

Steven D. Dillingham

census.gov

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

The American Community Survey

YOUR RESPONSE IS
REQUIRED BY LAW

ACS-13PSX-IMPS-T3 (11-04-2020)

Treatment 4: Pressure Seal Mailer (alt. paper q'naire ref. location)

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

A message from the Director of the U.S. Census Bureau:
Your address has been randomly selected by the U.S. Census Bureau to participate in the
American Community Survey. The Census Bureau conducts this survey each year to give our
country an up-to-date picture of how we live — including our housing, education, and jobs.
Communities across the country rely on information from this survey to decide where important
services are needed, including:
●
●
●

Improving roads and reducing trafﬁc
Building schools
Planning for the health care needs of the elderly

Respond now at https://respond.census.gov/acs
Log in with this user ID:
Your response is required by U.S. law.
Because your household has been asked to participate on behalf of your community, it is vital
that you complete this survey to help meet critical needs in your area.
The Census Bureau is using the internet to collect this information to conserve natural resources,
save taxpayers’ 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. If you need help
completing the survey or have questions, please call our toll-free number (1–800–354–7271).
Thank you in advance for your prompt response.
Sincerely,

Steven D. Dillingham

census.gov

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

The American Community Survey

YOUR RESPONSE IS
REQUIRED BY LAW

ACS-13PSX-IMPS-T4 (11-04-2020)

Attachment B: Mailings 1 through 6 for all Treatments

Production
(also
serves
as the
Control)

Addressside
Message:
Past Due
Response
Option:
Internet

Mailing 1

Mailing 2

Mailing 3

Mailing 4

Mailing 5

CAPI Internet
Letter (Pressure
Seal)

Envelope:
ACS46IM(202
0)(02- 072019)

Pressure
Sealed
Reminder
Letter:
ACS20(L)(20
20) (08-022019)

Questionnaire
: ACS-1(2021)
(05-18-2020)

Reminder
Postcard:
ACS29(2020
) (05-212019)

Final
Pressure
Seal
Reminder:
ACS23(L)(2020)
(08-052019)

ACS-INET
ATRO(12-10-2020)

Instruction
Card: ACS34IM(02- 132019)
Letter:
ACS13(L)(202
0) (08-022019)

Addressside
Message:
Past Due
Response
Option:
Internet
+TQA

(Same as
Production)

ACS-INET
PHRO(12-10-2020)

Outgoing
Envelope:
ACS46(2020)
(02-07- 2019)
(Same as
Production)

(Same as
Production)

ACS-INET
LARO(12-10-2020)
ACS-INET
NYRO(12-10-2020)

Envelopes
Incoming/Ret
urn: 638547(2020) (1212-2018)

Multilingual
Brochure:
ACS-9
(2021)(03-192020)
Treatment
1

Follow Up
Letter:
ACS14(L)(202
0) (08- 022019)

ACS-INET
CHRO (12-10-2020)

ACS-INET
DNRO(12-10-2020)

(Same as
Production)

ACS-INET ATROXROIL-T1(12-11-2020)

ACS-INET CHROXROIL-T1(12-11-2020)

ACS-INET LAROXROIL-T1(12-112020)
ACS-INET NYROXROIL-T1(12-112020)

ACS-INET PHROXROIL-T1(12-112020)
ACS-INET DNROXROIL-T1(12-112020)
Treatment
2

(Same as
Production)

Addressside
Message:
Required
by law
Response
Option:
Internet

ACS-INET ATROXROIL-T2(12-102020)
ACS-INET CHROXROIL-T2(12-102020)
ACS-INET LAROXROIL-T2(12-102020)
ACS-INET NYROXROIL-T2(12-102020)
ACS-INET PHROXROIL-T2(12-102020)
ACS-INET DNROXROIL-T2(12-102020)

Treatment
3
Addressside
Message:
Required
by law
Response
Option:
Internet
+TQA

(Same as
Production)

ACS-INET ATROXROIL-T3(12-112020)
ACS-INET CHROXROIL-T3(12-112020)
ACS-INET LAROXROIL-T3(12-112020)

ACS-INET NYROXROIL-T3(12-112020
ACS-INET PHROXROIL-T3(12-112020)
ACS-INET DNROXROIL-T3(12-112020)

