page 20

Please make sure you have . . .

  1. FILLED this form completely.

  2. ANSWERED Question 1a on page 1.

  3. ANSWERED Question 2 through 7 for each person you listed in Question 1a.

  4. ANSWERED Questions H1a through H26 on pages 3, 4, and 5.

  5. ANSWERED the questions on pages 6 through 19 for each person you listed in Question 1a.

Also . . .

  1. PRINT here the name of a household member who filled the form, the date the form was completed, and the telephone number at which a person in this household can be called.

Then . . .
  1. FOLD the form the way it was sent to you.

  2. MAIL it back April 1, or as close to that date as possible, in the envelope provided; no stamp is needed. When you insert your completed questionnaire, please make sure that the address of the U.S. Census Office can be seen through the window on the front of the envelope.

NOTE – If you have listed more than 7 persons in Question 1a, please make sure that you hve filled the form for the first 7 people. Then mail back this form. A census taker will call to obtain the information for the other people.

Thank you veryt much.

The Census Bureau estimates that, for the average household, this form will take 43 minutes to complete, including the time for reviewing the instructions and answers. Comments about this estimate should be directed to the Associate Director for Management Services, Bureau of the Census, Washington, DC 20233, Attn: CEN-90, and to the Office of Management and Budget, Paperwork Reduction Project CEN-90, Washington, DC 20503. Please DO NOT RETURN your questionnaire to either of these addresses. Use the enclosed preaddressed envelope to return your completed questionnaire.

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