Group Quarters Operation

OMB No. xxxx-xxxx Approval Expires xx/xx/xxxx

GROUP QUARTERS
ADVANCE CONTACT
for
NON-SBE GQ IN-FIELD SCRIPT
2020 CENSUS

(GQ Type Codes: 103, 104, 105, 201, 202, 203,
301, 401, 402, 403, 405, 501, 502, 801, 802, 901,
902, 903, 999)

Form D-1051(GQ)
Group Quarters In-Field Advance Contact

Code
101
102
103
104
105
106
201
202
203
301
401
402
403
404
405
501
502
601
602
701
702
704
706
703
801
802
900
901
902
903
999

CFS GQAC In-Field Script for Non-SBE GQs

GQ Type Codes and Descriptions
Description
Correctional Facilities for Adults
Federal Detention Centers*
Federal Prisons*
State Prisons
Local Jails and Other Municipal Confinement Facilities
Correctional Residential Facilities
Military Disciplinary Barracks and Jails*
Juvenile Facilities
Group Homes for Juveniles (non-correctional)
Residential Treatment Centers for Juveniles (non-correctional)
Correctional Facilities Intended for Juveniles
Nursing Facilities/Skilled-Nursing Facilities
Nursing Facilities/Skilled-Nursing Facilities
Other Institutional Group Quarters
Mental (Psychiatric) Hospitals and Psychiatric Units in Other Hospitals
Hospitals with Patients Who Have No Usual Home Elsewhere
In-Patient Hospice Facilities
Military Treatment Facilities with Assigned Patients*
Residential Schools for People with Disabilities
College/University Student Housing
College/University Student Housing (owned/leased/managed by a college/university)
College/University Student Housing (owned/leased/managed by a private company/agency)
Military Quarters
Military Quarters*
Military Ships*
Service-Based Enumeration (SBE)
Emergency and Transitional Shelters (with Sleeping Facilities) for People Experiencing Homelessness
Soup Kitchens
Regularly Scheduled Mobile Food Vans
Targeted Non-Sheltered Outdoor Locations
Other Non-Institutional Group Quarters
Domestic Violence Shelters*
Group Homes Intended for Adults (non-correctional)
Residential Treatment Centers for Adults (non-correctional)
Maritime/Merchant Vessels*
Workers’ Group Living Quarters and Job Corps Centers
Religious Group Quarters
Living Quarters for Victims of Natural Disaster
Unknown

*Note: Out of Scope GQs

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Form D-1051(GQ)
Group Quarters In-Field Advance Contact
CFS Name______________________
GQ Name_________________________
#
1

CFS GQAC In-Field Script for Non-SBE GQs

Date Assigned_________________
GQ Control #_____________________
Question

Hello. My name is (Your name). May I speak to (Say the CONTACT NAME printed on the ACR)?
I am from the U.S. Census Bureau. (Show your Census ID Badge) We are currently conducting the 2020
Census and would like to set up an enumeration appointment for your facility. I have some questions to ask
you about (Say the GQ NAME printed on the ACR) at (Say the ADDRESS NUMBER and STREET
NAME or LOCATION DESCRIPTION printed on the ACR).
______Housing Unit, Type Code = Blank, Status Code = Housing Unit. Go to QUESTION 8.
_______Contact person is correct, confirm their phone number and title from the ACR, if that information
is preprinted there. Update or collect their phone number, title as well as their business email.
Contact Title _______________
Contact Area Code __________ Phone Number ___________ Ext_______
Contact Business Email _______________
Go to QUESTION 2.
______ Contact person has changed, ask for the right person. Once you are with the right person, repeat
your introduction and update the contact information by asking:
May I have your name, title, phone number, and business email address? Write this information in the
spaces provided below.
Contact Name______________
Contact Title _______________
Contact Area Code _______Phone Number ________ Ext ________
Contact Business Email _______________
Go to QUESTION 2.
__________Nonresidential - Type code = Blank, Status Code =’Nonresidential’. Then end GQAC
interview by saying: “Thank you very much for your time and participation. This is the all the information I
need.”

2

To prepare for this census, 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 15 minutes. Here is a packet of
information about the 2020 Census that you will find helpful. Included in this packet is our confidentiality
statement for you to read. (Hand the contact an Information Packet.)
Go to QUESTION 3.
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Form D-1051(GQ)
Group Quarters In-Field Advance Contact
3

CFS GQAC In-Field Script for Non-SBE GQs

Now 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 the information for the GQ and the GQ contact as shown on the ACR to the contact person,
spelling out the GQ Name, Facility Name, and Street Name or Location Description. If GQ or Facility
Name is incorrect or missing, make changes in the appropriate fields below. The only other change
allowed here is minor misspellings of Location Street Name. Any other updates require you complete an
Add Verification Form.)
GQ Name___________________
Facility Name______________________
Location Address Number - No updates can be made
Location Street Name___________
Location Apt/Unit - No updates can be made
Location City - No updates can be made
Location County Code/name - No updates can be made
Location State Code/Abbr- No updates can be made
Location ZIP Code - No updates can be made
Location Description - No updates can be made
Go to QUESTION 4a.

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Form D-1051(GQ)
Group Quarters In-Field Advance Contact
4a

CFS GQAC In-Field Script for Non-SBE GQs

We currently have the structure at this address listed as the following type of group quarters: (Read the GQ
Type description printed on the ACR.) Is that correct?
______ Yes, and GQ Type is 501, go to QUESTION 4b.
______ Yes, and GQ Type is not 501, go to QUESTION 4c.
______ No, use “GQAC Job Aid: Identify GQ Type Code” to update GQ Type Code. Write the new type
code chosen from the job aid in space provided:
GQ Type______________ Change to the appropriate
script based on the new type code.
_______ Out-of-Scope GQ – Status Code = “GQ Out-of-Scope.” Then end GQAC interview by saying:
“Thank you very much for your time and participation. This is the all the information I need.”
__________Transitory Location – Type code = Blank, Status Code= “Transitory Location” Continue
with Question 4c.
_________ Housing Unit – Type code = Blank, Status Code = ‘Housing Unit’. Continue with QUESTION
8.

4b

Is this student housing owned, leased, or managed by a college, university, or seminary? Or, is this student
housing owned, leased, or managed by a private company or agency, which typically offers "by the bed"
(or single-liability) leases to students?
________Owned/leased/managed by a college, university, or seminary, then update/confirm that GQ Type
is 501.
________Owned/leased/managed by a private company, or agency, then update/confirm that GQ Type is
502.
________Type code needs to be changed, write the new code here (either 501 or 502 based on the answer
above compared to the GQ type code printed on the ACR): GQ Type__________
Go to QUESTION 4c.

4c

What is the maximum number of people who can live or stay here at this group quarters?
Max Pop____________
Go to QUESTION 5.
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Form D-1051(GQ)
Group Quarters In-Field Advance Contact
5

CFS GQAC In-Field Script for Non-SBE GQs

Will this facility be operating on April 1st, 2020? Check the appropriate answer below:
______Yes, go to QUESTION 6. (Operating Status =Y)
______No, end the interview using the statement: “Thank you very much for your time and participation.
This is all the information I need. This facility will not be counted during the 2020 Census. 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.”
Operating status = No, Status Code: GQ out-of-scope. Out of Scope reason: Not Operating on Census
Day. Enter 0 into Expected Pop in Question 6. Go to your next assignment.
_______Do not know, go to QUESTION 7.

6

What is the expected population at this facility on April 1st, 2020? If you do not know the exact number
right now, please provide an estimate. Write the contact’s answer in the space below.
Expected Pop________________
Go to QUESTION 7.

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Form D-1051(GQ)
Group Quarters In-Field Advance Contact
7

CFS GQAC In-Field Script for Non-SBE GQs

Does this group quarters serve males only, females only, or both males and females? Check the
appropriate answer below.
____ Males
____ Females
______ Both
Enter the response marked above in Pop Sex field
Go to QUESTION 9.

8

Including yourself, how many people will be living or staying at (Say the ADDRESS NUMBER and
STREET NAME listed on ACR) on April 1, 2020? Write the contact’s answer in the space below.
Expected Pop_______
The census response data that we ask for each person are name, sex, date of birth, age on Census Day,
Hispanic origin, race, citizenship, and an alternate address where they live or stay when not at this location.
We will send a Census worker to your location to conduct an in-person interview for each person who was
living or staying at this location on Census Day.

Update the Contact Information for the Housing unit. Write ‘In-person interview’ in the Enum
Method = In-Person Interview.
Write “This is a housing unit” in the Notes below:
Notes: ________________________________________________________________________
Go to QUESTION 10.

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Form D-1051(GQ)
Group Quarters In-Field Advance Contact
9

CFS GQAC In-Field Script for Non-SBE GQs

We will conduct the 2020 Census Group Quarters Enumeration from April 6, 2020 to June 5, 2020. The
census response data that we ask for each person are name, sex, date of birth, age on Census Day, Hispanic
origin, race, citizenship, 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:
As a reminder, do not suggest an enumeration method to the GQ contact person. Read the main categories
that apply for the GQ Type Code. If clarification is needed, read the description verbatim and refer to the
GQAC FAQ in your job aid.
a. 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, April 1, 2020. The census
response data that we ask for each person are name, sex, date of birth, age on Census Day, Hispanic
origin, race, citizenship, and an alternate address where they live or stay when not at this facility.
b. Drop Off/Pick Up of Questionnaire: A census worker will leave census questionnaires with you to
distribute to each person who was staying at this facility on Census Day, April 1, 2020. You should
ensure each person completes and returns the questionnaires, and then a Census worker will pick up
the completed questionnaires from the contact person on another agreed-upon time. The census
response data that we ask for each person are name, sex, date of birth, age on Census Day, Hispanic
origin, race, citizenship, and an alternate address where they live or stay when not at this facility.
c. Paper Response Data Collection: A census worker will meet with you or your staff at 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, April 1, 2020. The census response data that we ask for each person are name,
sex, date of birth, age on Census Day, Hispanic origin, race, citizenship, and an alternate address
where they live or stay when not at this facility.
d. Electronic Response Data Transfer (eResponse): Is a secure portal for GQ administrator to submit
census response data to a secure portal for each person who will be staying at this facility on Census
Day, April 1, 2020. The GQ administrator will be provided a unique user ID. The requested data may
be entered into the Census template format and uploaded to our website. The census response data that
we ask for each person are name, sex, date of birth, age on Census Day, Hispanic origin, race,
citizenship, and an alternate address where they live or stay when not at this facility.
e. Only for correctional facilities [103, 104, 105, and 203] or health care facilities [202, 301, 401, 402,
403, and 802] Facility Self Enumeration: A census worker will swear in and train you and your staff
on how to conduct the enumeration. They will include in the enumeration each person who was
staying at their facility on Census Day, April 1, 2020. The census worker provides all the materials
needed to conduct enumeration. You will prepare forms for enumeration, distribute and collect forms,
review completed materials and follow up on any missing data. A Census worker will come back to
pick up the completed materials at an agreed upon time. The census response data that we ask for each
person are name, sex, date of birth, age on Census Day, Hispanic Origin, race, citizenship, and an
alternate address where they live or stay when not at this facility.
Write in the enumeration method chosen the space below:
Enum Method ______________.
If Electronic Response Data Transfer (eResponse) is selected go to QUESTION 17.
If In-Person Interview, go to QUESTION 10.
If Drop Off/Pick Up of Questionnaire, go to QUESTION 11
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Form D-1051(GQ)
Group Quarters In-Field Advance Contact

CFS GQAC In-Field Script for Non-SBE GQs

If Facility Self Enumeration, go to QUESTION 12.
If Paper Response Data Collection, go to QUESTION 13.
10

What is the best date and time for us to conduct the interviews at this location between April 6, 2020 to
April 30, 2020?
Scheduled Visit
Date _________

Time ____________.

Go to QUESTION 14.
11

What is the best date and time for us to leave the questionnaires at this location between April 6, 2020 to
May 29, 2020?
Scheduled Visit
Date _________

Time ____________.

Go to QUESTION 14.
12

What is the best date and time for us to train the contact person and leave the enumeration materials
between April 6, 2020 to May 29, 2020?
Scheduled Visit
Date _________

Time ___________.

Go to QUESTION 14.
13

What is the best date and for us to pick up the paper listing between between April 6, 2020 to May 29,
2020?
Scheduled Visit
Date _________

Time. ____________

Go to QUESTION 18.

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Form D-1051(GQ)
Group Quarters In-Field Advance Contact
14

CFS GQAC In-Field Script for Non-SBE GQs

Are there any people at this location that do not speak or understand English?
______ Yes _ (Other Languages), then ask,
What language(s) do they speak (For example Spanish, Chinese, Vietnamese, Korean? List them here:
__________________________________________________ (GQ Languages) Go to QUESTION 15.
______ No (Other Languages) go to QUESTION 15.
______ Housing Unit, Go to QUESTION 19b.

15

Are there any specific instructions that census staff need to know in order to count the people at this
location?
______ Yes (Specific Instructions). List the instructions below:
______________________________________________________________________________________
______________________________________________________________________________________
_____________________________________________________________________________________.
_______ No (Specific Instructions).
Go to QUESTION 16.

16

During enumeration, are you able to provide us a printed list of all the people at this facility, as of Census
Day, April 1, 2020?
________ Yes (Roster Available).
__________ No (Roster Available).
Go to QUESTION 19a.

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Form D-1051(GQ)
Group Quarters In-Field Advance Contact
17

CFS GQAC In-Field Script for Non-SBE GQs

What is the mailing address that you would like to use for receiving login information and instructions for
eResponse?

