2023 Census Test Internet Specification
2023 Census Test
Internet Self-Response Instrument
Specification
Final
December 21, 2022
Note: This 2023 SmaRT Internet Self-Response automated data collection test specification is a living document. This document reflects the specification baseline as of the date above.
USDS Text for “An official website of the United States government. 6
NONID Address Collection - OLD 9
NONID Address Collection - NEW 23
SUBMIT Census Questionnaire 49
This document provides the specifications for the English, self-administered version of the Internet instrument for the 2023 Census Test.
Translations will be provided in a separate document.
<ADDRESS> |
Street Address, Unit, City, State, Zip |
<REFDATE> |
March 1, 2023 |
<OMB STATEMENT> |
The U.S. Census Bureau estimates that completing the questionnaire will take 10 minutes on average. Send comments regarding this burden estimate or any other aspect of this burden to: <[email protected]>. Use "Paperwork Reduction Project 0607-0971 " as the subject. This collection of information has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number 0607-0971 confirms this approval. |
<WARNING MESSAGE> |
U.S. Census Bureau Notice and Consent Warning You are accessing a United States Government computer network. Any information you enter into this system is confidential. It may be used by the Census Bureau for statistical purposes and to improve the website. If you want to know more about the use of this system, and how your privacy is protected, visit our online privacy webpage at https://www.census.gov/about/policies/privacy/privacy-policy.html.
Use of this system indicates your consent to collection, monitoring, recording, and use of the information that you provide for any lawful government purpose. So that our website remains safe and available for its intended use, network traffic is monitored to identify unauthorized attempts to access, upload, change information, or otherwise cause damage to the web service. Use of the government computer network for unauthorized purposes is a violation of Federal law and can be punished with fines or imprisonment (PUBLIC LAW 99-474). |
The instructions and other relevant information will be displayed on the Login Screen.
Frequently Asked Questions (FAQs), provided from a link on the Banner, should include the following:
|
1. What is the 2023 Census Test? The goal of the census test is to help inform the next census. The next census will count every person living in the United States once, only once and in the right place. Article I, Section 2 of the U.S. Constitution mandates that this population and housing count occur every 10 years. Census data guide how more than $675 billion in federal funding is distributed to states and communities each year. |
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2. Am I required to respond to this survey? Yes, you are required by law to respond to this survey. We are conducting this survey under the authority of Title 13, U.S. Code, Sections 141 and 193. This collection of information has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number is 0607-0971. If this number were not displayed, we could not conduct the survey. |
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3. How long will my 2023 Census Test questionnaire take? The Census Bureau estimates that completing the questionnaire will take 10 minutes on average. Send comments regarding this burden estimate or any other aspect of this burden to <[email protected]>. Use "Paperwork Reduction Project 0607-0971 " as the subject. |
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4. Who should complete the questionnaire? This questionnaire should be completed by the person who owns or rents the living quarters or any other person who is at least 15 years of age with knowledge of the household. |
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5. How do I change my answers? For questions where you must choose a single response from a list, clicking another response will change your answer to that response.
If it is a “select all that apply” question, you may click on a selected check box to unselect the box and remove it as one of your answers. |
|
7. How will the Census Bureau use the information I provide? By law, the Census Bureau can only use your responses to produce statistics. |
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8. Is it safe to complete the questionnaire online? Yes. For each online questionnaire, we are required to provide an explanation to respondents about the confidentiality of the data and the laws that protect those data (e.g., Title 13, U.S. Code Section 9(a)). Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the systems that transmit your data. All web data submissions are encrypted in order to protect your privacy, even in the remote chance that your responses are intercepted.
More information on this topic can be found on the Data Protection and Privacy Policy webpage (https://www.census.gov/privacy/). |
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9. Do I have to complete the questionnaire for my household members? Yes, you will be asked to provide information for each household member. |
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10. How do I submit my responses? At the end of the questionnaire, you will submit your questionnaire and see a confirmation page. Then, you may close the web browser. Once your questionnaire is submitted, you will not be able to access your information or change any of your responses. |
The instrument will time out if a respondent is inactive for 15 minutes.
There will be a language selection menu allowing users to select either English or Spanish.
The respondent will navigate through the instrument using the “Submit,” “Next” or “Previous” buttons located at the bottom of each screen.
For the 2023 Census Test, the URL will be -
The ISR instrument will also display USDS text. See link for approved wording. https://designsystem.digital.gov/components/headers/
Screen Name |
LOGIN |
Variable Names |
REPUNIT_SPONSOR_CASE_ID: NUM 12
|
Data Needed |
|
Pre-condition |
|
Question Wording |
Please Log In
Use the materials we mailed to you. All the information that you provide will remain confidential.
Please enter the 12-digit Census ID found in the materials we mailed to you.
