2017 Census Test - Self Response

Screen Name	CONFIRM
Help Text link	CONFIRM
Help Text	We need to make sure that you are completing this survey for the correct address. The address in this question should match the one to which we mailed your survey invitation letter. If this address is not the same, please answer “no” to this question.

Screen Name	NONID LOGIN
Help Text link	NONIDLOGIN
Help Text	We ask you to type the characters you see in the picture to ensure you are a human visitor and to prevent automated spam entries. Your username is a unique identifier, assigned to you, that lets you re-enter the survey. For example, "JohnDoe#1". If you leave the survey before finishing it and have not created a username, your responses will not be saved for you to return and finish.

CQA Login Screens

Screen Name	CQA CONFIRM
Help Text link	CONFIRM
Help Text	We need to make sure that you are completing this survey for the correct address. The address in this question should match the one to which we mailed your survey invitation letter. If this address is not the same, please answer “no” to this question.

Screen Name	CQA NONID LOGIN
Help Text link	NONIDLOGIN
Help Text	Your username is a unique identifier, assigned to you, that lets you re-enter the survey. For example, "JohnDoe#1". If you leave the survey before finishing it and have not created a username, your responses will not be saved for you to return and finish.

Verify Address

Screen Name	VERIFY ADDRESS
Help Text link	VERIFY ADDRESS
Help Text	We need to count people where they live and sleep most of the time. Answer “Yes” if you <FILL1> living or staying at the address in this question on <REFDATE>. Otherwise, answer “No.”
Help Text Fills	FILLS: If current date is before REFDATE, then <FILL1>=will be If current date is on or after REFDATE, then <FILL1>=were

Screen Name	ANYONE
Help Text link	ANYONE
Help Text	We need to count people where they live and sleep most of the time. Answer “Yes” if anyone <FILL1> living or staying at <ADDRESS> on <REFDATE>. Otherwise, answer “No.”
Help Text Fills	FILLS: If current date is before REFDATE then <FILL1> = will be If current date is on or after REFDATE then <FILL1> = was

Screen Name

VACANCY

Help Text link

VACANCY

Help Text

We ask questions about whether a home is owned or rented to understand local housing markets. These statistics are used to analyze whether communities are affordable for residents, where new development could thrive, how to combat vacant and abandoned properties, and a number of other issues.

Select “For rent,” if the unit is for rent only or for either rent OR for sale.

Select “Rented, not occupied,” if the unit is paid or agreed upon, BUT the renter has not yet moved in.

Select “For sale only,” if the unit is for sale only; that is, the owner/landlord will not consider renting the unit. Include units in cooperatives if the individual units are offered “For sale only” OR if the unit is in condominium projects AND the individual units are offered “For sale only.”

Select “Sold, not occupied,” if the unit is recently sold, BUT the new owner has not yet moved in.

Select “For seasonal, recreational, or occasional use,” if the unit is used OR intended for use in certain seasons or for weekend or other occasional use throughout the year, including:

Units used for summer or winter sports or recreation, such as beach cottages and hunting cabins
Quarters for such workers as herders and loggers

If unit is an interval ownership unit, sometimes called shared ownership or time-sharing condominiums.

Select “For migrant workers” if intended for occupancy by migrant workers employed in farm work during crop season.

Select “Other ,” if the unit is

Held for the settlement of an estate
Held off market for personal reasons, such as:
The owner has not yet decided whether or not the unit will be torn down
The owner is remodeling or repairing the unit AND will not make it available for rent or sale until the work is completed
Held for the occupancy of a caretaker or janitor
Temporarily used for storage of excess house furniture
Has renters who moved during the month although rent has been paid to the end of the month.

