Island Areas Censuses - Housing Units

2020 Census

IAC Housing Materials

Island Areas Censuses - Housing Units

OMB: 0607-1006

Document [pdf]

Download: pdf | pdf

DC
American Samoa

Your Answers Are Conﬁdential

The U.S. Census Bureau is required by law to protect your 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 you or your household. We are conducting
the 2020 Census of American Samoa under the authority of Title 13, U.S. Code, Sections 141, 193, and 221. By law, the
Census Bureau can only use your responses to produce statistics. Per the Federal Cybersecurity Enhancement Act of 2015,
your data are protected from cybersecurity risks through screening of the systems that transmit your data.
Title 13 of the U.S. Code protects the conﬁdentiality of all your 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 you provide 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
your individual responses. Your answers cannot be used against you by any government agency or court.
For more information about how we protect your 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 40 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-AS (4-12-2019)

Guam

Your Answers Are Conﬁdential

The U.S. Census Bureau is required by law to protect your 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 you or your household. We are conducting
the 2020 Census of Guam under the authority of Title 13, U.S. Code, Sections 141, 193 and 221. By law, the Census
Bureau can only use your responses to produce statistics. Per the Federal Cybersecurity Enhancement Act of 2015, your
data are protected from cybersecurity risks through screening of the systems that transmit your data.
Title 13 of the U.S. Code protects the conﬁdentiality of all your 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 you provide 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
your individual responses. Your answers cannot be used against you by any government agency or court.
For more information about how we protect your 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 40 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-GU (4-12-2019)

Commonwealth of the
Northern Mariana Islands

Your Answers Are Conﬁdential

The U.S. Census Bureau is required by law to protect your 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 you or your household. 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, and 221. By law, the Census Bureau can only use your responses to produce statistics. Per the Federal
Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the systems
that transmit your data.
Title 13 of the U.S. Code protects the conﬁdentiality of all your 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 you provide 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
your individual responses. Your answers cannot be used against you by any government agency or court.
For more information about how we protect your 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 40 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-MI (4-12-2019)

U.S. Virgin Islands

Your Answers Are Conﬁdential

The U.S. Census Bureau is required by law to protect your 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 you or your household. We are conducting
the 2020 Census of the U.S. Virgin Islands under the authority of Title 13, U.S. Code, Sections 141, 193 and 221. By law,
the Census Bureau can only use your responses to produce statistics. Per the Federal Cybersecurity Enhancement Act of
2015, your data are protected from cybersecurity risks through screening of the systems that transmit your data.
Title 13 of the U.S. Code protects the conﬁdentiality of all your 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 you provide 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
your individual responses. Your answers cannot be used against you by any government agency or court.
For more information about how we protect your 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 40 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-VI(E/S) (4-12-2019)

U.S. Virgin Islands

Sus respuestas son conﬁdenciales

La Oﬁcina del Censo de los EE. UU. está obligada por ley a proteger su información (Sección 9 del Título 13 del Código de los EE. UU.). A la
Oﬁcina del Censo no se le permite divulgar sus respuestas de manera que usted o su hogar pudieran ser identiﬁcados. Estamos realizando el
Censo del 2020 de las Islas Vírgenes de los EE. UU. en conformidad con las Secciones 141, 193 y 221 del Título 13 del Código de los EE. UU.
Por ley, la Oﬁcina del Censo solo puede usar sus respuestas para producir estadísticas. Según la Ley Federal para el Fortalecimiento de la
Seguridad Informática de 2015, sus datos están protegidos de los riesgos de la seguridad en la internet mediante controles en los sistemas que
transmiten sus datos.
El Título 13 del Código de los EE. UU. protege la conﬁdencialidad de toda su 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 usted 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 sus 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 su información, visite nuestro sitio web census.gov y haga clic en "Data Protection and
Privacy Policy" (Normas de protección de datos y privacidad) 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 40 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-VI(E/S) (4-12-2019)

FORM D-NV-AS

OMB No. 0607-1006: Approval Expires 11/30/2021

(4-11-2019)

NOTICE OF VISIT
American Samoa

The Census Bureau is conducting the 2020 Census of American
Samoa. An enumerator stopped by today to complete a census
questionnaire for your household, but you were not home. An
enumerator will return to complete your census questionnaire.