Attachment A: ACS Production Materials 2021
I. Mailing 1: Initial Mailing
Envelope: ACS-46IM(2020) (02-07-2019)
Instruction Card: ACS-34IM (02-13-2019)
Letter(s): ACS-13(L)(2020) (08-02-2019)
Multilingual Brochure: ACS-9 (2021) (03-19-2019)
II. Mailing 2: First Reminder
Pressure-Sealed Reminder Letter: ACS-20(L)(2020) (08-02-2019)
III. Mailing 3: Questionnaire Package
Questionnaire: ACS-1(2021) (05-18-2020)
Follow Up Letter: ACS-14(L)(2020) (08-02-2019)
Envelopes Incoming/Return: 6385-47(2020) (12-12-2018)
Outgoing Envelope: ACS-46(2020) (02-07-2019)
IV. Mailing 4: Second Reminder
Reminder Postcard: ACS-29(2020) (05-21-2019)
V. Mailing 5: Final Reminder
Final Reminder: ACS-23(L)(2020) (08-05-2019)

Production: Initial Mail Envelope
PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

OPEN IMMEDIATELY
The American Community Survey

YOUR RESPONSE IS
REQUIRED BY LAW

ACS-46IM(2020) (02-07-2019)

Production: Initial Mailing Instruction Card

American Community Survey
Go to https://respond.census.gov/acs to complete the American Community Survey online.

(Vea el otro lado
para español.)

IMPORTANT: You will need information from the address label on this card to log in. If you need help or have
questions about the American Community Survey, call the toll-free number 1-800-354-7271.

American Community Survey

Vaya a https://respond.census.gov/acs para completar la Encuesta sobre la Comunidad Estadounidense por
Internet en español.

See other side for English.
ACS-34 IM (2-13-2019)

Production: Initial Mailing Letter

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

Steven D. Dillingham
Enclosures

American Community Survey data help determine the annual distribution of
more than
ACS-13(L)(2020) (08-02-2019)

$675 billion

in federal funds to communities nationwide.
census.gov

ACS-9_March_03-19-2020.indd 1

Important
Information From the
U.S. Census Bureau

Issued 03-19-2020
ACS-9 (2021)
Connect with us @uscensusbureau

3/19/2020 11:38:26 AM

ACS-9_March_03-19-2020.indd 2

3/19/2020 11:38:27 AM

Production: Pressure Seal Reminder Letter

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

Respond now at https://respond.census.gov/acs
Log in using this user ID:
If we do not receive your response online, we will mail a paper questionnaire to your address.

Steven D. Dillingham

census.gov

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
National Processing Center
1201 E 10th Street
Jeffersonville IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

ACS-20(L)(2020) (08-02-2019)

Production: Questionnaire Package Envelope Front

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

OPEN
IMMEDIATELY

The American Community Survey
Form Enclosed

YOUR RESPONSE IS
REQUIRED BY LAW

ACS-46(2020) (02-07-2019)

Production: Questionnaire Package Envelope Back

Production: Questionnaire front page

13191010

The American Community Survey

Start Here
You have two ways to respond:

➜

Respond online today at:
https://respond.census.gov/acs

Please print the name and telephone number of the
person who is ﬁlling out this form. We will only
contact you if needed for ofﬁcial Census Bureau business.
Last Name

OR
First Name

Complete this form and mail it
back as soon as possible.

Area Code

Number

—

➜

If you need help or have
questions about completing
this form, please call
1-800-354-7271.

● DO NOT INCLUDE anyone who is living somewhere else for
more than 2 months, such as a college student living away or
someone in the Armed Forces on deployment.

Number of people

➜

Fill out pages 2 – 7 for everyone, including yourself,
who is living or staying at this address for more
than 2 months. Then complete the rest of the form.

ACS-1(2021)

FORM
(05-18-2020)

§.4++¤

OMB No. 0607-0810
OMB No. 0607-0936

Production: Questionnaire back page

13191481

Mailing
Instructions
➜ Please make sure you have...

● listed all names and answered the
questions on pages 2 – 7
● answered all Housing questions
● answered all Person questions for each
person
➜ Then...

