2005-2007 Instructions to Respondents
YOUR ANSWERS ARE CONFIDENTIAL AND REQUIRED BY LAW
The law, Title 13, Sections 141, 193, and 221 of the U.S. Code,
authorizing the American Community Survey, also provides that your
answers are confidential. No one except Census Bureau employees
may see your completed form and they can be fined and imprisoned
for any disclosure of your answers.
The same law that protects the confidentiality of your answers
requires that you provide the information asked
in this survey to the best of your knowledge.
HOW TO FILL OUT THE AMERICAN COMMUNITY SURVEY FORM
Please mark the category or categories in pencil as they apply
to your household. Some questions ask you to print the information.
Make sure you answer questions for each person in this household.
If anyone in the household, such as a roomer or boarder, does not
want to give you his or her personal information, print at least
the person’s name and answer questions 1 and 3. An
interviewer will telephone to get the information from that person.
There may be a question you cannot answer exactly. For example,
you may not know the age of an elderly person or the price for which
your house would sell. Ask someone else in your household; if no
one knows, give your best estimate.
Follow the steps through the questionnaire and read the instructions.
Instructions for completing the individual questions begin on page
5 of this guide. These instructions will help you understand
the questions and to answer them correctly. If you need assistance,
call 1-800-354-7271. The telephone call is free.
INSTRUCTIONS FOR THE SURVEY QUESTIONS
LIST
OF RESIDENTS. List the name of each person who lives at
this address.
If
you are not sure if you should list a person, see the guidelines
on page 2 of the form. If you are still not sure, call 1–800–717–7381
for help.
In
the space labeled Person 1, print the name of the
household member living or staying here in whose name the house
or apartment is owned, being bought, or rented.
If
there is no such person, any adult household member can be Person
1 on the List of Residents.
If
there are more than five people in your household, please list the
names of the additional people on the lines at the bottom of pages
2 and 3.
Complete
this form for the five people listed on the List of Residents, and
mail it back in the enclosed envelope as soon as possible. An interviewer
will telephone to obtain the information for the additional persons.
ANSWER PERSON QUESTIONS 1 THROUGH 6 FOR THE FIRST FIVE PEOPLE
ON THE LIST OF RESIDENTS.
1. Mark one box to indicate whether
the person is male or female.
2. For each person, print the
age at last birthday (print "00" for babies less than 1 year old).
Also print the month, day, and year of birth.
3.
Mark the appropriate category to describe the relationship of each
person to Person 1. If the person is related to
Person 1 by birth, marriage, or adoption, but is
not the Husband or wife, Son or daughter, Brother or sister,
Father or mother, Grandchild, or In-law, of Person 1, mark
the "Other relative" box. Therefore,
a niece or nephew of Person 1 would be categorized as "Other
relative." A parent-in-law, son/daughter-in-law, or
brother/sister-in-law of Person 1 would be categorized as an "In-law."
If
a person is a stepchild or an adopted child of Person 1, mark the
"Son or daughter" box.
If
a person is not related to Person 1, mark the applicable
box. A "Roomer or boarder" is someone
renting a room/space in the house. A "Housemate or
roommate" is someone sharing the house/apartment (but
who is not romantically involved) with Person 1. An "Unmarried
partner," also know as a domestic partner, is a person
who shares a
close personal
relationship with Person 1. A "Foster child" is
someone under the age of 18 who is involved in the formal foster care
system. For all other people who are not related to Person 1 mark
the "Other nonrelative" box. 4.
Mark the
"Now married" box for a married person
regardless of whether his or her spouse is living in the household
unless they are separated. If the person’s
only marriage was annulled, mark the "Never married"
box.
5.
A person is of Spanish/Hispanic/Latino origin if the person’s
origin (ancestry) is Mexican, Mexican American, Chicano, Puerto
Rican, Cuban, Argentinean, Colombian, Costa Rican, Dominican, Ecuadoran,
Guatemalan, Honduran, Nicaraguan, Peruvian, Salvadoran, from other
Spanish-speaking countries of the Caribbean or Central or South
America,
or from Spain. The
term Mexican Am. refers to persons of Mexican origin
or ancestry.
