Census PSP Application

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    UNITED STATES DEPARTMENT OF COMMERCEEconomics and Statistics AdministrationU.S. Census BureauRegional Census CenterATLANTA, GA 30303-1230

    Dear 2010 Census Partner:Thank you for your commitment to a successful and accurate count for the 2010 Census.The activities you have performed thus far in support of the 2010 Census have been atremendous asset in achieving our mission to count everyone, count them once, and in theright place. As we draw closer to Census Day, April 1, 2010, we encourage all of ourpartners to increase their outreach efforts.Congress has allotted funds in support of Census outreach and promotion efforts with2010 Census partners. This program is called the Partner Support Program (PSP). The2009 PSP funds will be used to help support efforts to promote awareness of theupcoming Census in your local jurisdictions. The objective of this program is to supportoutreach initiatives, which have already been planned by existing 2010 Census partners.Funds are provided to help with outreach activities. No funds will be disbursed topartners.Partner organizations can only participate in the program once during the two-year periodof the program. For example, if a partner submits an outreach request and is approved inFY 09, the partner organization will not be eligible to participate in the program duringthe FY 10 fiscal year.We encourage you to seek support for your 2010 Census promotional program(s) bycompleting and returning by mail the enclosed Partner Support Program Request Form.The deadline to submit requests is July 25,2009 for FY 2009_ Requests may not exceed$2,999.00 (inclusive of all additional costs, such as set up charges, shipping, and handlingcharges). The PSP request amounts may be smaller as funds are contingent upon thenumber of requests received in the region and the relative impact of the promotionaleffort proposed;These funds cannot be used to:

    Make direct payment to partners Purchase advertising Purchase goods or services with a useful life beyond the 2010 Census time spanor Pay for items with a commercial organization's name on them.

    When you submit your request, attach the price quote or proposed invoice from thevendor you intend to use. PSP Request Forms will not be reviewed withoutdocumentation. We encourage the use oflocal vendors. Vendors must be able to acceptcredit card approval for payment. Please use the enclosed form to prepare your Partner. Support Program request.

    USCENSUSBUREAUH e lp in g Y o u M a k e I n f o r m e d D e c is io n s www.c ensus. go v

    G:."O u .s . GOVERNMENT PRINTING OFFICE: 2008-745-242/80133

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    .Questions regarding these guidelines can be directed to the Partnership Specialist in yourarea or contact Edward R. Davis Jr., Partnership and Data Services Coordinator, at 404-335-1510, or Juanita A. Mainster, Partnership and Data Services Coordinator', at 305-984-3583 in the Atlanta Regional Census Center.Thank you for your prompt response to the 2009 Partner Support Program opportunity.We greatly appreciate your many local efforts in support of a successful 2010 Census inyour area.Sincerely,

    GEORGE GRANDY, JR.Regional DirectorEnc1osure(s)

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    Criteria for Approval of Direct Partner Support/Special Initiatives Program

    Date Request Received: _Partnership Specialist: _

    Listed below are factors that need to be considered when approving funds under the Partner SuppoProgram. (Please answer the following questions and attach the criteria sheet to the request form).

    1. _Does request reach a wide audience of specific hard-to-count groups? YeslNo2. _Does request provide valuable resources that further the Census effort? Yes/No3. _Will it increase the mail response rate? Yes/No4 . Will it reduce differential undercount? YeslNo5. _Will it communicate a consistent Census message? YeslNo6. _Is the support provided to each group as equitable as possible, and does the supportreach/include as many diverse groups as possible? Yes/No7. _Have local vendors, small businesses, minority-owned businesses, and women-owned business

    been considered/used for purchasing items? Yes/No8. _ Do purchased goods or services have a useful life beyond the 2010 Census time span? Yes/No

    9. _ Was this purchase for advertising? YeslNo10. _Do items have the organization's name OJi them? Yes/No

    RecommendationsTeam Leader Review: Date: ApprovaUDisapprovalPDS Coordinator Review: Date: ApprovaUDisapprovalARCM Review: Date: ApprovallDisapprovalComments/Recommendations:

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    EXAMPLES OF APPROVED PARTNER SUPPORT PROGRAMREQUESTSExample 1: RCC is considering purchasing tee shirts, coffee mugs, cups, hats,and key rings with the words "It's In Our Hands" in English and Spanish fordistribution to the public at public events, such as baseball games or parades.