FORM D-NV-AS

(

)–

American Samoa

An enumerator will return on

If you have questions, please call the phone number
below during normal business hours
a.m. to
p.m.).
(Monday through Friday,
Phone Number

NOTICE OF VISIT

An enumerator will return on

OMB No. 0607-1006: Approval Expires 11/30/2021

(4-11-2019)

If you have questions, please call the phone number
below during normal business hours
a.m. to
p.m.).
(Monday through Friday,

–

Phone Number

(

)–

–

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 interview will take 40 minutes on average.
This collection of information has been approved by the Office of
Management and Budget (OMB). The eight-digit OMB approval number
0607-1006 confirms this approval. If this number were not displayed, we
could not conduct the census.

The Census Bureau is required by law to protect your 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 you or your household.
We are conducting the 2020 Census of American Samoa under the
authority of Title 13, U.S. Code, Sections 141, 193 and 221. By law, the
Census Bureau can only use your responses to produce statistics. Per the
Federal Cybersecurity Enhancement Act of 2015, your data are protected
from cybersecurity risks through screening of the systems that transmit your
data.

For more information about how we protect your 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.

ENUMERATOR USE ONLY
Case ID

Map Spot No.

ENUMERATOR USE ONLY
Case ID

Map Spot No.

FORM D-NV-GU

OMB No. 0607-1006: Approval Expires 11/30/2021

(4-12-2019)

NOTICE OF VISIT
Guam

The Census Bureau is conducting the 2020 Census of Guam. An
enumerator stopped by today to complete a census questionnaire for
your household, but you were not home. An enumerator will return to
complete your census questionnaire.

FORM D-NV-GU

(

)–

Guam

An enumerator will return on

If you have questions, please call the phone number
below during normal business hours
(Monday through Friday,
a.m. to
p.m.).
Phone Number

NOTICE OF VISIT

An enumerator will return on

OMB No. 0607-1006: Approval Expires 11/30/2021

(4-12-2019)

If you have questions, please call the phone number
below during normal business hours
(Monday through Friday,
a.m. to
p.m.).

–

Phone Number

(

)–

–

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 interview will take 40 minutes on average. This collection of
information has been approved by the Office of Management and Budget
(OMB). The eight-digit OMB approval number 0607-1006 confirms this
approval. If this number were not displayed, we could not conduct the
census.

The Census Bureau is required by law to protect your 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 you or your household.
We are conducting the 2020 Census of Guam under the authority of Title
13, U.S. Code, Sections 141, 193 and 221. By law, the Census Bureau can
only use your responses to produce statistics. Per the Federal
Cybersecurity Enhancement Act of 2015, your data are protected from
cybersecurity risks through screening of the systems that transmit your
data.

ENUMERATOR USE ONLY
Case ID

Map Spot No.

ENUMERATOR USE ONLY
Case ID

Map Spot No.

FORM D-NV-MI

OMB No. 0607-1006: Approval Expires 11/30/2021

(4-11-2019)

NOTICE OF VISIT
Commonwealth of the
Northern Mariana Islands

The Census Bureau is conducting the 2020 Census of the
Commonwealth of the Northern Mariana Islands. An
enumerator stopped by today to complete a census questionnaire for
your household, but you were not home. An enumerator will return to
complete your census questionnaire.

FORM D-NV-MI

(

)–

Commonwealth of the
Northern Mariana Islands

An enumerator will return on

If you have questions, please call the phone number
below during normal business hours
(Monday through Friday,
a.m. to
p.m.).
Phone Number

NOTICE OF VISIT

An enumerator will return on

OMB No. 0607-1006: Approval Expires 11/30/2021

(4-11-2019)

If you have questions, please call the phone number
below during normal business hours
(Monday through Friday,
a.m. to
p.m.).

–

Phone Number

(

)–

–

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
interview will take 40 minutes on average. This collection of information has
been approved by the Office of Management and Budget (OMB). The
eight-digit OMB approval number 0607-1006 confirms this approval. If this
number were not displayed, we could not conduct the census.

The Census Bureau is required by law to protect your 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 you or your household.
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 and 221. By law, the Census Bureau can only use your responses to
produce statistics. Per the Federal Cybersecurity Enhancement Act of
2015, your data are protected from cybersecurity risks through screening of
the systems that transmit your data.

