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'LEASE DO NOT FILL OUT THI~~RM. <br />This is not an ~icial census form. It is for informational <br /> <br />IIIII <br />The "Informational Copy" shows <br />the content of the United States <br />Census 2000 "long" form <br />questionnaire. Each household will f <br />receive either a short form <br />(100-percent questions) or a long <br />form (100-percent and sample <br />questions). The long form <br />questionnaire includes~the same <br />6 population questions and <br />1 housing question that are on the <br />Census 2000 short form, plus <br />^~ additional population questions, - <br />d 20 additional housing <br />questions. On average, about 1 in ' <br />every 6 households will receive the <br />long form. The content of the forms <br />resulted from reviewing the 1990 <br />census data, consulting with <br />federal and non-federal data users, <br />and conducting tests. <br />For additional information about i <br />Census 2000, visit our website at <br />www.census.gov or write to the <br />Director, Bureau of the Census, <br />Washington, DC 20233. <br />~~ ~ <br />Start Here Please use a black or <br />blue pen. <br />O How many people were living or staying in this house, <br />apartment, or mobile home on April 1, 2000? `_', <br />~`- -~ <br />Number of people ~~~~;'J- <br />,~ . <br />,-- <br />INCLUDE in this number. ``~=: <br />• foster children, roomers, o~ housemates <br />~~~...,~ <br />• people staying here on :~.ril"1, 2000 who <br />have no other peren3rt~nt place to stay <br />• people living her~m: t of the time while <br />working, even.i~.they have another place to live <br />DO NOT INCLUDE in this number: <br />• college. s:'udents living away while <br />att~nd;rg college <br />• peoF ~~in a correctional facility, nursing home, <br />~_ or.-mental hospital on April 1, 2000 <br />. • Armed Forces personnel living somewhere else <br />•~ ~ people who live or stay at another place most <br />-- - of the time <br />© Please turn the page and print the names of all the <br />people living or staying here on April 1, 2000. <br />if you need help completing this form, call 1-80~XXX-~(aLY between 8:00 a.m. and <br />9:00 p.m., 7 days a week The telephone call is free. <br />TDD -Telephone display device for the hearing•impaired. Ca111-S00-XXX-x'GYX between <br />8.00 a.m. and 9'00 p.m., 7 days a week fie telephone cal! is free. <br />~NEC1ESlTA AYUDAT Si usted necesita ayuda pars completer esie aestionario flame al <br />1-800-)00(-X)G~G(entre /as 8:00 a.m. y las 9:00 pm., 7 dlas a la semana. La llamada <br />telefbnio es grains <br />The Census Bureau estimates that, for the average household, this form will take about <br />• 38 minutes to complete, including the time for reviewing the instructions and answers. <br />Comments about the estimate should be directed to the Associate Director for Finance and <br />Administration, Attn: Paperwork Reduction Project 0607-0856, Room 3104, Federal <br />Building 3, Bureau of the Census, Washington, OC 20233. <br />Responderrts are not required to respond to any information collection unless it displays a <br />r~, valid approval number from the Office of Management and Budget <br />