Form 1 Internet Instrument

2024 National Census Survey Internet Specification

2024 National Census Survey

Internet Self-Response Instrument

Specification

Draft v1.0

May 8, 2024

Note: This 2024 SmaRT Internet Self-Response automated data collection test specification is a living document. This document reflects the specification baseline as of the date above.

Table of Contents

General Information 4

Introduction 4

Standard Fills 4

Global Requirements 5

Timeouts 5

Languages 5

Navigation 5

URL 5

LOGIN 5

NONID Address Collection 8

RESIDENCE 8

OTHER_ADDRESS 9

STAN_RESIDENCE _A 12

STAN_RESIDENCE _B 13

STAN_OTHER_ADDRESS _A 14

STAN_OTHER_ADDRESS _B 15

Verify Address Screens 16

VERIFY_ADDRESS 16

ANYONE 17

UNIT STATUS 18

VACANCY 19

RESPONDENT 20

OTHER_COMPLETE 22

POPCOUNT 23

PEOPLE 24

UC 26

UC_YES_NAMES 27

HOME 28

OWNER 29

Respondent Demographics 31

RELATIONSHIP 31

SEX 33

DOB 34

HISPANIC ORIGIN 35

RACE 36

OC 38

ALTERNATE_ADDRESS 39

ALTERNATE_ADDRESS_OTHER 40

MOST 41

WHERE 42

Coverage 44

CD_CHECK 44

WHOLE/PARTIAL 45

FORWARD_SURVEY 47

VAC_CROWD_1A 48

VAC_CROWD_2A 49

VAC_CROWD_1B 50

VAC_CROWD_2B 51

TIME_CAPSULE 52

SUBMIT Census Questionnaire 53

CONFIRMATION 54

NO_COMPLETE 55

NO_COMPLETE_AUTH 55

SESSION TIMEOUT 56

General Information

Introduction

This document provides the specifications for the English, self-administered version of the Internet instrument for the 2024 National Census Survey.

Translations will be provided in a separate document.

Standard Fills

<ADDRESS>	Street Address, Unit, City, State, Zip
<REFDATE>	October 1, 2024
<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).

Global Requirements

Timeouts

The instrument will time out if a respondent is inactive for 15 minutes.

Languages

There will be a language selection menu allowing users to select either English or Spanish.

Navigation

The respondent will navigate through the instrument using the “Submit,” “Next” or “Previous” buttons located at the bottom of each screen.

URL

For the 2024 National Census Survey, the URL will be <TBD>

LOGIN

Screen Name	LOGIN
Variable Names	CENSUS_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 (Note: during field testing, the instrument will display xxxx-xxxx)
Question Wording Fills
Response Options
Response Options Fills	N/A
Edits/Errors	If an invalid ID is entered display: “Login failed. Please try again.”
Post-condition	If valid Census ID, go to RESIDENCE_NEW. If the user exceeds 3 login attempts, goto NO_COMPLETE_AUTH
Special Instructions	The LOGIN button will be enabled at all times. (Note: during field testing, the instrument will display OMB Number: xxxx-xxxx)

NONID Address Collection

RESIDENCE

Screen Name	RESIDENCE
Variable Names	Respondent-Provided Street Address Fields ADR_STREET_TEXT: VARCHAR2 (100) ADR_UNIT_TEXT: VARCHAR2 (50) ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: NUM (5) ADR_NO_STREET_ADDRESS_IND: ‘No address’
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 43-character text box Apt/Unit Ex: Apt 23 15-character text box City 30-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: First time: “Please provide a street address, city, state and ZIP code.” Second time: “In order to continue, you must provide a street address, city, state and ZIP code.” Third time: End the questionnaire and display NO_COMPLETE.
Post-condition	If the respondent provides a valid address and selects “Next”, goto STAN_RESIDENCE_A If “I do not have a street address,” is checked, goto OTHER_ADDRESS. Else, if “Next” is selected for the third time and any required address field is blank, goto NO_COMPLETE.
Special Instructions	There will only be a “Next” (No “Previous”) button on this screen.

