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On-site visits <br /> To ensure that participating governments or organizations are maintaining adequate <br /> security safeguards, the Census Bureau may mak� an-site visits to review your <br /> organization's security procedures. The Census �3ureau wiN strive nat to disrupt your � M�rk (X) the appropriate <br /> office's operations. � response. <br /> Da you understand that the Census Bureau may conduCt on-site visits to your office #o � <br /> inspect your security measures regarding the Census Bureau's Title 13 materials? � �Yes <br /> � 2❑ No <br /> Environmental or Natural Disasters � <br /> Do you have a plan to keep Title 13 materials secure in the event of an actual � 1� Yes <br /> environmental or natura! disaster (fire, tornado)? � 2❑ No <br /> Return or Destruction of Confidential Census Materials <br /> Once the LUCA Program is over (at the conclusion of the appeals process), the <br /> I.UCA liaison must refurn or destroy all remaining Title 13 materials according to the <br /> Census Bureau's specific guidelines for returning or destroying canfiidential material. <br /> The Census Bureau requires fhat #he Iiaison veri#y that the participating government <br /> has returned or destroyed all Title 13 Census Bureau address information by signing <br /> and returning the "Retum or Destructior► of Title 13, U.S.C. Materials" form to the <br /> Census Bureau, f Mark (X) the appropriate <br /> j response. <br /> 1. Will you clear all magnetic media (tapes, disks, hard drives} containing I �� Yes <br /> Census Bureau Title 13 address informatior� befor� reuse? I a❑ No <br /> 2. Witl you destroy ali paper and electronic Census Bureau Title 13 address lists and { <br /> maps containing structure lacation points (Feedback phase only) thraugh approved <br /> destruction methods as outlined in the Confidentiaiity and 5ecurity Guidelines or � i� Yes <br /> return these Title 13 materials to your Census Bureau Regional Office? 2❑ No <br /> . � � � • . � <br /> I#yaur government can meet fhe above requirements, the LUCA liaison must print and <br /> sign his/her name, job title, telephone number, and enter the date below. <br /> Name of LUCA Liaison-�Please print <br /> VASuDHA P�NNann���5v <br /> Signature of LUCA l.iaison Date <br /> � �p�� Month Day Year <br /> _� I o t � z o a '�- <br /> Title <br /> G< < S �L��r�� �2 <br /> Telephone <br /> Area code Number <br /> ► � — �( y — � ��-� <br /> Page 2 FORM D-1676(6-12-2007) <br />