NonID Address

Screen Name	RESIDENCE
Help Text link	RESIDENCE
Help Text	Please type in the street address of the place where you will be living on <REFDATE>. If you have more than one address associated with your residence, please provide the street address if available. For example, if you normally use a P.O. Box or Rural Route address for mailing purposes, please enter a physical street address, such as what you would give to a shipping company to have a package delivered to your home. In addition, some P.O. Box addresses look like street addresses, but are actually the addresses for private mailboxes at a business or the Post Office. We only want the street address of where you lived or stayed on <REFDATE>. For Street Addresses, such as 5007 N Maple Ave, you can enter your address into the address fields. Address Number is the numeric or alphanumeric identifier from your street address, for example 5007 or 5007-A. Street Name is the name of your street, for example N Maple Ave. Apt/Unit refers to any unit information that is part of your address, such as an apartment number, unit number, or lot. You will need to enter both the unit type and number. For example, enter “Apt A” or “Lot 3” or “Unit 2-H” or “Room 12”. If you share the same address with other living quarters, such as a basement or garage apartment, or even a separate structure on the same lot (e.g., a trailer behind the main house), please provide this in the Apt/Unit.

Screen Name	RURAL_ROUTE
Help Text link	RURAL_ROUTE
Help Text	You have previously indicated that you do not have a street address. Please let us know if you have a rural route address, such as RR 101 Box 2 Suitland, MD 20746.

Screen Name	RR_ADDRESS
Help Text link	RR_ADDRESS
Help Text	If you normally use a Rural Route address for mailing purposes, you will need to enter your Rural Route address. If you have a Street Address, such as what you would give to a shipping company to have a package delivered to your home please use the “Previous” buttons to take you to that address collection screen. Otherwise enter your Rural Route address into the address fields. Use the drop-down menu to select the Rural Route Descriptor, such as: RR – Rural Route HC – Contract Delivery Service Route (formerly Highway Contract Route) SR – Star Route PSC – Postal Service Center RTE – Route Provide the number of the Rural Route Provide the number of the Box Provide a city, state, and ZIP Code You may also describe the physical location of where you <FILL1> will be living on <REFDATE> in the “Location Description” box. Please provide as much information as possible

Screen Name	HOMELESS
Help Text link	HOMELESS
Help Text	You have previously indicated that you do not have a street address or a rural route address. Answer "Yes" if you <FILL1> experiencing homelessness or <FILL2> not have a permanent place to live on <REFDATE>.
	FILLS: If the current date is before REFDATE then FILL1 = will be If the current data is on or after REFDATE then FILL1 = were If the current date is before REFDATE then FILL2 = will If the current data is on or after REFDATE then FILL2 = did

Screen Name	OTHER_ADDRESS_PHYS
Help Text link	OTHER_ADDRESS_PHYS
Help Text	If you have a Street Address, such as what you would give to a shipping company to have a package delivered to your home please use the “Previous” buttons to take you to that address collection screen. Otherwise, please provide a city and state, OR ZIP Code into the address fields. You may also describe the physical location of where you <FILL1> living on <REFDATE> in the “Location Description” box. Please provide as much information as possible
	FILLS: If the current date is before REFDATE then FILL1 = will be If the current data is on or after REFDATE then FILL1 = were

Screen Name	STAN_RESIDENCE, STAN_RR_ADDRESS, STAN_OTHER_ADDRESS
Help Text link	STAN_RESIDENCE, STAN_RR_ADDRESS, STAN_OTHER_ADDRESS
Help Text	The address shown conforms to standards of the US Census Bureau for purposes of matching and updating and could differ from what you submitted previously.

Screen Name	RESIDENCE2, RR_ADDRESS2
Help Text link	STAN_RESIDENCE, STAN_RR_ADDRESS, STAN_OTHER_ADDRESS
Help Text	To ensure we are receiving a correct and complete address, please review your address submission at this time.

