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FORM BC-1759(ef) (8-1-2000) U.S. DEPARTMENT OF COMMERCE Economics and Statistics Administration SPECIAL SWORN STATUS U.S. CENSUS BUREAU PART A IDENTIFICATION Month 1. Name Last, first, middle Day.

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The Census Bureau field representatives need to interview every home in the survey sample to get a complete picture of the housing situation across the country. Your information will be held in the strictest confidence as required by Title 13, Section 9, of the United States Code.

We ask about income, the number and age of children in families, and health insurance status to help communities enroll eligible families in programs designed to assist them. Income data determines eligibility and funding in programs like Medicaid, the Child and Adult Care Food Program, and Head Start.

"I will not disclose any information contained in the schedules, lists, or statements obtained for or prepared by the Census Bureau to any person or persons either during or after employment."

Obtaining Special Sworn Status (SSS) Applying for SSS includes successfully completing a background investigation and fingerprinting. Those who are approved to take an oath of confidentiality are sworn for life to protect the data and are subject to legal obligations and penalties.

Response to the survey is required by law because the American Community Survey is part of the decennial census, replacing the "long form" that previously was sent to a percentage of households once every 10 years.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232