_____-_____-____ (three 4-digit text boxes, separated by a hyphen.)
Start Questionnaire The U.S. Census Bureau estimates that completing the questionnaire will take 10 minutes on average. Send comments regarding this burden estimate or any other aspect of this burden to: <[email protected] >. Use "Paperwork Reduction Project 0607-0971" as the subject. This collection of information has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number 0607-0971 confirms this approval. U.S. Census Bureau Notice and Consent Warning You are accessing a United States Government computer network. Any information you enter into this system is confidential. It may be used by the Census Bureau for statistical purposes and to improve the website. If you want to know more about the use of this system, and how your privacy is protected, visit our online privacy webpage at https://www.census.gov/about/policies/privacy/privacy-policy.html. Use of this system indicates your consent to collection, monitoring, recording, and use of the information that you provide for any lawful government purpose. So that our website remains safe and available for its intended use, network traffic is monitored to identify unauthorized attempts to access, upload, change information, or otherwise cause damage to the web service. Use of the government computer network for unauthorized purposes is a violation of Federal law and can be punished with fines or imprisonment (PUBLIC LAW 99-474). OMB No. 0607-0971: Approval Expires 12/31/2025 |
Question Wording Fills |
|
Response Options |
|
Response Options Fills |
N/A |
Edits/Errors |
If an invalid ID is entered display: “Login failed. Please try again.” If the user exceeds 3 login attempts, goto NO_COMPLETE_AUTH |
Post-condition |
If valid Census ID, goto RESIDENCE_OLD or RESIDENCE_NEW. If invalid Census ID, display error message
|
Special Instructions |
The LOGIN button will not be enabled until 12 digits are entered. |
Screen Name |
RESIDENCE_OLD |
Variable Names |
Respondent-Provided Street
Address Fields ADR_STNM_TEXT: VARCHAR2
(50) |
Data Needed |
|
Pre-condition |
Respondent enters a valid user ID on the LOGIN screen |
Question Wording Before REFDATE |
Where will you be living on <REFDATE>? Please provide a complete street address for your residence. Provide the street address you would use to have a package delivered directly to your residence, not a Rural Route or P.O. Box address used for mailing purposes. A street address is the most helpful for processing your response. |
Question Wording On or After REFDATE |
Where were you living on <REFDATE>? Please provide a complete street address for your residence. Provide the street address you would use to have a package delivered directly to your residence, not a Rural Route or P.O. Box address used for mailing purposes. A street address is the most helpful for processing your response. |
Response Options |
Address Number Ex: 101 20-character text box
Street Name Ex: N Main St 50-character text box
Apt/Unit Ex: Apt 23 50-character text box
City 100-character text box
State Drop down menu with alphabetical 50 states and District of Columbia
ZIP Code 5-digit text box
A user may also select the “I do not have a street address” option. |
Edits/Errors |
Required Fields: Address Number AND Street Name AND City AND State AND Zip If the respondent does not provide the required fields and selects next:
Address boxes will be highlighted, so the respondent is alerted to where required information is invalid or missing. |
Post-condition |
|
Special Instructions |
|
Screen Name |
RURAL_ROUTE_OLD |
Variable Names |
ADR_IS_RURAL_YES_IND: 0,1 ADR_IS_RURAL_NO_IND: 0,1 |
Data Needed |
|
Pre-condition |
Respondents who checked “I do not have a street address” and provided blank or invalid responses on the RESIDENCE_OLD screen. |
Question Wording |
Do you have a Rural Route address? |
Question Wording Fills |
|
Response Options |
Respondent will only be able to select one of the following:
Yes No |
Response Option Fills |
|
Edits/Errors |
If no response, display the following edit only once: “Please provide an answer to the question.” |
Post-condition |
|
Special Instructions |
|
Screen Name |
RR_ADDRESS_OLD |
Variable Names |
Respondent-Provided Rural Route Address Fields ADR_RR_DESC_TEXT: VARCHAR 2 (3) (RR, HC, SR, PSC, RTE) ADR_RR_NUM_TEXT: VARCHAR 2 (10) ADR_RR_BOX_NUM_TEXT: VARCHAR 2 (10)
ADR_CITY_TEXT: VARCHAR 2 (100) ADR_STATE_TEXT: VARCHAR 2 (2) ADR_ZIP_TEXT: VARCHAR 2 (5)
Physical Description Field ADR_LOC_DESC_TEXT: VARCHAR 2 (250) |
Data Needed |
|
Pre-condition |
RURAL_ROUTE_OLD = “Yes”
|
Question Wording Before REFDATE |
Please provide the Rural Route address where you will be living on <REFDATE>. Also, provide a description of the physical location in the space provided. |
Question Wording On or After REFDATE |
Please provide the Rural Route address where you were living on <REFDATE>. Also, provide a description of the physical location in the space provided. |
Response Options |
RR Descriptor Drop down menu with the following options
Rural Route # 10-character text box RR Box ID # 10-character text box City 100-character text box State Drop down menu with alphabetical states and District of Columbia ZIP Code 5-digit text box Please provide as much information as possible. For example: If you also have a street address associated with your residence, such as one used for emergency services (E-911) or for you to have a package delivered to your home, then please provide it here. 250-character text box |
Response Option fills |
|
Edits/Errors |
Required Fields: RR Descriptor AND RR # AND RR Box ID AND City AND State AND Zip If the respondent does not provide the required fields and selects next:
|
Post-condition |
|
Special Instructions |
|
HOESSScreen Name |
HOMELESS_OLD |
Variable Names |
ADR_IS_HOMELESS_YES_IND: 0,1 ADR_IS_HOMELESS_NO_IND: 0,1 |
Data Needed |
|
Pre-condition |
RURAL_ROUTE_OLD = “No” or blank
|
Question Wording Before REFDATE |
Will you be experiencing homelessness on <REFDATE>?
|
Question Wording On or After REFDATE |
Were you experiencing homelessness on <REFDATE>?
|
Response Options |
Respondent will only be able to select one of the following: Yes No |
Edits/Errors |
If no response, display the following edit only once: “Please provide an answer to the question.” |
Post-condition |
Goto OTHER_ADDRESS_OLD |
Special Instructions |
|
Screen Name |
OTHER_ADDRESS_OLD |
Variable Names |
Respondent-Provided General Address Fields ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: VARCHAR2 (5) Physical Description Field ADR_LOC_DESC_TEXT: VARCHAR2 (250) |
Data Needed |
|
Pre-condition |
HOMELESS_OLD = “Yes”, “No” or blank |
Question Wording Before REFDATE |
Please provide a city and state, or ZIP Code where you will be living on <REFDATE>. Also, describe the physical location in the space provided.
|
Question Wording On or After REFDATE |
Please provide a city and state, or ZIP Code where you were living on <REFDATE>. Also, describe the physical location in the space provided.