Screen Name	WEBMAP INTERFACE
Help Text link	WEBMAP
Help Text	<FILL1> How to Use the Map: The map will automatically zoom to an appropriate scale. To enlarge or shrink the map, click the “+” or “-“sign at the top left corner of the map. To move or pan around the map, click the left mouse button and drag the mouse to a desired location. To highlight an area, click once with the left mouse button. To highlight a different block, simply click on the new block. To turn satellite imagery on or off, click on the Imagery button. To undo all selections, zooming, and panning, click on the Start Over button.
Help Text Fills	<FILL1> (If Address Type=1 (street) and RT_MATCH_STATUS=2,3,5): If the highlighted area on the map correctly reflects the location of the address you provided, then continue to the next page. If the highlighted area on the map does not correctly reflect the location of the address you provided, then please determine and select the area on the map that correctly reflects the location of the address you provided. Once the correct location is determined, then continue to the next page. If you are unable to determine the area on the map which correctly reflects the location of the address you provided, then click the “Cannot Locate Area” checkbox. (If Address Type=1 (street) and RT_MATCH_STATUS=0,4) or Address Type =2, 3: Use the map to determine and select the area that correctly reflects the location of the address you provided. If unable to determine the area on the map which correctly reflects the location of the address you provided, mark the “Cannot Locate Area” checkbox and then continue to the next page.

PR NonID Address

Screen Name	PR_URB
Help Text link	PR_URB
Help Text
Help Text Fills
Screen Name	PR_APT
Help Text link	PR_APT
Help Text
Help Text Fills

Screen Name	PR_AREANM
Help Text link	PR_AREANM
Help Text
Help Text Fills

Screen Name	PR_URB_RESIDENCE
Help Text link	PR_URB_RESIDENCE
Help Text
Help Text Fills

Screen Name	PR_APT_RESIDENCE
Help Text link	PR_APT_RESIDENCE
Help Text
Help Text Fills

Screen Name	PR_AREANM_RESIDENCE
Help Text link	PR_AREANM_RESIDENCE
Help Text
Help Text Fills

Screen Name	PR_GEN_RESIDENCE
Help Text link	PR_GEN_RESIDENCE
Help Text
Help Text Fills

Screen Name	PR_WEBMAP INTERFACE
Help Text link	PR_WEBMAP INTERFACE
Help Text
Help Text Fills

Roster

Screen Name

RESPONDENT

Help Text link

RESPONDENT

Help Text

In the spaces provided, type in your name (first, middle, and last) and phone number.

Enter your legal name. If you use Junior or Senior, enter your last name and the suffix in the Last Name field.

In the past, the Census Bureau has mailed most households in the United States a paper census form and visited people who did not respond. In an effort to reduce the cost of the census, we are considering alternative ways of contacting people, such as email. The information you provide here will assist us in that research.

If you do not have an email address, continue to the next page.

Screen Name	POPCOUNT
Help Text link	POPCOUNT
Help Text	Enter the number of people that <FILL> living or staying at <ADDRESS> most of the time, as of <REFDATE>. Our goal is to count people once, only once, and in the right place, according to where they <FILL1> living on <REFDATE>. Keeping this goal in mind, we ask you to use our guidelines to determine who to count at <ADDRESS>. Count people where they usually live and sleep. For people with more than one place to live, count them at the place where they sleep most of the time. For people who <FILL1> moving from one residence to another, count them at the residence where they <FILL1> living on <REFDATE>. For people who do not have a usual residence, or who cannot determine a usual residence, count them where they are staying on <REFDATE>. Using those guidelines, be sure to INCLUDE the following types of people if they <FILL> living or staying at <ADDRESS> most of the time around <REFDATE>: Babies and children of all ages (even newborns and infants), including biological, step, and adopted children, as well as grandchildren, foster children, and children in joint custody arrangements. Any other close or extended family members living there, even partners, grandparents, cousins, in-laws, etc. People who are not related to you, such as roommates, boarders, friends, or live-in employees. People who staying at <ADDRESS> on for a short or indefinite period of time, without a permanent place to live. Do NOT include: College students who live away from <ADDRESS> most of the year. Armed forces personnel who live away. People who, on <REFDATE>, <FILL1> in a nursing home, mental hospital, jail, prison, detention center, etc. People visiting <ADDRESS> on <REFDATE> who usually live and sleep somewhere else.
Help Text Fills	FILLS: If current date is before REFDATE, then FILL = will be If the current date is on or after REFDATE, then FILL = were

