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American Samoa
Your Answers Are Confidential
The U.S. Census Bureau is required by law to protect this information (Title 13, U.S. Code, Section 9). The Census Bureau is not
permitted to publicly release your responses in a way that could identify anyone. We are conducting the 2020 Census of American Samoa
under the authority of Title 13, U.S. Code, Sections 141, 193, 221 and 223. By law, the Census Bureau can only use responses to
produce statistics. Per the Federal Cybersecurity Enhancement Act of 2015, data are protected from cybersecurity risks through screening
of the systems that transmit data.
Title 13 of the U.S. Code protects the confidentiality of all this information. Violating the confidentiality of a respondent is a federal crime
with serious penalties, including a federal prison sentence of up to five years, a fine of up to $250,000, or both. Only authorized
individuals have access to the stored data, and the information provided to the Census Bureau may only be used by a restricted number of
authorized individuals who are sworn for life to protect the confidentiality of individual responses.
For more information about how we protect this information, please visit our Web site at census.gov and click on "Data Protection and
Privacy Policy" at the bottom of the home page. This page also includes information about the collection, storage, and use of these
records. Click on "System of Records Notices (SORN)" and look for Privacy Act System of Records Notice COMMERCE/CENSUS-5,
Decennial Census Program.
Thank you for your cooperation. The Census Bureau appreciates your help.
You are required by law to respond to the 2020 Census of American Samoa (Title 13, U.S. Code, Sections 141 and 193). The
Census Bureau estimates that completing the questionnaire will take 25 minutes on average. This collection of information has
been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number that appears at the bottom
left of this notice confirms this approval. If this number were not displayed, we could not conduct the census.
Send comments regarding this burden estimate or any other aspect of this burden to: Paperwork Reduction Project 0607-1006,
U.S. Census Bureau, DCMD-2H174, 4600 Silver Hill Road, Washington, DC 20233. You may email comments to
<2020.census.paperwork@census.gov>. Use "Paperwork Reduction Project 0607-1006" as the subject.
OMB No. 0607-1006: Approval Expires 11/30/2021
FORM
D-CN-GE-AS (4-12-2019)
DC
Guam
Your Answers Are Confidential
The U.S. Census Bureau is required by law to protect this information (Title 13, U.S. Code, Section 9). The Census Bureau
is not permitted to publicly release your responses in a way that could identify anyone. We are conducting the 2020 Census
of Guam under the authority of Title 13, U.S. Code, Sections 141, 193, 221 and 223. By law, the Census Bureau can only
use responses to produce statistics. Per the Federal Cybersecurity Enhancement Act of 2015, data are protected from
cybersecurity risks through screening of the systems that transmit data.
Title 13 of the U.S. Code protects the confidentiality of all this information. Violating the confidentiality of a respondent is a
federal crime with serious penalties, including a federal prison sentence of up to five years, a fine of up to $250,000 or
both. Only authorized individuals have access to the stored data, and the information provided to the Census Bureau may
only be used by a restricted number of authorized individuals who are sworn for life to protect the confidentiality of
individual responses.
For more information about how we protect this information, please visit our Web site at census.gov and click on "Data
Protection and Privacy Policy" at the bottom of the home page. This page also includes information about the collection,
storage, and use of these records. Click on "System of Records Notices (SORN)" and look for Privacy Act System of Records
Notice COMMERCE/CENSUS-5, Decennial Census Program.
Thank you for your cooperation. The Census Bureau appreciates your help.
You are required by law to respond to the 2020 Census of Guam (Title 13, U.S. Code, Sections 141 and 193). The Census
Bureau estimates that completing the questionnaire will take 25 minutes on average. This collection of information has been
approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number that appears at the bottom left
of this notice confirms this approval. If this number were not displayed, we could not conduct the census.
Send comments regarding this burden estimate or any other aspect of this burden to: Paperwork Reduction Project 0607-1006,
U.S. Census Bureau, DCMD-2H174, 4600 Silver Hill Road, Washington, DC 20233. You may email comments to
<2020.census.paperwork@census.gov>. Use "Paperwork Reduction Project 0607-1006" as the subject.