|
Response Options Before REFDATE |
City 100-character text box State Drop down menu with alphabetical states and District of Columbia ZIP Code 5-digit text box Please provide as much information as possible. For example:
250-character text box
|
Response Options On or After REFDATE |
City 100-character text box State Drop down menu with alphabetical states and District of Columbia ZIP Code 5-digit text box Please provide as much information as possible. For example:
250-character text box |
Edits/Errors |
Required Fields: City AND State AND Zip If the respondent does not provide the required fields and selects next:
|
Post-condition |
|
Special Instructions |
|
Screen Name |
STAN_RESIDENCE_OLD_A |
Variable Names |
Standardized Street Address Fields ADR_STNU_TEXT: VARCHAR2 (20) ADR_STNM_TEXT: VARCHAR2 (50) ADR_UNIT_TEXT: VARCHAR2 (50) ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: VARCHAR2 (5) |
Data Needed |
Respondent provided address from RESIDENCE_OLD |
Pre-condition |
Respondents who provided a valid address on the RESIDENCE_OLD |
Question Wording |
Please review your address. Here is the address you submitted using standard abbreviations and formatting. <Full standardized address> Is the address correct?
|
Response Options |
Respondent will only be able to select one of the following:
Yes No
|
Edits/Errors |
Required Fields:
Street Number AND Street Name AND City AND State AND Zip
If required fields are left blank and the next button is selected, display the following edit message next to the blank field:
“Please answer this question.”
|
Post-condition |
|
Special Instructions |
Respondent cannot move to the next screen until required fields are provided. |
Screen Name |
STAN_RESIDENCE_OLD_B |
Variable Names |
Standardized Street Address Fields ADR_STNU_TEXT: VARCHAR2 (20) ADR_STNM_TEXT: VARCHAR2 (50) ADR_UNIT_TEXT: VARCHAR2 (50) ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: VARCHAR2 (5) |
Data Needed |
Respondent provided address from RESIDENCE_OLD |
Pre-condition |
Respondent selects “No” on STAN_RESIDENCE_OLD_A |
Question Wording |
Please make the necessary changes in the fields below.
|
Response Options |
Address Number Ex: 101 20-character text box
Street Name Ex: N Main St 50-character text box
Apt/Unit Ex: Apt 23 50-character text box
City 100-character text box
State Drop down menu with alphabetical 50 states and District of Columbia
ZIP Code 5-digit text box |
Edits/Errors |
Required Fields:
Street Number AND Street Name AND City AND State AND Zip
If required fields are left blank and the next button is selected, display the following edit message next to the blank field:
“Please answer this question.”
|
Post-condition |
Goto VERIFY_ADDRESS. |
Special Instructions |
Respondent cannot move to the next screen until required fields are provided. |
Screen Name |
STAN_RR_ADDRESS_OLD_A |
Variable Names |
Respondent-Provided Rural Route Address Fields ADR_RR_DESC_TEXT: VARCHAR2 (3) (1=RR, 2=HC, 3=SR, 4=PSC, 5=RTE) ADR_RR_NUM_TEXT: VARCHAR2 (10) ADR_RR_BOX_NUM_TEXT: VARCHAR2 (10) ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: VARCHAR2 (5) |
Data Needed |
Respondent provided address from RR_ADDRESS_OLD. |
Pre-condition |
All Respondents who provided a valid address on RR_ADDRESS_OLD |
Question Wording |
Please review your address. Here is the address you submitted using standard abbreviations and formatting. <Full standardized address>
Is the address correct?
|
Response Options |
Respondent will only be able to select one of the following:
Yes No
|
Edits/Errors |
Required Fields:
RR Descriptor AND RR # AND RR Box ID AND City AND State AND Zip
If required fields are left blank and the next button is selected, display the following edit message next to the blank field:
“Please answer this question.”
|
Post-condition |
|
Special Instructions |
Respondent cannot move to the next screen until required fields are provided. |
Screen Name |
STAN_RR_ADDRESS_OLD_B |
Variable Names |
Respondent-Provided Rural Route Address Fields ADR_RR_DESC_TEXT: VARCHAR2 (3) (1=RR, 2=HC, 3=SR, 4=PSC, 5=RTE) ADR_RR_NUM_TEXT: VARCHAR2 (10) ADR_RR_BOX_NUM_TEXT: VARCHAR2 (10) ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: VARCHAR2 (5) |
Data Needed |
Respondent provided address from RR_ADDRESS_OLD. |
Pre-condition |
Respondent selects “No” on STAN_RR_ADDRESS_OLD_A |
Question Wording |
Please make the necessary changes in the fields below.
|
Response Options |
RR Descriptor Drop down menu with the following options
Rural Route # 10-character text box RR Box ID # 10-character text box City 100-character text box State Drop down menu with alphabetical states and District of Columbia ZIP Code 5-digit text box Please provide as much information as possible. For example: If you also have a street address associated with your residence, such as one used for emergency services (E-911) or for you to have a package delivered to your home, then please provide it here. 250-character text box |
Edits/Errors |
Required Fields:
RR Descriptor AND RR # AND RR Box ID AND City AND State AND Zip
If required fields are left blank and the next button is selected, display the following edit message next to the blank field:
“Please answer this question.”
|
Post-condition |
|
Special Instructions |
Respondent cannot move to the next screen until required fields are provided. |
Screen Name |
STAN_OTHER_ADDRESS_OLD_A |
Variable Names |
Respondent-Provided General Address Fields ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: VARCHAR2 (5) |
Data Needed |
Respondent provided address from OTHER_ADDRESS_OLD |
Pre-condition |
All Respondents who provided a valid address on the OTHER_ADDRESS_OLD |
Question Wording |
Please review your address. Here is the address you submitted using standard abbreviations and formatting. <Discription> <City comma delimiter State space delimiter ZIP Code>
Is the address correct?
|
Response Options |
Respondent will only be able to select one of the following:
Yes No
|
Edits/Errors |
Required Fields:
City AND State AND Zip
If required fields are left blank and the next button is selected, display the following edit message next to the blank field:
“Please answer this question.”
|
Post-condition |
If the respondent selects “No”, goto STAN_OTHER_ADDRESS_OLD_B. If “Yes”, goto VERIFY_ADDRESS. |
Special Instructions |
Respondent cannot move to the next screen until required fields are provided. |
Screen Name |
STAN_OTHER_ADDRESS_OLD_B |
Variable Names |
Respondent-Provided General Address Fields ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: VARCHAR2 (5) |
Data Needed |
Respondent provided address from OTHER_ADDRESS_OLD |
Pre-condition |
Respondent selects “No” on STAN_OTHER_ADDRESS_OLD_A |
Question Wording |
Please make the necessary changes in the fields below.