For Census Bureau Use
POP

EDIT CLERK

EDIT

PHONE

TELEPHONE CLERK

JIC1

JIC2

JIC3

JIC4

Form ACS-1(2021) (05-18-2020)

§.4/r¤

Production: Questionnaire Package Letter

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

Steven D. Dillingham
Enclosures

ACS-14(L)(2020) (08-02-2019)

census.gov

draft 4 (12-12-2018) 6385-47(2020) envelope 9 x 11-1/2" W open window 5 x 7/8

Production: Questionnaire Package Return Envelope
OFFICIAL BUSINESS
Penalty for Private Use $300

NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES

BUSINESS REPLY MAIL
FIRST-CLASS MAIL

PERMIT NO. 16081

WASHINGTON DC

POSTAGE WILL BE PAID BY THE U.S. CENSUS BUREAU

Flap side

DIRECTOR
U.S. CENSUS BUREAU
PO BOX 5240
JEFFERSONVILLE IN 47199-5240

FFATTFADDDTAADTFADDFAFTDFFAADFFFAFDTFDTAFATFDFATADTTFDFDTFFFFATTF
6385-47(2020) (12-12-2018)

00 708 200644 000000000 47199 5240

Production: Second Reminder (Postcard)

Draft 3 (5/21/19)

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau

National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132

OFFICIAL BUSINESS
Penalty for Private Use $300

YOUR RESPONSE IS
REQUIRED BY LAW

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau

National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132

OFFICIAL BUSINESS
Penalty for Private Use $300

YOUR RESPONSE IS
REQUIRED BY LAW

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

YOUR RESPONSE IS
REQUIRED BY LAW

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

Draft 3 (5/21/19)

The U.S. Census Bureau has sent you repeated requests to complete the
American Community Survey. If you have not already responded, it is
imperative that you complete this survey now.

Complete and mail back your paper questionnaire now.
Or respond at https://respond.census.gov/acs

You are required by U.S. law to respond to this survey (Title 13, U.S. Code,
Sections 141, 193, and 221).

If you do not respond now, a Census Bureau interviewer may contact you to
complete the survey.

If you need help completing the survey or have questions, please call our
toll-free number (1–800–354–7271).

Thank you.

ACS-29(2020) (05-21-2019)

The U.S. Census Bureau has sent you repeated requests to complete the
American Community Survey. If you have not already responded, it is
imperative that you complete this survey now.

Complete and mail back your paper questionnaire now.
Or respond at https://respond.census.gov/acs

You are required by U.S. law to respond to this survey (Title 13, U.S. Code,
Sections 141, 193, and 221).

If you do not respond now, a Census Bureau interviewer may contact you to
complete the survey.

If you need help completing the survey or have questions, please call our
toll-free number (1–800–354–7271).

Thank you.

Thank you.
ACS-29(2020) (05-21-2019)

ACS-29(2020) (05-21-2019)

Production: Final Reminder Pressure
Seal Letter

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

Steven D. Dillingham

census.gov

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
National Processing Center
1201 E 10th Street
Jeffersonville IN 47132
OFFICIAL BUSINESS
Penalty for Private Use $300

FINAL NOTICE
RESPOND NOW

ACS-23(L)(2020) (08-05-2019)

Attachment B
I.

Mailing 6: Treatments CAPI Internet Letter

Letters: ACS-INET LARO(2021)(12-10-2020), ACS-INET LAROX-ROIL-T1 (12-11-2020), ACS-INET
LAROX-ROIL-T2(12-10-2020), ACS-INET LAROX-ROIL-T3(12-11-2020)

Note: Other test versions in treatments will differ only by Regional Office director signature.

Treatment Control:
Address-side Message: Past Due Response Option: Internet
U.S. Census Bureau

Los Angeles Regional Ofﬁce
Burbank, CA 91504

Dear Resident:
A U.S. Census Bureau employee may have recently contacted you to help you complete the
American Community Survey. If you have responded, thank you. If you have not responded,
we will contact you soon.
Please complete the survey today to avoid an in-person interview:

Go to: respond.census.gov/acs
Log in with your user ID:
Enter the user ID letters and numbers exactly as you see them above.

