#BJAJ ,c5sus ,BRL ,LANGUAGE ,ASSI/.E ,GUIDE ;,D-#FJ 7,BRL7 ,9 ,"O ,"P ,PAGES ;I-;II & #A-AA ,,SPECIAL ,,SYMBOLS ,,US$ ,,9 ,,? ,,"P ,-PUT] ,BRL ,CODE _+ ,2G9 ,-PUT] ,BRL ,CODE4 _: ,5D ,-PUT] ,BRL ,CODE4 < ,less ?an4 : ,COLON4 / ,SLA%1 DIVI.N SIGN4 . 7#D-F7 ,P]IOD4 > ,grt] ?an4 _& ,3T9U,N 9DICATOR4 #BJAJ ,C5SUS #A ,"QNAIRE ,EXAMPLE ,BRL ,GUIDE ,? GUIDE IS A REPLICA ( C5SUS "QS1 9/RUC;NS1 & ANSW] CATEGORIES T APPE> ON YR (FICIAL #BJAJ ,C5SUS "QNAIRE4 ,F9D YR ANSW]S 9 ? GUIDE1 B !N M>K YR RESPONSE 9 ! SAME "Q ON YR (FICIAL #BJAJ ,C5SUS "QNAIRE4 ,MAIL BACK YR -PLET$ (FICIAL #BJAJ ,C5SUS "QNAIRE4 .,D .N MAIL BACK ? GUIDE4 .,/>T ."H ..,USE A BLUE OR BLACK P54 ..,! ,C5SUS M/ C.T E P]SON LIV+ 9 ! ,UNIT$ ,/ATES ON ,APRIL #A1 #BJAJ4 ..,2F Y ANSW] ,"Q #A1 C.T ! P LIV+ 9 ? H\SE1 A"P;T1 OR MOBILE HOME US+ \R .GUIDEL9ES4 ,C.T ALL P1 9CLUD+ BABIES1 :O LIVE & SLEEP "H MO/ (! "T4 ..,! ,C5SUS ,BUR1U AL 3DUCTS C.TS 9 9/ITU;NS & O!R PLACES1 .S3 ,D N C.T ANY"O LIV+ AWAY EI AT COLLEGE OR 9 ! ,>M$ ,=CES4 ,D N C.T ANY"O 9 A NURS+ HOME1 JAIL1 PRISON1 DET5;N FACIL;Y1 ETC41 ON ,APRIL #A1 #BJAJ4 ,L1VE ^! P (F YR =M1 EV5 IF !Y W RETURN 6LIVE "H AF !Y L1VE COLLEGE1 ! NURS+ HOME1 ! MILIT>Y1 JAIL1 ETC4 ,O!RWISE1 !Y MAY 2 C.T$ TWICE4 ..,! ,C5SUS M/ AL 9CLUDE P )\T A P]MAN5T PLACE 6/AY1 .S3 ,IF "S"O :O HAS NO P]MAN5T PLACE 6/AY IS /AY+ "H ON ,APRIL #A1 #BJAJ1 C.T T P]SON4 ,O!RWISE1 HE OR %E MAY 2 MISS$ 9 ! C5SUS4 #A4 ,H[ _M P 7 LIV+ OR /AY+ 9 ? H\SE1 A"P;T1 OR MOBILE HOME ON ,APRIL #A1 #BJAJ8 ,NUMB] ( P EQUALS ---- #B4 ,7 "! ANY .A4I;NAL P /AY+ "H ,APRIL #A1 #BJAJ T Y .DID .N .9CLUDE 9 ,"Q #A8 ..,M>K ,7;,X7' ALL T .APPLY4 ,*N1 S* Z NEWBORN BABIES OR #C FO/] *N ,RELATIVES1 S* Z ADULT *N1 C\S9S1 OR IN-LAWS ,NONRELATIVES1 S* Z ROOMMATES OR LIVE-IN BABY SITT]S ,P /AY+ "H TEMPOR>ILY ,NO A4I;NAL P #C4 ,IS ? H\SE1 A"P;T1 OR MOBILE HOME-- ..,M>K ,7;,X7' ,,"O .BOX4 ,[N$ 0Y OR "S"O 9 ? H\SEHOLD )A MORTGAGE OR LOAN8 ..,9CLUDE HOME EQU;Y .LOANS4 ,[N$ 0Y OR "S"O 9 ? H\SEHOLD FREE & CLE> 7)\T A MORTGAGE OR LOAN78 ,R5T$8 ,O3UPI$ )\T PAY;T ( R5T8 #D4 ,:AT