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Understanding and Using American Community Survey Data What Federal Agencies Need to Know Issued March 2021 Acknowledgments Linda A. Jacobsen, Vice President, U.S. Programs, Population Reference Bureau (PRB), and Mark Mather, Associate Vice President, U.S. Programs, PRB, drafted this handbook in partnership with the U.S. Census Bureau’s American Community Survey Office. Other PRB staff who assisted in draft- ing and reviewing the handbook include Beth Jarosz, Lillian Kilduff, Kelvin Pollard, and Paola Scommegna. Some of the material in this handbook was adapted from the Census Bureau’s 2008 publication, A Compass for Understanding and Using American Community Survey Data: What Federal Agencies Need to Know, drafted by Frederick J. Eggers. Nicole Scanniello, Gretchen Gooding, and Charles Gamble, Census Bureau, contributed to the planning and review of the handbook series. The American Community Survey program is under the direction of Albert E. Fontenot Jr., Associate Director for Decennial Census Programs, Deborah M. Stempowski, Assistant Director for Decennial Census Programs, and Donna M. Daily, Chief, American Community Survey Office. Other individuals from the Census Bureau who contributed to the review and release of these handbooks include Eunha Choi, Gail Denby, Nathan Ramsey, R. Chase Sawyer, Nicholas Spanos, Michael Starsinic, and G. Brian Wilson. Faye E. Brock, Linda Chen, and Christine E. Geter provided publication management, graphic design and composition, and editorial review for the print and electronic media under the direction of Corey Beasley, Acting Chief of the Graphic and Editorial Services Branch, Public Information Office. Understanding and Using American Community Survey Data What Federal Agencies Need to Know Issued March 2021 U.S. Department of Commerce Wynn Coggins, Acting Agency Head U.S. CENSUS BUREAU Dr. Ron Jarmin, Acting Director Suggested Citation U.S. Census Bureau, Understanding and Using American Community Survey Data: What Federal Agencies Need to Know, U.S. Government Publishing Office, Washington, DC, 2021. U.S. CENSUS BUREAU Dr. Ron Jarmin, Acting Director and Deputy Director and Chief Operating Officer Albert E. Fontenot Jr., Associate Director for Decennial Census Programs Deborah M. Stempowski, Assistant Director for Decennial Census Programs Donna M. Daily, Chief, American Community Survey Office Contents 1. Topics Covered in the ACS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2. How Federal Agencies Use ACS Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3. How a Question Becomes Part of the ACS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 4. Considerations When Working With ACS Data . . . . . . . . . . . . . . . . . . . . . . . . . . 9 5. Accessing ACS Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 6. Case Studies Using ACS Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 7. Additional Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Understanding and Using American Community Survey Data iii What Federal Agencies Need to Know iii U.S. Census Bureau This page is intentionally blank. UNDERSTANDING AND USING AMERICAN COMMUNITY SURVEY DATA: WHAT FEDERAL AGENCIES NEED TO KNOW The American Community Survey (ACS) is the nation’s premier source of detailed social, economic, housing, and demographic characteristics for local communi- ties. The ACS is unique among U.S. household surveys because of its size, breadth of measurement, provi- sion of annual estimates for small geographic areas, and extensive use by a wide range of government and nongovernmental organizations. The U.S. Census Bureau estimates that 132 programs used census data—including data from the ACS—to distribute more than $675 billion in funds during fiscal year 2015.1 Federal agencies rely on the ACS to help them make operational decisions, including managing and evaluat- ing programs, determining eligibility for programs, and benchmarking other statistics. This handbook describes how analysts, program administrators, and policymakers within federal agen- cies can use the ACS in carrying out the business of their agencies. What Is the American Community Survey? The ACS is a nationwide survey designed to provide communities with reliable and timely social, economic, housing, and demographic data every year. A sepa- rate annual survey, called the Puerto Rico Community Survey (PRCS), collects similar data about the popu- lation and housing units in Puerto Rico. The Census Bureau uses data collected in the ACS and the PRCS to provide estimates on a broad range of population, housing unit, and household characteristics for states, counties, cities, school districts, congressional districts, census tracts, block groups, and many other geo- graphic areas. The ACS has an annual sample size of about 3.5 million addresses, with survey information collected nearly every day of the year. Data are pooled across a calen- dar year to produce estimates for that year. As a result, ACS estimates reflect data that have been collected over a period of time rather than for a single point in time as in the decennial census, which is conducted every 10 years and provides population counts as of April 1 of the census year. ACS 1-year estimates are data that have been col- lected over a 12-month period and are available for geographic areas with at least 65,000 people. Starting with the 2014 ACS, the Census Bureau is also produc- ing “1-year Supplemental Estimates”—simplified ver- sions of popular ACS tables for geographic areas with at least 20,000 people. The Census Bureau combines 5 consecutive years of ACS data to produce multiyear estimates for geographic areas with fewer than 65,000 residents. These 5-year estimates represent data col- lected over a period of 60 months. For more detailed information about the ACS—how to judge the accuracy of ACS estimates, understand- ing multiyear estimates, knowing which geographic areas are covered in the ACS, and how to access ACS data on the Census Bureau’s Web site—see the Census Bureau’s handbook on Understanding and Using American Community Survey Data: What All Data Users Need to Know.2 1 U.S. Census Bureau, Uses of Census Bureau Data in Federal Funds Distribution, 2017, <https://www2.census.gov/programs-surveys /decennial/2020/program-management/working-papers /Uses-of-Census-Bureau-Data-in-Federal-Funds-Distribution.pdf>. 2 U.S. Census Bureau, Understanding and Using American Community Survey Data: What All Data Users Need to Know, <www.census.gov/programs-surveys/acs/guidance/handbooks /general.html>. Understanding and Using American Community Survey Data 1 What Federal Agencies Need to Know 1 U.S. Census Bureau 1. TOPICS COVERED IN THE ACS The primary purpose of the American Community Survey (ACS) is to help Congress determine funding and policies for a wide variety of federal programs. Because of this, the topics covered by the ACS are diverse (see Table 1.1). • • • Examples of social characteristics include disabil- ity, educational attainment, language spoken at home, and veteran status. Examples of economic characteristics include employment status, health insurance, income, and earnings. Examples of housing characteristics include com- puter and Internet use, selected monthly owner costs, rent, and the year the structure was built. • Demographic characteristics include age, sex, race, Hispanic origin, and relationship to householder. TIP: The ACS was designed to provide estimates of the characteristics of the population, not to provide counts of the population in different geographic areas or population subgroups. For basic counts of the U.S. population by age, sex, race, and Hispanic origin, visit the U.S. Census Bureau’s Population and Housing Unit Estimates Web page.3 3 U.S. Census Bureau, Population and Housing Unit Estimates, <www.census.gov/programs-surveys/popest.html>. A good way to learn about the topics covered in the ACS is to explore the information available through the U.S. Census Bureau’s data.census.gov Web site.4 The Data Profiles in data.census.gov, which include the most frequently requested social, economic, hous- ing, and demographic data, are useful for novice users who want to explore the range of topics available.5 Copies of ACS questionnaires for different years are also available on the Census Bureau’s Web site.6 For more detailed information about the topics in the ACS, see the section on Understanding the ACS: The Basics in the Census Bureau’s handbook on Understanding and Using American Community Survey Data: What All Data Users Need to Know.7 4 U.S. Census Bureau, data.census.gov, <https://data.census.gov>. 5 U.S. Census Bureau, data.census.gov, Data Profiles, <https://data.census.gov/cedsci/table?text=DP>. 6 U.S. Census Bureau, Questionnaire Archive, <www.census.gov /programs-surveys/acs/methodology/questionnaire-archive.html>. 7 U.S. Census Bureau, Understanding and Using American Community Survey Data: What All Data Users Need to Know, <www.census.gov/programs-surveys/acs/guidance/handbooks /general.html>. 2 Understanding and Using American Community Survey Data 2 What Federal Agencies Need to Know U.S. Census Bureau Table 1.1. Population and Housing Data Included in American Community Survey Data Products Social Characteristics Ancestry Citizenship Status Citizen Voting-Age Population Disability Status1 Educational Attainment Fertility Grandparents as Caregivers Language Spoken at Home Marital History2 Marital Status Migration/Residence 1 Year Ago Period of Military Service Place of Birth School Enrollment Undergraduate Field of Degree3 Veteran Status2 Year of Entry Economic Characteristics Class of Worker Commuting (Journey to Work) Employment Status Food Stamps/Supplemental Nutrition Assistance Program (SNAP)4 Health Insurance Coverage2 Income and Earnings Industry and Occupation Place of Work Poverty Status Work Status Last Year Housing Characteristics Computer and Internet Use5 House Heating Fuel Kitchen Facilities Occupancy/Vacancy Status Occupants Per Room Plumbing Facilities6 Rent Rooms/Bedrooms Selected Monthly Owner Costs Telephone Service Available Tenure (Owner/Renter) Units in Structure Value of Home Vehicles Available Year Householder Moved Into Unit Year Structure Built Demographic Characteristics Age and Sex Group Quarters Population Hispanic or Latino Origin Race Relationship to Householder Total Population 1 Questions on Disability Status were significantly revised in the 2008 survey to cause a break in series. 2 Marital History, Veterans’ Service-Connected Disability Status and Ratings, and Health Insurance Coverage were added in the 2008 survey. 3 Undergraduate Field of Degree was added in the 2009 survey. 