D-351(CF)(GQV) GQV Correctional Facility Continuation

FORM

D-351CF(GQV)

(5-28-2008)

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

CORRECTIONAL FACILITY CONTINUATION FORM

PAGE

OF

GROUP QUARTERS VALIDATION
CASE ID

OLQ NAME

LCO

AA

State

County

Block

Map Spot

For Office Use Only

a.

b.

Let’s talk
about
the . . .

What is the name or designation
of this building?

building*

building

building

building

c.

What is the
maximum number
of inmates who can
live or stay here at
this building?
Is there another
building?

Yes ➞ Go to
"Question a"
and ask
about the
next building
No ➞ Return to
Tab 4,
Question 12,
in the
questionnaire

building

building

building

building

* Enter the next building number in the space provided.
If there are more buildings, please continue on the next page.

USCENSUSBUREAU

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767101

CORRECTIONAL FACILITY CONTINUATION FORM
GROUP QUARTERS VALIDATION
2010 Census

a.

b.

Let’s talk
about
the . . .

building*

building

building

building

What is the name or designation
of this building?

PAGE

c.

OF

What is the
maximum number
of inmates who can
live or stay here at
this building?
Is there another
building?

Yes ➞ Go to
"Question a"
and ask
about the
next building
No ➞ Return to
Tab 4,
Question 12,
in the
questionnaire

building

building

building

building

building

building

building

building

building

building

building

building

* Enter the next building number in the space provided. If there are more buildings, please
continue with another CF Continuation Form, D-351CF(GQV)
FORM D-351CF(GQV) (5-28-2008)

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767102