|
Response Options |
City 100-character text box State Drop down menu with alphabetical states and District of Columbia ZIP Code 5-digit text box Please provide as much information as possible. For example:
250-character text box
|
Edits/Errors |
Required Fields:
City AND State AND Zip
If required fields are left blank and the next button is selected, display the following edit message next to the blank field:
“Please answer this question.”
|
Post-condition |
Goto VERIFY_ADDRESS. |
Special Instructions |
Respondent cannot move to the next screen until required fields are provided. |
Screen Name |
RESIDENCE_NEW |
Variable Names |
Respondent-Provided Street
Address Fields ADR_NO_STREET_ADDRESS_IND: 0,1 |
Data Needed |
|
Pre-condition |
Respondent enters a valid user ID on LOGIN screen |
Question Wording Before REFDATE |
Please provide a street address for this residence. Provide the street address you would use to have a package delivered directly to this residence, not a Rural Route or P.O. Box address used for mailing purposes. A street address is the most helpful for processing your response. |
Question Wording On or After REFDATE |
Please provide a street address for this residence. Provide the street address you would use to have a package delivered directly to this residence, not a Rural Route or P.O. Box address used for mailing purposes. A street address is the most helpful for processing your response. |
Response Options |
Street Address Ex: 101 N Main St 100-character text box Apt/Unit Ex: Apt 23 50-character text box City 100-character text box State Drop down menu with alphabetical 50 states and District of Columbia ZIP Code 5-digit text box
A user may also select the “I do not have a street address” option. |
Edits/Errors |
Required Fields: Street Address AND City AND State AND Zip
If the respondent does not provide the required fields and selects next:
|
Post-condition |
|
Special Instructions |
There will only be a “Next” (No “Previous”) button on this screen. |
Screen Name |
OTHER_ADDRESS_NEW |
Variable Names |
Respondent-Provided General Address Fields ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: VARCHAR2 (5) Physical Description Field ADR_LOC_DESC_TEXT: VARCHAR2 (250) |
Data Needed |
|
Pre-condition |
Respondent selects “I do not have a street address” on RESIDENCE_NEW |
Question Wording Before REFDATE |
Please describe the physical location of this residence. Also provide a city, state and ZIP Code. |
Question Wording On or After REFDATE |
Please describe the physical location of this residence. Also provide a city, state and ZIP Code. |
Response Options Before REFDATE |
Please provide as much information as possible. For example:
Please provide as much information as possible: 250-character text box City 100-character text box State Drop down menu with alphabetical states and District of Columbia ZIP Code 5-digit text box |
Response Options On or After REFDATE |
Please provide as much information as possible. For example:
Please provide as much information as possible: 250-character text box City 100-character text box State Drop down menu with alphabetical states and District of Columbia ZIP Code 5-digit text box
|
Edits/Errors |
Required Fields: City AND State AND Zip If the respondent does not provide the required fields and selects next:
|
Post-condition |
|
Special Instructions |
|
Screen Name |
STAN_RESIDENCE_NEW_A |
Variable Names |
Respondent-Provided Street
Address Fields |
Data Needed |
Respondent provided address from RESIDENCE_NEW. |
Pre-condition |
All Respondents who provided a valid address on RESIDENCE_NEW. |
Question Wording |
Please review your address. Here is the address you submitted using standard abbreviations and formatting. <Street Address space delimiter Apt/Unit #> <City comma delimiter State space delimiter ZIP Code>
Is the address correct? |
Response Options |
Respondent will only be able to select one of the following:
Yes No
|
Edits/Errors |
Required Fields:
Street Address AND City AND State AND Zip
If required fields are left blank and the next button is selected, display the following edit message next to the blank field:
“Please answer this question.”
|
Post-condition |
If the respondent selects “No”, goto STAN_RESIDENCE_NEW_B. If “Yes”, goto VERIFY_ADDRESS. |
Special Instructions |
Respondent cannot move to the next screen until required fields are provided. |
Screen Name |
STAN_RESIDENCE_NEW_B |
Variable Names |
Respondent-Provided Street
Address Fields |
Data Needed |
Respondent provided address from RESIDENCE_NEW. |
Pre-condition |
Respondent selects “No” on STAN_RESIDENCE_NEW_A |
Question Wording |
Please make the necessary changes in the fields below.
|
Response Options |
Street Address Ex: 101 N Main St 100-character text box
Apt/Unit Ex: Apt 23 50-character text box
City 100-character text box
State Drop down menu with alphabetical 50 states and District of Columbia
ZIP Code 5-digit text box
|
Edits/Errors |
Required Fields:
Street Address AND City AND State AND Zip
If required fields are left blank and the “Submit” button is selected, display the following edit message next to the blank field:
“Please answer this question.”
|
Post-condition |
Goto VERIFY_ADDRESS. |
Special Instructions |
Respondent cannot move to the next screen until required fields are provided. |
Screen Name |
STAN_OTHER_ADDRESS_NEW_A |
Variable Names |
Respondent-Provided General Address Fields ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: VARCHAR2 (5) Physical Description Field ADR_LOC_DESC_TEXT: VARCHAR2 (250) |
Data Needed |
Respondent provided address from OTHER_ADDRESS_NEW |
Pre-condition |
All Respondents who provided a valid address on OTHER_ADDRESS_NEW |
Question Wording |
Please review your address. Here is the address you submitted using standard abbreviations and formatting. <Discription> <City comma delimiter State space delimiter ZIP Code>
Is the address correct? |
Response Options |
Respondent will only be able to select one of the following:
Yes No
|
Edits/Errors |
Required Fields:
Street Address AND City AND State AND Zip
If required fields are left blank and the next button is selected, display the following edit message next to the blank field:
“Please answer this question.”