4 Food Stamp Benefit amount was removed in 2008. 5 Computer and Internet Use was added to the 2013 survey. 6 One of the components of Plumbing Facilities, flush toilet, and Business or Medical Office on Property questions were removed in 2016. Source: U.S. Census Bureau. Understanding and Using American Community Survey Data 3 What Federal Agencies Need to Know 3 U.S. Census Bureau 2. HOW FEDERAL AGENCIES USE ACS DATA As the successor to the decennial census long form, response to the American Community Survey (ACS) is required by law. The U.S. Census Bureau considers the ACS to be a component of the decennial census program; all the statutory language in Census Bureau legislation that applies to the decennial census also applies to the ACS. The Census Bureau is also bound to protect responses to the ACS in the same way that it protects responses to the decennial census. While the Census Bureau considers the ACS to be part of the decennial census program, it is up to each federal agency to interpret the agency’s legislation and to decide how ACS data should be used. The Census Bureau’s ACS Handbook of Questions and Current Federal Uses provides an overview of why specific questions on the ACS are asked, which estimates are created from the answers to these questions, and how federal agencies and other organizations use these estimates.8 The Census Bureau has also developed a series of interactive Web pages that explain why each question is asked on the ACS. Each page shows the question as it appears on the form and allows users to explore some of the most popular statistics that come from the question at the local level. The pages also explain the origin of each question, privacy concerns, and how the statistics are used to help communities.9 Many laws require the use of ACS or decennial census data as the basis for establishing program or grant eligibility and for allocating federal program funds. For example, ACS data on veteran status and period of military service are used to allocate funds to states and local areas for employment and job training programs for veterans. Income data from the ACS are used to determine poverty status, measure economic well- being, and assess the need for assistance. Many federal programs (including Low-Income Home Energy Assistance, Community Development Block Grant, Older Americans Act, Every Student Succeeds Act, Head Start, and Women, Infants, and Children) use ACS income data to allocate formula grants (see Box 2.1). Box 2.1. Low-Income Home Energy Assistance Program (LIHEAP) 42 U.S. Code, 8629(a) & (b) (2), and 8622(11) Enacted as part of the Omnibus Budget Reconciliation Act of 1981, the Low-Income Home Energy Assistance Program (LIHEAP) is a mandatory block grant program for the states. The mission of LIHEAP is to help low-income households pay their home energy bills. Congress established the law’s block grant dis- tribution formula based on each state’s weather and low-income population. The income question on the ACS is essential to determin- ing the low-income population in each state. Implementation of the LIHEAP program also relies on data from other ACS questions, includ- ing age, sex, Hispanic origin, relationship, dis- ability status, units in structure, and occupants per room. LIHEAP program administrators also use data from the ACS question on selected monthly owner costs to analyze current resi- dential energy supply and consumption and to forecast future energy needs. ACS data are also used to monitor compliance with federal laws. For example: • ACS data on age, housing, employment, and education are used to help the government and communities enforce laws, regulations, and policies against discrimination based on age such as the Age Discrimination in Employment Act. • Data on age, sex, race/ethnicity, labor force status, and work status last year are used to monitor com- pliance with the Civil Rights Act. • ACS data on housing characteristics, such as units in structure, kitchen and plumbing facilities, rent, tenure, and selected monthly owner costs, are used to implement and assess compliance with the National Affordable Housing Act. 8 U.S. Census Bureau, American Community Survey (ACS) Handbook of Questions and Current Federal Uses,<www.census.gov /programs-surveys/acs/operations-and-administration/2014-content -review/federal-uses.html>. 9 U.S. Census Bureau, Questions on the Form and Why We Ask, <www.census.gov/acs/www/about/why-we-ask-each-question/>. The following four figures show a few examples of ACS questions, and how federal agencies use the results from these questions in program eligibility determina- tions, allocation of funds, and planning. 4 Understanding and Using American Community Survey Data 4 What Federal Agencies Need to Know U.S. Census Bureau Figure 2.1. Question on Race and Federal Uses of the Data Figure 2.2. Question on Health Insurance and Federal Uses of the Data Source: U.S. Census Bureau, ACS Handbook of Questions and Current Federal Uses, <www.census.gov/programs-surveys/acs /operations-and-administration/2014-content-review/federal-uses .html>. Examples of Federal Uses • Required to identify vulnerable popula- tions that may be at disproportionate risk of experiencing limitations in health care access, poor health quality, and suboptimal health outcomes. • Required to enforce against discrimination in education, employment, voting, financial assistance, and housing. • Used in many reporting and research tasks to investigate whether there are race dif- ferences in education, employment, home ownership, health, income and many other areas of interest to policymakers. Source: U.S. Census Bureau, ACS Handbook of Questions and Current Federal Uses, <www.census.gov/programs-surveys/acs /operations-and-administration/2014-content-review/federal-uses .html>. Examples of Federal Uses • Required to identify vulnerable popula- tions that may be at disproportionate risk of experiencing limitations in health care access, poor health quality, and suboptimal health outcomes. • Used to project the demand for VA extended health care services. • Used to review and analyze the unmet needs of people with disabilities and to identify the characteristics of the target service population. Understanding and Using American Community Survey Data 5 What Federal Agencies Need to Know 5 U.S. Census Bureau Figure 2.3. Question on Vehicles Available and Federal Uses of the Data Figure 2.4. Question on School Enrollment and Federal Uses of the Data Source: U.S. Census Bureau, ACS Handbook of Questions and Current Federal Uses, <www.census.gov/programs-surveys/acs /operations-and-administration/2014-content-review/federal-uses .html>. Examples of Federal Uses • • • Required in the enforcement responsibili- ties under the Voting Rights Act to deter- mine disparities in voter participation rates for analysis and for presentation in federal litigation. Required in mass transportation and metro- politan planning to ensure compliance with the Clean Air Act and implementing regula- tions, particularly with respect to coordina- tion and conformity. Used to summarize the conditions and per- formance of the nation’s highways, bridges, and transit. Source: U.S. Census Bureau, ACS Handbook of Questions and Current Federal Uses, <www.census.gov/programs-surveys/acs /operations-and-administration/2014-content-review/federal-uses .html>. Examples of Federal Uses • • Used in the enforcement of nondiscrimina- tion in education by state and local gov- ernments, including ensuring appropriate action to assist English language learners in overcoming language barriers and monitor- ing desegregation. Used to allocate funds to states based on the number of adults beyond the age of compulsory school attendance without a secondary school diploma. 6 Understanding and Using American Community Survey Data 6 What Federal Agencies Need to Know U.S. Census Bureau 3. HOW A QUESTION BECOMES PART OF THE ACS How a Question Becomes Part of the American Community Survey The U.S. Census Bureau must balance the information growing, changing nation with respect for needs of a the privacy and time of the American public. Adding a question or making a change to the American Community Survey (ACS) involves extensive test- ing, review, and evaluation over a 5-year period. This The U.S. Census Bureau must balance the information ensures the change is necessary and will produce needs of a growing, changing nation with respect for the quality, useful information for the nation. The Census privacy and time of the American public. Bureau requests authorization from the Office of Adding a question or making a change to the American Community Survey involves extensive testing, review, and evaluation over a 5-year period. This ensures the change is necessary and will produce quality, useful information for the nation. Management and Budget (OMB) for any revisions to the ACS questionnaire. Although the timing may vary depending on improve- ments in testing methods, availability of resources, and urgency of the request, the process generally follows the evaluation and testing timeline shown in Figure 3.1. Additionally in conjunction with the Department of Commerce’s Office of Chief Counsel, the Census Bureau does a periodic validation of the uses of all questions to ensure there is a legal basis for them. August 2017 Though the timing may vary depending on improvements in testing methods, availability of resources, and urgency of the request, the process generally follows the evalua- tion and testing timeline below: Figure 3.1. Timeline for Evaluating and Testing a Proposed New or Changed ACS Question Preliminary Year 1 Year 2 Year 3 Year 4 Year 5 Implementation Step 1. A federal agency proposes a new or changed survey question Step 2. OMB and Census Bureau decide whether the change has merit Step 3. Create wording options Step 4. Test different ways to ask the question Step 5. Evaluate question performance in a field test Step 6. OMB solicits public comment; approves or rejects change Step 7. Census Bureau implements the change 1. A federal agency proposes a new or changed Source: U.S. Census Bureau, How a Question Becomes Part of the American Community Survey, <www.census.gov /content/dam/Census/library/visualizations/2017/comm/acs-questions.pdf>. survey question 5. Evaluate question performance in a field test The requesting agency must show that it needs frequent data at small geographies, that no other sources of information are avail- able, and that its mission would be compromised if the question was not added or changed. Census Bureau staff finalize the wording for the test, create instru- ments to field the test, develop the systems to process the data collected, and conduct the test. Then, they tabulate and analyze the results and provide them to the federal agency that requested the change. 