Mail Address Number:___________________________
Mail Street Name:_______________________________
Mail Apt/Unit:___________________
PO Box:____________________
Rural Route Addr:____________________________
Mail City:____________________
Mail State:__________________
Mail ZIP Code:____________________
Mail ZIP+4:________________
Go to QUESTION 18a.

18a

Are you responsible for any additional facilities, either at this address or elsewhere?
______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out the Add
Verification Checklists, tell the contact person ‘We will check our current address file to see if those
facilities are already listed. If we do not have them in our address file, we will contact you to conduct an
interview for each place.’ Go to QUESTION 18b.
____ No, go to QUESTION 18b.

18b

That is all the information I need. Thank you very much for your time and participation. You will receive a
letter in the mail with a unique User ID with instructions on how to provide your response data to a secure
portal using the Census Bureau’s template.
If you have any additional questions, call this number at (Please provide the ACO telephone number) or
please visit our website at 2020census.gov/groupquarters. In our website, you will find informational
materials about the 2020 Census in your community.
As an alternative: If contact person does not have internet access, ask for their mailing address to forward
documents.

19a

Are you responsible for any additional facilities, either at this address or elsewhere?
______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out the Add
Verification Checklists, tell the contact person ‘We will check our current address file to see if those
facilities are already listed. If new do not have them in our address file, we will contact you to conduct an
interview for each place.’ Go to QUESTION 19b.
____ No, go to QUESTION 19b

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Form D-1051(GQ)
Group Quarters In-Field Advance Contact
19b

CFS GQAC In-Field Script for Non-SBE GQs

Now on the day of enumeration, census workers will arrive at your facility at your scheduled appointment
time.
We ask that you let the residents know that the Census Bureau will be conducting the 2020 Census 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 residents. We appreciate
your cooperation.
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.
Go to QUESTION 19c.

19c

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 (Please provide the ACO telephone number) or
visit our website at 2020census.gov/groupquarters. On our website, you will find informational materials
about the 2020 Census in your community.
As an alternative: If contact person does not have internet access, ask for their mailing address to forward
documents.

Additional Notes:

Page 12 of 12

Last Modified 12/03/2018

OMB No. xxxx-xxxx Approval Expires xx/xx/xxxx

GROUP QUARTERS
ADVANCE CONTACT
for
NON-SBE GQ IN-FIELD SCRIPT
2020 CENSUS
PUERTO RICO

(GQ Type Codes: 103, 104, 105, 201, 202, 203,
301, 401, 402, 403, 405, 501, 502, 801, 802, 901,
902, 903, 999)

Form D-1051(GQ) (PR)
Group Quarters In-Field Advance Contact

Code
101
102
103
104
105
106
201
202
203
301
401
402
403
404
405
501
502
601
602
701
702
704
706
703
801
802
900
901
902
903
999

CFS GQAC In-Field Script for Non-SBE GQs

GQ Type Codes and Descriptions
Description
Correctional Facilities for Adults
Federal Detention Centers*
Federal Prisons*
State Prisons
Local Jails and Other Municipal Confinement Facilities
Correctional Residential Facilities
Military Disciplinary Barracks and Jails*
Juvenile Facilities
Group Homes for Juveniles (non-correctional)
Residential Treatment Centers for Juveniles (non-correctional)
Correctional Facilities Intended for Juveniles
Nursing Facilities/Skilled-Nursing Facilities
Nursing Facilities/Skilled-Nursing Facilities
Other Institutional Group Quarters
Mental (Psychiatric) Hospitals and Psychiatric Units in Other Hospitals
Hospitals with Patients Who Have No Usual Home Elsewhere
In-Patient Hospice Facilities
Military Treatment Facilities with Assigned Patients*
Residential Schools for People with Disabilities
College/University Student Housing
College/University Student Housing (owned/leased/managed by a college/university)
College/University Student Housing (owned/leased/managed by a private company/agency)
Military Quarters
Military Quarters*
Military Ships*
Service-Based Enumeration (SBE)
Emergency and Transitional Shelters (with Sleeping Facilities) for People Experiencing Homelessness
Soup Kitchens
Regularly Scheduled Mobile Food Vans
Targeted Non-Sheltered Outdoor Locations
Other Non-Institutional Group Quarters
Domestic Violence Shelters*
Group Homes Intended for Adults (non-correctional)
Residential Treatment Centers for Adults (non-correctional)
Maritime/Merchant Vessels*
Workers’ Group Living Quarters and Job Corps Centers
Religious Group Quarters
Living Quarters for Victims of Natural Disaster
Unknown

*Note: Out of Scope GQs

Page 2 of 12

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Form D-1051(GQ) (PR)
Group Quarters In-Field Advance Contact

CFS Name______________________
GQ Name_________________________
#
1

CFS GQAC In-Field Script for Non-SBE GQs

Date Assigned_________________
GQ Control #_____________________
Question

Hello. My name is (Your name). May I speak to (Say the CONTACT NAME printed on the ACR)?
I am from the U.S. Census Bureau. (Show your Census ID Badge) We are currently conducting the 2020
Census and would like to set up an enumeration appointment for your facility. I have some questions to ask
you about (Say the GQ NAME printed on the ACR) at (Say the ADDRESS NUMBER and STREET
NAME or LOCATION DESCRIPTION printed on the ACR).
______Housing Unit, Type Code = Blank, Status Code = Housing Unit. Go to QUESTION 8.
_______Contact person is correct, confirm their phone number and title from the ACR, if that information
is preprinted there. Update or collect their phone number, title as well as their business email.
Contact Title _______________
Contact Area Code __________ Phone Number ___________ Ext_______
Contact Business Email _______________
Go to QUESTION 2.
______ Contact person has changed, ask for the right person. Once you are with the right person, repeat
your introduction and update the contact information by asking:
May I have your name, title, phone number, and business email address? Write this information in the
spaces provided below.
Contact Name______________
Contact Title _______________
Contact Area Code _______Phone Number ________ Ext ________
Contact Business Email _______________
Go to QUESTION 2.
__________Nonresidential - Type code = Blank, Status Code =’Nonresidential’. Then end GQAC
interview by saying: “Thank you very much for your time and participation. This is the all the information I
need.”

2

To prepare for this census, 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 15 minutes. Here is a packet of
information about the 2020 Census that you will find helpful. Included in this packet is our confidentiality
statement for you to read. (Hand the contact an Information Packet.)
Go to QUESTION 3.
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Form D-1051(GQ) (PR)
Group Quarters In-Field Advance Contact

CFS GQAC In-Field Script for Non-SBE GQs

Now 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 the information for the GQ and the GQ contact as shown on the ACR to the contact person,
spelling out the GQ Name, Facility Name, and Street Name or Location Description. If GQ or Facility
Name is incorrect or missing, make changes in the appropriate fields below. The only other change
allowed here is minor misspellings of Location Street Name. Any other updates require you complete an
Add Verification Form.)

GQ Name___________________
Facility Name______________________
Location Address Number - No updates can be made
Location Street Name___________
Location Urbanización - No updates can be made

Location Apartment Complex - No updates can be made
Location Building Description/ID - No updates can be made
Location Apt/Unit - No updates can be made
Location Area 1(Barrio/Barriada/Sector/Parcela/Comunidad) - No updates can be made
Location Area 2(Barrio/Barriada/Sector/Parcela/Comunidad) - No updates can be made
Location KMHM - No updates can be made
Location Description - No updates can be made
Location Municipio - No updates can be made
Location ZIP Code - No updates can be made
Go to QUESTION 4a.

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Form D-1051(GQ) (PR)
Group Quarters In-Field Advance Contact
4a

CFS GQAC In-Field Script for Non-SBE GQs

We currently have the structure at this address listed as the following type of group quarters: (Read the GQ
Type description printed on the ACR.) Is that correct?
______ Yes, and GQ Type is 501, go to QUESTION 4b.
______ Yes, and GQ Type is not 501, go to QUESTION 4c.
______ No, use “GQAC Job Aid: Identify GQ Type Code” to update GQ Type Code. Write the new type
code chosen from the job aid in space provided:
GQ Type______________ Change to the appropriate
script based on the new type code.
_______ Out-of-Scope GQ – Status Code = “GQ Out-of-Scope.” Then end GQAC interview by saying:
“Thank you very much for your time and participation. This is the all the information I need.”
__________Transitory Location – Type code = Blank, Status Code= “Transitory Location” Continue
with Question 4c.
_________ Housing Unit – Type code = Blank, Status Code = ‘Housing Unit’. Continue with QUESTION
8.

4b

Is this student housing owned, leased, or managed by a college, university, or seminary? Or, is this student
housing owned, leased, or managed by a private company or agency, which typically offers "by the bed"
(or single-liability) leases to students?
________Owned/leased/managed by a college, university, or seminary, then update/confirm that GQ Type
is 501.
________Owned/leased/managed by a private company, or agency, then update/confirm that GQ Type is
502.
________Type code needs to be changed, write the new code here (either 501 or 502 based on the answer
above compared to the GQ type code printed on the ACR): GQ Type__________
Go to QUESTION 4c.

4c

What is the maximum number of people who can live or stay here at this group quarters?
Max Pop____________
Go to QUESTION 5.

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Form D-1051(GQ) (PR)
Group Quarters In-Field Advance Contact
5

CFS GQAC In-Field Script for Non-SBE GQs

Will this facility be operating on April 1st, 2020? Check the appropriate answer below:
______Yes, go to QUESTION 6. (Operating Status =Y)
______No, end the interview using the statement: “Thank you very much for your time and participation.
This is all the information I need. This facility will not be counted during the 2020 Census. 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.”
Operating status = No, Status Code: GQ out-of-scope. Out of Scope reason: Not Operating on Census
Day. Enter 0 into Expected Pop in Question 6. Go to your next assignment.
_______Do not know, go to QUESTION 7.

6

What is the expected population at this facility on April 1st, 2020? If you do not know the exact number
right now, please provide an estimate. Write the contact’s answer in the space below.
Expected Pop________________
Go to QUESTION 7.

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Form D-1051(GQ) (PR)
Group Quarters In-Field Advance Contact
7

CFS GQAC In-Field Script for Non-SBE GQs

Does this group quarters serve males only, females only, or both males and females? Check the
appropriate answer below.
____ Males
____ Females
______ Both
Enter the response marked above in Pop Sex field
Go to QUESTION 9.

8

Including yourself, how many people will be living or staying at (Say the ADDRESS NUMBER and
STREET NAME listed on ACR) on April 1, 2020? Write the contact’s answer in the space below.
Expected Pop_______
The census response data that we ask for each person are name, sex, date of birth, age on Census Day,
Hispanic origin, race, citizenship, and an alternate address where they live or stay when not at this location.
We will send a Census worker to your location to conduct an in-person interview for each person who was
living or staying at this location on Census Day.

Update the Contact Information for the Housing unit. Write ‘In-person interview’ in the Enum
Method = In-Person Interview.
Write “This is a housing unit” in the Notes below:
Notes: ________________________________________________________________________
Go to QUESTION 10.

Page 7 of 12

Last Modified 12/03/2018

Form D-1051(GQ) (PR)
Group Quarters In-Field Advance Contact
9

CFS GQAC In-Field Script for Non-SBE GQs

We will conduct the 2020 Census Group Quarters Enumeration from April 6, 2020 to June 5, 2020. The
census response data that we ask for each person are name, sex, date of birth, age on Census Day, Hispanic
origin, race, citizenship, 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:
As a reminder, do not suggest an enumeration method to the GQ contact person. Read the main categories
that apply for the GQ Type Code. If clarification is needed, read the description verbatim and refer to the
GQAC FAQ in your job aid.
a. 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, April 1, 2020. The census
response data that we ask for each person are name, sex, date of birth, age on Census Day, Hispanic
origin, race, citizenship, and an alternate address where they live or stay when not at this facility.
b. Drop Off/Pick Up of Questionnaire: A census worker will leave census questionnaires with you to
distribute to each person who was staying at this facility on Census Day, April 1, 2020. You should
ensure each person completes and returns the questionnaires, and then a Census worker will pick up
the completed questionnaires from the contact person on another agreed-upon time. The census
response data that we ask for each person are name, sex, date of birth, age on Census Day, Hispanic
origin, race, citizenship, and an alternate address where they live or stay when not at this facility.
c. Paper Response Data Collection: A census worker will meet with you or your staff at 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, April 1, 2020. The census response data that we ask for each person are name,
sex, date of birth, age on Census Day, Hispanic origin, race, citizenship, and an alternate address
where they live or stay when not at this facility.
d. Electronic Response Data Transfer (eResponse): Is a secure portal for GQ administrator to submit
census response data to a secure portal for each person who will be staying at this facility on Census
Day, April 1, 2020. The GQ administrator will be provided a unique user ID. The requested data may
be entered into the Census template format and uploaded to our website. The census response data that
we ask for each person are name, sex, date of birth, age on Census Day, Hispanic origin, race,
citizenship, and an alternate address where they live or stay when not at this facility.
e. Only for correctional facilities [103, 104, 105, and 203] or health care facilities [202, 301, 401, 402,
403, and 802] Facility Self Enumeration: A census worker will swear in and train you and your staff
on how to conduct the enumeration. They will include in the enumeration each person who was
staying at their facility on Census Day, April 1, 2020. The census worker provides all the materials
needed to conduct enumeration. You will prepare forms for enumeration, distribute and collect forms,
review completed materials and follow up on any missing data. A Census worker will come back to
pick up the completed materials at an agreed upon time. The census response data that we ask for each
person are name, sex, date of birth, age on Census Day, Hispanic Origin, race, citizenship, and an
alternate address where they live or stay when not at this facility.
Write in the enumeration method chosen the space below:
Enum Method ______________.
If Electronic Response Data Transfer (eResponse) is selected go to QUESTION 17.
If In-Person Interview, go to QUESTION 10.
If Drop Off/Pick Up of Questionnaire, go to QUESTION 11
Page 8 of 12

Last Modified 12/03/2018

Form D-1051(GQ) (PR)
Group Quarters In-Field Advance Contact

CFS GQAC In-Field Script for Non-SBE GQs

If Facility Self Enumeration, go to QUESTION 12.
If Paper Response Data Collection, go to QUESTION 13.
10

What is the best date and time for us to conduct the interviews at this location between April 6, 2020 to
April 30, 2020?
Scheduled Visit
Date _________

Time ____________.

