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[The 1990 census was completed via self-enumeration, as in 1980. (The 1960 and 1970 censuses also employed self-enumeration to varying degrees; see the discussion for those years, above.) The 1990 PUMS consists entirely of households that completed the "long-form" sample questionnaire; as in 1980, there was only one version of this questionnaire. (In 1960 and 1970, the census distributed more than one type of sample questionnaire.) We reproduce here the text of the long-form questionnaire, beginning with a general introduction, followed by the population questions and then the housing questions. Each question and set of possible answers (with FOSDIC circles) are worded as they were on the original questionnaire. Material in quotes represents additional instructions that did not appear on the questionnaire itself, but that respondents instead received on a separate instruction section, as in 1970 and 1980.] OFFICIAL 1990 U.S. CENSUS FORM Thank you for taking time to complete and return this census questionnaire. It’s important to you, your community, and the Nation. The law requires answers but guarantees privacy.
How to get started -- and get help.
Please answer and return your form promptly.
Again, thank you for answering the 1990 Census.
Para personas de habla hispana --
How to Fill Out Your Census Form
Make sure you print answers for everyone in this household. If someone in the household, such as a roomer or boarder, does not want to give you all the information for the form, print at least the person’s name and answer question 2 and 3. A census taker will call to get the other information directly from the person. There may be a question you cannot answer exactly. For example, you might not know the age of an elderly person or the price for which your house would sell. Ask someone else in your household; if no one knows, give your best estimate. Instructions for individual questions begin on page 3 of this guide [this refers to the separate instruction section preceeding the questionnaire]. They will help you to understand the questions and answer them correctly. If you have a question about filling out the census form or need assistance, call the local U.S. census office. The telephone number is given on the cover of the questionnaire [omitted]. If you do not mail back your census form, a census taker will be sent out to assist you. But it saves time and your taxpayer dollars if you fill out the form yourself and mail it back. Your Answers Are Confidential The law authorizing the census (Title 13, U.S. Code) also provides that your answers are confidential. No one except census workers may see your completed form and they can be fined and/or imprisoned for any disclosure of your answers. Only after 72 years can your individual census form become available to other government agencies (whether federal, state, county, or local). Until then, no other person or business can see your individual report. The same law that protects the confidentiality of your answers requires that you provide the information asked in this census to the best of your knowledge. Information collected from the decennial census is used for a variety of statistical purposes. Census information is used to find out where funding is most needed for schools, health centers, highways, and other services. Census results are used by members of public and private groups—including community organizations—and by businesses and industries, as well as by agencies at all levels of government. 1990 Population questions The 1990 census must count every person at his or her "usual residence." This means the place where the person lives and sleeps most of the time. 1a. List on the numbered lines below the name of each person living here on Sunday, April 1, including all persons staying here who have no other home. If EVERYONE at this address is staying here temporarily and usually lives somewhere else, follow the instructions given in question 1b below. Include Persons who are temporarily away on a business trip, on vacation, or in a general hospital College students who stay here while attending college Persons in the Armed Forces who live here Newborn babies still in the hospital Children in boarding schools below the college level Persons who stay here most of the week while working even if they have a home somewhere else Persons with no other home who are staying here on April 1 Persons who are away in an institution such as a prison, mental hospital, or a nursing home College students who live somewhere else while attending college Persons in the Armed Forces who live somewhere else Persons who stay somewhere else most of the week while working Print last name, first name, and middle initial for each person. Begin on line 1 with the household member (or one of the household members) in whose name this house or apartment is owned, being bought, or rented [the head of household]. If there is no such person, start on line 1 with any adult household member. LAST FIRST INITIAL
1b. If EVERYONE is staying here only temporarily and usually lives somewhere else, list the name of each person on the numbered lines above, fill this circle ® O and print their usual address below. DO NOT PRINT THE ADDRESS LISTED ON THE FRONT COVER. "If everyone listed in questions 1a usually lives at another address(es), print the address(es) in 1b." [The form provides a column for each person within the household to answer each of the following person questions.] 2. How is this person related to PERSON 1 [the head
of household]?