2. OMB and Census Bureau decide whether the change has merit 6. Census Bureau solicits public comment; approves or rejects change In consultation with federal agencies, the Office of Management and Budget (OMB) and Census Bureau decide whether the request merits further consideration. 3. Create wording options Subject matter experts identify ways to ask each question using different words and phrases. 4. Test different ways to ask the question The Census Bureau conducts cognitive interviews to gauge which wording is best understood and produces the most accurate results. Subject matter experts review the cognitive testing results and recommend the version for field testing. The Census Bureau and requesting federal agency review the research results and decide whether to recommend implementation of the new or changed survey question. The Census Bureau solicits public comment through a Federal Register Notice to inform a final decision in consultation with the OMB and the Interagency Council on Statistical Policy Subcommittee on the ACS. Note: The Paperwork Reduction Act requires OMB approval of data collections that would impose a burden on the American public. It also requires a public comment period via the Federal Register. 7. Census Bureau implements the change If approved by the OMB, the Census Bureau prepares to implement the change by updating systems, questionnaires, and materials. Implementation takes effect at the start of a calendar year. For more information on the ACS, including the process for revising and adding questions, see <www.census.gov/ACS>. Understanding and Using American Community Survey Data 7 What Federal Agencies Need to Know 7 U.S. Census Bureau Each step in the process is described in more detail below: • A federal agency proposes a new or changed survey question. The requesting agency must show that it needs frequent data for small geographic areas, that no other sources of information are available, and that its mission would be compromised if the question was not added or changed. • OMB and Census Bureau decide whether the change has merit. In consultation with federal agencies, OMB and the Census Bureau decide whether the request merits further consideration. • • • • • Create wording options. Subject-matter experts identify ways to ask each question using different words and phrases. Test different ways to ask the question. The Census Bureau conducts cognitive interviews to gauge which wording is best understood and produces the most accurate results. Subject- matter experts review the cognitive testing results and recommend the version for field testing. Evaluate question performance in a field test. Census Bureau staff finalize the wording for the test, create instruments to field the test, develop the systems to process the data collected, and conduct the test. Then, they tabulate and analyze the results and provide them to the federal agency that requested the change. Census Bureau solicits public comment; approves or rejects change. The Census Bureau and requesting federal agency review the research results and decide whether to recommend implementation of the new or changed survey question. The Census Bureau solicits public comment through a Federal Register Notice to inform a final decision in consultation with the OMB and the Interagency Council on Statistical Policy Subcommittee on the ACS. Census Bureau implements the change. If approved by the OMB, the Census Bureau pre- pares to implement the change by updating sys- tems, questionnaires, and materials. Implementation takes effect at the start of a calendar year. Changes to ACS Questions Over time, questions have been added, revised, or removed from the ACS questionnaire as shown in Table 1.1. For example, in 2008 new questions on marital history, health insurance coverage, and military service-connected disability status were added to the form, while the questions on disability were signifi- cantly revised. Because of the changes to the ques- tions, the ACS disability estimates for 2008 and later years should not be compared with 2007 and prior ACS disability estimates. The data from these new and revised questions collected in 2008 were first available in the ACS products released in 2009. A new question on bachelor’s field of degree was added in 2009 with data available in 2010. In 2013, three new questions on computer ownership and Internet access were added with data available in 2014. When a new question is added to the survey, 1-year estimates are available the following year, but it takes 5 years to accumulate data for small geographic areas. While ACS 1-year estimates of health insurance cover- age were first available in 2009, ACS 5-year estimates of coverage (for 2008–2012) were first available in 2013. The Census Bureau conducts periodic reviews of the ACS to consider any deletion or addition of questions. In 2014, the Census Bureau conducted a compre- hensive assessment of the ACS program, including a review of each ACS question. This ACS Content Review sought to understand which federal programs use the information collected by each question and assess how the Census Bureau might reduce respondent burden.10 Based on this assessment, the questions on the pres- ence of a flush toilet and whether there is a business or medical office on the property were removed from the ACS beginning with the 2016 survey. 10 U.S. Census Bureau, American Community Survey, 2014 Content Review, <www.census.gov/programs- surveys/acs/operations-and -administration/2014-content-review.html>. 8 Understanding and Using American Community Survey Data 8 What Federal Agencies Need to Know U.S. Census Bureau 4. CONSIDERATIONS WHEN WORKING WITH ACS DATA The greatest strength of the ACS is that it provides access to estimates on an annual basis, but this also results in an array of options that affect how data can be used effectively by federal agencies. Many agencies require data for relatively small geo- graphic areas that must rely on ACS 5-year estimates. Of the approximately 69,000 states, counties, cities, towns, townships, villages, other minor civil divisions, and census designated places, more than 90 percent rely exclusively on 5-year estimates. About 8 percent of these small geographic areas have populations of 20,000 or more and receive 1-year Supplemental Estimates. Among counties and county equivalents, 41 percent rely on 5-year estimates exclusively, while 59 percent receive 1-year Supplemental Estimates and 26 per- cent meet the 65,000-population threshold needed to receive 1-year estimates.11 Data users interested in ACS estimates for areas with populations of 65,000 or more have a choice between the 1-year and 5-year data series. Which Data Should Be Used? The 1-year estimates for an area reflect the most current data but they have larger margins of error (MOEs)—indicating less reliability or precision—than the 5-year estimates because they are based on a smaller sample. The 5-year estimates for an area have larger samples and smaller MOEs than the 1-year estimates. However, they are less current because the larger samples include data that were collected in ear- lier years. The main advantage of using multiyear esti- mates is the increased statistical reliability for smaller geographic areas and small population groups.12 11 Percentages include data for municipios in Puerto Rico. For more information, see the Census Bureau’s ACS Web page on Areas Published, available at <www.census.gov/programs-surveys/acs /geography-acs/areas-published.html>. 12 U.S. Census Bureau, When to Use 1-year, 3-year, or 5-year Estimates, <www.census.gov/programs- surveys/acs/guidance /estimates.html>. In the end, what makes the most sense is a matter of judgment regarding the balance between the period covered by an estimate and its level of reliability or precision. The key is to strive to use the most reliable estimates, where the period covered best suits the question at hand. Using ACS Estimates as Building Blocks for Larger Geographic Areas In some cases, data users will need to construct cus- tom ACS estimates by combining data across multiple geographic areas or population subgroups, or it may be necessary to derive a new percentage, proportion, or ratio from published ACS data. One way to address the issue of unreliable estimates for individual census tracts or block groups is to aggregate geographic areas, yielding larger samples and estimates that are more reliable. In such cases, additional calculations are needed to produce MOEs and standard errors, and to conduct tests of statistical significance for the derived estimates. For more information, see the section on “Calculating Measures of Error for Derived Estimates” in the Census Bureau’s handbook on Understanding and Using American Community Survey Data: What All Data Users Need to Know.13 Measuring Change Over Time With ACS Data Finally, there is the issue of how to use multiyear characterizations of an area to measure change over time. As the ACS program has moved forward, a whole series of multiyear estimates for various time intervals has become available. Data users now have access to nonoverlapping ACS 5-year estimates that have increased the value and utility of the data for monitor- ing trends in local communities. However, it is more challenging to capture rapid change in areas where only ACS 5-year estimates are available. 13 U.S. Census Bureau, Understanding and Using American Community Survey Data: What All Data Users Need to Know, <www.census.gov/programs-surveys/acs/guidance/handbooks /general.html>. Understanding and Using American Community Survey Data 9 What Federal Agencies Need to Know 9 U.S. Census Bureau Consider the example of a natural disaster, like Hurricane Harvey that caused major flooding in Texas in 2018. Because data collection is ongoing, the ACS can provide essential information about population and housing characteristics in Texas both before and after the storm. The 1-year ACS estimates are particu- larly useful in this case because they are based on data from the past year. In contrast, 5-year estimates pro- vide less current information because they are based on both data from the previous year and data that are 2 to 5 years old. For areas experiencing major changes over a given time period, the 5-year estimates may be quite different from the 1-year estimates for any of the individual years. For more information about ACS multiyear estimates and sampling error, see the sections on “Understanding and Using ACS Single-Year and Multiyear Estimates” and “Understanding Error and Determining Statistical Significance” in the Census Bureau’s handbook on Understanding and Using American Community Survey Data: What All Data Users Need to Know.14 14 U.S. Census Bureau, Understanding and Using American Community Survey Data: What All Data Users Need to Know, <www.census.gov/programs-surveys/acs/guidance/handbooks /general.html>. 