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pdfOMB No. 2528-0013: Approval Expires 11/30/2007
U.S. DEPARTMENT OF COMMERCE
H-31
FORM
(4-3-2006)
Economics and Statistics Administration
U.S. CENSUS BUREAU
SURVEY OF MARKET ABSORPTION
OF NEW APARTMENT BUILDINGS
VERIFY QUESTIONS 1 AND 2
1. Number of housing units
in the building, at the
location above?
1
2
4
Number
4
Section 8 or housing vouchers
Housing for elderly direct loan program
Low income housing tax credit
Other subsidized program
5
No, not subsidized
2
Number
3. ELEVATOR
1
Yes
2
Conventionally owned (rental)
A cooperative
A condominium
Owned or leased by a public housing agency
3
Weight
b. Place
1
I/O
c. SOC No.
e. Control No.
2
d. Date completed
f. Interviewer code
0
8. Are the following items
included in the rent,
(condominium fee), or
available at extra costs?
Incl.
Extra
cost
(1)
(2)
Not
available
(3)
9. Are any units offered furnished ONLY?
1
Yes – How many? _______
(For Q.10, prepare a separate
H-31 for furnished units.
Record only unfurnished units
in Q.10 of this form)
a. Electricity . . . . . . . . .
b. Gas . . . . . . . . . . . . . .
None or _________ percent
0
5. Is the building under any of the following programs?
1
Scope
6. What percent of the floor
space of this building is
used for commercial
purposes?
4. Is the building –
3
2. Number of floors in the
building, at the location
above?
NOTICE – Your report to the U.S Census Bureau is
confidential by law (title 13, U.S. Code). It may be
seen only by sworn Census employees and may be
used only for statistical purposes.
Regional office name
a. PSU
c. Heat . . . . . . . . . . . . .
7. Are any of the units in
this building reserved for
transient use?
e. Air conditioning . . . . . 1
3
2
3
Notes
g. Refrigerator . . . . . . . .
(Exclude such units
from Q.10)
h. Dishwasher . . . . . . . .
No
2
2
No
f. Range . . . . . . . . . . . .
Yes – How many? _______
1
2
d. Hot water . . . . . . . . .
i. Swimming pool . . . . . 1
j. Off-street parking . . . .
No
10. Number of units offered for rent, by bedrooms, by rent categories; or for sale, by bedrooms, by asking price categories.
Efficiency or studio (no bedrooms)
Mark (X) one
Date of report
1 Bedroom
2 Bedrooms
3 Bedrooms or more
Total rental Less
$750
$850
$950
$1050
$1150
Less
$750
$850
$950
$1050
$1150
Less
$750
$850
$950
$1050
$1150
$1250
Less
$750
$850
$950
$1050
$1150
$1250
units
than
to
to
to
to
or
than
to
to
to
to
or
than
to
to
to
to
to
or
than
to
to
to
to
to
or
offered
$750
849
949
1049
1149
more
$750
849
949
1049
1149
more
$750
849
949
1049
1149
1249
more
$750
849
949
1049
1149
1249
more
OR
Total conLess $150,000 $200,000 $250,000 $300,000 $350,000 Less $150,000 $200,000 $250,000 $300,000 $350,000 Less $150,000 $200,000 $250,000 $300,000 $350,000 $400,000 Less $150,000 $200,000 $250,000 $300,000 $350,000 $400,000
dominium
than
to
to
to
to
or
than
to
to
to
to
or
than
to
to
to
to
to
or
than
to
to
to
to
to
or
units
$150,000 199,999 249,999 299,999 349,000 more $150,000 199,999 249,999 299,999 349,000 more $150,000 199,999 249,999 299,999 349,999 399,999 more $150,000 199,999 249,999 299,999 349,999 399,999 more
offered
0 TOTAL UNITS
IN BUILDING
001
002
003
004
005
006
007
008
009
010
011
012
013
014
015
016
017
018
019
020
021
022
023
024
025
026
027
1
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
2
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
3
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
4
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
USCENSUSBUREAU
INTERVIEWER: CONTINUE ON BACK WITH QUESTION 11
11. Are the units in this building –
1
2
3
Restricted to persons age 55 or older – Continue with 12a
Intended for persons age 55 or older, but not age restricted – Continue with 12a
Neither of the above – END INTERVIEW
12a. Does the management of this building provide residents with meals,
transportation, or housekeeping within the unit?
2
No
Yes, some but not all of these services
3
Yes, all three services provided
1
12b. Does the management of this building provide assistance to residents with
managing finances, using the telephone, or shopping?
1
2
3
No
Yes, some but not all types of assistance provided
Yes, all three types of assistance provided
12c. Does the management of this building provide assistance with personal
care, that is, bathing, eating, moving about, dressing, or toilet use?
1
No
2
Yes, some but not all types of assistance provided
Yes, all five types of assistance provided
3
FORM H-31 (3-4-2006)
Notes
File Type | application/pdf |
File Title | untitled |
File Modified | 2006-04-03 |
File Created | 2006-04-03 |