2 eResponse Reporting Template

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Overview

GQ_Name
GQ Client Data

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Sheet 1: GQ_Name

Census ID	GQ Name	GQ Type Description	GQ Address Number	GQ Street Name	GQ City	GQ State	GQ ZIP Code	GQ Population on Census Day
The unique identifiers for each reporting group quarters (GQ). The Census ID is located in the letter you received.	The actual building name where residents, clients and/or staff live or stay.	The group quarters type description.	Address number of the actual physical location hosting the residents or clients. [For example: 5007]	Street name of the actual physical location hosting the residents or clients. [For example: N Maple Ave]	City of the actual physical location hosting the residents or clients.	State of the actual physical location hosting the residents or clients.	ZIP Code of the actual physical location hosting the residents or clients.	The number of persons that were living or staying in this building on Census Day (April 1, 2018).

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Sheet 2: GQ Client Data

Census ID

GQ Name

First Name

Middle Initial

Last Name(s)

Sex

Date of Birth

Age on Census Day

Hispanic, Latino, or Spanish origin

Race

Live or Stay at GQ Most of the Time

Alternate Address: Address Number

Alternate Address: Street Name

Alternate Address: Apt / Unit

Alternate Address: Rural Route Address

Alternate Address: City

Alternate Address: State

Alternate Address: ZIP Code

The unique identifiers for each reporting group quarters (GQ). In order to continue, you must provide your Census ID. The Census ID is located in the letter you received.

The actual building name where residents, clients and/or staff live or stay.

First name of person living or staying in this GQ on Census Day (April 1, 2018).

Middle initial or name of person living or staying in this GQ on Census Day (April 1, 2018).

Last name(s) of person living or staying in this GQ on Census Day (April 1, 2018). [Note: If person uses "Junior" or "Senior" in their name, enter the last name and the suffix (for example: Smith Jr) in the Last Name(s) field.]

What is this person's sex? (Male or Female) [Note: Please report the person's biological sex as Male or Female. If this information is not available, please leave the field blank.]

What is this person's date of birth? (MM/DD/YYYY) [Note: If you know the date of birth, enter it using the format MM/DD/YYYY. If you do not know the exact date of birth, enter as much as you know. For example, enter March 1989 as 03/DD/1989 or August ’02 as 08/DD/YY02.]

What was this person's age (in years) on Census Day (April 1, 2018)? [Note: Enter age, as of April 1, 2018. For babies less than 1 year old, do not enter the age in months. Enter 0 as the age. Do not round the age up if the person was close to having a birthday on April 1, 2018. If this information is not available, please leave the field blank.]

Is this person of Hispanic, Latino, or Spanish origin? [Note: Please answer BOTH Questions about Hispanic origin and race. For this census, Hispanic origins are not races.]

What is this person's race?

Does the person live or stay at this GQ most of the time? (Yes or No) [Note: Select "Yes" if this person lives and sleeps at this GQ more often than any other place (as of Census Day, April 1, 2018).]

Address number of another place where person sometimes lives or stays when not at this GQ. [For example: 5007] [Note: If this person never stays at any place other than this GQ, leave the Alternate Address fields blank. If this person has more than one alternate address, enter the address of the place where he or she lives or stays more often.]

Street name of another place where person sometimes lives or stays when not at this GQ. [For example: N Maple Ave]

Apartment or Unit (if applicable) of another place where person sometimes lives or stays when not at this GQ. [For example Apt 3 or Lot 3]

Rural Route address (if applicable, and no street address is available) of another place where person sometimes lives or stays when not at this GQ. [For example: RR 5 Box 2]

City of another place where person sometimes lives or stays when not at this GQ.

State of another place where person sometimes lives or stays when not at this GQ.

ZIP Code of another place where person sometimes lives or stays when not at this GQ.

Yes or No

You may report more than one group. Provide details below.

You may report more than one group.

Provide details below:

Mexican, Mexican Am., or Chicano

White

For example, German, Irish, English, Italian, Lebanese, Egyptian, etc.

Puerto Rican

Black or African Am.

For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc.

Cuban

American Indian or Alaska Native

Name of enrolled or principal tribe(s), for example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.

Another Hispanic, Latino, or Spanish origin - for example, Salvadoran, Dominican, Colombian, Guatemalan, Spaniard, Ecuadorian, etc.

Chinese

Filipino

Asian Indian

Vietnamese

Korean

Japanese

Other Asian

For example, Pakistani, Cambodian, Hmong, etc.

Native Hawaiian

Samoan

Chamorro

Other Pacific Islander

For example, Tongan, Fijian, Marshallese, etc.

Some other race

Includes all other responses not included in the groups listed above.