OTHER_ADDRESS

Screen Name	OTHER_ADDRESS
Variable Names	Respondent-Provided General Address Fields ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: NUM2 (5) Physical Description Field ADR_LOC_DESC_TEXT: VARCHAR2 (250) Checkbox Fields ADR_RURAL_IND ADR_PO_BOX_IND ADR_VEHICLE_IND ADR_TENT_IND ADR_UNHOUSED_IND
Data Needed
Pre-condition	Respondent selects “I do not have a street address” on RESIDENCE
Question Wording Before REFDATE	Please describe the physical location of this residence and provide a city, state and ZIP Code. Also select any of the checkboxes at the bottom of the screen if they apply to your situation.
Question Wording On or After REFDATE	Please describe the physical location of this residence and provide a city, state and ZIP Code. Also select any of the checkboxes at the bottom of the screen if they apply to your situation.
Response Options Before REFDATE	For example: a rural route address P.O. Box, E-911 address, or coordinates (longitude and latitude) a location description such as “The apartment over the gas station” or “The brick house with the screened porch on the northeast corner of Farm Road and HC 46” the closest street intersection and/or the name of a park, homeless shelter, or nearby business if you will be unhoused on <REFDATE> or living in an unconventional type of shelter, such as a vehicle, tent, shed, or storage unit. For example, “A car in the Moondance Supermarket parking lot near intersection of Main St and Silver Ave.” Please provide as much information as possible. Physical Location Description: City 30-character text box State Drop down menu with alphabetical 50 states and District of Columbia ZIP Code 5-digit text box Please select any of the following that apply to your situation: I provided a rural route address in the Physical Location Description above I provided a P.O. Box, E-911 address, or coordinates in the Physical Location Description above I live in a vehicle, such as a car, van, bus, recreational vehicle (RV), or semi-truck I live in a tent, shed, storage unit, or other unconventional type of shelter I will be unhoused or living outdoors on <REFDATE>
Response Options On or After REFDATE	For example: a rural route address P.O. Box, E-911 address, or coordinates (longitude and latitude) a location description such as “The apartment over the gas station” or “The brick house with the screened porch on the northeast corner of Farm Road and HC 46” the closest street intersection and/or the name of a park, homeless shelter, or nearby business if you were unhoused on <REFDATE> or living in an unconventional type of shelter, such as a vehicle, tent, shed, or storage unit. For example, “A car in the Moondance Supermarket parking lot near intersection of Main St and Silver Ave.” Please provide as much information as possible. Physical Location Description: City 30-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 any of the following checkboxes: I provided a rural route address in the Physical Location Description above I provided a P.O. Box, E-911 address, or coordinates in the Physical Location Description above I live in a vehicle, such as a car, van, bus, recreational vehicle (RV), or semi-truck I live in a tent, shed, storage unit, or other unconventional type of shelter I was unhoused or living outdoors on <REFDATE>
Edits/Errors	Required Fields: City AND State AND Zip If the respondent does not provide the required fields and selects next: First time: "Please provide as much information as possible. Include a city, state and ZIP Code.” Second time: “You must provide a city, state and ZIP Code.” Third Time: End the questionnaire and display NO_COMPLETE screen.
Post-condition	If the respondent selects “Next”, goto STAN_OTHER_ADDRESS_NEW_A Else, if “Next” is selected for the third time and all address fields are blank or an invalid address is provided, goto NO_COMPLETE.
Special Instructions

STAN_RESIDENCE _A

Screen Name	STAN_RESIDENCE _A
Variable Names	Respondent-Provided Street Address Fields ADR_NEW_STAN_YES_IND: 1 ADR_NEW_STAN_NO_IND: 2
Data Needed	Respondent provided address from RESIDENCE.
Pre-condition	All Respondents who provided a valid address on RESIDENCE.
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: Yes or No 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_B. If “Yes”, goto VERIFY_ADDRESS.
Special Instructions	Respondent cannot move to the next screen until required fields are provided. There will only be a “Next” (No “Previous”) button on this screen. NOTE: Here we are using Census' Geocoder API to check the entered address. If the displayed address is in all UPPERCASE then the entered address is valid, if returned as it was typed then the address was not found by API.