|
Post-condition |
If the respondent selects “No”, goto STAN_OTHER_ADDRESS_NEW_B. If “Yes”, goto VERIFY_ADDRESS. |
Special Instructions |
Respondent cannot move to the next screen until required fields are provided. |
Screen Name |
STAN_OTHER_ADDRESS_NEW_B |
Variable Names |
Respondent-Provided General Address Fields ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: VARCHAR2 (5) Physical Description Field ADR_LOC_DESC_TEXT: VARCHAR2 (250) |
Data Needed |
Respondent provided address from OTHER_ADDRESS_NEW. |
Pre-condition |
Respondent selects “No” on STAN_OTHER_ADDRESS_NEW_A |
Question Wording |
Please make the necessary changes in the fields below.
|
Response Options |
City 100-character text box
State Drop down menu with alphabetical 50 states and District of Columbia
ZIP Code 5-digit text box
|
Edits/Errors |
Required Fields:
City AND State AND Zip
If required fields are left blank and the “Submit” button is selected, display the following edit message next to the blank field:
“Please answer this question.”
|
Post-condition |
Goto VERIFY_ADDRESS. |
Special Instructions |
Respondent cannot move to the next screen until required fields are provided. |
Screen Name |
VERIFY ADDRESS |
Variable Names |
H_OCC_YES_IND: 0,1 H_OCC_NO_IND: 0,1 |
Data Needed |
<ADDRESS> <REFDATE> |
Pre-condition |
STAN_RESIDENCE_NEW_A or STAN_RESIDENCE_NEW_B or STAN_OTHER_ADDRESS_NEW_A Or STAN_OTHER_ADDRESS_NEW_B |
Question Wording Before REFDATE |
On <REFDATE>, will you be living or staying at <ADDRESS>?
|
Question Wording On or After REFDATE |
On <REFDATE>, were you living or staying at <ADDRESS>?
|
Response Options |
Respondent will only be able to select one of the following: Yes No |
Response Options Fills |
N/A |
Edits/Error |
|
Post-condition |
If “Yes”, go RESPONDENT If “No” or Blank, goto ANYONE |
Special Instructions |
There will only be a “Next” (No “Previous”) button on this screen. |
Screen Name |
ANYONE |
Variable Names |
H_OCC_YES_PRX_IND: 0,1 H_OCC_NO_PRX_IND: 0,1 H_OCC_DK_PRX_IND: 0,1 |
Data Needed |
<ADDRESS> <REFDATE> |
Pre-condition |
VERIFY ADDRESS = “No” or Blank |
Question Wording Before REFDATE |
Will anyone be living at <ADDRESS> on <REFDATE>?
|
Question Wording On or After REFDATE |
Did anyone live at <ADDRESS> on <REFDATE>? |
Response Options |
Respondent will only be able to select one of the following:
Yes No Don’t Know
|
Response Options Fills |
N/A |
Edits/Errors |
|
Post-condition |
If “No”, go to UNIT STATUS Else, go to RESPONDENT |
Special Instructions |
|
Screen Name |
UNIT STATUS |
Variable Names |
|
Data Needed |
<ADDRESS> <REFDATE> |
Pre-condition |
ANYONE = “No” |
Question Wording Before REFDATE |
Why will no one be living at <ADDRESS> on <REFDATE>?
|
Question Wording On or After REFDATE |
Why was no one living at <ADDRESS> on <REFDATE>?
|
Response Options |
Respondent will only be able to select one of the following:
Vacant residence Uninhabitable (under construction, open to elements, condemned, burned out, destroyed, demolished) Nonresidential building Empty lot or empty mobile home site Address does not exist Duplicate address Other (Specify) {Display 30-character text box}
|
Response Options Fills |
N/A |
Edits/Errors |
|
Post-condition |
If “Vacant residence”, go to VACANCY Else (or Blank), go to RESPONDENT |
Special Instructions |
“Other (Specify)” response option will auto-select if text is entered into the text box. |
Screen Name |
VACANCY |
Variable Names |
H_VAC_FORRENT_IND: 0,1 H_VAC_RENTNOTOCC_IND: 0,1 H_VAC_FORSALE_IND: 0,1 H_VAC_SOLDNOTOCC_IND: 0,1 H_VAC_SEASON_IND: 0,1 H_VAC_MIGRANT_IND: 0,1 H_VAC_OTHER_IND: 0,1 |
Data Needed |
<ADDRESS> <REFDATE> |
Pre-condition |
UNIT STATUS = “Vacant” |
Question Wording Before REFDATE |
What is the primary reason why no one will be living or staying at <ADDRESS> on <REFDATE>? The unit will be – |
Question Wording On or After REFDATE |
What is the primary reason why no one was living or staying at <ADDRESS> on <REFDATE>? The unit was – |
Response Options |
Respondent will only be able to select one of the following:
For rent Rented, not occupied For sale only Sold, not occupied For seasonal, recreational, or occasional use For migrant workers Other (Specify) {Display 30-character text box}
|
Response Options Fills |
N/A |
Edits/Errors |
|
Post-condition |
Go to RESPONDENT |
Special Instructions |
“Other (Specify)” response option will auto-select if text is entered into the text box. |
Screen Name |
RESPONDENT |
Variable Names |
P_FIRST_NAME: CHAR 20 P_MIDDLE_NAME: CHAR 20 P_LAST_NAME: CHAR 20 RESP_PH_AREA_ID: NUM 3 RESP_PH_PREFIX_ID: NUM 3 RESP_PH_SUFFIX_ID: NUM 4 P_RESPONDENT_IND: 0,1 |
Data Needed |
None |
Pre-condition |
If VERIFY ADDRESS = “Yes” or If ANYONE = “Yes”/ “Don’t know”/ Blank or If UNIT STATUS is not “Vacant residence”
or VACANCY |
Question Wording |
What is your name, telephone number, and email address? We will only contact you if needed for official Census Bureau business. |
Question Wording Fills |
N/A
|
Response Options |
First Name 30-character text box
Middle Name 30-character text box
Last Name(s) 30-character text box
Telephone Number 10-digit text box
Email address 50-character text box
|
Response Options Fills |
N/A |
Edits/Errors |
First Name and Last Name(s) are required fields.
