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D.4 Contact Appointment Card

ICR 202606-1220-003 · OMB 1220-0202 · Object 170058000.

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Document Metadata
File Typeapplication/pdf
File TitleD.4 Contact Appointment Card
Authorjpoehlman
Last Modified ByAdobe Acrobat Pro 2020 20.5.30774
File Modified2025-08-14
File Created2025-08-14
Conversion Statecomplete
Extracted Text
1. Contact Appointment Card – English
2. Contact Appointment Card – Spanish

DON’T
FORGET!

Interview Appointment:
Interviewer Name

I appreciate you taking time for
this important national survey and
look forward to our appointment to
complete the interview. I have you
scheduled for the following:

Interviewer Phone Number
Day

Interviewer Email Address

Date

Time

¡No se
olvide!

Cita de la entrevista:
Nombre del(de la) entrevistador(a)

Le agradezco que se haya tomado
el tiempo para esta importante
encuesta nacional y espero nuestra
cita para completar la entrevista.
Tiene programada esta cita:

Número de teléfono del(de la)
entrevistador(a)
Día

Correo electrónico del(de la)
entrevistador(a)

Fecha

Hora