If a RELATIVE of Person 1: O Natural-born or adopted son/daughter O Stepson/stepdaughter O Brother/sister O Father/mother O Grandchild O Other relative: ____________________ O Housemate, roommate O Unmarried partner O Other nonrelative 3. Sex
O Female Fill ONE circle for the race that the person considers himself/herself to be. If Indian (Amer.), print the name of the enrolled or principal tribe. If Other Asian or Pacific Islander (API), print one group, for example: Hmong, Fijian, Laotian, Thai, Tongan, Pakistani, Cambodian, and so on. If Other race, print race. O White O Black or Negro O Indian (Amer.) (Print the name of the enrolled or principal tribe.) ____________________ O Eskimo O Aleut Asian or Pacific Islander (API) O Chinese O Japanese O Filipino O Asian Indian O Hawaiian O Samoan O Korean O Guamanian O Vietnamese O Other API ¯ ____________________ O Other race (Print race) "Fill ONE circle for the race each person considers himself/herself to be. If you fill the Indian (Amer.) circle, print the name of the tribe or tribes in which the person is enrolled. If the person is not enrolled in a tribe, print the name of the principal tribe(s). If you fill the Other API circle [under Asian or Pacific Islander (API)], only print the name of the group to which the person belongs. For example, the Other API category includes persons who identify as Burmese, Fijian, Hmong, Indonesian, Laotian, Bangladeshi, Pakistani, Tongan, Thai, Cambodian, Sri Lankan, and so on. If you fill the Other race circle, be sure to print the name of the race. If the person considers himself/herself to be White, Black or Negro, Eskimo or Aleut, fill one circle only. Please do not print the race in the boxes. The Black or Negro category also includes persons who identify as African-American, Afro-American, Haitian, Jamaican, West Indian, Nigerian, and so on. All persons, regardless of citizenship status, should answer this question." 5. Age and year of birth a. Print each person’s age at last birthday. Fill in the matching circle below each box. b. Print each person’s year of birth and fill the matching circle below each box. a. Age b. Year of birth ____ ____ ____ 1 ____ ____ ____ 0 O 0 O 0 O 1 l 8 O 0 O 0 O 1 O 1 O 1 O 9 O 1 O 1 O 2 O 2 O 2 O 2 O 3 O 3 O 3 O 3 O 4 O 4 O 4 O 4 O 5 O 5 O 5 O 5 O 6 O 6 O 6 O 6 O 7 O 7 O 7 O 7 O 8 O 8 O 8 O 8 O 9 O 9 O 9 O 9 O "Print age at last birthday in the space provided (print "00" for babies less than 1 year old). Fill in the matching circle below each box. For an illustration of how to complete question 5, see the Example on page 2 of this guide [omitted]."
6. Marital status Fill ONE circle for each person. O Now married O Separated O Widowed O Never married O Divorced "If the person’s only marriage was annulled, mark Never married." 7. Is this person of Spanish/Hispanic origin? Fill ONE circle for each person. If Yes, other Spanish/Hispanic, print one group. O No (not Spanish/Hispanic) O Yes, Mexican, Mexican-Am., Chicano O Yes, Puerto Rican O Yes, Cuban O Yes, other Spanish/Hispanic (Print one group, for example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.) ____________________ "A person is of Spanish/Hispanic origin if the person’s origin (ancestry) is Mexican, Mexican-Am., Chicano, Puerto Rican, Cuban, Argentinean, Colombian, Costa Rican, Dominican, Ecuadoran, Guatemalan, Honduran, Nicaraguan, Peruvian, Salvadoran, from other Spanish-speaking countries of the Caribbean or Central or South America, or from Spain. If you fill the Yes, other Spanish/Hispanic circle, print one group. A person who is not of Spanish/Hispanic origin should answer this question by filling the No (not Spanish/Hispanic) circle. Note that the term "Mexican-Am." refers only to persons of Mexican origin or ancestry. All persons, regardless of citizenship status, should answer this question." 8. In what U.S. State or foreign country was this person born? __________________________________________________ (Name of State or foreign country; or Puerto Rico, Guam, etc.) " Print the name of the State in which this person was born. If the person was born in Washington, D.C., print District of Columbia. If the person was born in a U.S. territory or commonwealth, print Puerto Rico, U.S. Virgin Islands, Guam, American Samoa, or Northern Marianas. "For persons born outside the United States: Print the name of the foreign country or area where the person was born. Use current boundaries, not boundaries at the time of the person’s birth. Specify whether Northern Ireland or the Republic of Ireland (Eire); East or West Germany; North or South Korea; England, Scotland, or Wales (not Great Britain or United Kingdom). Specify the particular country or island in the Caribbean (not, for example, West Indies)."
