1
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May
I have your name, title, and business email address?
Enter
into the Secondary
Contact Title, Secondary Contact Name, and
Secondary Contact Business Email fields.
Go
to Question 2b.
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2a
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To
prepare for this test, I need to collect some information about
this facility. I have just a few questions to ask you. We
estimate this interview will take approximately ten minutes.
The
U.S. Census Bureau is required by law to protect your
information. The Census Bureau is not permitted to publicly
release your responses in a way that could identify you. We are
conducting this survey under the authority of Title 13, U.S.
Code, Sections 141, 193, 221, and 223. Federal law protects your
privacy and keeps your answers confidential (Title 13, U.S. Code,
Section 9). Per the Federal Cybersecurity Enhancement Act of
2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data. You are
required by law to respond to the census. This collection of
information has been approved by the Office of Management and
Budget (OMB). The eight-digit OMB approval number xxxx-xxxx
confirms this approval.
I
am going to read you a summary of the group quarters information
that I have. Please let me know if anything is incorrect, or if
any information is missing.
Read
all text fields below to contact person. If any information is
incorrect or missing, make changes in the GQ
Update
section to update or add the information:
GQ
Name:
Street
Number:
Street
Name:
Apt/Unit:
State:
County:
Zip
Code:
Rural
Route Addr:
Location
Descr.
Contact
Title:
Contact
Name:
Contact
Phone #:
Business
Email:
(If
applicable)
Secondary
Contact Title:
Secondary
Contact Name:
Contact
Phone #:
Business
Email:
Go
to Question 3.
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2b
|
Hello,
my name is
<state
your name>. I’m
with the U.S. Census Bureau. We are currently conducting the 2018
Census Test in your community. I have some questions to ask you
about <GQNAME>
at
<PARTIAL
ADDRESS>.
To
prepare for this test, I need to collect some information about
this facility. I have just a few questions to ask you. We
estimate this interview will take approximately ten minutes.
The
U.S. Census Bureau is required by law to protect your
information. The Census Bureau is not permitted to publicly
release your responses in a way that could identify you. We are
conducting this survey under the authority of Title 13, U.S.
Code, Sections 141, 193, 221, and 223. Federal law protects your
privacy and keeps your answers confidential (Title 13, U.S.
Code, Section 9). Per the Federal Cybersecurity Enhancement Act
of 2015, your data are protected from cybersecurity risks through
screening of the systems that transmit your data. You are
required by law to respond to the census. This collection of
information has been approved by the Office of Management and
Budget (OMB). The eight-digit OMB approval number xxxx-xxxx
confirms this approval.
I
am going to read you a summary of the group quarter information
that I have. Please let me know if anything is incorrect, or if
any information is missing.
Read
all text fields below to contact person. If any information is
incorrect or missing, make changes in the GQ
Update
section to update or add the information:
GQ
Name:
Street
Number:
Street
Name:
Apt/Unit:
State:
County:
Zip
Code:
Rural
Route Addr:
Location
Descr.
Contact
Title:
Contact
Name:
Contact
Phone #:
Business
Email:
(If
applicable)
Secondary
Contact Title:
Secondary
Contact Name:
Contact
Phone #:
Business
Email:
Go
to Question 3.
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3
|
Will
this facility be open or operating on Wednesday, March 28th?
If
yes, go to question 6.
If
no, question 4
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4
|
Will
this facility be open or operating on Thursday, March 29th?
If
yes, go to question 7.
If
no, question 5
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5
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Will
this facility be open or operating on Friday, March 30th?
If
yes, go to question 8.
If
no, end interview using this statement:
“Thank
you very much for your time and participation. This is the all
the information I need. This facility will not be counted during
the 2018 Census Test. Someone from the Census Bureau may contact
you by telephone to verify that we spoke with you about counting
the people (residing in/served at) this facility.”
Go
to Contact
Outcome
and choose: Contact
reached, but GQ out-of-scope. Enter
0 into Expected
Pop
field.
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6
|
The
Census Bureau will come to this facility on Wednesday, March 28th
to count the people who are serviced on that date. Is this
acceptable?
Enter
March 28th
into the Scheduled
Visit
section.
If
yes, or respondent doesn’t know or refuses, go to question
9.
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7
|
The
Census Bureau will come on Thursday, March 29th
to count the people who are serviced on that date. Is this
acceptable?
Enter
March 29th
into the Scheduled
Visit
section.
