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pdfOMB No. XXXX-XXXX: Approval Expires XX/XX/XXXX
U.S. DEPARTMENT OF COMMERCE
FORM H-108 (1-31-2013)
Economics and Statistics Administration
U.S. CENSUS BUREAU
REINTERVIEW QUESTIONNAIRE – 2014
NEW YORK CITY HOUSING AND VACANCY SURVEY
Section I – IDENTIFICATION AND ORIGINAL INTERVIEW INFORMATION
Borough
Segment
Serial No.
Expected HUs
Name and FR code of original interviewer
Name of original respondent
Respondent address
Telephone
Original interview date
(
)
Beginning interview time
a.m.
p.m.
Original interview outcome (Enter complete or B/C.
If B/C, enter code and reason.)
Ending interview time
a.m.
p.m.
Section II – REINTERVIEW INFORMATION
Best time to call
Reinterview
mode (T or P)
Date
Date
Reinterview
callbacks
Time
a.m.
p.m.
Time
Date
a.m.
p.m.
Time
Date
a.m.
p.m.
Time
a.m.
p.m.
Section III – REINTERVIEW QUESTIONS
1. Is this . . . (read respondent address B) ?
1
Yes
No
2
2. May I speak with . . . (original respondent)?
1
Yes
No – Not available, arrange for callback
2
No – No longer is available at address.
3
Go to item 3
3. Do you remember if a representative of the
Census Bureau visited on or about . . .
(read date)?
1
Yes
2
No
4. Did a representative of the Census Bureau visit
regarding . . . (read sample unit address A)?
1
2
Yes
No
5. Did a representative of the Census Bureau visit
regarding the New York City Housing and
Vacancy Survey?
Yes
1
No
2
6. How long did the interview last?
1
Less than 1⁄2 hour
1
⁄2–2 hours
2
More than 2 hours
3
7. Was the unit occupied or vacant as of
(original interview date)?
Occupied
1
Vacant – Go to 8
2
Don’t remember
3
8. Was the unit –
1
Available for rent?
Q71 must match.
Fix H-100
2
Available for sale only?
Not available for rent or sale? if necessary.
3
}
Reinterviewer assessment
1
Original interview status correct (B/C or complete)
2
Suspected falsification
Original interview status not correct but
3
falsification not suspected
4
Reinterview refused
5
Noninterview in the reinterview
6
Other
File Type | application/pdf |
File Title | h108_doc.g |
File Modified | 2013-01-31 |
File Created | 2013-01-31 |