9. Is this person a CITIZEN of the United States? O Yes, born in the United States -- Skip to 11 O Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas O Yes, born abroad of American parent or parents O Yes, U.S. citizen by naturalization O No, not a citizen of the United States " 10. When did this person come to the United States to stay? O 1987 to 1990 O 1970 to 1974 O 1985 or 1986 O 1965 to 1969 O 1982 to 1984 O 1960 to 1964 O 1980 or 1981 O 1950 to 1959 O 1975 to 1979 O Before 1950 "If the person has entered the United States (that is, the 50 states and the District of Columbia) more than once, fill the circle for the latest year he/she came to stay." 11. At any time since February 1, 1990, has this person attended regular school or college? Include only nursery school, kindergarten, elementary school, and schooling which leads to a high school diploma or a college degree. O No, has not attended since February 1 O Yes, public school, public college O Yes, private school, private college "Do not include enrollment in a trade or business school, company training, or tutoring unless the course would be accepted for credit at a regular elementary school, high school, or college. A public school is any school or college that is controlled and supported primarily by a local, county, State, or Federal Government. Schools are private if supported and controlled primarily by religious organizations or other private groups."
12. How much school has this person COMPLETED? Fill ONE circle for the highest level COMPLETED or degree RECEIVED. If currently enrolled, mark the level of previous grade attended or highest degree received. O No school completed O Nursery school O Kindergarten O 1st, 2nd, 3rd, or 4th grade O 5th, 6th, 7th, or 8th grade O 9th grade O 10th grade O 11th grade O 12th grade, NO DIPLOMA O HIGH SCHOOL GRADUATE -- high school DIPLOMA or the equivalent (For example: GED) O Some college but no degree O Associate degree in college -- Occupational program O Associate degree in college -- Academic program O Bachelor’s degree (For example: BA, AB, BS) O Master’s degree (For example: MA, MS, MEng, MEd, MSW, MBA) O Professional school degree (For example: MD, DDS, DVM, LLB, JD) O Doctorate degree (For example: PhD, EdD) "Mark the category for the highest grade or level of schooling the person has successfully completed or the highest degree the person received. If the person is enrolled in school, mark the category containing the highest grade completed (the grade previous to the grade in which enrolled). Schooling completed in foreign or ungraded schools should be reported as the equivalent level of schooling in the regular American school system. Persons who completed high school by passing an equivalency test, such as the General Education Development (GED) examination, and did not attend college, should fill the circle for high school graduate. Do not include vocational certificates or diplomas from vocational, trade, or business schools or colleges unless they were college level associate degrees or higher. Some examples of professional school degrees include medicine, dentistry, chiropractic, optometry, osteopathic medicine, pharmacy, podiatry, veterinary medicine, law, and theology. Do not include barber school, cosmetology, or other training for a specific trade. Do not include honorary degrees awarded by colleges and universities to individuals for their accomplishments. Include only "earned" degrees." 13. What is this person’s ancestry or ethnic origin? (See instruction guide for further information.) ______________________________________________________________________________ (For example: German, Italian, Afro-Amer., Croatian, Cape Verdean, Dominican, Ecuadorean, Haitian, Cajun, French Canadian, Jamaican, Korean, Lebanese, Mexican, Nigerian, Irish, Polish, Slovak, Taiwanese, Thai, Ukranian, etc.) "Print the ancestry group. Ancestry refers to the person’s ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person’s parents or ancestors before their arrival in the United States. All persons, regardless of citizenship status, should answer this question. Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German-Irish). Be specific. For example, print whether West Indian, Asian Indian, or American Indian. West Indian includes persons whose ancestors came from Jamaica, Trinidad, Haiti, etc. Distinguish Cape Verdean from Portuguese; French Canadian from Canadian; and Dominican Republic from Dominica Island. A religious group should not be reported as a person’s ancestry."