If
yes, or respondent doesn’t know or refuses, go to question
9.
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8
|
The
Census Bureau will come to this facility on Friday, March 30th
to count the people who are serviced on that date. Is this
acceptable?
Enter
March 30th
into the Scheduled
Visit
section.
If
yes, or respondent doesn’t know or refuses, go to question
9.
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9
|
How
many clients do you expect at this shelter on this day?
Enter
this information into the Expected
Pop
field.
Go
to question 10.
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10
|
The
census response data that we ask for each person is name, sex,
date of birth, age on Census Day, race and ethnicity, and an
alternate address where they live or stay when not at this
facility. To determine the best way to count people that are
served at this facility, we would like for you to select from the
following enumeration options: Read
options, select method
In-Person
Interview: A census worker will conduct a face-to-face,
in-person interview with each person who was served or was
staying at this facility on Census Day.
Paper
Response Data Collection: A census worker will meet with the GQ
contact person of this facility to obtain a paper listing of
Census response data for each person who was served or was
staying at this facility on Census Day.
Enter
enumeration method selected into the Preferred
Enum Type
field.
Go
to question 11.
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11
|
What
time does the shelter open for clients?
Enter
time into the GQ
Open Hours
field.
Go
to question 12.
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12
|
How
early do clients arrive?
Enter
time into the Arrival
Time/Ending Time
field.
Go
to question 13.
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13
|
What
is the latest time clients can enter the shelter?
Enter
time into the Arrival
Time/Ending Time
field.
Go
to question 14.
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14
|
Does
this shelter serve males only, females only, or both?
Enter
this information into the Pop
Gender
field.
Go
to question 15.
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15
|
Are
there any people at this location that do not speak or understand
English?
If
yes ask,
What language(s) do they speak? (For
example Spanish, Chinese, Vietnamese, Korean)
Enter
the language(s) spoken into the GQ
Languages
field.
Go
to question 16.
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16
|
Are
there any specific instructions that census staff need to know in
order to count the people at this location?
Specific
instructions should be entered into the Specific
Instructions
field.
If
respondent has no special instructions and the enumeration type
is Paper Response Data Collection, go to question 18.
All
other option, go to question 17.
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17
|
During
enumeration, will you be able to provide us a printed list of all
people at this facility, as of Census Day?
Select
response from the Roster
Available
field.
Go
to question 18.
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18
|
Go
to the Search
and Case Assignment Screen
to determine if other cases are also assigned to this contact
person.
If
there are no other cases assigned to this contact person, go to
question 19.
According
to our Census records, we have you responsible for (GQ
NAME) (GQ TYPE CODE DESCRIPTION)
at this (PARTIAL
ADDRESS).
Confirm
if the contact person is responsible. If they are not responsible
for any other GQs listed, it must go to management attention.
Is
this correct?
If
no or if you have already asked the GQ contact person this
question, go to question 19.
If
yes, got to question 19.
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19
|
Are
you responsible for any additional facilities, either at this
address or elsewhere? Some
examples are a soup kitchen, regularly scheduled mobile food van,
shelter, or group living quarters
If
yes, enter facility information on ADD
screen.
Access
the OCS Browse Living Quarters and confirm if it is a new address
record. While searching, close out case and send to management
attention. Let the contact person know that they may receive
another telephone call.
If
this address exists in the OCS Browse Living Quarters, update GQ
contact information and conduct the interview if it is a GQ.
If
it is not in OCS Browse Living Quarters, elevate case to Census
Field Manager (CFM).
If
no, go to question 20.
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20
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Now
on the day of enumeration, census workers will arrive at the
shelter prior to the time clients are allowed to enter the
building.
We
ask that you let the clients know that the Census Bureau will be
conducting a test at that time and all data we collect are
protected by law and kept confidential. Someone from the Census
Bureau will contact you prior to your appointment to discuss
details about counting your clients. To learn more about our
privacy policy and data protection, please visit our website at
census.gov and click on “Data Protection and Privacy
Policy” at the bottom of the home page.
That
is all the information I need. Thank you very much for your time
and participation. If you have any additional questions, please
call the area census office at [xxx-xxx-xxxx] (Please
provide the ACO telephone number)
or visit our website at census.gov [link to GQ response site]. On
our website, you will find informational materials about the 2018
Census Test in your community.
If
Outbound or Inbound call to a Census Address: If contact person
does not have internet access, request their mailing address to
forward documents.
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