OMB No. 0607-1006: Approval Expires 11/30/2021
FORM
D-CN-GE-GU (4-12-2019)
DC
Commonwealth of the
Northern Mariana Islands
Your Answers Are Confidential
The U.S. Census Bureau is required by law to protect this information (Title 13, U.S. Code, Section 9). The Census Bureau
is not permitted to publicly release your responses in a way that could identify anyone. We are conducting the 2020 Census
of the Commonwealth of the Northern Mariana Islands under the authority of Title 13, U.S. Code, Sections 141, 193, 221
and 223. By law, the Census Bureau can only use responses to produce statistics. Per the Federal Cybersecurity
Enhancement Act of 2015, data are protected from cybersecurity risks through screening of the systems that transmit data.
Title 13 of the U.S. Code protects the confidentiality of all this information. Violating the confidentiality of a respondent is a
federal crime with serious penalties, including a federal prison sentence of up to five years, a fine of up to $250,000 or
both. Only authorized individuals have access to the stored data, and the information provided to the Census Bureau may
only be used by a restricted number of authorized individuals who are sworn for life to protect the confidentiality of
individual responses.
For more information about how we protect this information, please visit our Web site at census.gov and click on "Data
Protection and Privacy Policy" at the bottom of the home page. This page also includes information about the collection,
storage, and use of these records. Click on "System of Records Notices (SORN)" and look for Privacy Act System of Records
Notice COMMERCE/CENSUS-5, Decennial Census Program.
Thank you for your cooperation. The Census Bureau appreciates your help.
You are required by law to respond to the 2020 Census of the Commonwealth of the Northern Mariana Islands (Title 13, U.S. Code,
Sections 141 and 193). The Census Bureau estimates that completing the questionnaire will take 25 minutes on average. This collection
of information has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number that appears
at the bottom left of this notice confirms this approval. If this number were not displayed, we could not conduct the census.
Send comments regarding this burden estimate or any other aspect of this burden to: Paperwork Reduction Project 0607-1006,
U.S. Census Bureau, DCMD-2H174, 4600 Silver Hill Road, Washington, DC 20233. You may email comments to
<2020.census.paperwork@census.gov>. Use "Paperwork Reduction Project 0607-1006" as the subject.
OMB No. 0607-1006: Approval Expires 11/30/2021
FORM
D-CN-GE-MI (4-12-2019)
DC
U.S. Virgin Islands
Your Answers Are Confidential
The U.S. Census Bureau is required by law to protect this information (Title 13, U.S. Code, Section 9). The Census Bureau
is not permitted to publicly release your responses in a way that could identify anyone. We are conducting the 2020
Census of the U.S. Virgin Islands under the authority of Title 13, U.S. Code, Sections 141, 193, 221 and 223. By law, the
Census Bureau can only use responses to produce statistics. Per the Federal Cybersecurity Enhancement Act of 2015, data
are protected from cybersecurity risks through screening of the systems that transmit data.
Title 13 of the U.S. Code protects the confidentiality of all this information. Violating the confidentiality of a respondent is
a federal crime with serious penalties, including a federal prison sentence of up to five years, a fine of up to $250,000, or
both. Only authorized individuals have access to the stored data, and the information provided to the Census Bureau may
only be used by a restricted number of authorized individuals who are sworn for life to protect the confidentiality of
individual responses.
For more information about how we protect this information, please visit our Web site at census.gov and click on "Data
Protection and Privacy Policy" at the bottom of the home page. This page also includes information about the collection,
storage, and use of these records. Click on "System of Records Notices (SORN)" and look for Privacy Act System of
Records Notice COMMERCE/CENSUS-5, Decennial Census Program.
Thank you for your cooperation. The Census Bureau appreciates your help.
You are required by law to respond to the 2020 Census of the U.S. Virgin Islands (Title 13, U.S. Code, Sections 141 and 193).
The Census Bureau estimates that completing the questionnaire will take 25 minutes on average. This collection of information
has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number that appears at the
bottom left of this notice confirms this approval. If this number were not displayed, we could not conduct the census.