Go to QUESTION 14.
11

What is the best date and time for us to leave the questionnaires at this location between April 6, 2020 to
May 29, 2020?
Scheduled Visit
Date _________

Time ____________.

Go to QUESTION 14.
12

What is the best date and time for us to train the contact person and leave the enumeration materials
between April 6, 2020 to May 29, 2020?
Scheduled Visit
Date _________

Time ___________.

Go to QUESTION 14.
13

What is the best date and for us to pick up the paper listing between between April 6, 2020 to May 29,
2020?
Scheduled Visit
Date _________

Time. ____________

Go to QUESTION 18.

Page 9 of 12

Last Modified 12/03/2018

Form D-1051(GQ) (PR)
Group Quarters In-Field Advance Contact
14

CFS GQAC In-Field Script for Non-SBE GQs

Are there any people at this location that do not speak or understand English?
______ Yes _ (Other Languages), then ask,
What language(s) do they speak (For example Spanish, Chinese, Vietnamese, Korean? List them here:
__________________________________________________ (GQ Languages) Go to QUESTION 15.
______ No (Other Languages) go to QUESTION 15.
______ Housing Unit, Go to QUESTION 19b.

15

Are there any specific instructions that census staff need to know in order to count the people at this
location?
______ Yes (Specific Instructions). List the instructions below:
______________________________________________________________________________________
______________________________________________________________________________________
_____________________________________________________________________________________.
_______ No (Specific Instructions).
Go to QUESTION 16.

16

During enumeration, are you able to provide us a printed list of all the people at this facility, as of Census
Day, April 1, 2020?
________ Yes (Roster Available).
__________ No (Roster Available).
Go to QUESTION 19a.

Page 10 of 12

Last Modified 12/03/2018

Form D-1051(GQ) (PR)
Group Quarters In-Field Advance Contact
17

CFS GQAC In-Field Script for Non-SBE GQs

What is the mailing address that you would like to use for receiving login information and instructions for
eResponse?

Mail Address Number: ___________________________
Mail Street Name: _______________________________
Mail Apt/Unit: ___________________
PO Box: ____________________
Rural Route Addr:____________________________
Mail City: ____________________
Mail State: __________________
Mail ZIP Code: ____________________
Mail ZIP+4: ________________
Go to QUESTION 18a.

18a

Are you responsible for any additional facilities, either at this address or elsewhere?
______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out the Add
Verification Checklists, tell the contact person ‘We will check our current address file to see if those
facilities are already listed. If we do not have them in our address file, we will contact you to conduct an
interview for each place.’ Go to QUESTION 18b.
____ No, go to QUESTION 18b.

18b

That is all the information I need. Thank you very much for your time and participation. You will receive a
letter in the mail with a unique User ID with instructions on how to provide your response data to a secure
portal using the Census Bureau’s template.
If you have any additional questions, call this number at (Please provide the ACO telephone number) or
please visit our website at 2020census.gov/groupquarters. In our website, you will find informational
materials about the 2020 Census in your community.
As an alternative: If contact person does not have internet access, ask for their mailing address to forward
documents.

19a

Are you responsible for any additional facilities, either at this address or elsewhere?
______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out the Add
Verification Checklists, tell the contact person ‘We will check our current address file to see if those
facilities are already listed. If new do not have them in our address file, we will contact you to conduct an
interview for each place.’ Go to QUESTION 19b.
____ No, go to QUESTION 19b

Page 11 of 12

Last Modified 12/03/2018

Form D-1051(GQ) (PR)
Group Quarters In-Field Advance Contact
19b

CFS GQAC In-Field Script for Non-SBE GQs

Now on the day of enumeration, census workers will arrive at your facility at your scheduled appointment
time.
We ask that you let them know that the Census Bureau will be conducting the 2020 Census 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 residents. We appreciate your
cooperation.
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.
Go to QUESTION 19c.

19c

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 (Please provide the ACO telephone number) or
visit our website at 2020census.gov/groupquarters. On our website, you will find informational materials
about the 2020 Census in your community.
As an alternative: If contact person does not have internet access, ask for their mailing address to forward
documents.

Additional Notes:

Page 12 of 12

Last Modified 12/03/2018

Form D-1052 (PCS)
In Field Group Quarters Advance Contact

Advance Contact Record
OMB No. xxxx-xxxx Approval Expires xx/xx/xxxx

GROUP QUARTERS ADVANCE CONTACT RECORD
(All data fields below are prepopulated based on the information in the GQ AC PCS)
GQ Name___________________

Facility Name______________________

Primary Contact: Name____________________
Contact Area Code __________ Contact Phone Number ____________________ Contact Phone Ext ________
Contact Title _______________________

Contact Email _______

Secondary Contact: Name____________________
Contact Area Code __________ Contact Phone Number ____________________ Contact Phone Ext ________
Contact Title _______________________

Contact Email _______

Location Address Number___________ Location Street Name___________
Location Apt/Unit_______________

Location City_____________

Location County Code/Name___________

Location State Code/Abbr_________ Location ZIP Code__________

Location Description___________________________________________________________________
______________________________________________________________________________________
GQ Type code/description__________________
Max Pop________
Letter Sent Y or N

UAA Reason (Print the UAA reason displayed on the PCS Edit screen)

Notes:_______________________________________________________________________________________
____________________________________________________________________________________________
________________________________________________________________________________________

OFFICE USE ONLY
Assigned Census Field Supervisor:
GQ Control Number:
Date Assigned:

Last Modified 11/30/2018

Date Returned:

Form D-1052 (PCS) (PR)
In Field Group Quarters Advance Contact

Advance Contact Record
OMB No. xxxx-xxxx Approval Expires xx/xx/xxxx

GROUP QUARTERS ADVANCE CONTACT RECORD – PUERTO RICO
(All data fields below are prepopulated based on the information in the GQ AC PCS)
GQ Name___________________

Facility Name______________________

Primary Contact Name____________________
Contact Area Code __________ Contact Phone Number ____________________
Contact Title _______________________

Contact Phone Ext _______

Contact Email_________

Secondary Contact Name____________________
Contact Area Code __________ Contact Phone Number ____________________
Contact Title _______________________

Contact Phone Ext _______

Contact Email_________

Location Address Number___________ Location Street Name___________
Location Urbanización ________
Location Apartment Complex_______
Location Building Description/ID_______
Location Apt/Unit_______________
Location Area 1(Barrio/Barriada/Sector/Parcela/Comunidad) _______
Location Area 2(Barrio/Barriada/Sector/Parcela/Comunidad) _______
Location KMHM ________
Location Description _________________________________________________________________________
__________________________________________________________________________________________
Location Municipio _____________ Location State: Puerto Rico

Location ZIP Code__________

GQ Type code/description__________________ Max Pop________
Letter Sent Y or N

UAA Reason (Print the UAA reason displayed on the PCS Edit screen)

Notes:_______________________________________________________________________________________
________________________________________________________________________________________

OFFICE USE ONLY
Assigned Census Field Supervisor:
GQ Control Number:
Date Assigned:

Last Modified 11/30/2018

Date Returned:

OMB No. xxxx-xxxx Approval Expires xx/xx/xxxx

GROUP QUARTERS
ADVANCE CONTACT
for
REGULARLY SCHEDULED MOBILE FOOD
VANS
IN-FIELD SCRIPT
2020 CENSUS
(GQ Type Code: 704)

Form D-1051(MFV)
Group Quarters In-Field Advance Contact

Code
101
102
103
104
105
106
201
202
203
301
401
402
403
404
405
501
502
601
602
701
702
704
706
703
801
802
900
901
902
903
999

CFS GQAC In-Field Script for MFV

GQ Type Codes and Descriptions
Description
Correctional Facilities for Adults
Federal Detention Centers*
Federal Prisons*
State Prisons
Local Jails and Other Municipal Confinement Facilities
Correctional Residential Facilities
Military Disciplinary Barracks and Jails*
Juvenile Facilities
Group Homes for Juveniles (non-correctional)
Residential Treatment Centers for Juveniles (non-correctional)
Correctional Facilities Intended for Juveniles
Nursing Facilities/Skilled-Nursing Facilities
Nursing Facilities/Skilled-Nursing Facilities
Other Institutional Group Quarters
Mental (Psychiatric) Hospitals and Psychiatric Units in Other Hospitals
Hospitals with Patients Who Have No Usual Home Elsewhere
In-Patient Hospice Facilities
Military Treatment Facilities with Assigned Patients*
Residential Schools for People with Disabilities
College/University Student Housing
College/University Student Housing (owned/leased/managed by a college/university)
College/University Student Housing (owned/leased/managed by a private company/agency)
Military Quarters
Military Quarters*
Military Ships*
Service-Based Enumeration (SBE)
Emergency and Transitional Shelters (with Sleeping Facilities) for People Experiencing Homelessness
Soup Kitchens
Regularly Scheduled Mobile Food Vans
Targeted Non-Sheltered Outdoor Locations
Other Non-Institutional Group Quarters
Domestic Violence Shelters*
Group Homes Intended for Adults (non-correctional)
Residential Treatment Centers for Adults (non-correctional)
Maritime/Merchant Vessels*
Workers’ Group Living Quarters and Job Corps Centers
Religious Group Quarters
Living Quarters for Victims of Natural Disaster
Unknown

*Note: Out of Scope GQs

RSMFV

Last Modified 12/03/2018

Page 2 of 7

Form D-1051(MFV)
Group Quarters In-Field Advance Contact
CFS Name______________________
GQ Name_________________________
#
1

CFS GQAC In-Field Script for MFV
Date Assigned_________________
GQ Control #_____________________
QUESTION

Hello. My name is (Your name). May I speak to (Say the CONTACT NAME printed on the ACR)?
I am from the U.S. Census Bureau. We are currently conducting the 2020 Census and would like to set up
an enumeration appointment for your location. I have some questions to ask you about (Say the GQ
NAME printed above) at (Say the ADDRESS NUMBER and STREET NAME or LOCATION
DESCRIPTION printed on the ACR).
_______Contact person is correct, confirm their phone number and title from the ACR, if that information
is preprinted there. Update or collect their phone number, title as well as their business email.
Contact Title _______________
Contact Phone Number ________Contact Business Email _______________
Now go to QUESTION 2.
______ Contact person has changed, ask for the right person. Once you are with the right person, repeat
your introduction and update the contact information by asking:
May I have your name, title, phone number, and business email address? Write this information in the
spaces provided below.
Contact Name______________
Contact Title _______________
Contact Phone Number ________Contact Business Email _______________

Go to QUESTION 2.

RSMFV

Last Modified 12/03/2018

Page 3 of 7

Form D-1051(MFV)
Group Quarters In-Field Advance Contact
2

CFS GQAC In-Field Script for MFV

To prepare for this census, 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 15 minutes. Here is a packet of
information about the Decennial that you will find helpful. Included in this packet is our confidentiality
statement for you to read. (Hand the contact an Information Packet.)
Go to QUESTION 3.

3

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 the information for the GQ and the GQ contact shown in the ACR to the contact person, spelling
out the GQ Name, Facility Name, and Street Name or Location Description If GQ or Facility Name is
incorrect or missing, make changes in the appropriate fields below. The only other change allowed here is
minor misspellings of Location Street Name. Any other updates require you complete an Add Verification
Form.)
GQ Name___________________
Facility Name______________________
Location Address Number - No updates can be made
Location Street Name___________
Location Apt/Unit - No updates can be made
Location City - No updates can be made
Location County Code/name - No updates can be made
Location State Code/Abbr- No updates can be made
Location ZIP Code - No updates can be made
Location Description - No updates can be made
Go to QUESTION 4.

4

We currently have the structure at this address listed as the following type of group quarters: (Read the GQ
Type description printed on the ACR.) Is that correct?
______ Yes, go to QUESTION 5.
______ No, use “GQAC Job Aid: Identify GQ Type Code” to update GQ Type Code. Write the new type
code chosen from the job aid in space provided:
GQ Type______________ Change to the appropriate
script based on the new type code.
_______ Out-of-Scope GQ – Status Code = “GQ Out-of-Scope.” Then end GQAC interview by saying:
“Thank you very much for your time and participation. This is the all the information I need.”
__________Transitory Location – Type code = Blank, Status Code= “Transitory Location” Continue
with Question 4c.
_________ Housing Unit – Type code = Blank, Status Code = ‘Housing Unit’. Continue with QUESTION
8.
__________Nonresidential - Type code = Blank, Status Code =’Nonresidential’. Then end GQAC
interview by saying: “Thank you very much for your time and participation. This is the all the information
I need.”

RSMFV

Last Modified 12/03/2018

Page 4 of 7

Form D-1051(MFV)
Group Quarters In-Field Advance Contact
5

CFS GQAC In-Field Script for MFV

What is the maximum number of people you can serve from this regularly scheduled mobile food van?
Max Pop________
Go to QUESTION 6

6

Will this mobile food van be operating on Tuesday, March 31st?
____Yes, go to QUESTION 8.
____No, go to QUESTION 7.

