ACS Mailing Material

DC
U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132-0001
OFFICIAL BUSINESS
Penalty for Private Use $300
AN EQUAL OPPORTUNITY EMPLOYER
ACS-40(X)DTR (10-2016)

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

DC
U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132-0001
OFFICIAL BUSINESS
Penalty for Private Use $300
AN EQUAL OPPORTUNITY EMPLOYER
ACS-41(X)DTR (10-2016)

FINAL NOTICE
Respond Now

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

DC
U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132-0001
OFFICIAL BUSINESS
Penalty for Private Use $300
AN EQUAL OPPORTUNITY EMPLOYER
ACS-46IM(X)DTR (10-2016)

YOUR RESPONSE
IS IMPORTANT TO
YOUR COMMUNITY.

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

DC
U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau
National Processing Center
1201 E. 10th St.
Jeffersonville, IN 47132-0001
OFFICIAL BUSINESS
Penalty for Private Use $300
AN EQUAL OPPORTUNITY EMPLOYER
ACS-46(X)DTR (10-2016)

U.S. CENSUS FORM ENCLOSED

YOUR RESPONSE
IS IMPORTANT TO
YOUR COMMUNITY.

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

How Your Responses Help America
The American Community Survey (ACS) provides vital information that public officials,
planners, and entrepreneurs use to assess the past and plan the future. When you respond
to the ACS, you are doing your part to help your community plan hospitals, support school
lunch programs, improve emergency services, build bridges, inform businesses looking to
add jobs and expand to new markets, and more. Respond at
https://respond.census.gov/acs or fill out the questionnaire today.

What we ask about...
Employment
• Employment
• Unemployment
• Not in labor force
• Weeks and hours worked
• Industry and occupation

Education
• School enrollment,
private vs. public
• Information on students,
at all educational levels
• Educational attainment

Veterans
• Military service
• Veteran period of service
• VA service-connected
disability rating

Income and Housing
Costs
• Income sources
• Living expenses

How your responses help...
• Help governments plan
unemployment programs and
services.
• Develop programs to boost
employment.
• Pinpoint areas of growth for new
businesses to locate.

PHARMACY

Boutique
Help
Wanted

• Help communities measure how
well educational resources are
serving their populations.
• Identify the educational and
training needs of adults.
• Bridge gaps between educational
attainment for workers and
educational requirements for
employers.

• Help the government and
communities plan for the future
health care of veterans.
• Plan and fund job training for
veterans.
• Improve the home loan guarantee
program for veterans.

• Help gauge the need for economic
and housing assistance.
• Provide the only source of community
data on the population and
characteristics of people who live in
poverty.
• Provide a measure of housing
affordability.

Hospital

Grocery Store

Commuting
• Where people work
• Commuting time to
work

Disability and
Health Insurance
• Person’s difficulty with
specific daily living
tasks
• Health insurance
enrollment and type.

Housing Characteristics
• Plumbing, kitchen
facilities, and other
housing features
• Housing size and age

Owners and Renters
• Own vs. rent home
• Amount of monthly
rent
• Property value

People and Relationships
• Age
• Sex
• Race
• Hispanic origin
• Relationship to

• Mode of transportation
• Provide precise data crucial for
planning improvements to roads
and mass transit.
• Help develop transportation and
networks and services.

• Help communities plan transportation,
employment programs, and public
service accessibility for people with
disabilities.
• Attract businesses that serve people
with disabilities.
• Show which groups are at risk for
limited health care access and poor
health outcomes.

• Help identify areas with
substandard housing.
• Identify which communities are
eligible for housing programs that
help people afford decent, safe,
and sanitary housing.
• Help communities plan recovery
efforts after disasters.

• Analyze housing affordability and
allocate assistance programs.
• Help governments understand local
housing market changes and monitor
affordability.
• Supply businesses with data to
design and market homes.

household members
• Help monitor the well-being and
discrimination of people.
• Administer funds and services to
people needing assistance.
• Help businesses evaluate local
market demands for products and
services.

#MeasuringAmerica

ACS-8IM(X)DTR

(8-2016)

13017017
U.S. DEPARTMENT OF COMMERCE

The American Community Survey

Economics and Statistics Administration
U.S. CENSUS BUREAU

Producing quality of life statistics that communities in every state depend on

How to respond...
We wrote to you earlier with a request to respond
online. We are sending this paper questionnaire to all
households that have not yet responded because we
realize not everyone can or wants to respond over the
Internet. If you would rather complete this survey online,
please go to https://respond.census.gov/acs
If you need help or have questions about completing this form,
please call toll-free 1-800-354-7271. Telephone Device for Deaf
(TDD) call toll-free 1-800-582-8330.
¿Necesita ayuda? Llame sin cargo alguno al 1-877-833-5625.

Let’s get started...
First, please print the name and telephone number of
the person who is filling out this form.

How this survey is done...
Each month we survey several thousand randomly selected
addresses in every region of the U.S. to learn how quality of
life issues are changing in communities.
The American Community Survey is one of only a few surveys
for which all recipients are required to respond. The Census
Bureau and its staff are also required by law to protect the
confidentiality of responses, and no individual can be identified
in the statistics produced from this survey. An explanation of
the ACS is available at http://www.census.gov/acs/www
Next, tell us how many people are living or staying at this
address.
Number of people

Last Name

First Name

MI

Area Code + Number
—

Please include everyone who is living or staying here for more than
2 months, yourself if you are living here for more than 2 months
and anyone else staying here who does not have another place to
stay, even if they are here for 2 months or less.
But 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.

Now continue on the next page
ACS-1(X)DMM

FORM
(08-16-2016) Draft 4

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