If First and Last Names are left blank and the next button is selected, display the following edit message next to the blank field:
“Please answer this question.”
|
Post-condition |
If VERIFY ADDRESS = “Yes”, go to POPCOUNT
If VERIFY ADDRESS = “No” or Blank, goto OTHER_COMPLETE
|
Special Instructions |
This is a force response question. The respondent must provide First and Last Name to continue. There will only be a “Next” (No “Previous”) button on this screen. |
Screen Name |
OTHER_COMPLETE |
Variable Names |
RESP_OTHERID_YES_IND: 0,1 RESP_OTHERID_NO_IND: 0,1 SOLICIT_LINKED_ID: NUM 12 |
Data Needed |
<REFDATE> <ADDRESS> |
Pre-condition |
RESPONDENT and VERIFY ADDRESS = “No” or Blank
|
Question Wording Before REFDATE |
Thank you for providing information for <ADDRESS>. Since you will not be living or staying at this address on March 1, 2022, you do not need to provide any additional information for it. |
Question Wording On or After REFDATE |
Thank you for providing information for <ADDRESS>. Since you did not live or stay at this address on March 1, 2022, you do not need to provide any additional information for it. |
Response Options |
|
Response Options Fills |
N/A |
Edits/Errors |
|
Post-condition |
|
Special Instructions |
Display “You may close the browser.” |
Screen Name |
POPCOUNT |
Variable Names |
H_SIZE_STATED_CNT: NUM 2 [1-99] H_OCC_CHECK_YES_IND: 0,1 H_OCC_CHECK_NO_IND: 0,1 |
Data Needed |
<ADDRESS> <REFDATE> |
Pre-condition |
RESPONDENT (where VERIFY ADDRESS = “Yes”) |
Question Wording Before REFDATE |
Including yourself, how many people will be living or staying at <ADDRESS> on <REFDATE>?
|
Question Wording On or After REFDATE |
Including yourself, how many people were living or staying at <ADDRESS> on <REFDATE>?
|
Response Options |
Number One 2-digit numerical text box. |
Response Options Fills |
N/A |
Edits/Errors |
If blank or 0 is entered, display:
First time: “Please include yourself when reporting the number of people.”
Second time: “Please include yourself when reporting the number of people.”
Third time: If the field is blank or zero is entered and “Next” is selected goto NO_COMPLETE
|
Post-condition |
If popcount field is zero or blank and selects “Next” for the third time, goto NO_COMPLETE If POPCOUNT=1, goto UC. If POPCOUNT=2-99, goto PEOPLE. |
Special Instructions |
Respondents will only be able to enter numbers 0 - 99. Non-numeric characters will not be allowed to be entered. A maximum of 3 edits is shown in any combination. There will only be a “Next” (No “Previous”) button on this screen. |
Screen Name |
PEOPLE |
Variable Names |
P_FIRST_NAME: CHAR 20 P_MIDDLE_NAME: CHAR 20 P_LAST_NAME: CHAR 20 P_ORIGROST_ADD_IND: 0,1 |
Data Needed |
<ADDRESS> <REFDATE> Name from RESPONDENT POPCOUNT |
Pre-condition |
POPCOUNT=2-99 |
Question Wording Before REFDATE |
What is the name of each person who will be living or staying at <ADDRESS> on <REFDATE>?
Enter names until you have listed everyone who will be living or staying there, then continue to the next page.
|
Question Wording On or After REFDATE |
What is the name of each person who was living or staying at <ADDRESS> on <REFDATE>?
Enter names until you have listed everyone who was living or staying there, then continue to the next page.
|
Response Options |
First Name 20-character text box
Middle Name 20-character text box
Last Name(s) 20-character text box
“Remove Row” option “Add another person” option
|
Response Options Fills |
N/A |
Edits/Errors |
|
Post-condition |
UC |
Special Instructions |
Display the name from RESPONDENT in the first row of name fields only if VERIFY_ADDRESS = YES and WHOLE/PARTIAL is not “Some of the people at this address not including myself”
|
Screen Name |
UC |
Variable Names |
H_UC_ADD_YES_IND: 0,1 H_UC_ADD_NO_IND: 0,1 P_FIRST_NAME: CHAR 20 P_MIDDLE_NAME: CHAR 20 P_LAST_NAME: CHAR 20 P_WAS_UNDERCOUNT_IND: 0,1 |
Data Needed |
<ADDRESS> <REFDATE> ROSTER (all names from PEOPLE and RESPONDENT) |
Pre-condition |
POPCOUNT = 1 or PEOPLE |
Question Wording Before REFDATE |
We do not want to miss any people who might be staying at <ADDRESS> on <REFDATE>.
For example:
The names listed so far are: <LIST OF HOUSEHOLD MEMBER>
Will there be any ADDITIONAL people that you did not already list?
|
Question Wording On or After REFDATE |
We do not want to miss any people who might have stayed at <ADDRESS> on <REFDATE>.
