Docstoc

American Community Survey--Population Question on Relationship

Document Sample
American Community Survey--Population Question on Relationship Powered By Docstoc
					                                                                                                                13199021
                       American Community Survey
 1                                                                           Person 2
                       Population: Question on Relationship                                                     13199021
                                        1 What is Person 2’s name?
 1
ere in whose name this house
                                            Last Name (Please print)
                                                                             Person 2Name
                                                                                  First                                     MI

ented. If there is no such                        Question as it appears in the questionnaire.
ving or staying here.)                  1 What is Person 2’s name?
ere in whose name this house
                                          How is this person related to Person 1? Name (X) ONE box.
                                        2 Last Name (Please print)           First Mark                                     MI

ented. If there is no such                       Husband or wife                                 Son-in-law or daughter-in-law
ving or staying here.)
                                                 Biological son or daughter                      Other relative
                                        2 How is this person related to Person 1? Mark (X) ONE box.
                                                 Adopted son or daughter                         Roomer or boarder
st Name                           MI             Husband or wife                                 Son-in-law or daughter-in-law
                                                 Stepson or stepdaughter                         Housemate or roommate
                                                 Biological son or daughter                      Other relative
                                                 Brother or sister                               Unmarried partner
                                                 Adopted son or daughter                         Roomer or boarder
st Name                           MI             Father or mother                                Foster child
1?                                               Stepson or stepdaughter                         Housemate or roommate
                                                 Grandchild                                      Other nonrelative
                                                 Brother or sister                               Unmarried partner
                                                 Parent-in-law
                                                 Father or mother                                Foster child
 ox.
1?                                       3 What is Person
                                       Source: ACS-1(2009)KFI
                                                 Grandchild
                                                                 2’s sex? Mark (X) ONE box.      Other nonrelative
                                                 Male                  Female
                                                 Parent-in-law
rson 1’s date of birth?
 ox.                                              MEETING what is Person
                                  4 What is Person 2’s sex?andFEDERAL NEEDS of birth?
                                  3 What is Person 2’s age Mark (X) ONE box. 2’s date
 ild is less than 1 year old.        Please report babies as age 0 when the child is less than 1 year old.
boxes.                                    Male               Female
                                                              is essential in classifying the population into families
                     The census subject about relationship Print numbersforboxes.
 ear of birth                               Age (in years)             Month     Day      Year of birth
                                    4 What is Person 2’s age and what the composition of birth?
rson 1’s date of and other groups. Information about changes in is Person 2’s date of the American family,
                     birth?
                     from the           of people living alone to when the child is less than 1 year with
 ild is less than 1 year old. number Please report babies as age 0the number of children living old. only one parent,
boxes.                                                       Print number of federal programs. In federally funded
                     is essential for planning and carrying out anumbers in boxes.
 ear of birth     nutrition and educationyears)
  5 about Hispanic origin and                            Month Questionspent hinges, at originpartially, on
                                   Age (in programs, how the money
                                  � NOTE: Please answer BOTH Day isYear of birth
                                                                             5 about Hispanic least and
, Hispanic origins are not races.             6 about race. For this survey, Hispanic origins are not races.
                                    Questiondata about relationship.
                  decennial census program
 nish origin?                           5 Is Person 2 of Hispanic, Latino, or Spanish origin?
 5 about Hispanic origin and
rigin                                          No, Please answer BOTH Spanish origin
                                         � NOTE: not of Hispanic, Latino, or Question 5 about Hispanic origin and
, Hispanic origins are not races.             Question 6 about race. For this survey, Hispanic origins are not races.
                                                 Yes, Mexican, Mexican Am., Chicano
 nish origin?                           5 Is Person 2 of Hispanic, Latino, or Spanish origin?
                                                 Yes, Puerto Rican
rigin                                            No, not of Hispanic, Latino, or Spanish origin
                                                 Yes, Cuban
 origin – Print origin, for example,
                                                             COMMUNITY BENEFITS
                                                 Yes, Mexican, Mexican Am., Chicano
                                                 Yes, another Hispanic, Latino, or Spanish origin – Print origin, for example,
araguan, Salvadoran, Spaniard,                   Yes, Puerto Rican
                                                 Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard,
                          Government             and so on.                           Education
                                                 Yes, Cuban
                            Federal
 origin – Print origin, for example, agencies use data about rela-                  Data about relationship are used to
                                               Yes, another Hispanic, Latino, or Spanish origin – Print origin, for example,
                            tionship for a variety of programmaticDominican,allocate funds to states and counties
araguan, Salvadoran, Spaniard,                 Argentinean, Colombian,              Nicaraguan, Salvadoran, Spaniard,
                                                                                                              to
                                               and so on.
or more boxes.            purposes. 6 What is Person 2’s race? Mark (X) one or more boxes.
                                                                         improve the education of children in low-
                                         White                           income families.
                                                 Black, African Am., or Negro
or more boxes.            Housing 6 What is Person 2’s race? Mark (X) one or more boxes.
t name of enrolled or principal tribe.      American Indian or Alaska Native — Print name of enrolled or principal tribe.
                                                                               Social Services
                          Data about families in poverty are used
                                            White
                                            Black, African Am., local
                          to distribute funds for housing toor Negro           Local health agencies plan and administer
                          governments.
t name of enrolled or principal tribe.
                                                                               programs promoting the well-being of
                                            American Indian or Alaska Native — Print name of enrolled or principal tribe.
          Native Hawaiian                   Asian Indian                       families and children using information on
                                                                          Japanese           Native Hawaiian
          Guamanian or Chamorro             Chinese                            relationship.
                                                                          Korean             Guamanian or Chamorro
se         Samoan                                Filipino                        Vietnamese          Samoan        www.census.gov
           Native Hawaiian                       Asian Indian                    Japanese            Native Hawaiian
           Other Pacific Islander –              Other Asian – Print race,                           Other Pacific Islander –
           Print race, for Chamorro
           Guamanian orexample,                  Chinese
                                                 for example, Hmong,             Korean              Guamanian orexample,
                                                                                                     Print race, for Chamorro
           Fijian, Tongan, and                   Laotian, Thai, Pakistani,                           Fijian, Tongan, and
se         Samoan
           so on.                                Filipino
                                                 Cambodian, and so on.           Vietnamese          Samoan
                                                                                                     so on.
           Other Pacific Islander –              Other Asian – Print race,                           Other Pacific Islander –
           Print race, for example,              for example, Hmong,                                 Print race, for example,
           Fijian, Tongan, and                   Laotian, Thai, Pakistani,                           Fijian, Tongan, and
           so on.                                Cambodian, and so on.                               so on.
                                                 Some other race – Print race.



                                                 Some other race – Print race.

				
DOCUMENT INFO