7

Will this mobile food van be operating on Monday, March 30th or April 1st 2020?
_____Yes, go to QUESTION 9.
_____No, end interview using this statement: “Thank you very much for your time and participation. This
is all the information I need. Your mobile food van stops will not be enumerated during the 2020 Census.
Someone from the Census Bureau may contact you by telephone to verify that we spoke with you about
counting the people served at your mobile food van.”
Status Code: GQ out-of-scope. Out of Scope reason: Not Operating on Census Day.
Enter 0 into Expected Pop in Question 15. Go to your next assignment.

8

The Census employee(s) will come to this mobile food van on Tuesday, March 31st to count the people
who are serviced on that date. Is this acceptable?
______Yes, Scheduled Visit=March 31. Go to QUESTION 10.
______No, go to QUESTION 9.

9

Would you prefer our Census employee(s) come to your mobile food van to count the people who are
serviced there on Monday, March 30th or Wednesday, April 1st?
Note to CFS: The enumeration appointment cannot be scheduled outside of March 30th, March 31st, or
April 1st.
___________Scheduled Visit Date = March 30 or April 1. Go to QUESTION 10.

10

How many stops does this mobile food van make?
Enter this number into the Note below:
NOTE: This mobile food van makes ___________stops.
Go to QUESTION 11.

RSMFV

Last Modified 12/03/2018

Page 5 of 7

Form D-1051(MFV)
Group Quarters In-Field Advance Contact
11

CFS GQAC In-Field Script for MFV

The census response data that we ask for each person are name, sex, date of birth, age on Census Day,
Hispanic origin, race, citizenship, and an alternate address where they live or stay when not at this facility.
We will send Census employees to your location to conduct an in-person interview with each person who
is served at your mobile food van on Census Day.
Enum Method = In-Person interview.
Go to QUESTION 12.

12

What is the major intersection of the first stop?
Verify if this is the confirmed address.
If this address has changed, update the Location Description field.
Go to QUESTION 13.

13

What is the arrival and departure time of this stop?
Arrival Time (Scheduled Visit time & Arrival Time) ____________
Departure Time (Ending Time) ___________
Go to QUESTION 14.

14

Do clients stay near the van while eating?
_________ Yes, Eat Near Van
_________ No, Eat Near Van
Go to QUESTION 15

15

How many clients are expected at this stop?
Expected POP_________
Go to QUESTION 16.

16

Do clients line up, congregate, or use another method of grouping to receive their food? Write answer in
the field below.
Method Recv Food _____________
Go to QUESTION 17.

RSMFV

Last Modified 12/03/2018

Page 6 of 7

Form D-1051(MFV)
Group Quarters In-Field Advance Contact
17

CFS GQAC In-Field Script for MFV

Are there any clients who do not speak or understand English?
______ Yes _ (Other Languages), then ask,
What language(s) do they speak (For example Spanish, Chinese, Vietnamese, Korean? List them here:
__________________________________________________ (GQ Languages) Go to QUESTION 15.
______ No (Other Languages) go to QUESTION 18.

18

Are there any specific instructions that Census staff need to know in order to count the clients that use
these services?
______Yes (Specific Instructions). List the instructions here:
__________________________________________ (Specific Instructions).
_______No (Specific Instructions).
Check to make sure the Status Code has been updated to the correct code.
Go to QUESTION 19.

19

Are you responsible for any additional facilities, either at this address or elsewhere?

______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out
the Add Verification Checklists, tell the contact person ‘We will check our current address file to
see if those facilities are already listed. If we do not have them in our address file, we will contact
you to conduct an interview for each place.’ Go to QUESTION 20.
____ No, go to QUESTION 20

20

Now on the day of enumeration, census workers will arrive at the mobile food van stop at least 30 minutes
before the van gets there to interview people as they are waiting and before they get their food.
We ask that you let the clients know that the Census Bureau will be conducting the 2020 Census 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.
If you have any additional questions, please call the Area Census Office at (Please provide the ACO
telephone number) or visit our website at 2020census.gov/groupquarters. On our website, you will find
informational materials about the 2020 Census in your community.
As an alternative: If contact person does not have internet access, ask for their mailing address to forward
documents.

RSMFV

Last Modified 12/03/2018

Page 7 of 7

OMB No. xxxx-xxxx Approval Expires xx/xx/xxxx

GROUP QUARTERS
ADVANCE CONTACT
For
REGULARLY SCHEDULED MOBILE FOOD
VANS
IN-FIELD SCRIPT
2020 CENSUS
PUERTO RICO

(GQ Type Code: 704)

Form D-1051(MFV) (PR)
Group Quarters In-Field Advance Contact

Code
101
102
103
104
105
106
201
202
203
301
401
402
403
404
405
501
502
601
602
701
702
704
706
703
801
802
900
901
902
903
999

CFS GQAC In-Field Script for MFV

GQ Type Codes and Descriptions
Description
Correctional Facilities for Adults
Federal Detention Centers*
Federal Prisons*
State Prisons
Local Jails and Other Municipal Confinement Facilities
Correctional Residential Facilities
Military Disciplinary Barracks and Jails*
Juvenile Facilities
Group Homes for Juveniles (non-correctional)
Residential Treatment Centers for Juveniles (non-correctional)
Correctional Facilities Intended for Juveniles
Nursing Facilities/Skilled-Nursing Facilities
Nursing Facilities/Skilled-Nursing Facilities
Other Institutional Group Quarters
Mental (Psychiatric) Hospitals and Psychiatric Units in Other Hospitals
Hospitals with Patients Who Have No Usual Home Elsewhere
In-Patient Hospice Facilities
Military Treatment Facilities with Assigned Patients*
Residential Schools for People with Disabilities
College/University Student Housing
College/University Student Housing (owned/leased/managed by a college/university)
College/University Student Housing (owned/leased/managed by a private company/agency)
Military Quarters
Military Quarters*
Military Ships*
Service-Based Enumeration (SBE)
Emergency and Transitional Shelters (with Sleeping Facilities) for People Experiencing Homelessness
Soup Kitchens
Regularly Scheduled Mobile Food Vans
Targeted Non-Sheltered Outdoor Locations
Other Non-Institutional Group Quarters
Domestic Violence Shelters*
Group Homes Intended for Adults (non-correctional)
Residential Treatment Centers for Adults (non-correctional)
Maritime/Merchant Vessels*
Workers’ Group Living Quarters and Job Corps Centers
Religious Group Quarters
Living Quarters for Victims of Natural Disaster
Unknown

*Note: Out of Scope GQs

RSMFV

Last Modified 12/03/2018

Page 2 of 8

Form D-1051(MFV) (PR)
Group Quarters In-Field Advance Contact
CFS Name______________________
GQ Name_________________________
#
1

CFS GQAC In-Field Script for MFV
Date Assigned_________________
GQ Control #_____________________
QUESTION

Hello. My name is (Your name). May I speak to (Say the CONTACT NAME printed on the ACR)?
I am from the U.S. Census Bureau. We are currently conducting the 2020 Census and would like to set up
an enumeration appointment for your location. I have some questions to ask you about (Say the GQ
NAME printed above) at (Say the ADDRESS NUMBER and STREET NAME or LOCATION
DESCRIPTION printed on the ACR).
_______Contact person is correct, confirm their phone number and title from the ACR, if that information
is preprinted there. Update or collect their phone number, title as well as their business email.
Contact Title _______________
Contact Phone Number ________Contact Business Email _______________
Now go to QUESTION 2.
______ Contact person has changed, ask for the right person. Once you are with the right person, repeat
your introduction and update the contact information by asking:
May I have your name, title, phone number, and business email address? Write this information in the
spaces provided below.
Contact Name______________
Contact Title _______________
Contact Phone Number ________Contact Business Email _______________

Go to QUESTION 2.

RSMFV

Last Modified 12/03/2018

Page 3 of 8

Form D-1051(MFV) (PR)
Group Quarters In-Field Advance Contact
2

CFS GQAC In-Field Script for MFV

To prepare for this census, 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 15 minutes. Here is a packet of
information about the Decennial that you will find helpful. Included in this packet is our confidentiality
statement for you to read. (Hand the contact an Information Packet.)
Go to QUESTION 3.

3

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 the information for the GQ and the GQ contact shown in the ACR to the contact person, spelling
out the GQ Name, Facility Name, and Street Name or Location Description. If GQ or Facility Name is
incorrect or missing, make changes in the appropriate fields below. The only other change allowed here is
minor misspellings of Location Street Name. Any other updates require you complete an Add Verification
Form.)
GQ Name___________________
Facility Name______________________
Location Address Number - No updates can be made
Location Street Name___________
Location Urbanización - No updates can be made

Location Apartment Complex - No updates can be made
Location Building Description/ID - No updates can be made
Location Apt/Unit - No updates can be made
Location Area 1(Barrio/Barriada/Sector/Parcela/Comunidad) - No updates can be made
Location Area 2(Barrio/Barriada/Sector/Parcela/Comunidad) - No updates can be made
Location KMHM - No updates can be made
Location Description - No updates can be made
Location Municipio - No updates can be made
Location ZIP Code - No updates can be made
Go to QUESTION 4.

RSMFV

Last Modified 12/03/2018

Page 4 of 8

Form D-1051(MFV) (PR)
Group Quarters In-Field Advance Contact
4

CFS GQAC In-Field Script for MFV

We currently have the structure at this address listed as the following type of group quarters: (Read the GQ
Type description printed on the ACR.) Is that correct?
______ Yes, go to QUESTION 5.
______ No, use “GQAC Job Aid: Identify GQ Type Code” to update GQ Type Code. Write the new type
code chosen from the job aid in space provided:
GQ Type______________ Change to the appropriate
script based on the new type code.
_______ Out-of-Scope GQ – Status Code = “GQ Out-of-Scope.” Then end GQAC interview by saying:
“Thank you very much for your time and participation. This is the all the information I need.”
__________Transitory Location – Type code = Blank, Status Code= “Transitory Location” Continue
with Question 4c.
_________ Housing Unit – Type code = Blank, Status Code = ‘Housing Unit’. Continue with QUESTION
8.
__________Nonresidential - Type code = Blank, Status Code =’Nonresidential’. Then end GQAC
interview by saying: “Thank you very much for your time and participation. This is the all the information
I need.”

5

What is the maximum number of people you can serve from this regularly scheduled mobile food van?
Max Pop________
Go to QUESTION 6.

6

Will this mobile food van be operating on Tuesday, March 31st?
____Yes, go to QUESTION 8.
____No, go to QUESTION 7.

7

Will this mobile food van be operating on Monday, March 30th or April 1st 2020?
_____Yes, go to QUESTION 9.
_____No, end interview using this statement: “Thank you very much for your time and participation. This
is all the information I need. Your mobile food van stops will not be enumerated during the 2020 Census.
Someone from the Census Bureau may contact you by telephone to verify that we spoke with you about
counting the people served at your mobile food van.”
Status Code: GQ out-of-scope. Out of Scope reason: Not Operating on Census Day.
Enter 0 into Expected Pop in Question 15. Go to your next assignment.

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Form D-1051(MFV) (PR)
Group Quarters In-Field Advance Contact
8

CFS GQAC In-Field Script for MFV

The Census employee(s) will come to this mobile food van on Tuesday, March 31st to count the people
who are serviced on that date. Is this acceptable?
______Yes, Scheduled Visit=March 31. Go to QUESTION 10.
______No, go to QUESTION 9.

9

Would you prefer our Census employee(s) come to your mobile food van to count the people who are
serviced there on Monday, March 30th or Wednesday, April 1st?
Note to CFS: The enumeration appointment cannot be scheduled outside of March 30th, March 31st, or
April 1st.
___________Scheduled Visit Date = March 30 or April 1. Go to QUESTION 10.

10

How many stops does this mobile food van make?
Enter this number into the Note below:
NOTE: This mobile food van makes ___________stops.
Go to QUESTION 11.

11

The census response data that we ask for each person are name, sex, date of birth, age on Census Day,
Hispanic origin, race, citizenship, and an alternate address where they live or stay when not at this facility.
We will send Census employees to your location to conduct an in-person interview with each person who
is served at your mobile food van on Census Day.
Enum Method = In-Person interview.
Go to QUESTION 12.

12

What is the major intersection of the first stop?
Verify if this is the confirmed address.
If this address has changed, update the Location Description field.
Go to QUESTION 13.

13

What is the arrival and departure time of this stop?
Arrival Time (Scheduled Visit time & Arrival Time) ____________
Departure Time (Ending Time) ___________
Go to QUESTION 14.

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Form D-1051(MFV) (PR)
Group Quarters In-Field Advance Contact
14

CFS GQAC In-Field Script for MFV

Do clients stay near the van while eating?
_________ Yes, Eat Near Van
_________ No, Eat Near Van
Go to QUESTION 15.

15

How many clients are expected at this stop?
Expected POP_________
Go to QUESTION 16.

16

Do clients line up, congregate, or use another method of grouping to receive their food? Write answer in
the field below.
Method Recv Food _____________
Go to QUESTION 17.

17

Are there any clients who do not speak or understand English?
______ Yes (Other Languages), then ask,
What language(s) do they speak (For example Spanish, Chinese, Vietnamese, Korean? List them here:
__________________________________________________ (GQ Languages) Go to QUESTION 15.
______ No (Other Languages) go to QUESTION 18.

18

Are there any specific instructions that Census staff need to know in order to count the clients that use
these services?
______Yes (Specific Instructions). List the instructions here:
__________________________________________ (Specific Instructions).
_______No (Specific Instructions).
Check to make sure the Status Code has been updated to the correct code.
Go to QUESTION 19.