ENUMERATOR USE ONLY
Case ID

Map Spot No.

ENUMERATOR USE ONLY
Case ID

Map Spot No.

D-NV-VI(E/S)

(4-11-2019)

OMB No. 0607-1006: Approval Expires 11/30/2021

NOTICE OF VISIT

D-NV-VI(E/S)

(4-11-2019)

U.S. Virgin Islands

The Census Bureau is conducting the 2020 Census of the U.S.
Virgin Islands. An enumerator stopped by today to complete a
census questionnaire for your household, but you were not home. An
enumerator will return to complete your census questionnaire.

An enumerator will return on

)–

An enumerator will return on

If you have questions, please call the phone number
below during normal business hours
a.m. to
p.m.).
(Monday through Friday,
(

NOTICE OF VISIT
U.S. Virgin Islands

Phone Number

OMB No. 0607-1006: Approval Expires 11/30/2021

If you have questions, please call the phone number
below during normal business hours
a.m. to
p.m.).
(Monday through Friday,

–

Phone Number

(

)–

–

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 interview will take 40 minutes on average.
This collection of information has been approved by the Office of
Management and Budget (OMB). The eight-digit OMB approval number
0607-1006 confirms this approval. If this number were not displayed, we
could not conduct the census.

The Census Bureau is required by law to protect your 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 you or your household.
We are conducting the 2020 Census of the U.S. Virgin Islands under the
authority of Title 13, U.S. Code, Sections 141, 193 and 221. By law, the
Census Bureau can only use your responses to produce statistics. Per the
Federal Cybersecurity Enhancement Act of 2015, your data are protected
from cybersecurity risks through screening of the systems that transmit your
data.

ENUMERATOR USE ONLY
Case ID

Map Spot No.

ENUMERATOR USE ONLY
Case ID

Map Spot No.

D-NV-VI(E/S)

(4-11-2019)

Núm. de OMB 0607-1006: Aprobado hasta 11/30/2021

AVISO DE VISITA
U.S. Virgin Islands

La Oficina del Censo de los EE. UU. está realizando el Censo del 2020
de las Islas Vírgenes de los EE. UU. Un enumerador pasó por su
casa hoy para completar el cuestionario del censo para su hogar, pero
usted no estaba. Un enumerador regresará para completar su cuestionario
del censo.

Un enumerador regresará el

Si usted tiene preguntas, llame al número de teléfono que figura a
continuación durante el horario habitual de atención (de lunes a
a. m. to
p. m.).
viernes, de
Número de teléfono: (
)–
–

D-NV-VI(E/S)

(4-11-2019)

Núm. de OMB 0607-1006: Aprobado hasta 11/30/2021

AVISO DE VISITA
U.S. Virgin Islands

Un enumerador regresará el

Si usted tiene preguntas, llame al número de teléfono que figura a
continuación durante el horario habitual de atención (de lunes a
a. m. to
p. m.).
viernes, de
Número de teléfono: (
)–
–

A usted se le requiere por ley que responda el 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 la entrevista tomará 40
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 0607-1006 confirma la
aprobación. De no mostrarse este número, no podríamos realizar el censo.

La Oficina del Censo de los EE. UU. está obligada por ley a proteger su
información. A la Oficina del Censo no se le permite divulgar sus respuestas
de manera que usted o su hogar pudieran ser identificados. Estamos realizando
el Censo del 2020 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 sus respuestas para producir estadísticas. Según la Ley Federal para el
Fortalecimiento de la Seguridad Informática de 2015, sus datos están
protegidos de los riesgos de la seguridad en la internet mediante controles en
los sistemas que transmiten sus datos.

Para obtener más información sobre cómo protegemos su información, visite
nuestro sitio web census.gov y haga clic en “Data Protection and Privacy
Policy” (Normas de protección de datos y privacidad) en la parte inferior de la
página principal. La página sobre protección de datos y normas deprivacidad
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).

PARA USO DEL ENUMERADOR SOLAMENTE
Identificación del caso

Núm. de punto en el mapa

PARA USO DEL ENUMERADOR SOLAMENTE
Identificación del caso

Núm. de punto en el mapa

File Type	application/pdf
Author	OneFormUser
File Modified	2019-09-03
File Created	2019-04-24