14a. Did this person live in this house or apartment 5 years ago (on April 1, 1985)? "Mark Yes if this person lived in this same house or apartment on April 1, 1985, even if he/she moved away and came back since then. Mark No if this person lived in the same building but in a different apartment (or in the same mobile home or trailer but on a different lot or trailer site)." O Born after April 1, 1985 -- Go to questions for the next person O Yes -- Skip to 15a O No æ b. Where did this person live 5 years ago (on April 1, 1985)? "If this person lived in a different house or apartment on April 1, 1985, give the location of this person’s usual home at that time." (1) Name of U.S. State or foreign country ___________________________________________ (If outside U.S., print answer above and skip to 15a.) "If the person lived in the United States on April 1, 1985, print the name of the State (or District of Columbia) where he or she lived. Continue with parts (2) through (4). If the person lived in a U.S. territory or commonwealth, print the name of the territory or commonwealth, such as Puerto Rico, U.S. Virgin Islands, Guam, American Samoa, or Northern Marianas. Then go to question 15a. If the person lived outside the United States, print the name of the foreign country or area where he or she lived. Specify whether Northern Ireland or the Republic of Ireland (Eire); East or West Germany; North or South Korea; England, Scotland or Wales (not Great Britain or United Kingdom). Specify the particular country or island in the Caribbean (not, for example, West Indies). Then go to question 15a." (2) Name of county in the U.S. ___________________________________________ "If the person lived in Louisiana, print the parish name. If the person lived in Alaska, print the borough name. If the person lived in New York city and the county name is not known, print the borough name. If the person lived in an independent city (not in any county) or in Washington, D.C. , leave blank and enter the city name in part (3)."
(3) Name of city or town in the U.S. ___________________________________________ "If the person lived in New England, print the name of the town rather than the village name, unless the name of the town is not known. If the person lived outside the limits or boundaries of any city or town, print the name of the post office or the nearest town and mark No, lived outside the city/town limits in part (4)." (4) Did this person live inside the city or town limits? O Yes O No, lived outside the city/town limits "Mark Yes if the location is now inside the city/town limits even if it was not inside the limits on April 1, 1985; that is, if the area was annexed by the city/town since that time." 15a. Does this person speak a language other than English at home? O Yes O No -- Skip to 16 "Mark Yes if the person sometimes or always speaks a language other than English at home. Do not mark Yes for a language spoken only at school or if speaking is limited to a few expressions or slang."
b. What is this language? ___________________________________________ (For example: Chinese, Italian, Spanish, Vietnamese) "Print the name of the language spoken at home. If this person speaks more than one non-English language and cannot determine which is spoken more often, report the first language the person learned to speak." c. How well does this person speak English? O Very well O Not well O Well O Not at all 16. When was this person born? O Born before April 1, 1975 -- Go to 17a O Born April 1, 1975 or later -- Go to questions for the next person 17a. Has this person ever been on active-duty military service in the Armed Forces of the United States or ever been in the United States military Reserves or the National Guard? If service was in Reserves or National Guard only, see instruction guide. O Yes, now on active duty O Yes, on active duty in past, but not now O Yes, service in Reserves or National Guard only -- Skip to 18 O No -- Skip to 18 "For a person with service in the National Guard or a military reserve unit, fill one of the two Yes, active duty circles if and only if the person has ever been called up for active duty other than training; otherwise, mark Yes, service in Reserves or National Guard only. For a person whose only service was as a civilian employee or volunteer for the Red Cross, USO, Public Health Service, or War or Defense Department, mark No. Count World War II Merchant Marine Seaman service as active duty; do not count other Merchant Marine service as active duty." b. Was active-duty military service during -- Fill a circle for each period in which this person served. O September 1980 or later O May 1975 to August 1980 O Vietnam era (August 1964 - April 1975) O February 1955 - July 1964 O Korean conflict (June 1950 - January 1955) O World War II (September 1940 - July 1947) O World War I (April 1917 - November 1918) O Any other time c. In total, how many years of active-service military service has this person had? __________Years 18. Does this person have a physical, mental, or other health condition that has lasted for 6 or more months and which -- a. Limits the kind or amount of work this person can do at a job? O Yes O No "Mark Yes to part (a) if a health condition substantially limits this person in his or her choice of occupation or if the condition limits the amount of work that can be accomplished in a given period of time."