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Form D-1051(MFV) (PR)
Group Quarters In-Field Advance Contact
19

CFS GQAC In-Field Script for MFV

Are you responsible for any additional facilities, either at this address or elsewhere?

______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out
the Add Verification Checklists, tell the contact person ‘We will check our current address file to
see if those facilities are already listed. If we do not have them in our address file, we will contact
you to conduct an interview for each place.’ Go to QUESTION 20.
____ No, go to QUESTION 20

20

Now on the day of enumeration, census workers will arrive at the mobile food van stop at least 30 minutes
before the van gets there to interview people as they are waiting and before they get their food.
We ask that you let the clients know that the Census Bureau will be conducting the 2020 Census 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.
If you have any additional questions, please call the Area Census Office at (Please provide the ACO
telephone number) or visit our website at 2020census.gov/groupquarters. On our website, you will find
informational materials about the 2020 Census in your community.
As an alternative: If contact person does not have internet access, ask for their mailing address to forward
documents.

RSMFV

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OMB No. xxxx-xxxx Approval Expires xx/xx/xxxx

GROUP QUARTERS
ADVANCE CONTACT
for
EMERGENCY AND TRANSITIONAL
SHELTERS (WITH SLEEPING FACILITIES)
FOR PEOPLE EXPERIENCING
HOMELESSNESS
IN-FIELD SCRIPT
2020 CENSUS

(GQ Type Code:701)

Form D-1051(SH)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________
GQ Type Codes and Descriptions
Code
Description
Correctional Facilities for Adults
101
Federal Detention Centers*
102
Federal Prisons*
103
State Prisons
104
Local Jails and Other Municipal Confinement Facilities
105
Correctional Residential Facilities
106
Military Disciplinary Barracks and Jails*
Juvenile Facilities
201
Group Homes for Juveniles (non-correctional)
202
Residential Treatment Centers for Juveniles (non-correctional)
203
Correctional Facilities Intended for Juveniles
Nursing Facilities/Skilled-Nursing Facilities
301
Nursing Facilities/Skilled-Nursing Facilities
Other Institutional Group Quarters
401
Mental (Psychiatric) Hospitals and Psychiatric Units in Other Hospitals
402
Hospitals with Patients Who Have No Usual Home Elsewhere
403
In-Patient Hospice Facilities
404
Military Treatment Facilities with Assigned Patients*
405
Residential Schools for People with Disabilities
College/University Student Housing
501
College/University Student Housing (owned/leased/managed by a college/university)
502
College/University Student Housing (owned/leased/managed by a private company/agency)
Military Quarters
601
Military Quarters*
602
Military Ships*
Service-Based Enumeration (SBE)
701
Emergency and Transitional Shelters (with Sleeping Facilities) for People Experiencing Homelessness
702
Soup Kitchens
704
Regularly Scheduled Mobile Food Vans
706
Targeted Non-Sheltered Outdoor Locations
Other Non-Institutional Group Quarters
703
Domestic Violence Shelters*
801
Group Homes Intended for Adults (non-correctional)
802
Residential Treatment Centers for Adults (non-correctional)
900
Maritime/Merchant Vessels*
901
Workers’ Group Living Quarters and Job Corps Centers
902
Religious Group Quarters
903
Living Quarters for Victims of Natural Disaster
999
Unknown

*Note: Out of Scope GQs

SH

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Form D-1051(SH)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

CFS Name______________________
GQ Name_________________________
#
1

Date Assigned_________________
GQ Control #_____________________
Question

Hello. My name is (Your name). May I speak to (Say the CONTACT NAME printed on the ACR)?
I am from the U.S. Census Bureau. We are currently conducting the 2020 Census and would like to set up
an enumeration appointment for your facility. I have some questions to ask you about (Say the GQ NAME
printed above) at (Say the ADDRESS NUMBER and STREET NAME or LOCATION DESCRIPTION
printed on the ACR).
____Housing Unit, GQ Type Code=Blank, Status Code = Housing Unit. Go to QUESTION 16.
_______Contact person is correct, confirm their phone number and title from the ACR, if that information
is preprinted there. Update or collect their phone number, title as well as their business email.
Contact Title _______________
Contact Phone Number ________Contact Business Email _______________
Now go to QUESTION 2.
______ Contact person has changed, ask for the right person. Once you are with the right person, repeat
your introduction and update the contact information by asking:
May I have your name, title, phone number, and business email address? Write this information in the
spaces provided below.
Contact Name______________
Contact Title _______________
Contact Phone Number ________Contact Business Email _______________

Go to QUESTION 2.
__________Nonresidential - Type code = Blank, Status Code =’Nonresidential’. Then end GQAC
interview by saying: “Thank you very much for your time and participation. This is the all the information I
need.”

2

To prepare for this census, 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 15 minutes. Here is a packet of
information about the Decennial that you will find helpful. Included in this packet is our confidentiality
statement for you to read. (Hand the contact an Information Packet.)
Go to QUESTION 3.

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Form D-1051(SH)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

3

Now 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 the information for the GQ and the GQ contact as shown on the ACR to the contact person,
spelling out the GQ Name, Facility Name, and Street Name or Location Description. If GQ or Facility
Name is incorrect or missing, make changes in the appropriate fields below. The only other change
allowed here is minor misspellings of Location Street Name. Any other updates require you complete an
Add Verification Form.)

GQ Name___________________
Facility Name______________________
Location Address Number - No updates can be made
Location Street Name___________
Location Apt/Unit - No updates can be made
Location City - No updates can be made
Location County Code/name - No updates can be made
Location State Code/Abbr- No updates can be made
Location ZIP Code - No updates can be made
Location Description - No updates can be made

Go to QUESTION 4a.
4a

We currently have the structure at this address listed as the following type of group quarters: (Read the GQ
Type description printed on the ACR.) Is that correct?
______ Yes, go to QUESTION 5.
______ No, use “GQAC Job Aid: Identify GQ Type Code” to update GQ Type Code. Write the new type
code chosen from the job aid in space provided:
GQ Type______________ Change to the appropriate
script based on the new type code.
_______ Out-of-Scope GQ – Write the new type code in space above. Status Code = “GQ Out-of-Scope.”
Then end GQAC interview by saying: “Thank you very much for your time and participation. This is the all
the information I need.”
__________Transitory Location – Type code = Blank, Status Code= “Transitory Location.” Continue
with Question 4b.
_________ Housing Unit – Type code = Blank, Status Code = ‘Housing Unit’. Continue with QUESTION
16.

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Form D-1051(SH)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

4b

Will this facility be operating on April 1st, 2020? Check the appropriate answer below:
______Yes, go to QUESTION 25
______No, end the interview using the statement: “Thank you very much for your time and participation.
This is all the information I need. This facility will not be counted during the 2020 Census. 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.”
Status Code: GQ out-of-scope. Out of Scope reason: Not Operating on Census Day.
Enter 0 into Expected Pop in Question 25. Go to your next assignment.
_______Do not know, go to QUESTION 26.

What is the maximum number of people who can live or stay here at this group quarters?
Max Pop_______.

5

Go to QUESTION 6
6

Will this facility be open or operating on Monday, March 30th?
_____ Yes, go to QUESTION 8

_____No, QUESTION 7
7

Will this facility be open or operating on Tuesday, March 31st or Wednesday, April 1st?
_____Yes, go to QUESTION 9.
______No, end interview using this statement: “Thank you very much for your time and
participation. This is all the information I need. This facility will not be counted during the
2020 Census. 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.”
Status Code: GQ out-of-scope. Out of Scope reason: Not Operating on Census Day.
Enter 0 into Expected Pop in Question 10. Go to your next assignment.

8

The Census employee(s) will come to this facility on Monday, March 30th to gather information
for the people who are serviced on that date. Is this acceptable?
________Yes, Scheduled Visit Date = March 30th, go to QUESTION 10.
_______No, go to QUESTION 9.

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Form D-1051(SH)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

9

Would you prefer our Census employee(s) come to your facility to gather information for people
who are serviced there on Tuesday, March 31st or Wednesday, April 1st?
Note to CFS: The enumeration appointment cannot be scheduled outside of March 30th, March
31st, or April 1st.

___________Scheduled Visit Date = March 31 or April 1st, go to QUESTION 10.
10

How many clients do you expect at this shelter on this day?
__________ Expected Pop.
Go to QUESTION 11

11

The census response data that we ask for each person are name, sex, date of birth, age on Census
Day, Hispanic origin, race, citizenship, 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
a. In-Person Interview: A census worker will conduct an in-person interview with each
person who was served or was staying at this facility on Census Day. The census response
data that we ask for each person are name, sex, date of birth, age on Census Day, Hispanic
origin, race, citizenship, and an alternate address where they live or stay when not at this
facility.
b. Paper Response Data Collection: A census worker will meet with you or your staff to
obtain a paper listing of Census response data for each person who was served or was
staying at this facility on Census Day. The census response data that we ask for each person
are name, sex, date of birth, age on Census Day, Hispanic origin, race, citizenship, and an
alternate address where they live or stay when not at this facility.
_____________ Enum Method= In-Person or Paper Response data Collection
Go to QUESTION 12.

12

What time does the shelter open and close for clients?
________ GQ Open
__________GQ Closed
Go to QUESTION 13.

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Form D-1051(SH)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

13

How early do clients arrive? Enter answer in both fields below.
________ Scheduled Visit Time
___________Arrival Time
Go to QUESTION 14

14

What is the latest time clients can enter the shelter?
_____________Ending Time.
Go to QUESTION 15.

15

Does this shelter serve males only, females only, or both males and females? Check the
appropriate answer below.
____Males
____Females
______Both
Enter the response marked above in Pop Sex field
Go to QUESTION 18.

16

Including yourself, how many people will be living or staying at (Say the ADDRESS NUMBER
and STREET NAME listed on ACR) on April 1, 2020? Write the contact’s answer in the space
below.
Expected Pop_______
The census response data that we ask for each person are name, sex, date of birth, age on Census
Day, Hispanic origin, race, citizenship, and an alternate address where they live or stay when not
at this location.
We will send a Census worker to your location to conduct an in-person interview for each person
who was living or staying at this location on Census Day.

Update the Contact Information for the Housing unit. Write ‘In-person interview’ in the
Enum Method = In-Person Interview.
Write “This is a housing unit” in the Notes below:
Notes:
_______________________________________________________________________
Go to QUESTION 17.
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Form D-1051(SH)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

17

What is the best date and time for us to conduct the interviews at this location between April 6,
2020 to April 30, 2020?
Scheduled Visit
Date _________

Time ____________.

Go to QUESTION 18.
18

Are there any people at this location that do not speak or understand English?
_______Yes (Other Languages), then ask,
What language(s) do they speak (For example Spanish, Chinese, Vietnamese, Korean? List them
here: __________________________________________________ (GQ Languages) Go to
QUESTION 19.
______No, go to QUESTION 19.
If this is a Housing Unit, Go to QUESTION 23.

19

What are the general procedures clients follow when they enter the shelter?
Enter information into Notes field.
Go to QUESTION 20.

20

Are there any specific instructions that census staff need to know in order to count the people at
this location?
______Yes (Specific Instructions). List the instructions here:
__________________________________________ ( Specific Instructions).
_______No (Specific Instructions).
If respondent has no special instructions and the enumeration type is Paper Response Data
Collection, end GQAC interview by saying: “Thank you very much for your time and
participation. This is the all the information I need.”
All other options, go to QUESTION 21

21

During enumeration, will you be able to provide us a printed list of all people at this facility, as
of Census Day?
________Yes (Roster Available).
__________No (Roster Available).
Go to QUESTION 22.

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Form D-1051(SH)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

22

Are you responsible for any additional facilities, either at this address or elsewhere?
______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out
the Add Verification Checklists, tell the contact person ‘We will check our current address file to
see if those facilities are already listed. If we do not have them in our address file, we will
contact you to conduct an interview for each place.’ Go to Question 23.

____ No,go to QUESTION 23
23

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 the 2020 Census
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 (Please provide the ACO
telephone number) or visit our website at 2020census.gov/groupquarters. On our website, you
will find informational materials about the 2020 Census in your community.

24

Now on the day of enumeration, census workers will arrive at your facility at your scheduled
appointment time.
We ask that you let the residents know that the Census Bureau will be conducting the 2020
Census 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 residents. We appreciate your cooperation.
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 (Please provide the ACO
telephone number) or visit our website at 2020census.gov/groupquarters. On our website, you
will find informational materials about the 2020 Census in your community.

SH

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Form D-1051(SH)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

25

What is the expected population at this facility on April 1st, 2020? If you do not know the exact
number right now, please provide an estimate. Write the contact’s answer in the space below.
Expected Pop________________
Go to QUESTION 26.

26

The census response data we ask for each person are name, sex, date of birth, age on Census day,
Hispanic origin, race, citizenship and a alternative address where they live or stay when not at
this facility.
We will send Census employees to your location to conduct an in-person interview with each
person who is here on the day of enumeration.
Enum method = In-Person Interview
Go to QUESTION 27

27

What is the best date and time for us to conduct interviews at this location between April 6, 2020
to May 29, 2020?

Scheduled Visit
Date _________

Time ____________.

Go to QUESTION 28.
28

Are there any people at this location that do not speak or understand English?
______ Yes (Other Languages), then ask,
What language(s) do they speak (For example Spanish, Chinese, Vietnamese, Korean? List them
here: __________________________________________________ (GQ Languages) Go to
QUESTION 29.
______ No (Other Languages) go to QUESTION 29.