Screen Name	PEOPLE
Help Text link	PEOPLE
Help Text	In the spaces provided, type in the name (first, middle, and last) of every person who <FILL2> living or staying at <ADDRESS> most of the time, as of <REFDATE>. Enter the person’s legal name. If a person uses Junior or Senior, enter the last name and the suffix in the Last Name field. Our goal is to count people once, only once, and in the right place, according to where they <FILL1> living on <REFDATE>. Keeping this goal in mind, we ask you to use our guidelines to determine who to count at <ADDRESS>. Count people where they usually live and sleep. For people with more than one place to live, count them at the place where they sleep most of the time. For people who <FILL1> moving from one residence to another, count them at the residence where they <FILL1> living on <REFDATE>. For people who do not have a usual residence, or who cannot determine a usual residence, count them where they <FILL1> staying on <REFDATE>. Using those guidelines, be sure to INCLUDE the following types of people if they <FILL1> living or staying at <ADDRESS> most of the time around <REFDATE>: Babies and children of all ages (even newborns and infants), including biological, step, and adopted children, as well as grandchildren, foster children, and children in joint custody arrangements. Any other close or extended family members living there, even partners, grandparents, cousins, in-laws, etc. People who are not related to you, such as roommates, boarders, friends, or live-in employees. People who staying at <ADDRESS> on for a short or indefinite period of time, without a permanent place to live. Do NOT include: College students who live away from <ADDRESS> most of the year. Armed forces personnel who live away. People who, on <REFDATE>, <FILL1> in a nursing home, mental hospital, jail, prison, detention center, etc. People visiting <ADDRESS> on <REFDATE> who usually live and sleep somewhere else.
Help Text Fills	FILLS: If the current date is before REFDATE, then <FILL1> = will be If the current date is on or after REFDATE, then <FILL1> = were If the current date is before REFDATE, then <FILL2> = will be If the current date is on or after REFDATE, then <FILL2> = was

Undercount Screens

Screen Name	UC
Help Text link	UC
Help Text	The purpose of this question is to collect the name(s) of people living or staying at <ADDRESS> who you have NOT already listed on the previous screen. Answer “Yes” if someone should be added. In the spaces provided, type in the name (first, middle, and last) of the person(s) who should be added. Enter the person’s legal name. If a person uses Junior or Senior, enter the last name and the suffix in the Last Name field. Our goal is to count people once, only once, and in the right place, according to where they <FILLL> living on <REFDATE>. Keeping this goal in mind, we ask you to use our guidelines to determine who to count at <ADDRESS>. Count people where they usually live and sleep. For people with more than one place to live, count them at the place where they sleep most of the time. For people who <FILL> moving from one residence to another, count them at the residence where they <FILL> living on <REFDATE>. For people who do not have a usual residence, or who cannot determine a usual residence, count them where they are staying on <REFDATE>. Using those guidelines, be sure to INCLUDE the following types of people if they <FILL> living or staying at <ADDRESS> most of the time around <REFDATE>: Babies and children of all ages (even newborns and infants), including biological, step, and adopted children, as well as grandchildren, foster children, and children in joint custody arrangements. Any other close or extended family members living there, even partners, grandparents, cousins, in-laws, etc. People who are not related to you, such as roommates, boarders, friends, or live-in employees. People who staying at <ADDRESS> on for a short or indefinite period of time, without a permanent place to live.
Help Text Fills	FILLS: If the current date is before REFDATE, then <FILL1> = will be If the current date is on or after REFDATE, then <FILL1> = were

Tenure

Screen Name

HOME

Help Text link

HOME

Help Text

Owned by you or someone in this household with a mortgage or loan

Select this response option to describe any house, apartment, or mobile home that has any type of loan secured by real estate. These liens may be called mortgages, deeds of trust, trust deeds, or contracts to purchase. Owner-occupied units with reverse mortgages and home equity loans are considered to be “owned with a mortgage or loan” as are owner-occupied mobile homes with installment loans.