b. Prevents this person from working at a job? O Yes O No "Mark Yes to part (b) if the health condition prevents this person from holding any significant employment." 19. Because of a health condition that has lasted for 6 or more months, does this person have any difficulty -- "Consider a person to have difficulty with these activities if any of the following situations apply: (1) it takes extra time or extra effort for the person to perform one or more of the activities, (2) there are times when the person cannot perform one or more of the activities, or (3) the person is completely unable to perform one more of the activities." a. Going outside the home alone, for example, to a shop or visit a doctor’s office? O Yes O No b. Taking care of his or her own personal needs, such as bathing, dressing, or getting around inside the home? O Yes O No 20. If this person is a female -- How many babies has she ever had, not counting still births? Do not count her stepchildren or children she has adopted. None 1 2 3 4 5 6 7 8 9 10 11 12 or more O O O O O O O O O O O O O "Count all children born alive, including any who have died (even shortly after birth) or who no longer live with you. Do not include miscarriages or stillborn children or any adopted, foster, or stepchildren." 21a. Did this person work at any time LAST WEEK? O Yes -- Fill this circle if this person worked full time or part time. (Count as part-time work such as delivering papers, or helping without pay in a family business or farm. Also count active duty in the Armed Forces.) O No -- Fill this circle if this person did not work, or did only own housework, school work, or volunteer work. -- Skip to 25. "Count as work - Mark Yes: - Work for someone else for wages, salary, piece rate, commission, tips, or payments "in kind" (for example, food, lodging received as payment for work performed). - Work in own business, professional practice, or farm. - Any work in a family business or farm, paid or not. - Any part-time work including babysitting, paper routes, etc. - Active duty in Armed Forces. "Do not count as work - Mark No: - Housework or yard work at home. - Unpaid volunteer work. - School work. - Work done as a resident of an institution."
22. At what location did this person work LAST WEEK? If this person worked at more than one location, print where he or she worked most last week. a. Address (Number and street) ________________________________________________________________ (If the exact address is not known, give a description of the location such as the building name or the nearest street or intersection.) "Include the street type (for example, St., Road, Ave.) and the street direction (if a direction such as "North" is part of the address). For example, print 1239 N. Main St. or 1239 Main St., N.W. not just 1239 Main. If the only known address is a post office box, give a description of the work location. For example, print the name of the building or shopping center where the person works, the nearest intersection, the nearest street where the workplace is located, etc. DO NOT GIVE A POST OFFICE BOX NUMBER. If the person worked at a military installation or military base that has no street address, report the name of the military installation or base. If the person worked at several locations, but reported to the same location each day to begin work, print the address of the location here he or she reported. If the person did not report to the same location each day to begin work, print the address of the location where he or she worked most last week. If the person’s employer operates in more than one location (such as a grocery store chain or public school system), print the exact address of the location or branch where the person worked. If the exact address of a school is not known, print the name of the school. If the person worked on a college or university campus and the exact address of the workplace is not known, print the name of the building where he or she worked." b. Name of city, town, or post office _________________________________________________________ c. Is the work location inside the limits of that city or town? O Yes O No, outside the city/town limits d. County____________________ e. State____________________ f. ZIP Code__________________ "If the person worked in New York city and the county is not known, print the name of the borough where the person worked. If the person worked in Louisiana, print the name of the parish where the person worked. If the person worked in Alaska, print the name of the borough where the person worked. If the person worked in a foreign country or Puerto Rico, Guam, etc., print the name of the country in 22e and leave the other parts of question 22 blank." 23a. How did this person usually get to work LAST WEEK? If this person usually used more than one method of transportation during the trip, fill the circle of the one used for most of the distance. O Car, truck, or van O Motorcycle O Bus or trolley bus O Bicycle O Streetcar or trolley car O Walked O Subway or elevated O Worked at home -- Skip to 28 O Railroad O Ferryboat O Other method O Taxicab If "car, truck, or van" is marked in 23a, go to 23b. Otherwise, skip to 24a. "If the person usually used more than one type of transportation to get to work (for example, rode the bus and transferred to the subway), fill the circle of the one method of transportation that he/she used for most of the distance during the trip."
b. How many people, including this person, usually rode to work in the car, truck, or van LAST WEEK? O Drove alone O 5 people O 2 people O 6 people O 3 people O 7 to 9 people O 4 people O 10 or more people "If the person was driven to work by someone who then drove back home or to a nonwork destination, fill the circle for Drove alone. DO NOT include persons who rode to school or some other nonwork destination in the count of persons who rode in the vehicle." 24a. What time did this person usually leave home to go to work LAST WEEK? O a.m. ____________________ O p.m. "Give the time of day the person usually left home to go to work. DO NOT give the time that the person usually began his or her work. If the person usually left home to go to work sometime between 12:00 o’clock midnight and 12:00 o’clock noon, fill the a.m. circle. If the person usually left home to go to work sometime between 12:00 o’clock noon and 12:00 o’clock midnight, fill the p.m. circle."