If
you mark the "Yes, other Spanish/Hispanic/Latino"
box, print the name of the specific group.
If
a person is not of Spanish/Hispanic/Latino origin, answer this question
by marking the "No, not Spanish/Hispanic/Latino"
box.
This
question should be answered for ALL persons, regardless
of citizenship status.
6.
Mark one or more categories to indicate what each person considers
himself or herself to be.
If
you mark the "American Indian or Alaska Native"
box, also print the name of the tribe(s) in which the person
is enrolled. If the person is not enrolled in a tribe, print the
name of the principal tribe.
If
you mark the "Other Asian" or the "Other
Pacific Islander" box, print the name of the specific
race(s) or group(s) in the space provided.
The
category Other Asian includes persons who identify
themselves as Burmese, Hmong, Indonesian, Laotian, Pakistani, Thai,
Cambodian, Sri Lankan, and so on.
The
category Other Pacific Islander includes persons
who identify themselves as Fijian, Tongan, Polynesian, Tahitian,
and so on.
If
you mark the "Some other race" box, print
the race(s) or group(s) in the space provided.
This
question should be answered for ALL persons, regardless
of citizenship status.
ANSWER
HOUSING QUESTIONS 1 THROUGH 25 FOR THE ADDRESS ON THE MAILING LABEL.
1. Mark
only one category.
Count
both occupied and vacant apartments in the house or building.
Do
not count stores or office space.
Detached
means there is open space on all sides, or the house is joined
only to a shed or garage. Attached means that the house
is joined to another house or building by at least one wall that
goes from ground to roof. An example of A one-family house
attached to one or more houses is a house in a row of houses
attached to one another, sometimes referred to as a townhouse.
A
mobile home that has had one or more rooms added or built onto it
should be considered as A one-family house detached from
any other house. If only a porch or shed has been added
to a mobile home, it should be considered as a mobile home.
2.
Mark the box that corresponds to the year in which the original
construction was completed, not the time of any later remodeling,
additions, or conversions.
If
you live on a boat or in a mobile home, enter the year corresponding
to the model year in which it was manufactured.
If
you do not know the year the building was first built, enter your
best estimate.
3. Enter
the month and year that Person 1 on the List of
Residents on page 2 last moved into this house, apartment, or mobile
home.
4.
Complete
this question only if you live in a one-family house or in a mobile
home; include only land that you own or rent.
The
number of cuerdas is the land area on which the house or mobile
home is located; include adjoining land you rent for your use.
5. Complete
this item only if this one-family house or mobile home is on 1 or
more cuerdas.
6. Complete
this question only if you live in a one-family house or mobile home.
A business, such as a grocery store or barber shop, is easily recognized
from the outside and usually has a separate entrance. A medical
office is a doctor’s or dentist’s office regularly visited
by patients.
7. Count
only whole rooms in your house, apartment, or mobile home used for
living purposes, such as living rooms, dining rooms, kitchens, bedrooms,
finished recreation rooms, family rooms, etc. DO NOT count
bathrooms, kitchenettes, strip or pullman kitchens, utility rooms,
foyers, halls, half-rooms, porches, balconies, unfinished attics,
unfinished basements, or other unfinished space used for storage.
8. Include
all rooms intended to be used as bedrooms in this house, apartment,
or mobile home, even if they are currently being used for other
purposes.
9. If
you have all of the facilities listed, mark the "Yes,
has all three facilities" box. All facilities must
be in your house, apartment, or mobile home, but not necessarily
in the same room. Consider that you have hot water even if you have
it only part of the time. If any of the three facilities is not
present, mark the "No" box.
10.
The kitchen sink, stove, and refrigerator must be in your house,
apartment, or mobile home but do not have to be in the same room.
Portable cooking equipment is not considered a
range or stove.
11. Mark
the "Yes" box if 1) there is a telephone
in working order, and you receive service at your house, apartment,
or mobile home; 2) if you have a cell phone from which you can both
make and receive calls. If service has been discontinued because
of nonpayment or any other reason, mark the "No"
box.
12. Count
company cars (including police cars and taxicabs) and company trucks
of one-ton (2,000 pounds) capacity or less that are regularly kept
at home and used by household members for nonbusiness purposes.