IS YR TELEPH"O NUMB]8 ..,WE MAY CALL IF WE DON'T "U/& AN .ANSW]4 ,>EA ,CODE PLUS ,NUMB] ---- #E4 ,PL1SE PROVIDE 9=M,N = EA* P]SON LIV+ "H4 ,/>T )A P]SON LIV+ "H :O [NS OR R5TS ? H\SE1 A"P;T1 OR MOBILE HOME4 ,IF ! [N] OR R5T] LIVES "S": ELSE1 />T ) ANY ADULT LIV+ "H4 ,? W 2 ,P]SON #A4 ,:AT IS ,P]SON #A'S "N8 .,PR9T ."N .2L4 ,LA/ ,"N ---- ,F/ ,"N ---- ,,MI ---- #F4 ,:AT IS ,P]SON #a'S SEX8 ..,M>K ,7;,X7' ,,"O .BOX4 ,MALE ,FEMALE #G4 ,:AT IS ,P]SON #a'S AGE & :AT IS ,P]SON #a'S DATE ( BIR?8 ..,PL1SE REPORT BABIES Z AGE #J :5 ! * IS LESS ?AN #A YE> OLD4 ,PR9T NUMB]S 9 .BOXES4 ,AGE ON ,APRIL #A1 #BJAJ ---- ,MON? ---- ,"D ---- ,YE> ( BIR? ---- ,,NOTE3 ,PL1SE ANSW] ,,BO? ,"Q #H AB ,HISPANIC ORIG9 & ,"Q #I AB RACE4 ,= ? C5SUS1 ,HISPANIC ORIG9S >E N RACES4 #H4 ,IS ,P]SON #A ( ,HISPANIC1 ,LAT9O1 OR ,SPANI% ORIG98 #E .,NO1 N ( ,HISPANIC1 ,LAT9O1 OR ,SPANI% ORIG9 ,YES1 ,MEXICAN1 ,MEXICAN ,AM]ICAN1 ,*ICANO ,YES1 ,PU]TO ,RICAN ,YES1 ,CUBAN ,YES1 ANO!R ,HISPANIC1 ,LAT9O1 OR ,SPANI% ORIG9--..,PR9T ORIG91 = EXAMPLE1 ,>G5T91N1 ,COLOMBIAN1 ,DOM9ICAN1 ,NIC>AGUAN1 ,SALVADORAN1 ,SPANI>D1 & S .ON4 ---- #I4 ,:AT IS ,P]SON #A'S RACE8 ..,M>K ,7;,X7' "O OR M .BOXES4 ,:ITE ,BLACK1 ,AFRICAN ,AM]ICAN1 OR ,NEGRO ,AM]ICAN ,9DIAN OR ,ALASKA ,NATIVE--..,PR9T "N ( 5ROLL$ OR PR9CIPAL .TRIBE4 ---- ,ASIAN ,9DIAN ,*9ESE ,FILIP9O ,O!R ,ASIAN--..,PR9T RACE1 = EXAMPLE1 ,HM;G1 ,LAOTIAN1 ,?AI1 ,PAKI/ANI1 ,CAMBODIAN1 & S .ON4 ---- ,JAPANESE ,KOR1N ,VIETNAMESE ,NATIVE ,HAWAIIAN ,GUAMANIAN OR ,*AMORRO ,SAMOAN ,O!R ,PACIFIC ,ISL&]--..,PR9T RACE1 = EXAMPLE1 ,FIJIAN1 ,T;GAN1 & S .ON4 ---- ,"S O!R RACE--.,PR9T .RACE4 ---- #AJ4 ,DOES ,P]SON #A "S"TS LIVE OR /AY "S": ELSE8 ,NO ,YES--..,M>K ,7;,X7' ALL T .APPLY3 ,9 COLLEGE H\S+ ,9 ! MILIT>Y ,AT A S1SONAL OR SECOND RESID;E ,= * CU/ODY ,9 JAIL OR PRISON ,9 A NURS+ HOME ,= ANO!R R1SON #G ,IF M P 7 C.T$ 9 ,"Q #A1 3T9UE ) ,P]SON #B4 #A4 ,PR9T "N ( ,P]SONS #B-F ,LA/ ,"N ---- ,F/ ,"N ---- ,,MI ---- #B4 ,H[ IS ? P]SON RELAT$ 6,P]SON #A8 ..,M>K ,7;,X7' ,,"O .BOX4 ,HUSB& OR WIFE ,BIOLOGICAL SON OR DAU5T-IN-LAW ,SON-IN-LAW