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Census 2000 used two questionnaires-a long-form (sample) and a short-form (100 percent) questionnaire. The short-form questionnaire consisted of 7 questions that could be answered by up to 6 persons within a household (see questions 1-6 and 33 on long-form questionnaire reproduced here). Space was provided to identify 6 additional members of the household. The U.S. Census Bureau would collect data on persons 7-12 by telephone interview.

sample of households throughout the United States and territories, contained 29 inquiries in addition to the 8 questions asked on the short-form questionnaire. These additional quesitons, as in the past, collected information on the population, housing, economic, and social characteristics of the Nation's households.

Measuring America

97

2000 Questionnaire

[graphic]

The "Informational Copy" shows

the content of the United States Census 2000 "long" form questionnaire. Each household will receive either a short form (100-percent questions) or a long form (100-percent and sample questions). The long form questionnaire includes the same 6 population questions and

1 housing question that are on the Census 2000 short form, plus 26 additional population questions, and 20 additional housing

questions. On average, about 1 in
every 6 households will receive the
long form. The content of the forms
resulted from reviewing the 1990
census data, consulting with
federal and non-federal data users,
and conducting tests.

For additional information about
Census 2000, visit our website at
www.census.gov or write to the
Director, Bureau of the Census,
Washington, DC 20233.

98

Form D-61B

If you need help completing this form, call 1-800-XXX-XXXX between 8:00 a.m. and 9:00 p.m., 7 days a week. The telephone call is free.

TDD - Telephone display device for the hearing impaired. Call 1-800-XXX-XXXX between 8:00a.m. and 9:00 p.m., 7 days a week. The telephone call is free.

¿NECESITA AYUDA? Si usted necesita ayuda para completar este cuestionario llame al 1-800-XXX-XXXX entre las 8:00 a.m. y las 9:00 p.m., 7 días a la semana. La llamada telefónica es gratis.

The Census Bureau estimates that, for the average household, this form will take about
38 minutes to complete, including the time for reviewing the instructions and answers.
Comments about the estimate should be directed to the Associate Director for Finance and
Administration, Attn: Paperwork Reduction Project 0607-0856, Room 3104, Federal
Building 3, Bureau of the Census, Washington, DC 20233.

Respondents are not required to respond to any information collection unless it displays a valid approval number from the Office of Management and Budget.

OMB No. 0607-0856: Approval Expires 12/31/2000

Measuring America

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