10 Understanding and Using American Community Survey Data 10 What Federal Agencies Need to Know U.S. Census Bureau 5. ACCESSING ACS DATA Data.census.gov is the U.S. Census Bureau’s primary tool for accessing population, housing, and economic data from the American Community Survey (ACS), the Puerto Rico Community Survey, the decennial census, and many other Census Bureau data sets.15 Data.census.gov provides access to ACS data for a wide range of geographic areas, including states, cities, counties, census tracts, and block groups. For more information about data.census.gov, view the Census Bureau’s data.census.gov Resources page.16 More advanced users within federal agencies also have several options to access ACS data that are more detailed through the downloadable Summary File, the Public Use Microdata Sample (PUMS) files, the Census Bureau’s Application Programming Interface, or through special tabulations of ACS data.17 Special Tabulations of ACS Data Most of the data required by federal agencies are accessible through published tables available through data.census.gov.18 However, several federal agencies require special tabulations of ACS data to obtain the information they need. For example: • The Census Transportation Planning Products (CTPP) program produces special tabulations of ACS data that have enhanced value for transporta- tion planning, analysis, and strategic direction.19 • The Equal Employment Opportunity (EEO) Tabulation serves as the primary external bench- mark for comparing the race, ethnicity, and sex composition of an organization’s internal work- force and the analogous external labor market, within a specified geography and job category.20 • The ACS Special Tabulation on Aging serves as a component in the allocation formulas for Older Americans Act funding and for planning programs and services for older adults.21 15 U.S. Census Bureau, data.census.gov, <https://data.census.gov>. 16 U.S. Census Bureau, data.census.gov Resources, <www.census.gov /data/what-is-data-census-gov.html>. 17 U.S. Census Bureau, American Community Survey (ACS), Summary File Data, <www.census.gov/programs-surveys/acs/data /summary-file.html>; American Community Survey (ACS), PUMS Data, <www.census.gov/programs-surveys/acs/microdata.html>; Developers, <www.census.gov/developers/>. 18 U.S. Census Bureau, data.census.gov, <https://data.census.gov>. 19 AASHTO, CTPP Program, <https://ctpp.transportation.org/>. 20 U.S. Census Bureau, EEO Tabulation, <www.census.gov/topics /employment/equal-employment-opportunity-tabulation/about.html>. 21 Administration for Community Living, Aging, Independence, and Disability (AGID) Program Data Portal, American Community Survey (ACS) Special Tabulations, <https://agid.acl.gov/DataFiles/Special Tabulations.aspx>. • U.S. Department of Housing and Urban Development’s Special Tabulations of Households provide the most detailed data available for analy- sis of housing demand based on income and age of householder. These data are used in allocation formulas for rental assistance programs and evalu- ations of program applications and multifamily mortgage insurance applications submitted to the Federal Housing Administration.22 The minimum cost of a custom tabulation by Census Bureau staff is $3,000, and the minimum timeframe for compiling the data is 8 weeks. The Census Bureau’s Disclosure Review Board must review and approve all requests before work is started. For more information, see the Census Bureau’s Web page on Custom Tables.23 Federal Statistical Research Data Centers Federal agencies can also access ACS data through the Federal Statistical Research Data Centers (FSRDCs)— partnerships between federal statistical agencies and leading research institutions.24 FSRDCs are secure facilities managed by the Census Bureau to provide secure access to a range of restricted-use microdata, including ACS microdata. Compared to the ACS PUMS, which includes a representative subset of records from the ACS sample, the restricted data files contain many additional sample records along with additional variables. Note that FSRDC projects must be designed to produce model-based output. Only tabular output supporting the model sample(s) may be released to researchers. FSRDC researchers have access to computing capac- ity to handle large data sets and complex calculations. Standard statistical, econometric, and programming software, including R, Stata, SAS, MATLAB, and Gauss, are available in a Linux environment. FSRDC research- ers can collaborate with other research data center researchers across the United States through the secure FSRDC computing environment. Data access via an FSRDC requires a proposal and approval process including background checks on researchers. The approval process, while straight- forward, can take several months. Inquiries about 22 U.S. Department of Housing and Urban Development, Office of Policy Development and Research, Special Tabulations of Households, <www.huduser.gov/portal/datasets/spectabs.html>. 23 U.S. Census Bureau, American Community Survey (ACS), Custom Tables, <www.census.gov/programs-surveys/acs/data/custom-tables .html>. 24 U.S. Census Bureau, Federal Statistical Research Data Centers, <www.census.gov/fsrdc>. Understanding and Using American Community Survey Data 11 What Federal Agencies Need to Know 11 U.S. Census Bureau accessing ACS or other restricted-use data can be made through the ResearchDataGov application portal.25 The Census Bureau’s Center for Enterprise Dissemination and the FSRDCs consider proposals from qualified researchers in social science disciplines consistent with the subject matter of the surveys and censuses collected by the Census Bureau.26 Proposals may be submitted at any time and must: • Provide benefit to Census Bureau programs. • Demonstrate scientific merit. • • • Require nonpublic data. Be feasible given the data. Pose no risk of disclosure. All FSRDC researchers must obtain Census Bureau Special Sworn Status—passing a moderate-risk back- ground check and swearing to protect respondent con- fidentiality for life, facing significant financial and legal penalties under Title 13 and Title 26 of the U.S. Code for failure to do so.27 When researchers need to remove aggregated output, tables, or model coefficients from the secure environ- ment, the output must be reviewed to ensure the confi- dentiality of survey respondents and that the output is consistent with the original proposal. Once the results pass disclosure review, the approved aggregated data are provided to the researcher or team outside of the secure computing environment, usually via e-mail. The researcher(s) can then produce reports, presentations, and other products outside of the secure environment. 25 The ResearchDataGov portal is a joint project between the Census Bureau and the University of Michigan,<www.icpsr.umich.edu /web/pages/appfed/index.html>. 26 U.S. Census Bureau, Federal Statistical Research Data Centers, Apply for Access,<www.census.gov/programs-surveys/ces/data /restricted-use-data/apply-for-access.html>. Information about how to apply for FSRDC access is available on the Census Bureau’s Web site.28 Combining ACS Data With Administrative Data Researchers at federal agencies with approved FSRDC projects can link individual or housing unit records from the ACS with administrative records based on personal identifiers. For example, Census Bureau staff linked the records of children in the ACS with records from the Internal Revenue Service, Department of Housing and Urban Development, Centers for Medicare and Medicaid Services, Department of Health and Human Services, and other sources to investigate the undercount of young children in the decennial cen- sus.29 ACS records were linked to administrative data using protected identification keys—anonymous identi- fiers that can be used to link records across different data sets. The Census Bureau conducts a variety of research projects that combine administrative records and survey data to lower costs, increase efficiency, reduce respondent burden, and improve data quality. Some of these projects generate new social and economic statistics—such as the Small Area Income and Poverty Estimates Program.30 Other projects investigate ways to use linked data to better measure family relation- ships, evaluate program participation, and improve coverage of hard-to-reach populations.31 More information is available through the FSRDC Web site.32 28 U.S. Census Bureau, Federal Statistical Research Data Centers, Apply for Access, <www.census.gov/programs-surveys/ces/data /restricted-use-data/apply-for-access.html>. 29 Leticia Fernandez, Rachel Shattuck, and James Noon, “The Use of Administrative Records and the American Community Survey to Study the Characteristics of Undercounted Young Children in the 2010 Census,” CARRA Working Paper Series, CARRA-WP-2018-05, 2018. 30 U.S. Census Bureau, Small Area Income and Poverty Estimates (SAIPE) Program, <www.census.gov/programs- surveys/saipe.html>. 31 Amy O’Hara, Rachel M. Shattuck, and Robert M. Goerge, “Linking Federal Surveys with Administrative Data to Improve Research on Families,” The ANNALS of the American Academy of Political and Social Science, Volume 669, Issue 1, 2016, pp. 63–74. 27 U.S. Census Bureau, Privacy & Confidentiality, <www.census.gov 32 U.S. Census Bureau, Federal Statistical Research Data Centers, /history/www/reference/privacy_confidentiality/>. <www.census.gov/fsrdc>. 