OR DAUD] ,H\SEMATE OR ROOMMATE ,UNM>RI$ "PN] ,O!R NONRELATIVE #C4 ,:AT IS ? P]SON'S SEX8 ..,M>K ,7;,X7' ,,"O .BOX4 ,MALE ,FEMALE #D4 ,:AT IS ? P]SON'S AGE & :AT IS ? P]SON'S DATE ( BIR?8 ..,PL1SE REPORT BABIES Z AGE #J :5 ! * IS LESS ?AN #A YE> OLD4 ,PR9T NUMB]S 9 .BOXES4 ,AGE ON ,APRIL #A1 #BJAJ ---- ,MON? ---- ,"D ---- ,YE> ( BIR? ---- ,,NOTE3 ,PL1SE ANSW] ,,BO? ,"Q #E AB ,HISPANIC ORIG9 & ,"Q #F AB RACE4 ,= ? C5SUS1 ,HISPANIC ORIG9S >E N RACES4 #E4 ,IS ? P]SON ( ,HISPANIC1 ,LAT9O1 OR ,SPANI% ORIG98 .,NO1 N ( ,HISPANIC1 ,LAT9O1 OR ,SPANI% ORIG9 ,YES1 ,MEXICAN1 ,MEXICAN ,Am41 ,*ICANO ,YES1 ,PU]TO ,RICAN ,YES1 ,CUBAN ,YES1 ANO!R ,HISPANIC1 ,LAT9O1 OR ,SPANI% ORIG9--..,PR9T ORIG91 = EXAMPLE1 ,>G5T91N1 #I ,COLOMBIAN1 ,DOM9ICAN1 ,NIC>AGUAN1 ,SALVADORAN1 ,SPANI>D1 & S .ON ---- #F4 ,:AT IS ? P]SON'S RACE8 ..,M>K ,7;,X7' "O OR M .BOXES4 ,:ITE ,BLACK1 ,AFRICAN ,AM]ICAN1 OR ,NEGRO ,AM]ICAN ,9DIAN OR ,ALASKA ,NATIVE--..,PR9T "N ( 5ROLL$ OR PR9CIPAL .TRIBE4 ---- ,ASIAN ,9DIAN ,*9ESE ,FILIP9O ,O!R ,ASIAN--..,PR9T RACE1 = EXAMPLE1 ,HM;G1 ,LAOTIAN1 ,?AI1 ,PAKI/ANI1 ,CAMBODIAN1 & S .ON4 ---- ,JAPANESE ,KOR1N ,VIETNAMESE ,NATIVE ,HAWAIIAN ,GUAMANIAN OR ,*AMORRO ,SAMOAN ,O!R ,PACIFIC ,ISL&]--..,PR9T RACE1 = EXAMPLE1 ,FIJIAN1 ,T;GAN1 & S .ON ---- ,"S O!R RACE--.,PR9T .RACE4 ---- #G4 ,DOES ? P]SON "S"TS LIVE OR /AY "S": ELSE8 ,NO ,YES--..,M>K ,7;,X7' ALL T .APPLY4 ,9 COLLEGE H\S+ ,9 ! MILIT>Y ,AT A S1SONAL OR SECOND RESID;E ,= * CU/ODY ,9 JAIL OR PRISON ,9 A NURS+ HOME ,= ANO!R R1SON ,IF M P 7 C.T$ 9 ,"Q #A ON ! FRONT PAGE1 3T9UE ) P]SON #C4 ,USE ? SEC;N 6-PLETE 9=M,N =! RE/ (! P Y C.T$ 9 ,"Q #A ON ! FRONT PAGE4 ..,WE MAY CALL = A4I;NAL 9=M,N AB .!M4 ,P]SONS #G-AB ,LA/ ,"N ---- #aa ,F/ ,"N ---- ,,MI ---- ,SEX ,MALE ,FEMALE ,AGE ON ,APRIL #A1 #BJAJ ---- ,DATE ( ,BIR? ---- ,MON? ---- ,"D ---- ,YE> ---- ,RELAT$ 6,P]SON #A8 ,YES ,NO ,= A4I;NAL 9=M,N AB ! #BJAJ ,C5SUS1 PL1SE VISIT ! FOLL[+ ,WEB SITE3 _+_:4 ..,,REMEMB]3 ,MAIL BACK YR -PLET$ (FICIAL #BJAJ ,C5SUS "QNAIRE4 ,,D ,,N MAIL BACK ? ,BRL .,GUIDE4 ,,?ank ,,y4 ;,D-#FJ 7,BRL7