DO NOT count cars or trucks permanently out of
working order.
13. Mark
the category for the fuel used most to heat your house, apartment,
or mobile home. In buildings containing more than one apartment,
you may obtain this information from the owner, manager, or janitor.
Solar
energy is
provided by a system that collects, stores, and distributes heat
from the sun. Other fuel includes any fuel not
listed separately, such as purchased steam, fuel briquettes, and
waste material.
14a-14d.
If
your house, apartment, or mobile home is rented, enter the costs
for utilities and fuels only if you pay for them in addition
to the monthly rent.
If
you live in a condominium, enter the costs for utilities and fuels
only if you pay for them in addition to your condominium
fee.
If
your fuel and utility costs are included in your rent or condominium
fee, mark the "Included in rent or in condominium fee"
box. DO NOT enter any dollar amounts.
For
items 14a and 14b, report last
month’s costs. For items 14c and 14d,
report total costs for the past 12 months.
Estimate
as closely as possible if you do not know exact costs. If you have
lived in this house, apartment, or mobile home less than one year,
estimate the costs for the past 12 months in 14c and
14d.
Report
amounts even if your bills are unpaid or paid by someone else. If
the bills include utilities or fuel used also by another apartment
or a business establishment, estimate the amounts for your house
or apartment only. If gas and electricity are billed together, enter
the combined amount in 14a and mark the "Included
in electricity payment entered above" box in item
14b.
16.
A condominium is housing in which the apartments, houses,
or mobile homes in a building or development are individually owned,
but the common areas, such as lobbies and halls, are jointly owned.
Occupants of a cooperative should mark the "No"
box.
A
condominium fee is normally assessed by the condominium
owners’ association for the purpose of improving and maintaining
the common areas. Enter a monthly amount even if it is unpaid or
paid by someone else. If the amount is paid on some other periodic
basis, see the instruction for question 18a on
how to change it to a monthly amount.
17.
Housing is owned if the owner or co-owner lives in it.
If
the house, apartment, or mobile home is mortgaged or there is a
contract to purchase, mark the "Owned by you or someone
in this household with a mortgage or loan?" box. If
there is no mortgage or other debt, mark the "Owned
by you or someone in this household free and clear (without a mortgage
or loan)?" box. If the house, apartment, or mobile
home is owned but the land is rented, mark one of the "owned"
categories. If the mobile home is owned without an installment loan,
but there is a mortgage on the land, mark the "Owned
by you or someone in this household with a mortgage or loan?"
box.
If
any money rent is paid, even if the rent is paid by people who are
not members of your household, or paid by a Federal, state, or local
government agency, mark the "Rented for cash rent"
box.
If the unit
is not owned or being bought by the occupants and
if money rent is not paid or contracted, mark the
"Occupied without payment of cash rent" box.
The unit may be owned by friends or relatives who live elsewhere and
who allow you to occupy this house, apartment, or mobile home without
charge. A house or apartment may be provided as part of wages or salary.
Examples are: caretaker’s or janitor’s house or apartment;
parsonages; tenant farmer or sharecropper houses for which the occupants
do not pay cash rent; or military housing. 18a.
Report
the rent agreed to or contracted for, even if the rent for your
house, apartment, or mobile home is unpaid or paid by someone else.
| If rent is paid: |
Multiply rent by: |
|
If rent is paid: |
Divide rent by: |
| By the day........ |
30 |
|
4 times a year...... |
3 |
| By the week ...... |
4 |
|
2 times a year ...... |
6 |
| Every other week ..... |
2 |
|
Once a year ....... |
12 |
18b. If
meals are included in the monthly rent payment, or you must contract
for meals or a meal plan in order to live in this house, apartment,
or mobile home, mark the "Yes" box.
ANSWER
HOUSING QUESTIONS 19–23 ONLY IF YOU OR ANY MEMBER OF THIS HOUSEHOLD
OWNS OR IS BUYING THIS HOUSE. 19.
Mark the
box that corresponds to the value of the property. If this is a
house, include the value of the house, the land it is on, and any
other structures on the same property. If the house is owned but
the land is rented, estimate the combined value of the house and
the land. If this is a condominium unit, estimate the value for
the condominium, including your share of the common elements. If
this is a mobile home, include the value of the mobile home and
the value of the land. If you rent the land, estimate the value
of the rented land and add it to the value of the mobile home.
