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Give us your feedback on the ACS

OMB #0607-0760

Expiration Date: May 31, 2014

American Community Survey Respondent Feedback Form

Please use this form to give us comments about the American Community Survey (ACS).

Date of Submission: Monday, July 28, 2014

1. Have you, or any member of your household, ever responded to the American Community Survey (online, by mail, by phone, or an in-person interview)?

         

2. Do you have any comments on specific questions or topics on the American Community Survey?

    Download a paper version of the form.(Opens in a new window). [406KB PDF]

         

3. Is there any other feedback you would like to share about the American Community Survey?

    For example, comments about the materials you received, accessing the online questionnaire, the Census employee     who contacted you, or something else.

    



Your responses will be kept confidential to the extent provided by law. All answers will be pooled into aggregate measures for all reporting purposes, and no individual person or organization will be identified. Public reporting burden for this collection of information is estimated to average 3 minutes per response, including the times for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Respondents are not required to respond to any information collection unless it displays a valid approval number from the Office of Management and Budget.

Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: Paperwork Project 0607-0760, U.S. Census Bureau, 4600 Silver Hill Road, Room 3K138, Washington, DC 20233. You may e-mail comments to: Paperwork@census.gov: use "Paperwork Project 0607-0760" as the subject.


Source: U.S. Census Bureau | American Community Survey Office | Email ACS | Last Revised: July 09, 2014
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