Form SOC-QI/SF.1 Survey of Housing Starts, Sales & Completions (Single-fa

Attachment A

FORM SOC-QI/SF.1
(MM-DD-YYYY)

OMB No. 0607-0110: Approval Expires MM-DD-YYYY
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

SURVEY OF CONSTRUCTION
SINGLE-FAMILY BUILDINGS

Title 13 United States Code, Sections 131 and 182, authorizes the Census Bureau to conduct this collection and to request your voluntary assistance. The U.S. Census Bureau is
required by Section 9 of the same law to keep your information confidential and can use your responses only to produce statistics. The Census Bureau is not permitted to publicly
release your responses in a way that could identify your business, organization, or institution. Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from
cybersecurity risks through screening of the systems that transmit your data. The eight-digit OMB number is 0607-0110 and appears in the upper right corner of this page. Without
this approval, we cannot conduct this survey. We estimate this survey will take an average of 5 minutes to complete an interview. More information about this estimate and an address
where you may write with comments is in the letter that accompanies this form.

TO BE COMPLETED BY CENSUS FIELD REPRESENTATIVE
Address or location of building

Builder/Owner
PSU

SAMPLE FORM
Permit Month
Issued:

Building permit number

Project Name

Day

Year Block Lot

BPOID

Serving post office, State, ZIP Code
RO

TO BE COMPLETED BY RESPONDENT
Month

START_DATE

Year MANUFACTURE

Will this house be –

When did excavation start for the footings or
foundation of this house?
EXCOMP_DATE

Month

Year

1

Modular?

3

Precut?

2

Panelized?

4

Site-built?

FRAMING

When do you expect to complete this house?
Month

COMP_DATE

Year

When was this house completed or occupied?

What primary material is being used for the framing of this
house?
1

SALE_CATEGORY

2

Is this house being built –

3
4

for sale or is it already sold?
for the owner by a contractor on
the owner’s land?

1
2

4

on owner’s land entirely by owner?
for rent?

5

as part of Habitat for Humanity?

3

}

5

What type of foundation will this house have?

ASSOCIATION

1

Was a deposit taken or a sales agreement signed for this house?
2

Yes
No
This a model home

2
3

}

3

Skip to

4

CONDO

Month

DEPOSIT_DATE

When was a deposit taken or a sales
agreement signed?

No

2

No

2

Will this house be in a development that is age-restricted?
2

No

DETACHED
Detached?

Other – Specify

}

Skip to
TOTAL SQ FOOT
TOTALSQFOOT

Interior

2

Exterior

LOT_MEASUREMENT

What is the size of the individual lot
on which the house is being built?

Will this house be –
1

Crawl space
Slab
Raised supports (pilings, piers, etc.)

Is the square footage based on interior or exterior dimensions?
1

Yes

TOTAL SQ FOOT
TOTALSQFOOT

DIMENSQFOOT

DEVELOPMENT

1

No – Skip to

What will be the square foot area of completely finished
floor space, including finished areas of the basement
and attic?

Will this house be part of a community or
homeowner’s association?
Yes

Yes – Skip to BASEMENTSQFOOT

2

TOTALSQFOOT

ASSOCIATION

1

5

1

What will be the square foot area of the finished part of
the basement?

Will this house be part of a condominium project?
Yes

Year

Full or partial basement
Will part or all of this basement be finished?

BASEMENTSQFOOT

CONDO
1

Concrete/masonry other than insulated concrete forms
Insulated concrete forms OR SIP
Other – Specify

FOUNDATION

Skip to

DEPOSIT
1

Wood
Steel

2

Attached?

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STORIES

PRIMARYSYSTEM

How many stories, not including the basement, will be
in this house?
CEILING HEIGHT

What is the ceiling height on the first floor of this house (excluding
two-story foyers and rooms with cathedral or vaulted ceilings)?
feet (round to nearest whole foot)
FOYER

Will this house have a two-story foyer?
1

Yes

No

2

How many of the following will be in this house?
BEDROOMS

Bedrooms

4
5
6

3
5

Hot water or steam (including hydronic systems)

6

Electric baseboard (including heat strips and wall panels)

7

Fireplace with insert

8

Solid fuel burning stove (including wood or coal stoves)

9

Liquid fuel burning stove

10

Passive solar system

11

No heat – Skip to AIRCONDITIONING

12

Other – Specify

PRIMARYSOURCE

1

Electricity

FIREPLACES

2

Natural gas

3

Bottled or liquified petroleum gas (including propane)
Oil (including heating oil or kerosene)
Wood (including pellets)

What fuel will be used most for heating this house?

4
5

Solar
Coal
Other – Specify

6

In the basement
On the first floor

7
8

On the second or higher floor
In the garage or carport

AIRCONDITIONING

Will this house have central air conditioning?

No connection planned
Multiple locations

Yes

1

6

Wood or wood products

8

Stone, rock, or other stone materials
Poured concrete or concrete block

9

Other – Specify

1

Public water (including community or shared water supply/well)

2

Individual well
Other – Specify

3

SEWAGE

What sewage disposal system will be used for this
house?
1

PARKING

2

What type of parking will this house have?

3

1
2
3
4
5
6

A garage for 1 car
A garage for 2 cars
A garage for 3 or more cars

Public sewers (including community or shared sewage/septic system)
Individual septic system
Other – Specify

SALE_PRICE

A carport
Other off-street parking (driveway with no garage or carport)
None of the above

or

CONTRACT_PRICE

What is the sales price or contract
price for this house?

Decks

1

Yes

2

No

DECKS

Patios

1

Yes

2

No

PATIOS

Porches

1

Yes

2

No

PORCHES

$

LOT_VALUE

What is the current market value of
the improved lot?

Will this house have any of the following?

$

FINANCING

Please visit our website at: www.census.gov/starts
NOTES:

No

What water supply source will be used for this house?

Vinyl siding (including vinyl-covered aluminum)
Stucco
Brick or brick veneer
Fiber cement siding (such as Hardiplank or Hardiboard)

7

2

WATER

Which wall material will cover most of the house
when it is completed?

4

Forced air furnace without heat pump

5

Half Bathrooms

PRIMARYWALL

2

Heat pump, ground source (geothermal)

4

HALFBATHS

Where will the washer and dryer connections be
located in this house?
2

Heat pump, air source (including reverse-cycle AC)

FULLBATHS

LAUNDRY

3

2
3

Full Bathrooms

Fireplaces

1

Which heating system will be used most in this house?

What type of financing was or will be arranged?
1
2
3
4
5

Conventional
FHA
VA
Cash
Other – Specify

PLEASE RETAIN THIS FORM FOR YOUR USE WHEN CONTACTED BY YOUR CENSUS REPRESENTATIVE
FORM SOC-QI/SF.1 (MM-DD-YYYY)

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