20. Report
taxes for all taxing jurisdictions (city or town, municipio, school
district, etc.) even if they are included in your mortgage payment;
not yet paid or paid by someone else; or are delinquent. DO
NOT include taxes past due from previous years.
21. When
premiums are paid other than on a yearly basis, convert to a yearly
basis. Enter the yearly amount even if no payment was made during
the past year.
22a. The
word mortgage indicates all types of loans secured by real
estate.
22b.
Enter a monthly amount even if it is unpaid or paid by someone else.
If the amount is paid on some other periodic basis, see the instructions
for 18a to change it to a monthly amount.
Include
payments on first mortgages and contracts to purchase only. Report
payments for second or junior mortgages and home equity loans in
23b.
If this is
a mobile home, report payments on installment loans but do
not include personal property taxes, site rent, registration
fees, and license fees on the mobile home and site. Report these
fees in item 24.
23a.
A second mortgage or home equity loan is also secured by real estate.
You must have a first mortgage in order to have a second mortgage.
You may have a home equity loan and other mortgages on the property
or the home equity loan may be the only mortgage.
23b. Enter
a monthly amount even if it is unpaid or paid by someone else. If
the amount is paid on some other periodic basis, see instructions
for 18a to change it to a monthly amount. Include
payments on all second or junior mortgages or home equity loans.
ANSWER
HOUSING QUESTION 24 ONLY IF THIS IS A MOBILE HOME THAT YOU OWN OR
ARE BUYING.
24.
Report an amount even if your bills are unpaid or paid by someone
else.
Include
payments for personal property taxes, land or site rent, registration
fees and license fees. DO NOT include real estate
taxes already reported in 20. Report the total annual
amount even if you make it in two or more installments. Estimate as
closely as possible when you don’t know exact costs.
25a.
Answer
this question if you have listed at least one person on page 2 of
the form. Mark the "Yes" box if any of
the persons listed on pages 2 and 3 of the form live year round
at the address on the front of the form. Then continue with the
questions on page 7.
If all of
the persons listed on page 2 or 3 DO NOT live or stay at this address
year round, mark the "No" box and continue
with question 25b. 25b. Indicate
how many months a year members of this household stay at this address
(print "01" if it is less than one month).
25c. Mark
the box that identifies the main reason why members of this household
are staying at the house, apartment, or mobile home that uses the
address on the front of the questionnaire.
ANSWER
PERSON QUESTIONS 7 THROUGH 14 FOR ALL PERSONS ON THE LIST OF RESIDENTS.
Questions
7–42 are a continuation of the questions for each person.
(Questions 1–6 appear on pages 2 and 3 of the questionnaire.)
7.
For people born in the United States:
Mark
the "In the United States" box and then
print the name of the state in which the person was born. If the
person was born in Washington, D.C., print District of Columbia.
For
people born outside the United States:
Mark
the "Outside the United States" box,
and then print Puerto Rico or the name of the foreign country or
area where the person was born. Use current boundaries, not boundaries
at the time of the person’s birth. For example, specify whether
Northern Ireland or the Republic of Ireland (Eire); North or South
Korea; England, Scotland, or Wales (not Great Britain or United
Kingdom).
Specify
the particular country or island in the Caribbean (for example, Jamaica,
not West Indies). 8.
If the person was born in Puerto Rico, mark the "Yes,
born in Puerto Rico" box. If the person was born in
a U.S. state, District of Columbia, Guam, the U.S. Virgin Islands,
or Northern Marianas, mark the "Yes, born in a U.S.
state, District of Columbia, Guam,
the U.S. Virgin Islands, or Northern Marianas" box.
If the person was born outside the United States (or at sea) and
has at least one American parent, mark the "Yes, born
abroad of American parent or parents" box. Mark the
"Yes, U.S. citizen by naturalization" box
only if the person has completed the naturalization process and
is now a United States citizen.
9. If
the person entered Puerto Rico more than once, enter the latest
year he or she came to live in Puerto Rico.