12 Understanding and Using American Community Survey Data 12 What Federal Agencies Need to Know U.S. Census Bureau 6. CASE STUDIES USING ACS DATA Case Study 1: Community Resilience Indicators Skill Level: Novice/Intermediate Subject: Assessing county characteristics that contribute to disaster resilience Type of Analysis: Analysis of American Community Survey (ACS) indicators at the county level Tools Used: Data.census.gov, mapping software As disasters continue to increase in frequency and cost, researchers have attempted to identify and quan- tify features that make communities more resilient to disasters. The Federal Emergency Management Agency (FEMA) National Integration Center (NIC) Technical Assistance (TA) Branch asked Argonne National Laboratory (Argonne) to review this body of research and provide a data-driven approach to prioritize locations for TA. FEMA included project management, research support, peer-to-peer learning, in-person and distance learning, coaching from subject-matter experts, and other topics as factors to be considered during the review.33 Most of the data for this analysis came from the U.S. Census Bureau’s 2013–2017 ACS 5-year estimates. The pri- mary advantage of using the ACS 5-year estimates is the increased statistical reliability compared with the ACS 1-year estimates, especially for small geographic areas and small population subgroups. The 5-year data also enabled Argonne to display maps that included estimates for every county in the country. Methods Argonne’s first step was to conduct a literature review to identify previous methods used to assess community resilience. Argonne focused on county-level analyses that involved multiple hazards, had a predisaster focus, used quantitative measures, and incorporated publicly available data and methods. Based on this review, Argonne selected 20 key indicators for their analysis, including 11 population-focused mea- sures and 9 community-focused measures: Population-Focused Indicators • Educational Attainment • Unemployment Rate • Disability • English Language Proficiency • Home Ownership • Mobility • Age • Household Income • Income Inequality • Health Insurance • Single-Parent Household Community-Focused Indicators • Connection to Civic and Social Organizations • Hospital Capacity • Medical Professional Capacity • Affiliation With a Religion • Presence of Mobile Homes 33 U.S. Federal Emergency Management Agency and Argonne National Laboratory, “Community Resilience Indicator Analysis: County-Level Analysis of Commonly Used Indicators From Peer-Reviewed Research,” 2019, <www.fema.gov/sites/default/files/2020-11/fema_community -resilience-indicator-analysis.pdf>, 2020 update. Understanding and Using American Community Survey Data 13 What Federal Agencies Need to Know 13 U.S. Census Bureau • • • • Public School Capacity Population Change Hotel/Motel Capacity Rental Property Capacity The percentage of people with disabilities was identified as one of the 20 key indicators of disaster resilience. Here are steps to access disability estimates for every county in the country (including Puerto Rico): Navigate to <https://data.census.gov> and type “disability” into the search bar. Then click “Search” (see Figure 6.1). Figure 6.1. Searching for Disability Tables in Data.census.gov Source: U.S. Census Bureau, data.census.gov <https://data.census.gov>. 14 Understanding and Using American Community Survey Data 14 What Federal Agencies Need to Know U.S. Census Bureau Click on the first table on the results page: Table S1810: “Disability Characteristics” (see Figure 6.2). Figure 6.2. Selecting a Table in Data.census.gov Source: U.S. Census Bureau, data.census.gov <https://data.census.gov>. Understanding and Using American Community Survey Data 15 What Federal Agencies Need to Know 15 U.S. Census Bureau This will bring you to a preview of Table S1810 with the United States as the default geography. Select “Customize Table” in the upper right corner (see Figure 6.3). Figure 6.3. Previewing and Customizing a Table in Data.census.gov Source: U.S. Census Bureau, data.census.gov <https://data.census.gov>. To access data for all counties in the United States, first select the “Geographies” filter (see Figure 6.4). Figure 6.4. Selecting Geographic Areas Using the Geography Filter in Data.census.gov Source: U.S. Census Bureau, data.census.gov <https://data.census.gov>. 16 Understanding and Using American Community Survey Data 16 What Federal Agencies Need to Know U.S. Census Bureau Next: • Select “County.” • Then check the box for “All counties in United States.” This selection will appear at the bottom of the page next to “Selected Filters:” • Click “Close” in the lower right corner (see Figure 6.5). Figure 6.5. Selecting All Counties in the United States in Data.census.gov Source: U.S. Census Bureau, data.census.gov <https://data.census.gov>. This table is too large to display in the preview window, so select “Download Table” (see Figure 6.6). Figure 6.6. Downloading a Table in Data.census.gov Source: U.S. Census Bureau, data.census.gov <https://data.census.gov>. Understanding and Using American Community Survey Data 17 What Federal Agencies Need to Know 17 U.S. Census Bureau For this case study, select the 2017 ACS 5-year data. After checking that the other default download specifica- tions in the “Download/Print/Share” window are correct, select “Download” again (see Figure 6.7). Figure 6.7. Using the Download/Print/Share Window in Data.census.gov    The indicator, lower levels of English Language Proficiency, is positively correlated with Unemployment Rate (r = 0.50), lower levels of Educational Attainment (r = 0.43), and lower levels of Mobility (r = 0.34). The indicator Mobility (lack of access to a vehicle) is positively correlated with Unemployment Rate (r = 0.50) and Single-Parent Households (r = 0.50). It is negatively correlated with Home Ownership (r = −0.39). The indicator Age (adults over 65) is positively correlated with Home Ownership (r = 0.46) and Disability (r = 0.41).  Counties where the indicator Income Inequality is higher may also see a population with a greater Source: U.S. Census Bureau, data.census.gov <https://data.census.gov>. number of Single-Parent Households (r = 0.47), higher levels of Unemployment (r = 0.42), and lower levels of Mobility (r = 0.39). These counties may also have lower levels of Household Income (r = −0.43). Select “Download Now” after the file is prepared (see Figure 6.8). Figure 6.8. Downloading a Compressed (ZIP) File in Data.census.gov   The indicator denoting lack of Health Insurance is positively correlated with lower levels of Educational Attainment (r = 0.48) and Presence of Mobile Homes (r = 0.40). It is negatively correlated with Medical Professional Capacity (r = −0.42). The indicator Single-Parent Households is positively correlated with higher levels of Unemployment Rate (r = 0.59), lower levels of Mobility (r = 0.50), and Educational Attainment (r = 0.46). It is negatively correlated with Household Income (r = −0.54) and Home Ownership (r = −0.35).  The indicator Presence of Mobile Homes is positively correlated with Disability (r = 0.48), Educational Attainment (r = 0.46), and lack of Health Insurance (r = 0.40). It is negatively correlated with Household Income (r = −0.42) and Medical Professional Capacity (r = −0.40). County-level Maps The research team created national choropleth maps (Figure 1–Figure 20), with every county shaded based on a five-color scale (Table 2). The scale uses cooler colors to indicate potentially higher relative levels of resilience, with blue at the top of the scale followed by green, and warmer colors to indicate potentially lower relative levels of resilience, with yellow in the middle of the scale, followed by orange, and red at the bottom. Gray-colored counties indicate that no data were available for that indicator within the dataset used for that indicator. These maps show areas of the country that have high or low relative data points for that specific indicator. Source: U.S. Census Bureau, data.census.gov <https://data.census.gov>. This download yields a compressed folder with three files: metadata, data, and table title. These data can be used to access the percentage of the population with a disability in each U.S. county. The research team cre- ated county-level choropleth maps for each key indica- tor. Counties were shaded based on a five-color scale (see Figure 6.9). The scale used cooler colors to indicate potentially higher relative levels of resilience, with blue at the top of the scale, and warmer colors to indicate potentially lower relative levels of resilience, with red at the bottom. Figure 6.9. Color Scale for Choropleth Maps Table 2. Color Scale for Choropleth Maps Blue Green Yellow Orange Red Potentially high disaster resilience Potentially low disaster resilience Source: U.S. Federal Emergency Management Agency and Argonne National Laboratory, Community Resilience Indicator Analysis, <www.fema.gov/sites/default/files/2020-11/fema _community-resilience-indicator-analysis.pdf>, 2020 update. 18 Understanding and Using American Community Survey Data 18 What Federal Agencies Need to Know CRIA 2019 11 U.S. Census Bureau Figure 6.10 shows a sample map of disaster resilience based on disability rates. The map shows relatively high concentrations of disability in parts of Alabama, Arkansas, Kentucky, Mississippi, New Mexico, Oklahoma, Oregon, Tennessee, Puerto Rico, and West Virginia. Figure 6.10. Percentage of the Population With a Disability by County Source: U.S. Federal Emergency Management Agency and Argonne National Laboratory, Community Resilience Indicator Analysis, <www.fema.gov/sites/default/files/2020-11/fema_community-resilience-indicator-analysis.pdf>, 2020 update. Figure 3. Disability: Percent of the Population with a Disability 2019 Data Source: ACS 2013–2017 five-year estimates, Table S1810 Binning Method: Jenks-Caspall Breaks National Average: 12.6 percent of the U.S. population has a disability. Findings: Understanding and Using American Community Survey Data 19 What Federal Agencies Need to Know 19    States with the highest concentrations of counties having more than 21.1 percent of the population with a disability include Arkansas (49% of counties), West Virginia (42%), Kentucky (37%), and New Mexico (33%). States where more than half their counties report 17.4 percent or more of their populations with a disability include Arkansas (85% of counties), West Virginia, (78%), Tennessee (74%), Kentucky (72%), Mississippi (65%), Alabama (60%), New Mexico (58%), Oklahoma (56%), and Oregon (53%). 21.1 percent or greater. Forty-three of 78 counties in Puerto Rico reported populations with disabilities at a rate of CRIA 2019 15 U.S. Census Bureau Aggregated Commonly Used Community Resilience Indicator The research team developed a process to aggregate the county-level data from all 20 commonly used community resilience indicators to produce a choropleth map that shows relative resilience by county. The process to create this final aggregated-data map included four steps: 1. The team oriented all of the datasets in the same direction (a higher number represents higher resilience) by reversing the data for the indicators that were negatively correlated to resilience (i.e., where higher numbers equaled less resilience). 