Owned by you or someone in this household free and clear (without a mortgage or loan)

Select this response option to describe owner-occupied properties without any loans secured by real estate.

Rented

Select this response option to describe units where money rent is paid or contracted.

'Continuing care,' sometimes called life care, is a contract between an individual and housing services provider. The contract requires that shelter, usually a house or apartment, and services such as meals or transportation to shopping or recreation, be provided. For these kinds of living arrangements, mark the 'Rented' box.

Occupied without payment of rent

Select this response option if the house or apartment is not owned or being bought by a member of the household and if money rent is not paid or contracted. (For example, a house or apartment that is provided free to a janitor, caretaker, or superintendent in exchange for services.)

Screen Name

OWNER

Help Text link

OWNER

Help Text

If HOME = (1,2), display:

Please select the person who owns the residence at the address in this question.

If more than one person owns this residence you may select multiple people.
If none of the people on the list own this residence, please select the “None of the above” response option.

If HOME=3, display:

Please select the person who pays the rent for the residence at the address in this question.

If more than one person pays the rent for this place, you may select multiple people.
If none of the people on the list pay rent for this residence, please select the “None of the above” response option.

Demographics

Screen Name	RELATIONSHIP
Help Text link	RELATIONSHIP
Help Text	Other relative Related by birth, marriage, or adoption, but NOT one of the options listed- for example, a niece or nephew. If a foster child is related to the householder, include in the appropriate relative category, such as grandchild, or include in the “Other relative” category. Roommate or housemate 15 years old or over, who is not related to the householder, and shares living quarters primarily in order to share expenses. Unmarried partner Is in in intimate relationship with the householder, such as a boyfriend or girlfriend. Other nonrelative Not related AND not one of the options listed.
Help Text Fills

Screen Name	SEX
Help Text link	SEX
Help Text	Select the box that indicates the person’s biological sex.

Screen Name

DOB

Help Text link

DOB

Help Text

This question consists of two parts: the first part asks for the date of birth, and the second part asks for the age of the person.

If you know the date of birth, enter it. The person’s age will be automatically calculated.
If you do not know the exact date of birth, enter as much as you know.
If you do not know the date of birth at all, leave it blank and fill in the person’s age. If you don’t know the age, please estimate.

Date of Birth

Select the month, day, and year of birth. If you do not know part of the date of birth (month, day, or year) please leave that part blank and enter or confirm the age in the age box.

Age

Enter the person’s age as of <REFDATE>. Do not round the age up if the person was close to having a birthday on <REFDATE>. If you do not know the exact age, an estimate will do. For babies who were not yet one year old on <REFDATE>, enter “0.”

Screen Name

AGE, AGECONFIRM

Help Text link

AGE

Help Text

Age

Screen Name	BABYFLAG
Help Text link	BABYFLAG
Help Text	Please confirm that this person is a baby born after <REFDATE>. If this is a baby born after <REFDATE>, select “yes.” If this is not a baby born after <REFDATE>, select “no.”

Screen Name

RACE, WHITE, HISPANIC, BLACK, ASIAN, AIAN, MENA, NHOPI, SOR

Help Text link

RACE

Help Text

RACE or ETHNICITY

An individual’s response is based upon self-identification. People may choose one or more response categories to represent their identity or identities. The categories included in the questionnaire generally reflect social definitions recognized in this country, and do not attempt to define groups biologically, anthropologically, or genetically.