You are required by U.S. law to respond to this survey. The Census Bureau is required by
law to keep your information conﬁdential.
If a Census Bureau employee visits you, he or she will present a photo ID that includes their
name, a Department of Commerce watermark, and an expiration date. He or she will have a
laptop and will contact you between 9 a.m. and 9 p.m. You may also be contacted by phone.
The information from this survey helps identify needs such as affordable housing, job
training, and emergency planning. Your response makes a difference! Thank you for helping
your community prepare for a better future.
If you have any questions call us at 1–800–992–3530, option 1. We are happy to help you.
Sincerely,

Julie Lam
Regional Director
Por favor complete la Encuesta sobre la Comunidad Estadounidense.
La encuesta está disponible en español.
Por internet: Vaya a respond.census.gov/acs. Haga clic en "Para completar en español, oprima aquí."
Por teléfono: Llame al 1–877–833–5625 para hablar en español con un empleado de la Oﬁcina del Censo.

FOR OFFICE USE ONLY:
Control #:

census.gov/acs

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
Los Angeles Regional Ofﬁce
2300 W. Empire Avenue, Suite 300
Burbank, CA 91504
OFFICIAL BUSINESS
Penalty for Private Use $300

THE AMERICAN COMMUNITY SURVEY

YOUR RESPONSE
IS PAST DUE
ACS-INET LARO(2021) (12-10-2020)

Treatment 1:
Address-side Message: Past Due Response Option: Internet +TQA
U.S. Census Bureau

Los Angeles Regional Ofﬁce
Burbank, CA 91504

ONLINE
Go to: respond.census.gov/acs
Log in with your user ID:
Enter the user ID letters and numbers
exactly as you see them above.

BY PHONE
Call 1-800-354-7271
OR

Monday–Friday: 9 a.m. to 9 p.m.
Saturday: 9 a.m. to 7 p.m.
Sunday: 11 a.m. to 9 p.m.

FOR OFFICE USE ONLY:
Control #:

census.gov/acs

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
Los Angeles Regional Ofﬁce
2300 W. Empire Avenue, Suite 300
Burbank, CA 91504
OFFICIAL BUSINESS
Penalty for Private Use $300

THE AMERICAN COMMUNITY SURVEY

YOUR RESPONSE
IS PAST DUE
ACS-INET LAROX-ROIL-T1 (12-11-2020)

Treatment 2:
Address-side Message: Required by law Response Option: Internet
U.S. Census Bureau

Los Angeles Regional Ofﬁce
Burbank, CA 91504

Go to: respond.census.gov/acs
Log in with your user ID:
Enter the user ID letters and numbers exactly as you see them above.

FOR OFFICE USE ONLY:
Control #:

census.gov/acs

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
Los Angeles Regional Ofﬁce
2300 W. Empire Avenue, Suite 300
Burbank, CA 91504
OFFICIAL BUSINESS
Penalty for Private Use $300

THE AMERICAN COMMUNITY SURVEY

YOUR RESPONSE IS
REQUIRED BY LAW
ACS-INET LAROX-ROIL-T2 (12-10-2020)

Treatment 3:
Address-side Message: Required by law Response Option: Internet +TQA

U.S. Census Bureau

Los Angeles Regional Ofﬁce
Burbank, CA 91504

ONLINE
Go to: respond.census.gov/acs
Log in with your user ID:
Enter the user ID letters and numbers
exactly as you see them above.

BY PHONE
Call 1-800-354-7271
OR

Monday–Friday: 9 a.m. to 9 p.m.
Saturday: 9 a.m. to 7 p.m.
Sunday: 11 a.m. to 9 p.m.

FOR OFFICE USE ONLY:
Control #:

census.gov/acs

PRESORTED
FIRST-CLASS MAIL
POSTAGE & FEES PAID
U.S. Census Bureau
Permit No. G-58

U.S. Census Bureau
Los Angeles Regional Ofﬁce
2300 W. Empire Avenue, Suite 300
Burbank, CA 91504
OFFICIAL BUSINESS
Penalty for Private Use $300

THE AMERICAN COMMUNITY SURVEY

YOUR RESPONSE IS
REQUIRED BY LAW
ACS-INET LAROX-ROIL-T3 (12-11-2020)

File Type	application/pdf
File Title	NSC for Due Dates
Author	Kathryn A Cheza (CENSUS/ACSO FED)
File Modified	2020-12-14
File Created	2020-11-12