22 2. The research team then converted each county’s data point to a standardized score value based on how many standard deviations above or below the indicator’s national mean it was. For example, Laramie County in Wyoming has a standardized score value for the indicator, median Household Income, of approximately 1.0, which means that this county’s median income of $62,879 is almost exactly one standard deviation higher than the national average median income of $48,995. For datasets where data for a specific county were missing, the mean for that indicator was used to ensure that the aggregate value for the country was not increased or reduced by the missing data. Appendix F provides the national mean for each indicator. 3. The team then averaged the 20 standardized score values for each county to create an aggregated indicator by county. Because there is no validated weighting scheme for resilience indicators, the research team did not weight individual indicators in developing the aggregated indicator. 4. Finally, the team sorted the county-level aggregated indicator into five bins (Table 3). The research team used the same color scale for the aggregated-data map (Figure 21) as for the individual indicator maps (Figure 1–Figure 20), with blue indicating higher relative resilience levels and red indicating lower relative resilience levels. Inclusion in the blue bin indicates that the county was far above the national average (at least 1 standard deviation above the average). The next (green) bin indicates that Next, the research team developed a method to aggregate county-level data from all 20 indicators and sort each U.S. county into one of five bins. The research team used the same color scale for the aggregate maps as for the the county fell within 1 standard deviation above the average. The yellow bin indicates that the county individual indicator maps, with blue indicating higher relative resilience levels and red indicating lower relative fell below, but very near the average (within 0.5 standard deviation). The orange bin indicates that the resilience levels (see Figure 6.11). This aggregate map provides a data-driven basis for identifying areas where county fell between 0.5 and 1 standard deviation below the average, and the final (red) bin indicates FEMA should offer community resilience Collaborative TA. that the county fell at least 1 standard deviation below the average. Figure 6.11. Color Scale for Aggregated Resilience Indicators Map Table 3: Color Scale for Aggregate Data Map Blue Green Yellow Orange Red +1 standard deviation or more above the average Above 0 but <+1.0 standard deviation above average Below 0, but >−0.5 standard deviation below average Between −0.5 and −1.0 standard deviation below average −1.0 standard deviation or more below the average Source: U.S. Federal Emergency Management Agency and Argonne National Laboratory, Community Resilience Indicator Analysis, <www.fema.gov/sites/default/files/2020-11/fema_community-resilience-indicator-analysis.pdf>, 2020 update. Using these aggregated data, Argonne created an “Aggregated Commonly Used Community Resilience Indicators” choropleth map (see Figure 6.12). This analysis identified 96 counties in the lowest bin that are fac- 22 Indicators were changed to “% population under 65,” “% with HS diploma,” “% without a disability,” “% speaking English ing the greatest challenges to resilience, with 63 of these counties in Puerto Rico. A total of 309 counties sorted fluently,” “% with health insurance,” “% own a vehicle,” “% employed.” “% non-single family HH,” “% housing not mobile into the next bin. Many counties in this category are also within Puerto Rico, while others are primarily within the homes,” “reverse Gini index,” and “population stability.” southeast and southwest regions of the United States and in Alaska. CRIA 2019 33 20 Understanding and Using American Community Survey Data 20 What Federal Agencies Need to Know U.S. Census Bureau Figure 6.12. Aggregated Commonly Used Resilience Indicators Source: U.S. Federal Emergency Management Agency and Argonne National Laboratory, Community Resilience Indicator Analysis, <www.fema.gov/sites/default/files/2020-11/fema_community-resilience-indicator-analysis.pdf>, 2020 update. Figure 21. Aggregated Commonly Used Community Resilience Indicators 2019 Although this analysis was conducted for the FEMA NIC TA Branch, the findings have relevance for many FEMA program areas, as well as for state, local, territorial, and tribal emergency managers and other partners. By reviewing county data for these 20 indicators, emergency managers can gain insights for targeted outreach strategies and for adapting emergency operations plans to community characteristics. All of the maps and data can be found within an interactive map viewer on FEMA’s geospatial portal at <www.fema.gov/sites/default/files/2020-11/fema_community-resilience-indicator-analysis.pdf>, 2020 update. CRIA 2019 Understanding and Using American Community Survey Data 21 What Federal Agencies Need to Know 21 34 U.S. Census Bureau Case Study #2: Exploring Social Determinants of Health Using ACS-CMS Linked Data Skill Level: Intermediate/Advanced Subject: Social determinants of health Type of Analysis: Linking administrative data to American Community Survey (ACS) data Tools Used: Data.census.gov, Chronic Conditions Data Warehouse, spreadsheet, statistical software Authors: Shondelle Wilson-Frederick, Statistician, Centers for Medicare & Medicaid Services; and Sharon R. Ennis, Statistician, Department of Veterans Affairs The Centers for Medicare & Medicaid Services (CMS) is an operating division within the U.S. Department of Health and Human Services. CMS oversees the two largest federal health care programs—Medicare and Medicaid—as well as the Children’s Health Insurance Program and the exchanges. CMS programs will touch the lives of over 145 million beneficiaries and consumers in FY 2020.34 The CMS Chronic Conditions Data Warehouse (CCW) is a research database designed to make Medicare, Medicaid, Assessments, and Part D Prescription Drug Event data more readily available to support research designed to improve the quality of care and reduce costs and utilization.35 The Medicare Master Beneficiary Summary File (MBSF), which is stored in the CCW, includes Medicare enrollment status, demographic, and eligi- bility information for all beneficiaries. While the MBSF can be used to study racial, ethnic, and geographic disparities among Medicare Fee-for-Service (FFS) beneficiaries, data on the social determinants of health are limited. The MBSF contains individual level characteristics; however, it does not include any personal identifiable information. The American Community Survey (ACS) is a rich source of demographic, socioeconomic, and housing estimates that can be combined with claims data by linking at the geographical level of ZIP codes to enhance our understanding of Medicare FFS beneficiaries. This aggregated linked file can be analyzed to learn more about the social determinants of health among Medicare FFS beneficiaries. This case study summarizes the steps to compile and analyze data for one of the key ACS variables—language spoken at home. Communication and language barriers are associated with structural and clinical challenges and poorer health outcomes.36 Limited English proficiency may contribute to a lower quality of care, patient satisfac- tion, post-care adherence, patient safety, and lack of equity in the provision of healthcare.37 34 U.S. Department of Health and Human Services, Fiscal Year 2020: Centers for Medicare & Medicaid Services, Justification of Estimates for Appropriations Committees, <www.cms.gov/files/document/fy2020-cms-congressional-justification-estimates-appropriations-committees.pdf>. 35 Centers for Medicare & Medicaid Services, “Chronic Conditions Warehouse,” <https://www2.ccwdata.org/web/guest/home/>. 36 Centers for Medicare & Medicaid Services, Office of Minority Health, “Building an Organizational Response to Health Disparities: Guide to Developing a Language Access Plan,” <www.cms.gov/About-CMS/Agency-Information/OMH/Downloads/Language-Access-Plan-508.pdf>. 37 Kimberly Proctor, Shondelle M. Wilson-Frederick, and Samuel C. Haffer, “The Limited English Proficient Population: Describing Medicare, Medicaid, and Dual Beneficiaries,” Health Equity, 2(1): 82–89, Baltimore, MD, 2018. 22 Understanding and Using American Community Survey Data 22 What Federal Agencies Need to Know U.S. Census Bureau To access ACS data on language spoken at home: We start by navigating to <https://data.census.gov>. Since we already know which table we would like to access, we type C16001 into the search bar and click the first result C16001: “Language Spoken at Home for the Population 5 Years and Over” (See Figure 6.13). Figure 6.13. Searching for a Table in Data.census.gov Source: U.S. Census Bureau, data.census.gov, <https://data.census.gov>. Select the desired survey year by clicking on the current “Product” selection. For the purposes of this case study, we are using 2012–2016 ACS 5-year estimates. The product selection should read “2016 ACS 5-Year Estimates Detailed Tables” (see Figure 6.14). Data.census.gov automatically defaults geography to the national level unless otherwise specified. Since we would like to study Medicare beneficiaries across ZIP Code Tabulation Areas (ZCTAs), we click on “Geos” to view the geography filters. ZCTAs are generalized areal representations of United States Postal Service ZIP code service areas. Figure 6.14. Changing the Data Product Year and Selecting Geographic Areas Using the Geography Filter in Data.census.gov Source: U.S. Census Bureau, data.census.gov, <https://data.census.gov>. Understanding and Using American Community Survey Data 23 What Federal Agencies Need to Know 23 U.S. Census Bureau Next: • Turn on the “Show Summary Levels” toggle switch. • Select “860 – 5-Digit ZCTA.” • Check the box for “All ZCTAs in the United States.” This selection will appear at the bottom of the page next to “Selected Geographies.” • Click “Close” in the bottom right corner (see Figure 6.15). Figure 6.15. Selecting All ZCTAs in the United States in Data.census.gov Source: U.S. Census Bureau, data.census.gov, <https://data.census.gov>. 