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Form D-1051(SH)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

29

Are there any specific instructions that census staff need to know in order to count the people at
this location?
______ Yes (Specific Instructions). List the instructions below:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
__________________________.
_______ No (Specific Instructions).
Go to QUESTION 30

30

Are you responsible for any additional facilities, either at this address or elsewhere?
______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out
the Add Verification Checklists, tell the contact person ‘We will check our current address file to
see if those facilities are already listed. If we do not have them in our address file, we will
contact you to conduct an interview for each place.’
____ No, go to QUESTION 31.

31

Now on the day of enumeration, census workers will arrive at your facility at your scheduled
appointment time.
We ask that you let the clients know that the Census Bureau will be conducting the 2020 Census
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. We appreciate your cooperation.
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.
Go to QUESTION 32.

32

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 (Please provide the ACO
telephone number) or visit our website at 2020census.gov/groupquarters. On our website, you
will find informational materials about the 2020 Census in your community.
As an alternative: If contact person does not have internet access, ask for their mailing address
to forward documents.

SH

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Page 11 of 11

OMB No. xxxx-xxxx Approval Expires xx/xx/xxxx

GROUP QUARTERS
ADVANCE CONTACT
for
EMERGENCY AND TRANSITIONAL
SHELTERS (WITH SLEEPING FACILITIES)
FOR PEOPLE EXPERIENCING
HOMELESSNESS
IN-FIELD SCRIPT
2020 CENSUS
PUERTO RICO

(GQ Type Code:701)

Form D-1051(SH) (PR)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________
GQ Type Codes and Descriptions
Code
Description
Correctional Facilities for Adults
101
Federal Detention Centers*
102
Federal Prisons*
103
State Prisons
104
Local Jails and Other Municipal Confinement Facilities
105
Correctional Residential Facilities
106
Military Disciplinary Barracks and Jails*
Juvenile Facilities
201
Group Homes for Juveniles (non-correctional)
202
Residential Treatment Centers for Juveniles (non-correctional)
203
Correctional Facilities Intended for Juveniles
Nursing Facilities/Skilled-Nursing Facilities
301
Nursing Facilities/Skilled-Nursing Facilities
Other Institutional Group Quarters
401
Mental (Psychiatric) Hospitals and Psychiatric Units in Other Hospitals
402
Hospitals with Patients Who Have No Usual Home Elsewhere
403
In-Patient Hospice Facilities
404
Military Treatment Facilities with Assigned Patients*
405
Residential Schools for People with Disabilities
College/University Student Housing
501
College/University Student Housing (owned/leased/managed by a college/university)
502
College/University Student Housing (owned/leased/managed by a private company/agency)
Military Quarters
601
Military Quarters*
602
Military Ships*
Service-Based Enumeration (SBE)
701
Emergency and Transitional Shelters (with Sleeping Facilities) for People Experiencing Homelessness
702
Soup Kitchens
704
Regularly Scheduled Mobile Food Vans
706
Targeted Non-Sheltered Outdoor Locations
Other Non-Institutional Group Quarters
703
Domestic Violence Shelters*
801
Group Homes Intended for Adults (non-correctional)
802
Residential Treatment Centers for Adults (non-correctional)
900
Maritime/Merchant Vessels*
901
Workers’ Group Living Quarters and Job Corps Centers
902
Religious Group Quarters
903
Living Quarters for Victims of Natural Disaster
999
Unknown

*Note: Out of Scope GQs

SH

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Page 2 of 11

Form D-1051(SH) (PR)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

CFS Name______________________
GQ Name_________________________
#
1

Date Assigned_________________
GQ Control #_____________________
Question

Hello. My name is (Your name). May I speak to (Say the CONTACT NAME printed on the ACR)?
I am from the U.S. Census Bureau. We are currently conducting the 2020 Census and would like to set up
an enumeration appointment for your facility. I have some questions to ask you about (Say the GQ NAME
printed above) at (Say the ADDRESS NUMBER and STREET NAME or LOCATION DESCRIPTION
printed on the ACR).
____Housing Unit, GQ Type Code=Blank, Status Code = Housing Unit. Go to QUESTION 16.
_______Contact person is correct, confirm their phone number and title from the ACR, if that information
is preprinted there. Update or collect their phone number, title as well as their business email.
Contact Title _______________
Contact Phone Number ________Contact Business Email _______________
Now go to QUESTION 2.
______ Contact person has changed, ask for the right person. Once you are with the right person, repeat
your introduction and update the contact information by asking:
May I have your name, title, phone number, and business email address? Write this information in the
spaces provided below.
Contact Name______________
Contact Title _______________
Contact Phone Number ________Contact Business Email _______________

Go to QUESTION 2.
__________Nonresidential - Type code = Blank, Status Code =’Nonresidential’. Then end GQAC
interview by saying: “Thank you very much for your time and participation. This is the all the information I
need.”

2

To prepare for this census, 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 15 minutes. Here is a packet of
information about the Decennial that you will find helpful. Included in this packet is our confidentiality
statement for you to read. (Hand the contact an Information Packet.)
Go to QUESTION 3.

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Form D-1051(SH) (PR)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

3

Now 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 the information for the GQ and the GQ contact as shown on the ACR to the contact person,
spelling out the GQ Name, Facility Name, and Street Name or Location Description. If GQ or Facility
Name is incorrect or missing, make changes in the appropriate fields below. The only other change
allowed here is minor misspellings of Location Street Name. Any other updates require you complete an
Add Verification Form.)
GQ Name___________________
Facility Name______________________
Location Address Number - No updates can be made
Location Street Name___________
Location Urbanización - No updates can be made

Location Apartment Complex - No updates can be made
Location Building Description/ID - No updates can be made
Location Apt/Unit - No updates can be made
Location Area 1(Barrio/Barriada/Sector/Parcela/Comunidad) - No updates can be made
Location Area 2(Barrio/Barriada/Sector/Parcela/Comunidad) - No updates can be made
Location KMHM - No updates can be made
Location Description - No updates can be made
Location Municipio - No updates can be made
Location ZIP Code - No updates can be made
Go to QUESTION 4a.
4a

We currently have the structure at this address listed as the following type of group quarters: (Read the GQ
Type description printed on the ACR.) Is that correct?
______ Yes, go to QUESTION 5.
______ No, use “GQAC Job Aid: Identify GQ Type Code” to update GQ Type Code. Write the new type
code chosen from the job aid in space provided:
GQ Type______________ Change to the appropriate
script based on the new type code.
_______ Out-of-Scope GQ – Write the new type code in space above. Status Code = “GQ Out-of-Scope.”
Then end GQAC interview by saying: “Thank you very much for your time and participation. This is the all
the information I need.”
__________Transitory Location – Type code = Blank, Status Code= “Transitory Location” Continue
with Question 4b.
_________ Housing Unit – Type code = Blank, Status Code = ‘Housing Unit’. Continue with QUESTION
16.

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Form D-1051(SH) (PR)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

4b

Will this facility be operating on April 1st, 2020? Check the appropriate answer below:
______Yes, go to QUESTION 25
______No, end the interview using the statement: “Thank you very much for your time and participation.
This is all the information I need. This facility will not be counted during the 2020 Census. 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.”
Status Code: GQ out-of-scope. Out of Scope reason: Not Operating on Census Day.
Enter 0 into Expected Pop in Question 25. Go to your next assignment.
_______Do not know, go to QUESTION 26.

What is the maximum number of people who can live or stay here at this group quarters?
Max Pop_______.

5

Go to QUESTION 6
6

Will this facility be open or operating on Monday, March 30th?
_____ Yes, go to QUESTION 8

_____No, QUESTION 7
7

Will this facility be open or operating on Tuesday, March 31st or Wednesday, April 1st?
_____Yes, go to QUESTION 9.
______No, end interview using this statement: “Thank you very much for your time and
participation. This is all the information I need. This facility will not be counted during the
2020 Census. 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.”
Status Code: GQ out-of-scope. Out of Scope reason: Not Operating on Census Day.
Enter 0 into Expected Pop in Question 10. Go to your next assignment.

8

The Census employee(s) will come to this facility on Monday, March 30th to gather information
for the people who are serviced on that date. Is this acceptable?
________Yes, Scheduled Visit Date = March 30th, go to QUESTION 10.
_______No, go to QUESTION 9.

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Form D-1051(SH) (PR)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

9

Would you prefer our Census employee(s) come to your facility to gather information for people
who are serviced there on Tuesday, March 31st or Wednesday, April 1st?
Note to CFS: The enumeration appointment cannot be scheduled outside of March 30th, March
31st, or April 1st.

___________Scheduled Visit Date = March 31 or April 1st, go to QUESTION 10.
10

How many clients do you expect at this shelter on this day?
__________ Expected Pop.
Go to QUESTION 11

11

The census response data that we ask for each person are name, sex, date of birth, age on Census
Day, Hispanic origin, race, citizenship, 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
a. In-Person Interview: A census worker will conduct an in-person interview with each
person who was served or was staying at this facility on Census Day. The census response
data that we ask for each person are name, sex, date of birth, age on Census Day, Hispanic
origin, race, citizenship, and an alternate address where they live or stay when not at this
facility.
b. Paper Response Data Collection: A census worker will meet with you or your staff to
obtain a paper listing of Census response data for each person who was served or was
staying at this facility on Census Day. The census response data that we ask for each person
are name, sex, date of birth, age on Census Day, Hispanic origin, race, citizenship, and an
alternate address where they live or stay when not at this facility.
_____________ Enum Method= In-Person or Paper Response data Collection
Go to QUESTION 12.

12

What time does the shelter open and close for clients?
________ GQ Open
__________GQ Closed
Go to QUESTION 13.

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Form D-1051(SH) (PR)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

13

How early do clients arrive? Enter answer in both fields below.
________ Scheduled Visit Time
___________Arrival Time
Go to QUESTION 14

14

What is the latest time clients can enter the shelter?
_____________Ending Time
Go to QUESTION 15.

15

Does this shelter serve males only, females only, or both males and females? Check the
appropriate answer below.
____Males
____Females
______Both
Enter the response marked above in Pop Sex field
Go to QUESTION 18.

16

Including yourself, how many people will be living or staying at (Say the ADDRESS NUMBER
and STREET NAME listed on ACR) on April 1, 2020? Write the contact’s answer in the space
below.
Expected Pop_______
The census response data that we ask for each person are name, sex, date of birth, age on Census
Day, Hispanic origin, race, citizenship, and an alternate address where they live or stay when not
at this location.
We will send a Census worker to your location to conduct an in-person interview for each person
who was living or staying at this location on Census Day.

Update the Contact Information for the Housing unit. Write ‘In-person interview’ in the
Enum Method = In-Person Interview.
Write “This is a housing unit” in the Notes below:
Notes:
_______________________________________________________________________
Go to QUESTION 17.
SH

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Form D-1051(SH) (PR)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

17

What is the best date and time for us to conduct the interviews at this location between April 6,
2020 to April 30, 2020?
Scheduled Visit
Date _________

Time ____________.

Go to QUESTION 18.
18

Are there any people at this location that do not speak or understand English?
_______Yes (Other Languages), then ask,
What language(s) do they speak (For example Spanish, Chinese, Vietnamese, Korean? List them
here: __________________________________________________ (GQ Languages) Go to
QUESTION 19.
______No, go to QUESTION 19.
If this is a Housing Unit, Go to QUESTION 23.

19

What are the general procedures clients follow when they enter the shelter?
Enter information into Notes field.
Go to QUESTION 20.

20

Are there any specific instructions that census staff need to know in order to count the people at
this location?
______Yes (Specific Instructions). List the instructions here:
__________________________________________ (Specific Instructions).
_______No (Specific Instructions).
If respondent has no special instructions and the enumeration type is Paper Response Data
Collection, end GQAC interview by saying: “Thank you very much for your time and
participation. This is the all the information I need.”
All other options, go to QUESTION 21

21

During enumeration, will you be able to provide us a printed list of all people at this facility, as
of Census Day?
________Yes (Roster Available).
__________No (Roster Available).
Go to QUESTION 22.

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Form D-1051(SH) (PR)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

22

Are you responsible for any additional facilities, either at this address or elsewhere?
______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out
the Add Verification Checklists, tell the contact person ‘We will check our current address file to
see if those facilities are already listed. If we do not have them in our address file, we will
contact you to conduct an interview for each place.’ Go to Question 23.

____ No, go to QUESTION 23
23

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 the 2020 Census
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 (Please provide the ACO
telephone number) or visit our website at 2020census.gov/groupquarters. On our website, you
will find informational materials about the 2020 Census in your community.

24

Now on the day of enumeration, census workers will arrive at your facility at your scheduled
appointment time.
We ask that you let the residents know that the Census Bureau will be conducting the 2020
Census 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 residents . We appreciate your cooperation.
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 (Please provide the ACO
telephone number) or visit our website at 2020census.gov/groupquarters. On our website, you
will find informational materials about the 2020 Census Test in your community.

SH

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Form D-1051(SH) (PR)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

25

What is the expected population at this facility on April 1st, 2020? If you do not know the exact
number right now, please provide an estimate. Write the contact’s answer in the space below.
Expected Pop________________
Go to QUESTION 26.

26

The census response data we ask for each person are name, sex, date of birth, age on Census day,
Hispanic origin, race, citizenship and a alternative address where they live or stay when not at
this facility.
We will send Census employees to your location to conduct an in-person interview with each
person who is here on the day of enumeration.
Enum method = In-Person Interview
Go to QUESTION 27

27

What is the best date and time for us to conduct interviews at this location between April 6, 2020
to May 29, 2020?

Scheduled Visit
Date _________

Time ____________.

