d_1400p1_ 8.7.19

FORM

D-1400

(7-11-2019)

U.S. DEPARTMENT OF COMMERCE

INFORMATION SHEET
Post-Enumeration Survey Person Interview
2020 Census

Economics and Statistics Administration

U.S. CENSUS BUREAU

2020
JANUARY
T W T F
1 2 3
6 7 8 9 10
13 14 15 16 17
20 21 22 23 24
27 28 29 30 31

S
4
11
18
25

APRIL
T W T
1 2
7 8 9
14 15 16
21 22 23
28 29 30

S
4
11
18
25

S M
5
12
19
26

S M
5 6
12 13
19 20
26 27

S M
5 6
12 13
19 20
26 27

F
3
10
17
24
31

OCTOBER
T W T F
1 2
5 6 7 8 9
12 13 14 15 16
19 20 21 22 23
26 27 28 29 30

S M
4
11
18
25

JULY
T W T
1 2
7 8 9
14 15 16
21 22 23
28 29 30

F
3
10
17
24

S
4
11
18
25

S
3
10
17
24
31

S M

FEBRUARY
T W T F

S M

F
1
8
15
22
29

S
2
9
16
23
30

S M

1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30

AUGUST
T W T F

S

SEPTEMBER
S M T W T F

1
8
15
22
29

6 7
13 14
20 21
27 28

MAY
T W T

3 4 5 6 7
10 11 12 13 14
17 18 19 20 21
24 25 26 27 28
31

S M

List A

S
1
8
15
22
29

2 3 4 5 6 7
9 10 11 12 13 14
16 17 18 19 20 21
23 24 25 26 27 28

2
9
16
23
30

3 4 5 6 7
10 11 12 13 14
17 18 19 20 21
24 25 26 27 28
31

S
1
8
15
22
29

NOVEMBER
M T W T F
2 3 4 5 6
9 10 11 12 13
16 17 18 19 20
23 24 25 26 27
30

S
7
14
21
28

M
2
9
16
23
30

MARCH
T W T

S
1
8
15
22
29

S M

F

S

3 4 5 6 7
10 11 12 13 14
17 18 19 20 21
24 25 26 27 28
31
JUNE
T W T

F

S

S
1 2 3 4 5
8 9 10 11 12
15 16 17 18 19
22 23 24 25 26
29 30

DECEMBER
T W T F

1 2
6 7 8 9
13 14 15 16
20 21 22 23
27 28 29 30

3 4
10 11
17 18
24 25
31

S
5
12
19
26

PLACES THAT HOUSE
GROUPS OF PEOPLE
College housing:
• Dormitory or residence hall
• Sorority or fraternity house
Military housing:
• Military barracks
• Military ships
Other group facilities:
• Nursing home
• Independent or assisted living facility
•Correctional facility, such as a jail
• Group home providing room, board,
and psychological, social, or
behavioral services
• Emergency shelter
• Residential school for people
with disabilities
• Psychiatric hospital or Psychiatric
units in other hospitals
• Other, please specify

List B

RELATIONSHIP

• Opposite-sex husband/wife/spouse
• Opposite-sex unmarried partner
• Same-sex husband/wife/spouse
• Same-sex unmarried partner
• Biological son or daughter
• Adopted son or daughter
• Stepson or stepdaughter
• Brother or sister
• Father or mother
• Grandchild
• Parent-in-law
• Son-in-law or daughter-in-law
• Other relative
• Roommate or housemate
• Foster child
• Other nonrelative

List C
HISPANIC, LATINO
OR SPANISH ORIGIN

• No, not of Hispanic, Latino, or
Spanish origin

• Yes, Mexican, Mexican American,
or Chicano

• Yes, Puerto Rican
• Yes, Cuban
• Yes, of another Hispanic, Latino,

or Spanish origin — For example,
Argentinean, Colombian, Dominican,
Nicaraguan, Salvadoran, Spaniard,
and so on.

List D
RACE
(Choose one or more races)

• White
• Black or African American
• American Indian or Alaska Native
• Asian – includes:
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian – For example,
Hmong, Laotian, Thai, Pakistani,
Cambodian, and so on.

• Native Hawaiian or Other

Pacific Islander – includes:
Native Hawaiian
Chamorro
Samoan
Other Pacific Islander – For
example, Fijian, Tongan, and so on.

• Some other race

FORM D-1400 (7-11-2019)