24 Understanding and Using American Community Survey Data 24 What Federal Agencies Need to Know U.S. Census Bureau Typically, the table would update to show the geographies selected. However, since there are over 33,000 ZCTAs in the United States, the table is too large to display. Therefore, we need to select “Download Table” (See Figure 6.16). Figure 6.16. Downloading a Table in Data.census.gov Source: U.S. Census Bureau, data.census.gov, <https://data.census.gov>. For this case study, we select the 2016 ACS 5-year data. After making sure that the download specifications in the “Download/Print/Share” window are correct, we select “Download” again (see Figure 6.17). Figure 6.17. Using the Download/Print/Share Window in Data.census.gov Source: U.S. Census Bureau, data.census.gov, <https://data.census.gov>. Understanding and Using American Community Survey Data 25 What Federal Agencies Need to Know 25 U.S. Census Bureau Select “Download Now” after the file is prepared (see Figure 6.18). Figure 6.18. Downloading a Compressed (ZIP) File in Data.census.gov Source: U.S. Census Bureau, data.census.gov, <https://data.census.gov>. A compressed folder that includes three files; metadata, data, and table title will be available. We, generally, can use these data to combine beneficiary data with ACS data by ZCTA. To complete the analysis, we: • Upload the ACS data to the CCW. • Import the data as statistical software data sets. • Recode the ACS variables and create percentages. • Merge individual ACS data sets by ZCTA and sort by ZCTA. • Merge Medicare beneficiary health information by a CMS unique identifier. • Sort Medicare beneficiary data sets by ZCTA. • Link the ACS and Medicare by ZCTA/ZIP code. • Omit all unmatched ZCTA/ZIP codes pairs or ZIP codes with less 10,000 ZIP codes. 26 Understanding and Using American Community Survey Data 26 What Federal Agencies Need to Know U.S. Census Bureau Findings/Summary of Case Study on Using ACS Data The combined ACS/MBSF results show that compared to all beneficiaries, a higher percentage of White and Black Medicare beneficiaries resided in communities with a higher mean English-only speaking population, rela- tive to Asian, Native Hawaiian or Other Pacific Islander, and Hispanic beneficiaries (see Figure 6.19). By linking the MBSF to the ACS, it was possible to examine the language needs for Medicare beneficiaries. This analysis would not have been possible by using the MBSF only. Figure 6.19. Percentage of Medicare Beneficiaries in ZIP Codes That Speak English Only (Mean) Note: A/NHOPI = Asian/Native Hawaiian and Other Pacific Islander. AIAN = American Indian/Alaska Native. Source: Authors’ analysis of data from the U.S. Census Bureau, American Community Survey; and Centers for Medicare and Medicaid Services. CMS provides free publicly accessible resources in 18 languages to help people make informed health care decisions and be active partners in their health care and the health care of their families.38 Additionally, the CMS Office of Minority Health has designed several initiatives to eliminate disparities in health care quality and access, so that all CMS beneficiaries can achieve their highest level of health.39 To learn more about CMS’ equity resources to assist with understanding the communication needs of diverse populations of Medicare beneficia- ries, please visit <www.cms.gov/About-CMS/Agency-Information/OMH/research-and-data/information-products /issue-briefs>. Linking the MBSF with the ACS strengthened the utility of CMS administrative data to explore how social deter- minants of health may contribute to racial, ethnic, and geographic disparities. These study findings highlight the diversity of the Medicare population and supports identification of appropriate targets to develop effective inter- ventions aimed at promoting equity for all Americans. 38 Centers for Medicare & Medicaid Services, “Resources by Language,” <www.cms.gov/About-CMS/Agency-Information/OMH/resource-center /resources-by-language>. 39 Centers for Medicare & Medicaid Services, “Equity Initiatives,” <www.cms.gov/About-CMS/Agency-Information/OMH/equity-initiatives>. Understanding and Using American Community Survey Data 27 What Federal Agencies Need to Know 27 U.S. Census Bureau Case Study #3: Learning More About HUD-Assisted Households Through Data Linkage Skill Level: Advanced Subject: Analyzing characteristics of households receiving U.S. Department of Housing and Urban Development rental assistance with American Community Survey (ACS) data Type of Analysis: Administrative record linkage and analysis using ACS data Tool Used: Statistical software Authors: Shawn Bucholtz, Federal Housing Finance Agency (formerly U.S. Department of Housing and Urban Development); Emily Molfino, U.S. Census Bureau; and Quentin Brummet, National Opinion Research Center (NORC) at the University of Chicago The U.S. Department of Housing and Urban Development (HUD) administers several rental assistance programs that help low-income households afford their rental units, including those housing seniors, disabled persons, and veterans. The largest of these programs is the Housing Choice Voucher (HCV) program with approximately 2.3 million households receiving rental assistance. The second largest of these programs is project-based rental assistance (PBRA) with approximately 1.3 million households receiving rental assistance, while the third largest program, Public Housing (PH), currently provides housing for approximately 950,000 households. These three programs, as well as a myriad of much smaller HUD programs, provide rental assistance for more than 4.6 million households, or about 3.8 percent of all households in the United States. To administer rental assistance programs in a manner consistent with statutory, regulatory, and program-specific requirements, HUD must collect information from the beneficiaries. However, like many federal programs, HUD’s data collection is generally limited only to the information necessary to implement the program. This short- coming limits HUD’s ability to fully monitor ongoing program performance or evaluate longer-term program effects. As a result, evaluating program effects often requires additional surveys, which are expensive. This shortcoming in the ability to evaluate programmatic impact is also well known to policymakers and mem- bers of research and advocacy communities. It is partially addressed by the Foundations for Evidence-Based Policymaking Act of 2019, which requires agencies to develop written evaluation plans and establish evaluation officers. One promising method for low-cost evaluation of program performance and effects is linking adminis- trative records to data from existing surveys, like the U.S. Census Bureau’s American Community Survey (ACS). The ACS contains a wealth of household and demographic information that is not currently collected by HUD including: • Type of occupation and commuting mode. • Veteran status. • Health insurance status. • Expanded racial categories and household relationship types. • Internet access. Linking ACS data to HUD-assisted housing units and households allows HUD to gain insights that would other- wise not be possible with current rental assistance administrative records, potentially leading to more robust program evaluation. For example, the HUD/ACS linked data set can be used to create summary statistics of char- acteristics of the HUD-assisted housing units or households present in the ACS sample, such as the percentage of HUD-assisted housing units that have high-speed Internet—a characteristic available in the ACS. In this case study, we describe how we linked HUD–assisted housing unit and household administrative records to ACS housing unit records to identify ACS households receiving HUD rental assistance. Access to the ACS/HUD linked data is available to researchers through a Federal Statistical Research Data Center, after obtaining Special Sworn Status and approval for their project.40 40 U.S. Census Bureau, Federal Statistical Research Data Centers, <www.census.gov/fsrdc>. 28 Understanding and Using American Community Survey Data 28 What Federal Agencies Need to Know U.S. Census Bureau Record Linkage Process HUD-assisted housing units were first linked to ACS housing units based on housing unit addresses using the Census Bureau’s Master Address File (MAF), which is the source of addresses for the ACS, other Census Bureau demographic surveys, and the decennial census. Then, HUD-assisted housing units were linked to ACS units if a household member (person) within the ACS household roster matched a person in a HUD-assisted household roster. We refer to this roster-based linking process as “Protected Identification Key (PIK) matching.” Any ACS housing unit that linked to a HUD administrative record by either a MAF match or PIK match was considered a HUD-assisted housing unit. A complete description of the record linkage process, as well as potential problems with the linkage process, is available in Bucholtz, Molfino, and Brummet’s technical report.41 Record Linkage Quality Assessment Table 6.1 shows the number of ACS records linked to a HUD administrative record by the type of link. Although not the subject of this article, we speculate that the downward trend in the total number of ACS records linked to a HUD administrative record reflects a general downward trend in response rates for HUD-assisted households. The authors have observed a similar trend in another household survey, the American Housing Survey.42 Table 6.1. Breakdown of HUD/ACS Links Made by Address (MAF) and Person (PIK) Breakdown Year 2011 2012 2013 2014 2015 2016 2017 MAF-matched PIO-matched Count . . . . . . . . . . 60,000 63,500 55,500 58,000 57,000 54,500 51,500 Percent . . . . . . . . . 81.6 81.9 82.2 82.9 82.6 83.8 84.4 Count . . . . . . . . . . 13,500 14,000 12,000 12,000 12,000 10,500 9,500 Percent . . . . . . . . . 18.4 18.1 17.8 17.1 17.4 16.2 15.6 Total Count . . . . . . . . . . 73,500 77,500 67,500 70,000 69,000 65,000 61,000 Notes: MAF = Master Address File. PIK = Protected Identification Key. Numbers are rounded to comply with U.S. Census Bureau disclosure guidelines. Source: Authors’ analysis of American Community Survey (ACS) and U.S. Department of Housing and Urban Development (HUD) data. To determine whether the linking process performed well, we compared the “prelinking” count of HUD rental assistance administrative records with the “post-linking” ACS weighted estimate of ACS housing units identified as HUD-assisted. All else being equal, if the linking process performs well, the post-link ACS weighted estimate of HUD-assisted units should be very similar to the prelink known record count. Table 6.2 below presents linking quality metrics for 2015 through 2017. The table shows that HUD provided the Census Bureau with 4.74 million rental assistance administrative records and housing unit records in 2017. When these records were linked to ACS housing units, the weighted estimate of HUD-assisted housing units was 4.62 million, or 97.3 percent of the real total. Across all years of the data linkage (2011–2017), the ACS-weighted estimate of HUD-assisted housing units ranges from 97.0 to 99.4 percent. There is some variation in linkage rate across the three categories of HUD programs, however, with the PBRA program consistently performing worse than PH or HCV. Reasons for this difference are explored in the technical report, but are generally due to varia- tions in the quality of HUD addresses. 