Go to QUESTION 28.
28

Are there any people at this location that do not speak or understand English?
______ Yes _ (Other Languages), then ask,
What language(s) do they speak (For example Spanish, Chinese, Vietnamese, Korean? List them
here: __________________________________________________ (GQ Languages) Go to
QUESTION 29.
______ No (Other Languages) go to QUESTION 29.

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Form D-1051(SH) (PR)
CFS GQ AC In-Field Script for Shelters
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________________

29

Are there any specific instructions that census staff need to know in order to count the people at
this location?
______ Yes (Specific Instructions). List the instructions below:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
__________________________.
_______ No (Specific Instructions).
Go to QUESTION 30

30

Are you responsible for any additional facilities, either at this address or elsewhere?
______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out
the Add Verification Checklists, tell the contact person ‘We will check our current address file to
see if those facilities are already listed. If we do not have them in our address file, we will
contact you to conduct an interview for each place.’
____ No, go to QUESTION 31.

31

Now on the day of enumeration, census workers will arrive at your facility at your scheduled
appointment time.
We ask that you let the clients know that the Census Bureau will be conducting the 2020 Census
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. We appreciate your cooperation.
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.
Go to QUESTION 32.

32

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 (Please provide the ACO
telephone number) or visit our website at 2020census.gov/groupquarters. On our website, you
will find informational materials about the 2020 Census in your community.
As an alternative: If contact person does not have internet access, ask for their mailing address
to forward documents.

SH

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OMB No. xxxx-xxxx Approval Expires xx/xx/xxxx

GROUP QUARTERS
ADVANCE CONTACT
for
SOUP KITCHENS IN-FIELD SCRIPT
2020 CENSUS
(GQ Type Code:702)

Form D-1051(SK)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

Code
101
102
103
104
105
106
201
202
203
301
401
402
403
404
405
501
502
601
602
701
702
704
706
703
801
802
900
901
902
903
999

GQ Type Codes and Descriptions
Description
Correctional Facilities for Adults
Federal Detention Centers*
Federal Prisons*
State Prisons
Local Jails and Other Municipal Confinement Facilities
Correctional Residential Facilities
Military Disciplinary Barracks and Jails*
Juvenile Facilities
Group Homes for Juveniles (non-correctional)
Residential Treatment Centers for Juveniles (non-correctional)
Correctional Facilities Intended for Juveniles
Nursing Facilities/Skilled-Nursing Facilities
Nursing Facilities/Skilled-Nursing Facilities
Other Institutional Group Quarters
Mental (Psychiatric) Hospitals and Psychiatric Units in Other Hospitals
Hospitals with Patients Who Have No Usual Home Elsewhere
In-Patient Hospice Facilities
Military Treatment Facilities with Assigned Patients*
Residential Schools for People with Disabilities
College/University Student Housing
College/University Student Housing (owned/leased/managed by a college/university)
College/University Student Housing (owned/leased/managed by a private company/agency)
Military Quarters
Military Quarters*
Military Ships*
Service-Based Enumeration (SBE)
Emergency and Transitional Shelters (with Sleeping Facilities) for People Experiencing Homelessness
Soup Kitchens
Regularly Scheduled Mobile Food Vans
Targeted Non-Sheltered Outdoor Locations
Other Non-Institutional Group Quarters
Domestic Violence Shelters*
Group Homes Intended for Adults (non-correctional)
Residential Treatment Centers for Adults (non-correctional)
Maritime/Merchant Vessels*
Workers’ Group Living Quarters and Job Corps Centers
Religious Group Quarters
Living Quarters for Victims of Natural Disaster
Unknown

*Note: Out of Scope GQs

SK

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Form D-1051(SK)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

CFS Name______________________
GQ Name_________________________
#
1

Date Assigned_________________
GQ Control #_____________________
Question

Hello. My name is (Your name). May I speak to (Say the CONTACT NAME printed on the ACR)?
I am from the U.S. Census Bureau. We are currently conducting the 2020 Census and would like to set
up an enumeration appointment for your facility. I have some questions to ask you about (Say the GQ
NAME printed above) at (Say the ADDRESS NUMBER and STREET NAME or LOCATION
DESCRIPTION printed on the ACR).
____Housing Unit, GQ Type Code=Blank, Status Code = Housing Unit. Go to QUESTION 17.
_______Contact person is correct, confirm their phone number and title from the ACR, if that
information is preprinted there. Update or collect their phone number, title as well as their business
email.
Contact Title _______________
Contact Phone Number ________Contact Business Email _______________
Now go to QUESTION 2.
______ Contact person has changed, ask for the right person. Once you are with the right person,
repeat your introduction and update the contact information by asking:
May I have your name, title, phone number, and business email address? Write this information in the
spaces provided below.
Contact Name______________
Contact Title _______________
Contact Phone Number ________Contact Business Email _______________

Go to QUESTION 2.

SK

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Form D-1051(SK)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

#

Question

2

To prepare for this census, I need to collect some information about this facility. I have just a few
questions to ask you. We estimate this interview will take approximately15 minutes. Here is a
packet of information about the Decennial that you will find helpful. Included in this packet is
our confidentiality statement for you to read. (Hand the contact an Information Packet.)
Go to QUESTION 3.

3

Now 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 the information for the GQ and the GQ contact as shown on the ACR to the contact
person, spelling out the GQ Name, Facility Name, and Street Name or Location Description. If
GQ or Facility Name is incorrect or missing, make changes in the appropriate fields below The
only other change allowed here is minor misspellings of Location Street Name. Any other
updates require you complete an Add Verification Form.)
GQ Name___________________
Facility Name______________________
Location Address Number - No updates can be made
Location Street Name___________
Location Apt/Unit - No updates can be made
Location City - No updates can be made
Location County Code/name - No updates can be made
Location State Code/Abbr- No updates can be made
Location ZIP Code - No updates can be made
Location Description - No updates can be made

Go to QUESTION 4a.
4a

We currently have the structure at this address listed as the following type of group quarters:
(Read the GQ Type description printed on page 1.) Is that correct?
______ Yes, go to QUESTION 5.
______ No, use “GQAC Job Aid: Identify GQ Type Code” to update GQ Type Code. Write the
new type code in space provided:
GQ Type______________ Change to the appropriate
script based on the new type code.
_______ Out-of-Scope GQ – Write the new type code in space above. Status Code = “GQ Outof-Scope.” Then end GQAC interview by saying: “Thank you very much for your time and
participation. This is the all the information I need.”
__________Transitory Location – Type code = Blank, Status Code= “Transitory Location”
Continue with Question 4b.

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Form D-1051(SK)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

_________ Housing Unit – Type code = Blank, Status Code = ‘Housing Unit’. Continue with
QUESTION 17.
4b

Will this facility be operating on April 1st, 2020? Check the appropriate answer below:
______Yes, go to QUESTION 24
______No, end the interview using the statement: “Thank you very much for your time and
participation. This is all the information I need. This facility will not be counted during the 2020
Census. 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.”
Status Code: GQ out-of-scope. Out of Scope reason: Not Operating on Census Day.
Enter 0 into Expected Pop in Question 24. Go to your next assignment.
_____Do not know, go to QUESTION 25

5

What is the maximum number of people who occupy this group quarters?
Max Pop_______
Go to QUESTION 6

6

Will this facility be operating on Tuesday, March 31st?
______Yes, go to QUESTION 8.
________No, QUESTION 7

7

Will this facility be open or operating on Monday, March 30th or Wednesday, April 1st?
________Yes, go to QUESTION 9.
_____No, end interview using this statement: “Thank you very much for your time and
participation. This is all the information I need. This facility will not be counted during the 2020
Census. 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.”
Status Code: GQ out-of-scope. Out of Scope reason: Not Operating on Census Day.
Enter 0 into Expected Pop in Question 12. Go to your next assignment.

8

The Census employee(s) will come to this facility on Tuesday, March 31st to gather information
for people who are serviced on that date. Is this acceptable?
_______Yes, Scheduled Visit Date =March 31st go to QUESTION 10.
_________No, go to QUESTION 9.

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Form D-1051(SK)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

9

Would you prefer our Census employee(s) come to your facility to gather information for the
people who are serviced there on Monday, March 30th or Wednesday, April 1st?
Note to CFS: The enumeration appointment cannot be scheduled outside of March 30th, March
31st, or April 1st.

___________Scheduled Visit Date = March 31 or April 1st, go to QUESTION 10.
10

The census response data that we ask for each person are name, sex, date of birth, age on Census
Day, Hispanic origin, race, citizenship, and an alternate address where they live or stay when not
at this facility.
We will send Census employees to your location to conduct an in-person interview with each
person who is served at your soup kitchen on your enumeration appointment date.
Enum Method= in-person interview.
Go to QUESTION 11.
11

Which meal serves the largest number of clients? Mark one option:
__________Breakfast
_________ Lunch
__________ Dinner
Largest Meal Served= option marked above.
______Respondent doesn’t know, leave this section blank.
Go to QUESTION 12.

12

How many clients do you expect to serve at this soup kitchen during this meal?
Expected Pop ___________
Go to QUESTION 13.

13

What time is this meal served?
Arrival Time ___________
Go to QUESTION 14.

14

What time do you stop serving this meal?
Ending Time_____________
Go to QUESTION 15.

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Form D-1051(SK)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

15

What time do clients start to assemble for this meal?
Scheduled Visit Time _______________.
Go to QUESTION 16.

16

Do clients line up, congregate, or use another method of grouping while waiting to enter the soup
kitchen? Write the answer in the space below.
Method Recv Food ____________
Go to QUESTION 19

17

Including yourself, how many people will be living or staying at (Say the ADDRESS NUMBER
and STREET NAME listed on ACR) on April 1, 2020? Write the contact’s answer in the space
below.
Expected Pop_______
The census response data that we ask for each person are name, sex, date of birth, age on Census
Day, Hispanic origin, race, citizenship, and an alternate address where they live or stay when not
at this location.
We will send a Census worker to your location to conduct an in-person interview for each person
who was living or staying at this location on Census Day.

Update the Contact Information for the Housing unit. Write ‘In-person interview’ in the
Enum Method = In-Person Interview.
Write “This is a housing unit” in the Notes below:
Notes:
________________________________________________________________________
Go to QUESTION 18.
18

What is the best date and time for us to conduct the interviews at this location between April 6,
2020 to April 30, 2020?
Scheduled Visit
Date _________

Time ____________.

Go to QUESTION 19.
19

Are there any people at this location that do not speak or understand English?
_______Yes (Other Languages), then ask,

SK

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Form D-1051(SK)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

What language(s) do they speak (For example Spanish, Chinese, Vietnamese, Korean? List them
here: __________________________________________________ (GQ Languages) Go to
QUESTION 20.
______No, go to QUESTION 20.

If this is a Housing Unit, Go to QUESTION 23.
20

Are there any specific instructions that census staff need to know in order to count the people at
this location?
______Yes (Specific Instructions). List the instructions here:
__________________________________________ ( Specific Instructions).
_______No (Specific Instructions).
Go to QUESTION 21.

21.

Are you responsible for any additional facilities, either at this address or elsewhere?
______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out
the Add Verification Checklists, tell the contact person ‘We will check our current address file to
see if those facilities are already listed. If we do not have them in our address file, we will contact
you to conduct an interview for each place.’ Go to QUESTION 22.

____ No, go to QUESTION 22.

22.

Now on the day of enumeration, census workers will arrive at the soup kitchen 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 the 2020 Census
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. you have
any additional questions, please call the area census office at (Please provide the ACO telephone
number) or visit our website at 2020census.gov/groupquarters. In our website, you will find
informational materials about the 2020 Census in your community.

23

Now on the day of enumeration, census workers will arrive at your facility at your scheduled
appointment time.
We ask that you let the clients know that the Census Bureau will be conducting the 2020 Census
at that time and all data we collect are protected by law and kept confidential. Someone from the

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Form D-1051(SK)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

Census Bureau will contact you prior to your appointment to discuss details about counting your
clients. We appreciate your cooperation.
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 (Please provide the ACO
telephone number) or visit our website at 2020census.gov/groupquarters. On our website, you
will find informational materials about the 2020 Census in your community.

24

What is the expected population at this facility on April 1st, 2020? If you do not know the exact
number right now, please provide an estimate. Write the contact’s answer in the space below.
Expected Pop________________
Go to QUESTION 25.

25

The census response data we ask for each person are name, sex, date of birth, age on Census day,
Hispanic origin, race, citizenship and a alternative address where they live or stay when not at this
facility.
We will send Census employees to your location to conduct an in-person interview with each
person who is here on the day of enumeration.
Enum method = In-Person Interview

Go to QUESTION 26
26

What is the best date and time for us to conduct interviews at this location between April 6, 2020
to May 29, 2020?

Scheduled Visit
Date _________

Time ____________.

Go to QUESTION 27.
27

Are there any people at this location that do not speak or understand English?
______ Yes _ (Other Languages), then ask,
What language(s) do they speak (For example Spanish, Chinese, Vietnamese, Korean? List them
here: __________________________________________________ (GQ Languages) Go to
QUESTION 28.

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Form D-1051(SK)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

______ No (Other Languages) go to QUESTION 28.

28

Are there any specific instructions that census staff need to know in order to count the people at
this location?
______ Yes (Specific Instructions). List the instructions below:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_______________________.
_______ No (Specific Instructions).
Go to QUESTION 29

29

Are you responsible for any additional facilities, either at this address or elsewhere?
______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out
the Add Verification Checklists, tell the contact person ‘We will check our current address file to
see if those facilities are already listed. If we do not have them in our address file, we will contact
you to conduct an interview for each place.’
____ No, go to QUESTION 30.

30

Now on the day of enumeration, census workers will arrive at your facility at your scheduled
appointment time.
We ask that you let the clients know that the Census Bureau will be conducting the 2020 Census
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. We appreciate your cooperation.
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.
Go to QUESTION 31.