The major categories, detailed checkboxes, and examples are listed in order of population size, from largest to smallest. Detailed groups are employed as examples to represent the different geographic regions in each of the major categories.

The following descriptions define each of the categories:

White

The category “White” includes all individuals who identify with one or more nationalities or ethnic groups originating in Europe. Examples of these groups include, but are not limited to, German, Irish, English, Italian, Polish, and French. The category also includes groups such as Scottish, Norwegian, Dutch, Slavic, Cajun, Roma, etc. Individuals should report the person’s White group or groups in the space provided.

Hispanic, Latino, or Spanish

The category “Hispanic, Latino, or Spanish” includes all individuals who identify with one or more nationalities or ethnic groups originating in Mexico, Puerto Rico, Cuba, Central and South American, and other Spanish cultures. Examples of these groups include, but are not limited to, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, and Colombian. The category also includes groups such as Guatemalan, Honduran, Spaniard, Ecuadorian, Peruvian, Venezuelan, etc. Individuals should report the person’s Hispanic, Latino, or Spanish group or groups in the space provided.

Black or African American

The category “Black or African American” includes all individuals who identify with one or more nationalities or ethnic groups originating in any of the black racial groups of Africa. Examples of these groups include, but are not limited to, African American, Jamaican, Haitian, Nigerian, Ethiopian, and Somali. The category also includes groups such as Ghanaian, South African, Barbadian, Kenyan, Liberian, Bahamian, etc. Individuals should report the person’s Black or African American group or groups in the space provided.

Asian

The category “Asian” includes all individuals who identify with one or more nationalities or ethnic groups originating in the Far East, Southeast Asia, or the Indian subcontinent. Examples of these groups include, but are not limited to, Chinese, Filipino, Asian Indian, Vietnamese, Korean, and Japanese. The category also includes groups such as Pakistani, Cambodian, Hmong, Thai, Bengali, Mien, etc. Individuals should report the person’s Asian group or groups in the space provided.

American Indian or Alaska Native

The category “American Indian or Alaska Native” includes all individuals who identify with any of the original peoples of North and South America (including Central America) and who maintain tribal affiliation or community attachment. It includes people who identify as “American Indian” or “Alaska Native” and includes groups such as Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Tlingit, etc. Individuals should report the person’s American Indian or Alaska Native tribe or tribes in the space provided.

Middle Eastern or North African
The category “Middle Eastern or North African” includes all individuals who identify with one or more nationalities or ethnic groups originating in the Middle East or North Africa. Examples of these groups include, but are not limited to, Lebanese, Iranian, Egyptian, Syrian, Moroccan, and Israeli. The category also includes groups such as Algerian, Iraqi, Kurdish, Tunisian, Chaldean, Assyrian, etc. Individuals should report the person’s Middle Eastern or North African group or groups in the space provided.

Native Hawaiian or Other Pacific Islander

The category “Native Hawaiian or Other Pacific Islander” includes all individuals who identify with one or more nationalities or ethnic groups originating in Hawaii, Guam, Samoa, or other Pacific Islands. Examples of these groups include, but are not limited to, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, and Marshallese. The category also includes groups such as Palauan, Tahitian, Chuukese, Pohnpeian, Saipanese, Yapese, etc. Individuals should report the person’s Native Hawaiian or Other Pacific Islander group or groups in the space provided.

Some other race or ethnicity

‘Some other race or ethnicity’ includes all other responses not included in the categories above.

Screen Name

TRBENR_1, TRBENR_2

Help Text link

TRBENR_1, TRBENR_2

Help Text

TRIBAL ENROLLMENT

In the 2017 Census Test, an individual’s response to the tribal enrollment question is based upon self-identification. People may report being enrolled in one or more American Indian tribe(s) or Alaska Native tribe(s), village(s), or corporation(s). These questions focus on a respondent’s tribal enrollment status and are separate from a respondent’s racial or ethnic identity.