Send comments regarding this burden estimate or any other aspect of this burden to: Paperwork Reduction Project 0607-1006,
U.S. Census Bureau, DCMD-2H174, 4600 Silver Hill Road, Washington, DC 20233. You may email comments to
<2020.census.paperwork@census.gov>. Use "Paperwork Reduction Project 0607-1006" as the subject.
Para ver esta información en español, véase al dorso. (For a copy of this information in Spanish, see the reverse side.)
OMB No. 0607-1006: Approval Expires 11/30/2021
FORM
D-CN-GE-VI(E/S) (4-12-2019)
DC
U.S. Virgin Islands
Sus respuestas son confidenciales
La Oficina del Censo de los EE. UU. está obligada por ley a proteger esta información (Título 13, Código de los EE. UU., Sección 9). A la
Oficina del Censo no se le permite divulgar sus respuestas de manera que nadie pudiera ser identificado. Estamos realizando el Censo del 2020
de las Islas Vírgenes de los EE. UU. en conformidad con las Secciones 141, 193, 221 y 223 del Título 13 del Código de los EE. UU. Por ley, la
Oficina del Censo solo puede usar respuestas para producir estadísticas. Según la Ley Federal para el Fortalecimiento de la Seguridad
Informática de 2015, los datos están protegidos de los riesgos de la seguridad en la internet mediante controles en los sistemas que transmiten
los datos.
El Título 13 del Código de los EE. UU. protege la confidencialidad de toda la información. Violar la confidencialidad de una persona encuestada
es un delito federal con serias sanciones, incluyendo una condena de hasta cinco años en una prisión federal, una multa de hasta $250,000, o
ambas. Solo personas autorizadas tienen acceso a los datos recopilados, y la información que se proporcione a la Oficina del Censo puede ser
usada solamente por un número limitado de personas autorizadas que han jurado de por vida proteger la confidencialidad de las respuestas
individuales. Sus respuestas no pueden ser usadas en su contra por ninguna agencia o tribunal del gobierno.
Para obtener más información sobre cómo protegemos esta información, visite nuestro sitio web census.gov y haga clic en “Data Protection and
Privacy Policy” en la parte inferior de la página principal. La página sobre protección de datos y normas de privacidad también incluye
información sobre la recopilación, almacenamiento y uso de esos registros. Haga clic en "System of Records Notices (SORN)" (Avisos sobre el
Sistema de Registros Escritos) y busque Privacy Act System of Records Notice COMMERCE/CENSUS-5, Decennial Census Program (Aviso
sobre el Sistema de Registros de la Ley sobre la Privacidad COMMERCE/CENSUS-5, Programa del Censo Decenal).
Gracias por su cooperación. La Oficina del Censo agradece su ayuda.
A usted se le requiere por ley que responda al Censo del 2020 de las Islas Vírgenes de los EE. UU. (Secciones 141 y 193 del
Título 13 del Código de los EE. UU.). La Oficina del Censo calcula que completar el cuestionario tomará 25 minutos como
promedio. Esta recopilación de información ha sido aprobada por la Oficina de Administración y Presupuesto (OMB, por sus siglas
en inglés). El número de aprobación de ocho dígitos de la OMB aparece en la parte inferior izquierda de este aviso confirma la
aprobación. De no mostrarse este número, no podríamos realizar el censo.
Los comentarios sobre el cálculo de tiempo y esfuerzo o cualquier otro aspecto relacionado deben dirigirse a: Paperwork Reduction
Project 0607-1006, U.S. Census Bureau, DCMD-2H174, 4600 Silver Hill Road, Washington, DC 20233. Puede enviar comentarios
por correo electrónico a <2020.census.paperwork@census.gov>. Use "Paperwork Reduction Project 0607-1006" como tema.
For a copy of this information in English, see the reverse side. (Para ver esta información en inglés, véase al dorso.)
Núm. de OMB 0607-1006: Aprobado hasta 11/30/2021
FORM
D-CN-GE-VI(E/S) (4-12-2019)
File Type | application/pdf |
Author | OneFormUser |
File Modified | 2019-09-03 |
File Created | 2019-09-03 |