b. How many minutes did it usually take this person to get from home to work LAST WEEK? ____________________ Minutes -- Skip to 28 "Travel time is from door to door. Include time taken waiting for public transportation or picking up passengers in a car pool." 25. Was this person TEMPORARILY absent or on layoff from a job or business LAST WEEK? O Yes, on layoff O Yes, on vacation, temporary illness, labor dispute, etc. O No "If the person works only during certain seasons or on a day-by-day basis when work is available, mark No." 26a. Has this person been looking for work during the last 4 weeks? O Yes O No -- Skip to 27 "Mark Yes if the person tried to get a job or to start a business or professional practice at any time in the last 4 weeks; for example, registered at an employment office, went to a job interview, placed or answered ads, or did anything toward starting a business or professional practice." b. Could this person have taken a job LAST WEEK if one had been offered? O No, already has job O No, temporarily ill O No, other reasons (in school, etc.) O Yes, could have taken job "Mark No, already has a job if the person was on layoff or was expecting to report to a job within 30 days. Mark No, temporarily ill if the person expects to be able to work within 30 days. Mark No, other reasons if the person could not have taken a job because he or she was going to school, taking care of children, etc."
27. When did this person last work, even for a few days? O 1990 -- Go to 28 O 1980 to 1984 -- Skip to 32 O 1989 -- Go to 28 O 1979 or earlier -- Skip to 32 O 1988 -- Go to 28 O Never worked -- Skip to 32 O 1985 to 1987 -- Go to 28 "Look at the instructions for question 21a to see what to count as work. Mark Never worked if the person: (1) never worked at any kind of job or business, either full or part time, (2) never did any work, with or without pay, in a family business or farm, and (3) never served in the Armed Forces." 28 - 30. CURRENT OR MOST RECENT JOB ACTIVITY. Describe clearly this person’s chief job activity or business last week. If this person had more than one job, describe the one at which this person worked the most hours. If this person had no job or business last week, give information for his/her last job or business since 1985. 28. Industry or Employer a. For whom did this person work? If now on active duty in the Armed Forces, fill this circle ® O and print the branch of the Armed Forces. ____________________________________ (Name of company, business, or other employer) "If the person worked for a company, business, or government agency, print the name of the company, not the name of the person’s supervisor. If the person worked for an individual or a business that had no company name, print the name of the individual worked for. If the person worked in his/her own business, print ‘self-employed.’" b. What kind of business or industry was this? Describe the activity at location where employed. ________________________________________________________________________ (For example: hospital, newspaper publishing, mail order house, auto engine manufacturing, retail bakery) "Print two or more words to tell what the business, industry, or individual employer named in 28a did. If there is more than one activity, describe only the major activity at the place where the person worked. Enter what is made, what is sold, or what service is given. Some examples of what to enter: Enter a description like the following - Do not enter -
c. Is this mainly -- Fill ONE circle O Wholesale trade O Retail trade O Other (agriculture, construction, service, government, etc.) ________________________________________________________________________ (For example: registered nurse, personnel manager, supervisor of order department, gasoline engine assembler, cake icer) "Print two or more words to describe the kind of work the person did. If the person was a trainee, apprentice, or helper, include that in the description. Some examples of what to enter: Enter a description like the following - Do not enter -
b. What were this person's most important activities or duties?
for wages, salary, or commissions O Employee of a PRIVATE NOT-FOR-PROFIT, tax-exempt, or charitable organization O Local GOVERNMENT employee (city, county, etc.) O State GOVERNMENT employee O Federal GOVERNMENT employee O SELF-EMPLOYED in own NOT INCORPORATED business, professional practice, or farm O SELF-EMPLOYED in own INCORPORATED business, professional practice, or farm O Working WITHOUT PAY in family business or farm 31a. Last year (1989), did this person work, even for a few days, at a paid job or in a business or farm? b. How many weeks did this person work in 1989?
"Count every week in which the person did any work at all, even for an hour." c. During the weeks WORKED in 1989, how many hours did this person usually work each week? Fill the "Yes" circle below for each income source received during 1989. Otherwise, fill the "No" circle. If "Yes," enter the total amount received during 1989. For income received jointly, see instruction guide. If exact amount is not known, please give best estimate. If net income was a loss, write "Loss" above the dollar amount. "Fill the Yes or No circle for each part and enter the amount received
during 1989. If income from any source was received jointly by household
members, report, if possible, the appropriate share for each person; otherwise,
report the whole amount for only one person and fill the No circle for
the other person."