31

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 (Please provide the ACO
telephone number) or visit our website at 2020census.gov/groupquarters. On our website, you
will find informational materials about the 2020 Census in your community.
As an alternative: If contact person does not have internet access, ask for their mailing address
to forward documents.

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OMB No. xxxx-xxxx Approval Expires xx/xx/xxxx

GROUP QUARTERS
ADVANCE CONTACT
for
SOUP KITCHENS IN-FIELD SCRIPT
2020 CENSUS
PUERTO RICO
(GQ Type Code:702)

Form D-1051(SK) (PR)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

Code
101
102
103
104
105
106
201
202
203
301
401
402
403
404
405
501
502
601
602
701
702
704
706
703
801
802
900
901
902
903
999

GQ Type Codes and Descriptions
Description
Correctional Facilities for Adults
Federal Detention Centers*
Federal Prisons*
State Prisons
Local Jails and Other Municipal Confinement Facilities
Correctional Residential Facilities
Military Disciplinary Barracks and Jails*
Juvenile Facilities
Group Homes for Juveniles (non-correctional)
Residential Treatment Centers for Juveniles (non-correctional)
Correctional Facilities Intended for Juveniles
Nursing Facilities/Skilled-Nursing Facilities
Nursing Facilities/Skilled-Nursing Facilities
Other Institutional Group Quarters
Mental (Psychiatric) Hospitals and Psychiatric Units in Other Hospitals
Hospitals with Patients Who Have No Usual Home Elsewhere
In-Patient Hospice Facilities
Military Treatment Facilities with Assigned Patients*
Residential Schools for People with Disabilities
College/University Student Housing
College/University Student Housing (owned/leased/managed by a college/university)
College/University Student Housing (owned/leased/managed by a private company/agency)
Military Quarters
Military Quarters*
Military Ships*
Service-Based Enumeration (SBE)
Emergency and Transitional Shelters (with Sleeping Facilities) for People Experiencing Homelessness
Soup Kitchens
Regularly Scheduled Mobile Food Vans
Targeted Non-Sheltered Outdoor Locations
Other Non-Institutional Group Quarters
Domestic Violence Shelters*
Group Homes Intended for Adults (non-correctional)
Residential Treatment Centers for Adults (non-correctional)
Maritime/Merchant Vessels*
Workers’ Group Living Quarters and Job Corps Centers
Religious Group Quarters
Living Quarters for Victims of Natural Disaster
Unknown

*Note: Out of Scope GQs

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Form D-1051(SK) (PR)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

CFS Name______________________
GQ Name_________________________
#
1

Date Assigned_________________
GQ Control #_____________________
Question

Hello. My name is (Your name). May I speak to (Say the CONTACT NAME printed on the ACR)?
I am from the U.S. Census Bureau. We are currently conducting the 2020 Census and would like to set
up an enumeration appointment for your facility. I have some questions to ask you about (Say the GQ
NAME printed above) at (Say the ADDRESS NUMBER and STREET NAME or LOCATION
DESCRIPTION printed on the ACR).
____Housing Unit, GQ Type Code=Blank, Status Code = Housing Unit. Go to QUESTION 17.
_______Contact person is correct, confirm their phone number and title from the ACR, if that
information is preprinted there. Update or collect their phone number, title as well as their business
email.
Contact Title _______________
Contact Phone Number ________Contact Business Email _______________
Now go to QUESTION 2.
______ Contact person has changed, ask for the right person. Once you are with the right person,
repeat your introduction and update the contact information by asking:
May I have your name, title, phone number, and business email address? Write this information in the
spaces provided below.
Contact Name______________
Contact Title _______________
Contact Phone Number ________Contact Business Email _______________

Go to QUESTION 2.

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Form D-1051(SK) (PR)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

#

Question

2

To prepare for this census, I need to collect some information about this facility. I have just a few
questions to ask you. We estimate this interview will take approximately15 minutes. Here is a
packet of information about the Decennial that you will find helpful. Included in this packet is
our confidentiality statement for you to read. (Hand the contact an Information Packet.)
Go to QUESTION 3.

3

Now 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 the information for the GQ and the GQ contact as shown on the ACR to the contact
person, spelling out the GQ Name, Facility Name, and Street Name or Location Description. If
GQ or Facility Name is incorrect or missing, make changes in the appropriate fields below The
only other change allowed here is minor misspellings of Location Street Name. Any other
updates require you complete an Add Verification Form.)
GQ Name___________________
Facility Name______________________
Location Address Number - No updates can be made
Location Street Name___________
Location Urbanización - No updates can be made

Location Apartment Complex - No updates can be made
Location Building Description/ID - No updates can be made
Location Apt/Unit - No updates can be made
Location Area 1(Barrio/Barriada/Sector/Parcela/Comunidad) - No updates can be made
Location Area 2(Barrio/Barriada/Sector/Parcela/Comunidad) - No updates can be made
Location KMHM - No updates can be made
Location Description - No updates can be made
Location Municipio - No updates can be made
Location ZIP Code - No updates can be made

Go to QUESTION 4a.
4a

We currently have the structure at this address listed as the following type of group quarters:
(Read the GQ Type description printed on page 1.) Is that correct?
______ Yes, go to QUESTION 5.
______ No, use “GQAC Job Aid: Identify GQ Type Code” to update GQ Type Code. Write the
new type code in space provided:
GQ Type______________ Change to the appropriate
script based on the new type code.

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Form D-1051(SK) (PR)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

_______ Out-of-Scope GQ – Write the new type code in space above. Status Code = “GQ Outof-Scope.” Then end GQAC interview by saying: “Thank you very much for your time and
participation. This is the all the information I need.”
__________Transitory Location – Type code = Blank, Status Code= “Transitory Location”
Continue with Question 4b.
_________ Housing Unit – Type code = Blank, Status Code = ‘Housing Unit’. Continue with
QUESTION 17.
4b

Will this facility be operating on April 1st, 2020? Check the appropriate answer below:
______Yes, go to QUESTION 24
______No, end the interview using the statement: “Thank you very much for your time and
participation. This is all the information I need. This facility will not be counted during the 2020
Census. 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.”
Status Code: GQ out-of-scope. Out of Scope reason: Not Operating on Census Day.
Enter 0 into Expected Pop in Question 24. Go to your next assignment.
_____Do not know, go to QUESTION 25

5

What is the maximum number of people who occupy this group quarters?
Max Pop_______
Go to QUESTION 6

6

Will this facility be operating on Tuesday, March 31st?
______Yes, go to QUESTION 8.
________No, QUESTION 7

7

Will this facility be open or operating on Monday, March 30th or Wednesday, April 1st?
________Yes, go to QUESTION 9.
_____No, end interview using this statement: “Thank you very much for your time and
participation. This is all the information I need. This facility will not be counted during the 2020
Census. 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.”
Status Code: GQ out-of-scope. Out of Scope reason: Not Operating on Census Day.
Enter 0 into Expected Pop in Question 12. Go to your next assignment.

8

The Census employee(s) will come to this facility on Tuesday, March 31st to gather information
for people who are serviced on that date. Is this acceptable?

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Form D-1051(SK) (PR)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

_______Yes, Scheduled Visit Date =March 31st go to QUESTION 10.
_________No, go to QUESTION 9.
9

Would you prefer our Census employee(s) come to your facility to gather information for the
people who are serviced there on Monday, March 30th or Wednesday, April 1st?
Note to CFS: The enumeration appointment cannot be scheduled outside of March 30th, March
31st, or April 1st.

___________Scheduled Visit Date = March 31 or April 1st, go to QUESTION 10.
10

The census response data that we ask for each person are name, sex, date of birth, age on Census
Day, Hispanic origin, race, citizenship, and an alternate address where they live or stay when not
at this facility.
We will send Census employees to your location to conduct an in-person interview with each
person who is served at your soup kitchen on your enumeration appointment date.
Enum Method= in-person interveiw.
Go to QUESTION 11.
11

Which meal serves the largest number of clients? Mark one option:
__________Breakfast
_________, Lunch
__________ Dinner
Largest Meal Served= option marked above.
______Respondent doesn’t know, leave this section blank.
Go to QUESTION 12.

12

How many clients do you expect to serve at this soup kitchen during this meal?
Expected Pop ___________
Go to QUESTION 13.

13

What time is this meal served?
Arrival Time ___________
Go to QUESTION 14.

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Form D-1051(SK) (PR)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

14

What time do you stop serving this meal?
Ending Time_____________
Go to QUESTION 15.

15

What time do clients start to assemble for this meal?
Scheduled Visit Time _______________.
Go to QUESTION 16.

16

Do clients line up, congregate, or use another method of grouping while waiting to enter the soup
kitchen? Write the answer in the space below.
Method Recv Food ____________
Go to QUESTION 19

17

Including yourself, how many people will be living or staying at (Say the ADDRESS NUMBER
and STREET NAME listed on ACR) on April 1, 2020? Write the contact’s answer in the space
below.
Expected Pop_______
The census response data that we ask for each person are name, sex, date of birth, age on Census
Day, Hispanic origin, race, citizenship, and an alternate address where they live or stay when not
at this location.
We will send a Census worker to your location to conduct an in-person interview for each person
who was living or staying at this location on Census Day.

Update the Contact Information for the Housing unit. Write ‘In-person interview’ in the
Enum Method = In-Person Interview.
Write “This is a housing unit” in the Notes below:
Notes:
________________________________________________________________________
Go to QUESTION 18.
18

What is the best date and time for us to conduct the interviews at this location between April 6,
2020 to April 30, 2020?
Scheduled Visit
Date _________

Time ____________.

Go to QUESTION 19.
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Form D-1051(SK) (PR)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

19

Are there any people at this location that do not speak or understand English?
_______Yes (Other Languages), then ask,
What language(s) do they speak (For example Spanish, Chinese, Vietnamese, Korean? List them
here: __________________________________________________ (GQ Languages) Go to
QUESTION 20.
______No, go to QUESTION 20.

If this is a Housing Unit, Go to QUESTION 23.
20

Are there any specific instructions that census staff need to know in order to count the people at
this location?
______Yes (Specific Instructions). List the instructions here:
__________________________________________ (Specific Instructions).
_______No (Specific Instructions).
Go to QUESTION 21.

21.

Are you responsible for any additional facilities, either at this address or elsewhere?
______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out
the Add Verification Checklists, tell the contact person ‘We will check our current address file to
see if those facilities are already listed. If we do not have them in our address file, we will contact
you to conduct an interview for each place.’ Go to QUESTION 22.

____ No, go to QUESTION 22.

22.

Now on the day of enumeration, census workers will arrive at the soup kitchen 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 the 2020 Census
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. you have
any additional questions, please call the area census office at (Please provide the ACO telephone
number) or visit our website at 2020census.gov/groupquarters. In our website, you will find
informational materials about the 2020 Census in your community.

SK

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Form D-1051(SK) (PR)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

23

Now on the day of enumeration, census workers will arrive at your facility at your scheduled
appointment time.
We ask that you let the clients know that the Census Bureau will be conducting the 2020 Census
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. We appreciate your cooperation.
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 (Please provide the ACO
telephone number) or visit our website at 2020census.gov/groupquarters. On our website, you
will find informational materials about the 2020 Census in your community.

24

What is the expected population at this facility on April 1st, 2020? If you do not know the exact
number right now, please provide an estimate. Write the contact’s answer in the space below.
Expected Pop________________
Go to QUESTION 25.

25

The census response data we ask for each person are name, sex, date of birth, age on Census day,
Hispanic origin, race, citizenship and a alternative address where they live or stay when not at this
facility.
We will send Census employees to your location to conduct an in-person interview with each
person who is here on the day of enumeration.
Enum method = In-Person Interview

Go to QUESTION 26
26

What is the best date and time for us to conduct interviews at this location between April 6, 2020
to May 29, 2020?

Scheduled Visit
Date _________

Time ____________.

Go to QUESTION 27.
27

Are there any people at this location that do not speak or understand English?

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Form D-1051(SK) (PR)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

______ Yes (Other Languages), then ask,
What language(s) do they speak (For example Spanish, Chinese, Vietnamese, Korean? List them
here: __________________________________________________ (GQ Languages) Go to
QUESTION 28.
______ No (Other Languages) go to QUESTION 28.

28

Are there any specific instructions that census staff need to know in order to count the people at
this location?
______ Yes (Specific Instructions). List the instructions below:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_______________________.
_______ No (Specific Instructions).
Go to QUESTION 29

29

Are you responsible for any additional facilities, either at this address or elsewhere?
______ Yes, complete an Add Verification Checklist for each additional facility. After you fill out
the Add Verification Checklists, tell the contact person ‘We will check our current address file to
see if those facilities are already listed. If we do not have them in our address file, we will contact
you to conduct an interview for each place.’
____ No, go to QUESTION 30.

30

Now on the day of enumeration, census workers will arrive at your facility at your scheduled
appointment time.
We ask that you let the clients know that the Census Bureau will be conducting the 2020 Census
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. We appreciate your cooperation.
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.
Go to QUESTION 31.

31

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 (Please provide the ACO
telephone number) or visit our website at 2020census.gov/groupquarters. On our website, you
will find informational materials about the 2020 Census in your community.

SK

Last Modified 12/03/2018

Page 10 of 11

Form D-1051(SK) (PR)
CFS GQ AC In-Field Script for Soup Kitchens
Group Quarters In-Field Advance Contact
_____________________________________________________________________________________________

As an alternative: If contact person does not have internet access, ask for their mailing address
to forward documents.

SK

Last Modified 12/03/2018

Page 11 of 11