CORPORATION SHAREHOLDER

A respondent may report being a shareholder in one or more Alaska Native regional or village corporation. A shareholder is someone who has an ownership interest in a regional or village corporation. An Alaska Native regional or village corporation may also be known as an Alaska Native Claims Settlement Act (ANCSA) Corporation. Being a shareholder is separate from a respondent’s racial or ethnic identity.

Screen Name	OC, OC_HH
Help Text link	OC
Help Text	Our goal is to count people once, only once, and in the right place. Keeping this goal in mind please select any of the people you listed at <ADDRESS> who <FILL> living or staying at a different address most of the time around <REFDATE>. Examples include: People who stay with a parent, grandparent, or other person. This could occur for children under the age of 18 in a child custody situation or who stay at multiple addresses to be with another parent, grandparent, or another guardian. This could also occur for adults who live at multiple addresses to be with a parent or grandparent to help take care of them. People who stay at a different address while attending college. This includes on-campus and off-campus housing, as well as fraternity and sorority houses. People who stay at a different address for a military assignment. This could occur if a person stays in military barracks, on ships, or in on-base or off-base housing. People who stay at a different address to be closer to a job or business. This could occur when a person stays at another residence during the week to be closer to their job, but goes home on the weekends. People who stay at a nursing home or group home. This could include when a person stays in a skilled nursing facility or residential treatment center as well as mental-health institutions or psychiatric units or hospitals for long-term, non-acute care. People who have been in a correctional facility recently. This includes all federal, state, and local jails or prisons for adults and juveniles. People who stay at a seasonal residence or second residence. This includes when a person leaves his or her northern home and spends the winter living at a different address farther south. People visiting <ADDRESS> on <REFDATE> who usually live and sleep somewhere else. People who <FILL> moving out of the residence at <ADDRESS> before <REFDATE>. People who <FILL> moving into the residence at <ADDRESS> after <REFDATE>.
Help Text Fills	FILLS: If the current date is before REFDATE, then <FILL1> = will be If the current date is on or after REFDATE, then <FILL1> = were

Screen Name	OC_P
Help Text link	OC_P
Help Text	Our goal is to count people once, only once, and in the right place. Keeping this goal in mind, please select the reason that best explains why the person <FILL2> living or staying at a different address most of the time around <REFDATE>. Examples include: People who stay with a parent, grandparent, or other person. This could occur for children under the age of 18 in a child custody situation or who stay at multiple addresses to be with another parent, grandparent, or another guardian. This could also occur for adults who live at multiple addresses to be with a parent or grandparent to help take care of them. People who stay at a different address while attending college. This includes on-campus and off-campus housing, as well as fraternity and sorority houses. People who stay at a different address for a military assignment. This could occur if a person stays in military barracks, on ships, or in on-base or off-base housing. People who stay at a different address to be closer to a job or business. This could occur when a person stays at another residence during the week to be closer to their job, but goes home on the weekends. People who stay at a nursing home or group home. This could include when a person stays in a skilled nursing facility or residential treatment center as well as mental-health institutions or psychiatric units or hospitals for long-term, non-acute care. People who have been in a correctional facility recently. This includes all federal, state, and local jails or prisons for adults and juveniles. People who stay at a seasonal residence or second residence. This includes when a person leaves his or her northern home and spends the winter living at a different address farther south. People visiting <ADDRESS> on <REFDATE> who usually live and sleep somewhere else. People who <FILL1> moving out of the residence at <ADDRESS> before <REFDATE>. People who <FILL1> moving into the residence at <ADDRESS> after <REFDATE>.
Help Text Fills	FILLS: If the current date is before REFDATE, then <FILL1> = will be If the current date is on or after REFDATE, then <FILL1> = were If the current date is before REFDATE, then <FILL2> = will be If the current date is on or after REFDATE, then <FILL2> = was

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Gianna S Dusch
File Modified	0000-00-00
File Created	2021-01-23