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 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 For additional information about 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 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 |