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"~- To speed disaster relief to the affected areas, emergency management agencies <br />,, use census numbers to determine the number of people displaced by earthquakes, <br />~ ~ hurricanes, floods and other natural disasters. <br />In cities and towns across the country, community leaders use census numbers to <br />decide where to locate police and fire stations and other public services. The census <br />helps local government and community organizations locate fadlities such as day-care <br />centers, senior dtizen community centers, health-care dinics and even playgrounds. <br />What Is Asked on the Short Farm? <br />YOtlr <br />participation in <br />Census 2000 is <br />important, safe <br />and easy. <br />Just complete <br />the form and mail <br />it back. <br />For additional information <br />about Census 2000, visit <br />the Census Bureau's <br />Internet site at <br />http://www.census.gov <br />or Dell one of our <br />Regional Census Centers <br />across the country: <br />Atlanta 404331-0873 <br />Boston 817-424-4977 <br />Charlotte 704344-8824 <br />Chioago 312-383-9789 <br />Dallas a14-e8e-3oeo <br />Denver 303-23I-8029 <br />Detroit 248-987-9824 <br />Senses City 818-801-2020 <br />Los Angeles 818-9048822 <br />New York City 212-820-7702 <br />or 2I2-820.7703 <br />Philadelphia 218-897-8312 <br />Seattle 208-883-8882 <br />The short form asks about six population subjects and one housing subject and <br />takes 10 minutes to complete, on average. <br />Name <br />Sex <br />Age <br />Relationship <br />Hispanic origin <br />Race <br />Tenure <br />(whether the home is owned <br />or rented) <br />What Is Asked on the Long Form? <br />The long form asks about the same subjects as the short form plus 27 more, <br />for a total of 34 subjects. The average household can complete this form in <br />approximately 38 minutes. <br />Population <br />Marital status <br />Place of birth, citizenship and <br />year of entry <br />School enrollment and <br />educational attainment <br />Ancestry <br />Residence five years ago (migration) <br />Language spoken at home <br />Veteran status <br />Disability <br />Grandparents as caregivers <br />Labor force status (current) <br />Place of work and journey to work <br />Work status last year <br />Industry, occupation and class of worker <br />Income (previous year) <br />Housing <br />Units in structure <br />Number of rooms <br />Number of bedrooms <br />Plumbing and kitchen facilities <br />Year structure built <br />Year moved into unit <br />House heating fuel <br />Telephone <br />Vehicles available <br />Farm residence <br />Value of home <br />Monthly rent (including congregate <br />housing) <br />Shelter costs (selected monthly <br />owner costs) <br />The Law Protects Your Answers. <br />By law, the Census Bureau cannot share your answers with others, including <br />welfare agencies, the Immigration and Naturalization Service, the Internal Revenue <br />Service, courts, police and the military. Anyone who breaks this law can receive <br />up to five years in prison and $5,000 in fines. The law works -millions of <br />questionnaires were processed during the 1990s without any breach of trust. <br />U.S. Census Bureau <br />