41 Shawn Bucholtz, Emily Molfino, and Quentin Brummet, “Identifying Subsidized Housing Units Within the American Community Survey Through Administrative Record Linkage: A Technical Report,” U.S. Department of Housing and Urban Development, Washington, DC, 2020, <www.huduser.gov/portal/publications/Identifying-Subsidized-Housing-Units.html>. 42 Based on unpublished analysis of 2015, 2017, and 2019 American Housing Survey internal use files. Understanding and Using American Community Survey Data 29 What Federal Agencies Need to Know 29 U.S. Census Bureau Given the results in Table 6.2, it’s reasonable to conclude that the linking process performed well enough to ensure that the ACS housing units flagged as HUD-assisted units are a representative cross-section of all pos- sible ACS housing units that are truly HUD-assisted units. In statistical terms, although there are false negatives (positives), they appear to be limited in quantity, and we feel their omission (inclusion) should not result in biased estimates of housing or household characteristics of HUD-assisted households. Regardless of the extent to which our linking process introduced any bias, a method for overcoming this bias is described in the technical report.43 Table 6.2. Results of HUD/ACS Administrative Linking All PH HCV PBRA 2015 2016 2017 HUD records provided to Census . . . . . . . . . . . . . . . . . . . . . . . . ACS estimate of HUD-assisted households . . . . . . . . . . . . . . . ACS estimate as share of HUD records . . . . . . . . . . . . . . . . . . . ACS 90 percent margin of error . . . . . . . . . . . . . . . . . . . . . . . . . HUD records provided to Census . . . . . . . . . . . . . . . . . . . . . . . . ACS estimate of HUD-assisted households . . . . . . . . . . . . . . . ACS estimate as share of HUD records . . . . . . . . . . . . . . . . . . . ACS 90 percent margin of error . . . . . . . . . . . . . . . . . . . . . . . . . HUD records provided to Census . . . . . . . . . . . . . . . . . . . . . . . . ACS estimate of HUD-assisted households . . . . . . . . . . . . . . . ACS estimate as share of HUD records . . . . . . . . . . . . . . . . . . . ACS 90 percent margin of error . . . . . . . . . . . . . . . . . . . . . . . . . 4,757,000 4,678,000 98.3% 0.7% 4,760,000 4,623,000 97.1% 0.7% 4,744,000 4,615,000 97.3% 0.80% 998,200 1,021,000 102.3% 1.4% 1,014,000 1,001,000 98.7% 1.5% 977,100 979,700 100.3% 1.50% 2,265,000 2,256,000 99.6% 1.2% 2,300,000 2,248,000 97.7% 1.1% 2,313,000 2,268,000 98.1% 1.10% 1,494,000 1,400,000 93.7% 1.3% 1,446,000 1,374,000 95.0% 1.1% 1,453,000 1,367,000 94.1% 1.30% Note: ACS = American Community Survey. HCV = Housing Choice Voucher program. PBRA = project-based rental assistance. PH = public housing. Source: Authors’ analysis of American Community Survey (ACS) and U.S. Department of Housing and Urban Development (HUD) data. Uses of the Linked Data In this section, we illustrate two uses of the linked data to produce estimates that are otherwise not feasible to derive using HUD rental assistance administrative records alone. On HUD forms 50058 and 50059, current and prospective HUD-assisted renters supply a host of demographic information including age, sex, race, and ethnicity. Consistent with federal guidelines governing the collection of race and ethnicity data, HUD collects race information using five standard categories: White, Black or African American, Asian, American Indian or Alaska Native, and Native Hawaiian or Other Pacific Islander. ACS follows the same federal guidelines but expands the number of categories for Asians from one to six detailed Asian race categories and offers respondents a write-in option.44 The linked HUD/ACS data can be used to estimate the number of HUD-assisted householders reporting their race as Asian by detailed Asian race category. Table 6.3 presents these results from the 2013–2017 ACS 5-year data. The results reveal significant variation within the Asian race groups in the share of households receiving HUD assistance relative to those eligible for HUD assistance. While it is beyond the scope of this case study to explain these differences further, this analysis illustrates the potential value of the data linkage for better understanding who is served by HUD rental assistance programs. 43 Shawn Bucholtz, Emily Molfino, and Quentin Brummet, “Identifying Subsidized Housing Units Within the American Community Survey Through Administrative Record Linkage: A Technical Report,” U.S. Department of Housing and Urban Development, Washington, DC, 2020, <www.huduser.gov/portal/publications/Identifying-Subsidized-Housing-Units.html>. 44 At the time of this analysis, the ACS questionnaire included write-in fields for “Other Asian,” “Other Pacific Islander,” and “Some other race.” Starting with the 2020 ACS questionnaire, there are now write-in fields for “White” and “Black or African American.” For more information, see <www.census.gov/programs-surveys/acs/methodology/questionnaire-archive.html>. 30 Understanding and Using American Community Survey Data 30 What Federal Agencies Need to Know U.S. Census Bureau Table 6.3. Detailed Asian Race for HUD-Assisted Households: 2013–2017 Householder race Asian Indian . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cambodian . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Chinese . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filipino . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hmong . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Japanese . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Korean . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Laotian . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other Asian or Two Groups . . . . . . . . . . . . . . . . . . . . . . . . Vietnamese . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HUD-assisted households 5,973 5,480 53,810 12,340 4,515 3,117 24,000 2,289 9,879 32,370 Source: Authors’ analysis of 2013–2017 American Community Survey, 5-Year Estimates. Households eligible for HUD assistance Share of eligible households receiving HUD assistance (in percent) 105,533 16,640 259,710 82,330 14,389 34,187 116,480 9,847 116,379 89,910 6 33 21 15 31 9 21 23 8 36 As another example, HUD and the U.S. Department of Veterans Affairs (VA) partner to implement the VA Supportive Housing (VASH) program, which provides housing vouchers to homeless veterans. As of 2017, the HUD-VASH program provided housing to nearly 88,000 households with a veteran.45 HUD leaders long sus- pected that other HUD rental assistance programs provided housing to many additional veterans that were not part of the VASH program. As is the case with detailed race and ethnicity data, however, HUD forms 50058 and 50059 do not collect information on veteran’s status. The linked HUD/ACS data can be used to estimate the number of HUD-assisted households with a veteran to inform this program. Table 6.4 below presents these results by year from the ACS 1-year estimates for 2011 through 2017. The results reveal that HUD is serving between 285,000 and 324,000 households with a veteran. Table 6.4. Number of HUD-Assisted Households With Veterans by Year: 2011–2017 Year 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2017 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HUD-assisted households with a veteran 302,000 314,200 289,900 288,200 286,000 285,600 291,900 Source: Author’s analysis of 2011–2017 American Community Surveys, 1-Year Estimates. Conclusion Using a multifaceted approach, we have linked administrative data from HUD’s rental housing assistance pro- grams to ACS housing units for years 2011 through 2017. In each year of the ACS, we identify 61,000 to 78,000 ACS households as being HUD-assisted. Our analysis of the data linkage quality suggests that false-positive links and false-negative links are minimal, enabling high-quality analysis of the linked data. By linking the two data sources, we can learn more about HUD-assisted households without having to conduct an expensive, one-off survey. In the future, this work will continue, and we plan to link HUD administrative records to future years of the ACS as they become available. Our goal with this project was to develop the linkage process and build the linked data sets so researchers at HUD and elsewhere can further explore the data. 45 Ann Elizabeth Montgomery and Meagan Cusack, “HUD-VASH Exit Study: Final Report,” U.S. Department of Housing and Urban Development, Washington, DC, 2017, <www.huduser.gov/portal/publications/HUD-VASH-Exit-Study.html>. Understanding and Using American Community Survey Data 31 What Federal Agencies Need to Know 31 U.S. Census Bureau 7. ADDITIONAL RESOURCES U.S. Census Bureau, What Is the American Community Survey? <www.census.gov/programs-surveys/acs/about.html> U.S. Census Bureau, Geography and ACS <www.census.gov/programs-surveys/acs/geography -acs.html> U.S. Census Bureau, Understanding and Using American Community Survey Data: What All Data Users Need to Know <www.census.gov/programs-surveys/acs/guidance /handbooks/general.html> U.S. Census Bureau, American Community Survey, 2014 Content Review <www.census.gov/programs-surveys/acs/operations -and-administration/2014-content-review.html> U.S. Census Bureau, Questions on the Form and Why We Ask <www.census.gov/acs/www/about/why-we-ask-each -question/> U.S. Census Bureau, ACS Handbook of Questions and Current Federal Uses <www.census.gov/programs-surveys/acs/operations -and-administration/2014-content-review/federal -uses.html> U.S. Census Bureau, Library, Uses of Census Bureau Data in Federal Funds Distribution <www.census.gov/library/working-papers/2017 /decennial/census-data-federal-funds.html> U.S. Census Bureau, ACS Data Releases <www.census.gov/programs-surveys/acs/news/data -releases.html> U.S. Census Bureau, ACS Data Tables and Tools <www.census.gov/acs/www/data/data-tables -and-tools/> U.S. Census Bureau, Census Business Builder (CBB) <www.census.gov/data/data-tools/cbb.html> U.S. Census Bureau, Data.census.gov Resources <www.census.gov/data/what-is-data-census-gov.html> U.S. Census Bureau, State Data Center (SDC) Program <www.census.gov/about/partners/sdc.html> U.S. Census Bureau, American Community Survey (ACS), Custom Tables <www.census.gov/programs-surveys/acs/data/custom -tables.html> U.S. Census Bureau, Federal Statistical Research Data Centers <www.census.gov/fsrdc> U.S. Census Bureau, Center for Economic Studies (CES), Apply for Access <www.census.gov/programs-surveys/ces/data /restricted-use-data/apply-for-access.html> ACS Online Community <https://acsdatacommunity.prb.org/> 32 Understanding and Using American Community Survey Data 32 What Federal Agencies Need to Know U.S. Census Bureau

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