For example:
The names listed so far are: <LIST OF HOUSEHOLD MEMBER>
Were there any ADDITIONAL people that you did not already list?
|
Response Options |
Respondent will only be able to select one of the following:
Yes No
IF YES, display: First Name 30-character text box
Middle Name 30-character text box
Last Name(s) 30-character text box
|
Response Options Fills |
N/A |
Edits/Errors |
|
Post-condition |
If “Yes” is selected on HOMELESS, goto SEX (for OLD path) Else, goto HOME |
Special Instructions |
The name boxes will only appear when “Yes” is selected. If the respondent clicks “No” (removing a “Yes” entry), the name boxes will disappear. When “Yes” is selected, only one set of name boxes will appear. |
Screen Name |
HOME |
Variable Names |
H_TENURE_OWNED_MORT_IND: 0,1 H_TENURE_OWNED_FREE_IND: 0,1 H_TENURE_RENTED_IND: 0,1 H_TENURE_OCC_NOPAY_IND: 0,1 |
Data Needed |
|
Pre-condition |
UC And (If “No” is selected on HOMELESS_OLD) |
Question Wording Before REFDATE |
On <REFDATE>, will the house, apartment, or mobile home at <ADDRESS> be – |
Question Wording On or After REFDATE |
On <REFDATE>, was the house, apartment, or mobile home at <ADDRESS> – |
Response Options |
Respondent will only be able to select one of the following:
Owned by you or someone in this household with a mortgage or loan (including home equity loans)? Owned by you or someone in this household free and clear (without a mortgage or loan)? Rented? Occupied without payment of rent? |
Response Options Fills |
N/A |
Edits/Errors |
|
Post-condition |
Goto SEX |
Special Instructions |
|
Screen Name |
SEX |
Variable Names |
P_SEX_MALE_IND: 0,1 P_SEX_FEMALE_IND: 0,1
|
Data Needed |
NAME# |
Pre-condition |
HOME Or UC (If “Yes” is selected on HOMELESS_OLD) |
Question Wording |
What is <NAME#>’s sex? |
Response Options |
Respondent will only be able to select one of the following: Male Female |
Edits/Errors |
If no response, display the following pop-up modal edit once: “There is 1 unanswered question on this page. Would you like to continue?” Continue without Answering Answer the Question If Continue without Answering, goto DOB. If Answer the Question, go back to response options. |
Post-condition |
Goto DOB |
Special Instructions |
There will only be a “Next” (No “Previous”) button on this screen. |
Screen Name |
DOB |
Variable Names |
P_BIRTH_MONTH_INT: NUM 2 P_BIRTH_DAY_INT: NUM 2 P_BIRTH_YEAR_INT: NUM 4 P_AGE_INT: NUM 3 |
Data Needed |
NAME# |
Pre-condition |
SEX |
Question Wording Before REFDATE |
What is <NAME#>’s date of birth?
Verify or enter correct age as of <REFDATE>. |
Question Wording On or After REFDATE |
What is <NAME#>’s date of birth?
Verify or enter correct age as of <REFDATE>. |
Response Options |
A user can select the Month (number - full word), Day, and Year.
Only valid dates between January 1, 1897 and Dec. 31, 2023 can be selected.
Year drop down box: Starts with <current year> and goes to <current year – 126>.
Age: One 3-character numeric only field followed by “years”. I.e.,” ___ years”. Respondent will enter age in the numeric text box. |
Edits/Errors |
If no response, display the following pop-up modal edit once: “There is 1 unanswered question on this page. Would you like to continue?” Continue without Answering Answer the Question If Continue without Answering, goto HISPANIC ORIGIN. If Answer the Question, go back to response options.
|
Post-condition |
Goto HISPANIC ORIGIN |
Special Instructions |
If month, day, and year is provided, calculate age and display in text field.
Edit Message will only trigger if Month, Day or Year are left blank. If the text box “years” is left blank, the edit message will not trigger. |
Screen Name |
HISPANIC ORIGIN |
Variable Names |
P_HISP_NO_IND: 0,1 P_HISP_YES_MEXICAN_IND: 0,1 P_HISP_YES_PR_IND: 0,1 P_HISP_YES_CUBAN_IND: 0,1 P_HISP_YES_OTH_IND: 0,1 P_HISP_YES_OTH_TEXT: CHAR 200 |
Data Needed |
NAME# |
Pre-condition |
DOB |
Question Wording |
Is <NAME#> of Hispanic, Latino, or Spanish origin?
|
Response Options |
A user can select either a “No” response or one or more “Yes” responses. No, not of Hispanic, Latino, or Spanish origin
Yes, Mexican, Mexican American, Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, another Hispanic, Latino, or Spanish origin – Enter, for example, Salvadoran, Dominican, Colombian, Guatemalan, Spaniard, Ecuadorian, etc.
{Display 200-character text box} |
Edits/Errors |
If no response, display the following pop-up modal edit once: “There is 1 unanswered question on this page. Would you like to continue?” Continue without Answering Answer the Question If Continue without Answering, goto RACE. If Answer the Question, go back to response options.
|
Post-condition |
Goto RACE |
Special Instructions |
Check boxes and textboxes are tied to each other; the check box will be automatically checked if something is entered into the corresponding text box.
|
Screen Name |
RACE
|
Variable Names |
P_RACE_WHITE_IND: 0,1 P_RACE2_WHITE_TEXT: CHAR 200 P_RACE_BLACK_IND: 0,1 P_RACE2_BLACK_TEXT: CHAR 200 P_RACE_AIAN_IND: 0,1 P_RACE2_AIAN_TEXT: CHAR 200 P_RACE2_CHINESE_IND: 0,1 P_RACE2_FILIPINO_IND: 0,1 P_RACE2_ASIANINDIAN_IND: 0,1 P_RACE2_VIETNAMESE_IND: 0,1 P_RACE2_KOREAN_IND: 0,1 P_RACE2_JAPANESE_IND: 0,1 P_ASIAN_OTHER_IND: 0,1 P_ASIAN_OTHER_TEXT: CHAR 200 P_RACE2_NATHAWAIIAN_IND: 0,1 P_RACE2_SAMOAN_IND: 0,1 P_RACE2_CHAMORRO_IND:0,1 P_NHPI_OTHER_IND: 0,1 P_NHPI_OTHER_TEXT: CHAR 200 P_RACE_SOR_IND: 0,1 P_RACE2_SOR_TEXT: CHAR 200
|
Data Needed |
NAME#
|
Pre-condition |
HISPANIC ORIGIN
|
Question Wording |
What is <NAME#>’s race? Select one or more boxes and enter origins. For this survey, Hispanic origins are not races.