10a. A
public school is
any school or college that is controlled and supported primarily
by the Puerto Rico or Federal government. Schools are private
if supported and controlled primarily by religious organizations
or other private groups.
10b.
Answer this question only if the person attended regular school
or college in the last three months. Mark the box that corresponds
to the grade level or college level the person was attending.
11.
Mark only one box to indicate the highest grade or level
of schooling the person has completed or the highest
degree the person received.
Report
schooling completed in foreign or ungraded schools as the equivalent
level of schooling in the regular American school system.
For
persons who completed high school by passing an equivalency test,
such as the General Educational Development (GED) examination, and
did not attend college, mark the "High School Graduate"
box.
Some
of the examples of Professional school degrees include
medicine, dentistry, chiropractic, optometry, osteopathic medicine,
pharmacy, podiatry, veterinary medicine, law, and theology.
DO
NOT include certificates, diplomas or degrees for training
on specific trades such as computer and electronics technology,
auto repair, medical assistant, cosmetology, and other fields at
vocational, technical or business schools.
DO
NOT include honorary degrees awarded by colleges and universities
to individuals for their accomplishments. Include only "earned"
degrees.
12.
Print the ancestry group(s). Ancestry refers to the person’s
ethnic origin or descent, "roots," or heritage. Ancestry
also may refer to the country of birth of the person or the person’s
parents or ancestors before their arrival in Puerto Rico. Answer
this question for ALL persons, regardless of citizenship
status.
Persons
who have more than one origin and cannot identify with a single
ancestry group may report two ancestry groups (for example, German-Irish).
Do
not report a religious group as a person’s ancestry.
13a.
Mark the
"Yes" box if the person sometimes or
always speaks a language other than English at home.
Mark
the "No" box if the person speaks only
English, or if a non-English language is spoken only at school or
is limited to a few expressions or slang.
13b. Print
the name of the language spoken at home. If this person speaks more
than one non-English language and cannot determine which is spoken
more often, report the one the person first learned to speak.
14a.
If the
person is a baby under one year of age, mark the "Person
is under 1 year old" box. Then skip to the questions
for the next person. Do not complete any more questions for the
baby.
If
the person lived in the same house or apartment one year ago, mark
the "Yes, this house" box and then go
to instruction F.
If
the person did not live in Puerto Rico or the United States one
year ago, mark the "No, outside Puerto Rico or the
United States" box and print the name of the foreign
country, or U.S. Virgin Islands, Guam, etc., where the person lived.
Be specific when printing the name of foreign countries, for example,
specify whether Northern Ireland or the Republic of Ireland (Eire);
North or South Korea; England, Scotland or Wales (not Great Britain
or United Kingdom). Specify the particular country or island in
the Caribbean (not, for example, West Indies). Then go to instruction
F.
If
the person lived somewhere else in Puerto Rico or the United States
one year ago, mark the "No, different house in Puerto
Rico or the United States" box. Then in items 14b
and 14c, provide the city, municipio in Puerto Rico, or
U.S. county, state, and ZIP code where the person lived one year
ago.
14b. If
the person did not live inside the city limits, print the name of
the post office.
14c. Mark
the "Yes" box if the city or town is
now inside the city/town limits even if it was not inside the limits
one year ago; that is, if the area was annexed by the city/town
during the last year.
If
the person lived in Louisiana, print the parish name in the "Name
of municipio or U.S. county" space. If the person lived in
Alaska, print the borough or census area name if known. If the person
lived in New York City and the county name is not known, print the
borough name. If the person lived in an independent city (not in
any county) or in Washington, D.C., leave the "Name of municipio
or U.S. county" space blank.
ANSWER
PERSON QUESTIONS 15 AND 16 ONLY IF THIS PERSON IS 5 YEARS OLD OR
OVER.
15.
Mark the
"Yes" or "No" box
for both parts a and b of question 15 to indicate whether the person
has any of the conditions listed.
16. Mark
the "Yes" or "No" box
for parts a and b of question 16 to indicate whether the person
has any difficulty doing any of the activities listed.
ANSWER
PERSON QUESTIONS 17 THROUGH 42 ONLY IF THIS PERSON IS 15 YEARS OLD
OR OVER.