    This purchase is authorized. While the purchase of these items is generally prohibited asthey are considered personal, Congress has given census specific authority in itsappropriation to spend funds on "promotion, outreach, and marketing activities"necessary to conduct the decennial census. Provided RCC determines that the purchaseof these items is necessary to promote and market the decennial census, this purchase isauthorized.

    Example 2: Various religious organizations have agreed to provide space forQuestionnaire Assistance Centers and training, to announce to their congregationsthe importance of the census, and to provide fliers for distribution by the religiousorganizations.

    The use of funds for this activity is authorized. This activity is not a violation of therestrictions upon the Federal government establishing or promoting religion. Thisactivity is authorized, as it is legitimate promotion, outreach, and marketing of thedecennial census. However, RCCs are cautioned not to give any appearance ofsupporting religious activities and to not show any preference of any religiousorganizations.

    Example 3: A local school decides to conduct a census essay and poster contestduring Citizenship Week. The RCC agrees to purchase certificates and ribbonsfor winners and provide these items to the school. The school agrees to hold aspecial event to which they invite local celebrities, Complete Count Committeemembers, and local residents to participate.

    RCC may cooperate with organizations such as schools and purchase certificates andribbons if RCC determines that holding this event and the expenditures are necessary topromote or market the decennial census. Advertising the event is authorized to properlybring public attention to the event.

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    ....U i1ited Sta te s ~c e n s u s2 0 1 0

    U '.S . Department of CommerceU.S. Census BureauAtlanta Regional Census Center (RCC)

    2009/2010 Partner Support Program (PSP) Request FormName o f P a r t n e r : --------------------------------------------------Address: -------------------------------------------------C i t y , S t a t e , Z i p : _

    C o u n t y : ~ - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - -Contact Person: --------------------------------------------------Contact Person's Title: -------------- ~------- ------------- --------------Contact Person'sDaytime Phone:( ) '-- _F a x N u m b e r :( )---------------------------------ELIGIBILTY- Partner's Proof of Commitment to 2010 Census:Please list details (dates, quantities, photocopies) of activities proving your organization'scommitment to the 2010 Census. Examples include: copies of a proclamation, resolution, letter ofappointed liaison, partnership agreement, letter of support, article(s) published in a partner'snewsletter, information on a partner's Web site, evidence (sample/photo) that you've produced"area specific" promotional items or logo, proof of donations of newspaper advertising, media airtime, or proof of commitment to allow the Census Bureau to use free space for meetings, trainingor testing.

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    Please check off which past activities your organization has been involved in to help increaseawareness of the 2010 Census. If not listed, please provide a description of your priorcommitment activities in the space provided.To receive full consideration, proof of the activities checked off must be attached.__ our organization adopted a proclamation/resolution supporting 2010 Census__ our organization designated a member to be a Census liaison__ our organization printed information, articles about 2010 Census in our newsletter orwebsite__ our organization paid for promotional items for 2010 Census__ our organization donated advertising space or airtime to 2010 Census__ . our organization donated the use of free space for meetings, training, or testing__ our organization made a 2009 Partnership Support Program donation in the form of anexhibit booth__ our organization had a presentation made at one of our meetings about 2010 Census__ our organization helped put up posters or pass out flyers about 2010 CensusOther: _

    PROJECT REQUIREMENTSDescribe the project.

    Specify the measurable objective of the project.

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    Specify the 2010 Census component of your project and explain its relevance to the Censusmission. How will the proposed project encourage the targeted audience to fill out and mail backtheir guestionnaire?

    If you are collaborating with another group(s), define each organization's role.

    Provide project time line.

    By affixing my signature, I certify that:1. All information contained in this request is correct.2. I have reviewed this proposal with the members of my organization, group and/or CompleteCount Committee.3. This submission contains the following:

    Proof of Commitment_ Sample, photo, and/or draft text ofitem(s) being requested_Vendor's name, address, phone number, and price quote

    4. _ The recommended vendor accepts credit cards as payment.5. _ The anticipated completion date of this proj ect is _

    Dateignature and TitleSpecial Note: Upon completion of this request, please contact your Partnership Specialist.