O No $________________ .00 Annual amount -- Dollars b. Self-employment income from own nonfarm business, including proprietorship
and partnership --
O No $________________ .00 Annual amount -- Dollars c. Farm self-employment income -- Report NET income after operating expenses. Include earnings as a tenant farmer or sharecropper. O No $________________ .00 Annual amount -- Dollars d. Interest, dividends, net rental income or royalty income, or income
from estates and trusts --
O No $________________ .00 Annual amount -- Dollars e. Social Security or Railroad Retirement O No $________________ .00 Annual amount -- Dollars f. Supplemental Security Income (SSI), Aid to Families with Dependent
Children (AFDC), or other
O No $________________ .00 Annual amount -- Dollars g. Retirement, survivor, or disability pensions -- Do NOT include Social Security. O No $________________ .00 Annual amount -- Dollars h. Any other sources of income received regularly such as Veterans' (VA) payments, unemployment compensation, child support, or alimony -- Do NOT include lump-sum payments such as money from an inheritance or the sale of a home. O No $________________ .00 Annual amount -- Dollars - Withdrawals from savings of any kind - Capital gains or losses from the sale of homes, shares of stock, etc. - Inheritances or insurance settlements - Any type of loan - Pay in-kind such as food, free rent, etc." Add entries in questions 32a through 32h; subtract any losses. If total amount was a loss, write "Loss" above amount. Annual amount -- Dollars H1a. Did you leave anyone out of your list of persons for Question 1a on page 1 [that is, the first population question] because you were not sure if the person should be listed -- for example, someone temporarily away on a business trip or vacation, a newborn baby still in the hospital, or a person who stays here once in a while and has no other home? ______________________________ ______________________________ b. Did you include anyone in your list of person for Question 1a on page 1 even though you were not sure that the person should be listed -- for example, a visitor who is staying here temporarily or a person who usually lives somewhere else? ______________________________ ______________________________ H2. Which best describes this building? Include all apartments, flats, etc., even if vacant. O A one-family house detached from any other house O A one-family house attached to one or more houses O A building with 2 apartments O A building with 3 or 4 apartments O A building with 5 to 9 apartments O A building with 10 to 19 apartments O A building with 20 to 49 apartments O A building with 50 or more apartments O Other H3. How many rooms do you have in this house or
apartment?
O 2 rooms O 5 rooms O 8 rooms O 3 rooms O 6 rooms O 9 or more rooms H4. Is this house or apartment -- O Owned by you or someone in this household free and clear (without a mortgage)? O Rented for cash rent? O Occupied without payment of cash rent? H5. If this is a ONE-FAMILY HOUSE --
b. Is there a business (such as a store or barber shop) or a medical office on this property? What is the value of this property; that is, how much do you think this house and lot or condominium unit would sell for if it were for sale? O $10,000 to $14,999 O $75,000 to $79,999 O $15,000 to $19,999 O $80,000 to $89,999 O $20,000 to $24,999 O $90,000 to $99,999 O $25,000 to $29,999 O $100,000 to $124,999 O $30,000 to $34,999 O $125,000 to $149,999 O $35,000 to $39,999 O $150,000 to $174,999 O $40,000 to $44,999 O $175,000 to $199,999 O $45,000 to $49,999 O $200,000 to $249,999 O $50,000 to $54,999 O $250,000 to $299,999 O $55,000 to $59,999 O $300,000 to $399,999 O $60,000 to $64,999 O $400,000 to $499,999 O $65,000 to $69,999 O $500,000 or more H7. Answer only if you PAY RENT for this house
or apartment --
O $80 to $99 O $400 to $424 O $100 to $124 O $425 to $449 O $125 to $149 O $450 to $474 O $150 to $174 O $475 to $499 O $175 to $199 O $500 to $524 O $200 to $224 O $525 to $549 O $225 to $249 O $550 to $599 O $250 to $274 O $600 to $649 O $275 to $299 O $650 to $699 O $300 to $324 O $700 to $749 O $325 to $349 O $750 to $999 O $350 to $374 O $1,000 or more "If rent is paid:
Multiply rent by:
If rent is paid:
Divide rent by:
b. Does the monthly rent include any meals? O 1985 to 1988 O 1980 to 1984 O 1970 to 1979 O 1960 to 1969 O 1959 or earlier H9. How many bedrooms do you have; that is, how many bedrooms would you list if this house or apartment were on the market for sale or rent? O 1 bedrooms O 2 bedrooms O 3 bedrooms O 4 bedrooms O 5 or more bedrooms H10. Do you have COMPLETE plumbing facilities in this house or apartment; that is, 1) hot and cold piped water, 2) a flush toilet, and 3) a bathtub or shower? O No H11. Do you have COMPLETE kitchen facilities; that is, 1) a sink with piped water, 2) a range or cookstove, and 3) a refrigerator? H12. Do you have a telephone in this house or apartment? H13. How many automobiles, vans, and trucks of one-ton capacity or less are kept at home for use by members of your household? O 1 O 2 O 3 O 4 O 5 O 6 O 7 or more H14. Which FUEL is used MOST for heating this house or apartment? O Gas: bottled, tank, or LP O Electricity O Fuel oil, kerosene, etc. O Coal or coke O Wood O Solar energy O Other fuel O No fuel used O An individual drilled well? O An individual dug well? O Some other source such as a spring, creek, river, cistern, etc.? H16. Is this building connected to a public sewer? O No, connected to septic tank or cesspool O No, use other means H17. About when was this building first built? O 1985 to 1988 O 1980 to 1984 O 1970 to 1979 O 1960 to 1969 O 1950 to 1959 O 1940 to 1949 O 1939 or earlier O Don't know H18. Is this house or apartment part of a condominium? If you live in an apartment building, skip to H20. H19a. Is this house on less than 1 acre? O No b. In 1989, what were the actual sales of all agricultural products from this property? O $1 to $999 O $1,000 to $2,499 O $2,500 to $4,999 O $5,000 to $9,999 O $10,000 or more H20. What are the yearly costs of utilities and
fuels for this house or apartment?
"If your house or apartment is rented, enter the costs for utilities
and fuels only if you pay for them in addition to the rent entered in H7a.
If you live in a condominium, enter the costs for utilities and fuels only
if you pay for them in addition to your condominium fee. If your fuel and
utility costs are already included in your rent or condominium fee, fill
the Included in rent or in condominium fee circle. Do not enter any dollar
amounts. The amounts to be reported should be the total amount for the
past 12 months. Estimate as closely as possible when exact costs are not
know. If you have lived in this house or apartment less than 1 year, estimate
the yearly cost. Report amounts even if your bills are unpaid or paid by
someone else. If the bills include utilities or fuel used also by another
apartment or a business establishment, estimate the amounts for your own
house or apartment. If gas and electricity are billed together, enter the
combined amount on the electricity line and bracket [ ] the two utilities."
OR O Included in rent or in condominium fee O No charge or electricity not used OR O Included in rent or in condominium fee O No charge or gas not used OR O Included in rent or in condominium fee O No charge OR O Included in rent or in condominium fee O No charge or these fuels not used H21. What were the real estate taxes on THIS property last year? Yearly amount -- Dollars OR O None H22. What was the annual payment for fire, hazard, and flood insurance on THIS property? Yearly amount -- Dollars OR O None H23a. Do you have a mortgage, deed of trust, contract to purchase, or similar debt on THIS property? O Yes, contract to purchase -- Go to H23b O No -- Skip to H24a "The word mortgage is used as a general term to indicate all types of loans that are secured by real estate." b. How much is your regular monthly mortgage payment on THIS property?
"Enter a monthly amount even if it is unpaid or paid by someone else. If the amount is paid on some other periodic basis, see the instructions for H7a to change it to a monthly amount. Include payments on first mortgages and contracts to purchase only. Payments for second or junior mortgages and home equity loans should be reported in H24b." c. Does your regular monthly mortgage payment include payments for real estate taxes on THIS property? O No, taxes paid separately or taxes not required d. Does your regular monthly mortgage payment include payments for fire, hazard, or flood insurance on THIS property? O No, insurance paid separately or no insurance O No -- Skip to H25 "A second or junior mortgage or home equity loan is secured by real estate." b. How much is your regular monthly payment on all second or junior
mortgages and
Monthly amount -- Dollars OR O No regular payment required What is the monthly condominium fee? Monthly amount -- Dollars H26. Answer ONLY if this is a MOBILE HOME --
Yearly amount -- Dollars |