17. Mark
the "Yes" or "No" box
for parts a and b of question 17 to indicate if the person has any
difficulty doing any of the activities listed.
18. Answer
this question if the person is a female who is at least 15 years
old and younger than 51 years old. Mark the "Yes"
box if the person has given birth to at least one child
born alive in the past 12 months, even if the child died or no longer
lives with the mother. Do not consider miscarriages, or stillborn
children, or any adopted, foster, or step children.
19a. Mark
the "Yes" box if the person has at least
one of his or her own grandchildren, who is under 18 years of age,
living in the house, apartment, or mobile home.
19b. Answer
this question if the person has at least one of his or her own grandchildren
living in the house, apartment, or mobile home. Mark the "Yes"
box if the person is currently responsible for the basic
needs of the grandchild or grandchildren.
19c. Mark
one box to indicate the length of time the person has been providing
for the basic needs of his or her grandchild or grandchildren.
20. For
a person with service in the National Guard or military Reserves,
mark a Yes category only if the person has ever
been called up for active duty other than for training. For a person
whose only service was as a civilian employee or civilian volunteer
for the Red Cross, USO, Public Health Service, or War or Defense
Department, mark the "No, never served in the military"
box. Count World War II Merchant Marine
service as active duty; DO NOT count other Merchant
Marine service as active duty.
21. Mark
a box for EACH period served, even if service in
the period was brief.
22. Do
not round the answer. For example, if total service is 1 year and
10 months, mark the "Less than 2 years" box.
23.
Count as work – Mark the "Yes" box
if this person performed:
- Work for someone else for wages, salary, piece rate, commission,
tips, or payments "in kind" (for example, food or lodging received
as payment for work performed).
- Work in own business, professional practice, or farm.
- Any work in a family business or farm, paid or not.
- Any part-time work including babysitting, paper routes, etc.
- Active duty in the Armed Forces.
Do
not count as work – Mark the "No" box
if this person performed:
- Housework or yard work at home.
- Unpaid volunteer work.
- School work done as a student.
- Work done as a resident of an institution.
24.
Include
the development or condominium name (for example, Urb. Santa Rosa
or Cond. Marbella); the house or structure number; street name;
street type (for example, St., Road, Ave.); and the street direction
(if a direction such as "North" is part of the address).
For example, print 1239 N. Main St. or 1239 Main St., N.W., not
just 1239 Main.
If
the only known address is a post office box, give a description
of the work location. For example, print the name of the building
or shopping center where the person works, the nearest intersection,
or the nearest street where the workplace is located, etc. DO NOT
GIVE
A POST OFFICE BOX NUMBER.
If
the person worked at a military installation or military base that
has no street address, report the name of the military installation
or base, and a description of the work location (such as building
number, building name, nearest street or intersection).
If
the person worked at several locations, but reported to the
same location each day to begin work, print the street address of
the location where he or she reported. If the person did not report
to the same location each day to begin work, print the address of
the location where he or she worked most of the time last week.
If
the person’s employer operates in more than one location (such
as a grocery store chain or public school system), print the development
or condominium name and street address of the location or branch
where the person worked. If the street address of a school is not
known, print the name of the school, and a description of the location
(such as nearest street or intersection).
If
the person worked on a college or university campus and the
street address of the workplace is not known, print the name of
the building where he or she worked, and a description of the location
(such as nearest street or intersection).
If
the person worked in a foreign country or Guam, U.S. Virgin Islands,
etc., print the name of the country on the state or foreign
country line and then go to question 25.
25. If
the person usually used more than one type of transportation to
get to work (for
example, drove to public transportation), mark the category of the
one method of transportation that he or she used for most of the
distance during the trip.
26.
If
the person was driven to work by someone who then drove back home
or to a nonwork destination, enter 1 in the
box labeled Person(s).
DO
NOT include persons who rode to school or some other nonwork
destination in the count of persons who rode in the vehicle.
27.
Give the
time of day the person usually left home to go to work.
DO
NOT give the time that the person usually began his or
her work.
If
the person usually left home to go to work sometime between
12:00 o’clock midnight and 12:00 o’clock noon,
mark a.m.