|
Response Options |
Respondent may select all that apply:
White – Enter, for example, German, Irish, English, Italian, Lebanese, Egyptian, etc. {Display 200-character text box} Black or African American – Enter, for example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc. {Display 200-character text box} American Indian or Alaska Native – Enter name of enrolled or principal tribe(s), for example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc. {Display 200-character text box} Chinese Filipino Asian Indian Vietnamese Korean Japanese Other Asian – Enter, for example, Pakistani, Cambodian, Hmong, etc. {Display 200-character text box} Native Hawaiian Samoan Chamorro Other Pacific Islander – Enter, for example Tongan, Fijian, Marshallese, etc. {Display 200-character text box} Some other race– Enter race or origin. {Display 200-character text box}
|
Edits/Errors |
If no response, display the following pop-up modal edit once:
“There is 1 unanswered question on this page. Would you like to continue?” Continue without Answering Answer the Question
If Continue without Answering, goto OC. If Answer the Question, go back to response options.
|
Post-condition |
Goto OC
|
Special Instructions |
Check boxes and textboxes are tied to each other; the check box will be automatically checked if something is entered into the corresponding text box.
|
Screen Name |
OC |
Variable Names |
P_LOC_ELSE_NO_IND: 0,1 P_LOC_ELSE_RELATIVES_IND: 0,1 P_LOC_ELSE_COLLEGE_IND: 0,1 P_LOC_ELSE_MILITARY_IND: 0,1 P_LOC_ELSE_JOB_IND: 0,1 P_LOC_ELSE_NURSINGHOME_IND: 0,1 P_LOC_ELSE_JAIL_IND: 0,1 P_LOC_ELSE_SEASONAL_IND: 0,1 P_LOC_ELSE_OTHER_IND: 0,1 P_LOC_ELSE_OTHER_TEXT: CHAR 250 |
Data Needed |
NAME# <ADDRESS> |
Pre-condition |
RACE |
Question Wording |
Does <NAME#>’s usually live or stay somewhere else, other than <ADDRESS>? Select all that apply.
|
Question Wording Fills |
|
Response Options |
A respondent may select a “No” response or more than one “Yes” response No Yes, with a parent, grandparent, or other person Yes, while attending college Yes, for a military assignment Yes, to be closer to a job or business Yes, in a nursing home or group home Yes, in a jail or prison Yes, at a seasonal or second residence Yes, for another reason
If “Yes, for another reason” is selected: For what reason? {display 250-character textbox}
|
Edits/Errors |
|
Post-condition |
Goto WHOLE/PARTIAL |
Special Instructions |
Selecting a response option: A respondent can either select “No” OR one or more than one “Yes, …” options. |
Screen Name |
WHOLE/PARTIAL |
Variable Names |
|
Data Needed |
<ADDRESS> <REFDATE> |
Pre-condition |
OC |
Question Wording Before REFDATE |
Did you list everyone living at <ADDRESS> on your questionnaire, or did you list only some of the people?
|
Question Wording On or After REFDATE |
Did you list everyone living at <ADDRESS> on your questionnaire, or did you list only some of the people?
|
Response Options |
Respondent will only be able to select one of the following:
I live alone and only listed myself. I live with others and listed everyone. I live with others but only listed myself. I live with others but only listed some of the people I live with.
|
Response Options Fills |
N/A |
Edits/Errors |
If no response, display the following pop-up modal edit once: “There is 1 unanswered question on this page. Would you like to continue?” Continue without Answering Answer the Question If Continue without Answering, goto PEOPLE If Answer the Question, go back to response options. |
Post-condition |
Goto SUBMIT |
Special Instructions |
There will only be a “Next” (No “Previous”) button on this screen. |
Screen Name |
SUBMIT Census Questionnaire |
Variable Names |
RESP_SUBMIT_IND: 0,1 |
Data Needed |
|
Pre-condition |
WHOLE/PARTIAL |
Question Wording |
You are almost finished and are now ready to send your responses. Once your questionnaire is submitted, you will not be able to access your information or change any of your responses. After you submit your responses and are shown the confirmation page, you may close the web browser.
You must select SUBMIT to complete your questionnaire.
|
Question Wording Fills |
|
Response Options |
Submit Questionnaire |
Response Options Fills |
N/A |
Edits/Errors |
|
Post-condition |
If Submit Questionnaire, goto CONFIRMATION |
Special Instructions |
There will only be a “Submit Questionnaire” (No “Edit Questionnaire”) button on this screen. |
Screen Name |
CONFIRMATION |
Data Needed |
All submitted cases. |
Pre-condition |
Cases where the user has selected “Submit Questionnaire” from the SUBMIT Census Questionnaire screen. |
Question Wording |
Thank you for completing the 2023 Census Test questionnaire for: <FULL ADDRESS> Date and time of submission If you receive other mail from the Census Bureau about the 2023 Census Test in the next few days, please disregard it. That mail may have been sent out before today. If you have any questions, please call the phone number printed in your materials. Confirmation #: <Unique Code> You may close the browser. |
Question Wording Fills |
|
Response Options |
|
Response Options Fills |
N/A |
Edits/Errors |
|
Post-condition |
|
Special Instructions |
|
Screen Name |
NO_COMPLETE |
Data Needed |
|
Pre-condition |
Cases where no valid address is provided. Cases where no popcount is provided on the POPCOUNT screen. |
Question Wording |
Your 2023 Census Test could not be completed. You must provide a valid address, respondent name and the number of people in the household to complete this questionnaire. Please complete a paper questionnaire, or start over. Thank you. You may close the browser. |
Question Wording Fills |
|
Response Options |
|
Response Options Fills |
N/A |
Edits/Errors |
|
Post-condition |
|
Special Instructions |
Center all text.
|
Screen Name |
SESSION TIMEOUT |
Data Needed |
|
Pre-condition |
Respondent is inactive more than 15 minutes |
Question Wording |
For security reasons, this session has been terminated.
If you think you have reached this screen in error, please start the questionnaire over.
You may close the browser. |
Special Instructions |
Center all text. |
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kristen A Hearns(CENSUS/DCMD FED) |
| File Modified | 0000-00-00 |
| File Created | 2023-12-21 |