If
the person usually left home to go to work sometime between
12:00 o’clock noon and 12:00 o’clock midnight,
mark p.m.
28. Travel
time is from door to door. Include time waiting for public transportation
or picking up passengers in a carpool.
ANSWER
PERSON QUESTIONS 29a THROUGH 32 ONLY IF THE PERSON DID NOT WORK
LAST WEEK.
29a. Persons
are on layoff if they are waiting to be recalled to a job from which
they were temporarily separated for business-related reasons.
29b. If
the person works only during certain seasons or on a day-by-day
basis when work is available, mark the "No" box.
30. Mark
the"Yes" box if the person tried to get
a job or start a business or professional practice at any time in
the last 4 weeks; for example, registered at an employment office,
went to a job interview, placed or answered ads, or did anything
toward starting a business or professional practice.
31.
If the
person was expecting to report to a job within 30 days, mark the
"Yes, could have gone to work" box.
Mark
the"No, because of own temporary illness" box
only if the person expects to be able to work within 30 days.
If the person
could not have gone to work because he or she was going to school,
taking care of children, etc., mark the "No, because
of all other reasons (in school, etc.)" box.
32. Refer
to the instructions for question 23 to determine
what to count as work. Mark the "Over 5 years ago or
never worked" box if the person: (1) never worked
at any kind of job or business, either full or part time, (2) never
worked, with or without pay, in a family business or farm, and (3)
never served on active duty in the Armed Forces.
33. Refer
to the instructions for question 23 to determine
what to count as work. Include paid vacation, paid sick leave, and
military service. Count every week in which the person worked at
all, even for an hour.
34.
If the
hours worked each week varied considerably in the past 12 months,
give an approximate average of the hours worked each week.
ANSWER
PERSON QUESTIONS 35 THROUGH 40 ONLY IF THE PERSON WORKED IN THE
PAST 5 YEARS.
35.
Mark the
"An employee of a PRIVATE NOT FOR PROFIT, tax-exempt,
or charitable organization?" box if the person worked
for a cooperative, credit union, mutual insurance company, or similar
organization.
Employees
of foreign governments, the United Nations, and other international
organizations should mark the "A Federal GOVERNMENT
employee" box.
If the person
worked at a public school, college or university, mark the appropriate
government category; for example, mark the "a
state GOVERNMENT employee" box for a state university,
or mark the "a local GOVERNMENT employee" box
for a municipio agency. 36.
If the
person worked for a company, business, or government agency, print
the name of the company, not the name of the person’s supervisor.
If the person worked for an individual or a business that had no
company name, print the name of the individual worked for. If the
person worked in his or her own un-named business, print "self-employed."
37.
Print
one or more words to describe the business, industry, or individual
employer named in question 36. If there is more
than one activity, describe only the major activity at the place
where the person worked. Enter what is made, what is sold, or what
service is given.
Enter
descriptions like the following: Metal
furniture manufacturing, Retail grocery store, Petroleum refining,
Cattle ranch Do not enter: Furniture company, Grocery
store, Oil company, Ranch
39.
Print
one or more words to describe the kind of work the person did. If
the person was a trainee, apprentice, or helper, include that in
the description.
Enter
descriptions like the following: Registered nurse, Personnel
manager, High school teacher.
Do
not enter single words such as: Nurse, Manager, Teacher
ANSWER
PERSON QUESTIONS 41 THROUGH 42 ONLY IF THIS PERSON IS 15 YEARS OLD
OR OVER.
Mark
the "Yes" or "No" box
for each part, and enter the amount received in the past 12 months
for each "Yes" response.
If
income from any source was received jointly by household members,
report, if possible, the appropriate share for each person; otherwise,
report the whole amount for only one person and mark the"No"
box for the other person.
When
reporting income received jointly, DO NOT include
the amount for a person not listed on the List of Residents.
41a.
Include
wages and salaries before deductions from ALL jobs.
Be sure to include any tips, commissions, or bonuses. Owners of
incorporated businesses should enter their salary here. Military
personnel should include base pay plus cash housing and/or
subsistence
allowance, flight pay, uniform allotments, reenlistment bonuses.
41b.
Include
NONFARM profit (or loss) from self-employment in
sole proprietorships and partnerships. Exclude profit (or loss)
of incorporated businesses you own.
Include
FARM profit (or loss) from self-employment in sole
proprietorships and partnerships. Exclude profit (or loss) of incorporated
farm businesses you own. Also exclude amounts from land rented for
cash but include amounts from land rented for
shares.
41c.
Include
interest received or credited to checking and saving accounts, money
market funds, certificates of deposit (CDs), IRAs, KEOGHs, and government
bonds.
Include
dividends received, credited, or reinvested from ownership of stocks
or mutual funds.
Include
profit (or loss) from royalties and the rental of land, buildings
or real estate, or from roomers or boarders. Income received by
self-employed persons whose primary source of income is from renting
property or from royalties should be included in question 41b
above. Include regular payments from an estate or trust
fund.
41d. Include
amounts, before Medicare deductions, of Social Security and/or Railroad
Retirement payments to retired persons, to dependents of deceased
insured workers, and to disabled workers.
41e. Include
Supplemental Security Income (SSI) received by elderly, blind, or
disabled persons.
41f. Include
any public assistance or welfare payments the person receives from
the Puerto Rico government or the municipio welfare office. Do not
include assistance received from private charities. Do not include
assistance to pay heating or cooling costs.
41g. Include
retirement, survivor or disability benefits received from companies
and unions, Federal, state, Puerto Rico and municipio governments,
and the U.S. military. Include regular income from annuities and
IRA or KEOGH retirement plans.
41h.
Include
Veterans’ (VA) disability compensation and educational assistance
payments (VEAP); unemployment compensation, child support or alimony;
and all other regular payments such as Armed Forces transfer payments,
assistance from private charities, regular contributions from persons
not living in the household.
Do
Not include the following as income in any item:
- Refunds or rebates of any kind
- Withdrawals from savings of any kind
- Capital gains or losses from the sale of homes, shares of stock,
etc.
- Inheritances or insurance settlements
- Any type of loan
- Pay in-kind such as food, free rent
42.
Add the
total entries (subtracting losses) for 41a through
41h for the past 12 months and enter that number
in the space provided.
What
the Survey Is About -- Some Questions and Answers
Why
are we taking a survey?
The
Census Bureau is conducting the Puerto Rico Community Survey to
provide more timely data than data we typically collect only once
every 10 years during the decennial census.
What
does the Census Bureau do with the information you provide?
The
Puerto Rico Community Survey will be the source of summarized data
that we make available to federal, Puerto Rico, and local governments,
and also to the public. The data will enable your community leaders
from government, business, and non-profit organizations to plan
more effectively.
How
was this address selected?
Your
address was scientifically selected to represent a cross section
of other households in your community. Households in the sample
are required to complete the survey form. Please return it in the
postage-paid envelope as soon as possible.
Why
the Census Bureau Asks Certain Questions –
Here
are reasons we ask some of the questions on the survey.
Name
Names
help make sure that everyone in a household is included on the List
of Residents, but that no one is listed twice.
Value
or rent
Government
and planning agencies use answers to these questions in combination
with other information to develop housing programs to meet the needs
of people at different economic levels.
Complete
plumbing
This
question helps provide information on the quality of housing. The
data are used with other statistics to show how the "level
of living" compares in various areas and how it changes over
time.
Place
of birth
This
question provides information used to study long-term trends about
where people move and to study migration patterns and differences
in growth patterns.
Job
Answers
to the questions about the jobs people hold provide information
on the extent and types of employment in different areas of Puerto
Rico. From this information, communities can develop training programs,
and business and local governments can determine the need for new
employment opportunities.
Income
Income
helps determine how well families or persons live. Income information
makes it possible to compare the economic levels of different areas,
and how economic levels for a community change over time. Funding
for many government programs is based on the answers to these questions.
Education
Responses
to the education questions in the survey help to determine the number
of public schools, education programs, and daycare services required
in a community.
Disability
Questions
about disability provide the means to allocate Federal funding for
healthcare services and new hospitals in many communities.
Journey
to work
Answers
to these questions help communities plan road improvements, develop
public transportation services, and design programs to ease traffic
problems.
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