STAN_RESIDENCE _B

Screen Name	STAN_RESIDENCE _B
Variable Names	Respondent-Provided Street Address Fields ADR_STREET_TEXT: VARCHAR2 (100) ADR_UNIT_TEXT: VARCHAR2 (50) ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: NUM (5)
Data Needed	Respondent provided address from RESIDENCE.
Pre-condition	Respondent selects “No” on STAN_RESIDENCE_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 30-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.

STAN_OTHER_ADDRESS _A

Screen Name	STAN_OTHER_ADDRESS _A
Variable Names	ADR_NEW_STAN_YES_IND: 1 ADR_NEW_STAN_NO_IND: 2
Data Needed	Respondent provided address from OTHER_ADDRESS
Pre-condition	All Respondents who provided a valid address on OTHER_ADDRESS
Question Wording	Please review your address. Here is the address you submitted using standard abbreviations and formatting. <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: Yes No 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_B. If “Yes”, goto VERIFY_ADDRESS.
Special Instructions	Respondent cannot move to the next screen until required fields are provided. There will only be a “Next” (No “Previous”) button on this screen. NOTE: Here we are using Census' Geocoder API to check the entered address. If the displayed address is in all UPPERCASE then the entered address is valid, if returned as it was typed then the address was not found by API.

STAN_OTHER_ADDRESS _B

Screen Name	STAN_OTHER_ADDRESS _B
Variable Names	Respondent-Provided General Address Fields ADR_CITY_TEXT: VARCHAR2 (100) ADR_STATE_TEXT: VARCHAR2 (2) ADR_ZIP_TEXT: NUM (5)
Data Needed	Respondent provided address from OTHER_ADDRESS.
Pre-condition	Respondent selects “No” on STAN_OTHER_ADDRESS _A
Question Wording	Please make the necessary changes in the fields below.
Response Options	City 30-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.

Verify Address Screens

VERIFY_ADDRESS

Screen Name	VERIFY_ADDRESS
Variable Names	H_OCC_YES_IND: 1 H_OCC_NO_IND: 2
Data Needed	<ADDRESS> <REFDATE>
Pre-condition	STAN_RESIDENCE_A = “Yes” or STAN_RESIDENCE_B or STAN_OTHER_ADDRESS_A = “Yes” or STAN_OTHER_ADDRESS_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 to RESPONDENT If “No” or Blank, go to ANYONE
Special Instructions	There will only be a “Next” (No “Previous”) button on this screen.

ANYONE

Screen Name	ANYONE
Variable Names	H_OCC_YES_PRX_IND: 1 H_OCC_NO_PRX_IND: 2 H_OCC_DK_PRX_IND: 3
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”, goto UNIT STATUS Else, goto RESPONDENT
Special Instructions

UNIT STATUS

Screen Name	UNIT STATUS
Variable Names	H_US_VAC_IND: 1 H_US_UNINHAB_IND: 2 H_US_NONRES_IND: 3 H_US_EMPTY_IND: 4 H_US_ADDRESS_NOEXIST_IND: 5 H_US_DUPLICATE_IND: 6 H_US_OTHER_IND: 7 H_US_OTHER_TEXT: 8
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.

VACANCY

Screen Name	VACANCY
Variable Names	H_VAC_FORRENT_IND: 1 H_VAC_RENTNOTOCC_IND: 2 H_VAC_FORSALE_IND: 3 H_VAC_SOLDNOTOCC_IND: 4 H_VAC_SEASON_IND: 5 H_VAC_MIGRANT_IND: 6 H_VAC_OTHER_IND: 7
Data Needed	<ADDRESS> <REFDATE>
Pre-condition	UNIT STATUS = “Vacant residence”
Question Wording Before REFDATE	What is the primary reason why no one will be living at <ADDRESS> on <REFDATE>? The unit will be –
Question Wording On or After REFDATE	What is the primary reason why no one was living 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.

Roster

RESPONDENT

Screen Name	RESPONDENT
Variable Names	P_RESP_FIRST_NAME: CHAR 30 P_RESP_MIDDLE_NAME: CHAR 30 P_RESP_LAST_NAME: CHAR 30 RESP_PH_NUM_ID: NUM 10 RESP_EMAIL_TEXT: CHAR 50
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 VERIFY ADDRESS = No / Blank > ANYONE = No > UNIT STATUS = Vacant > VACANCY > RESPONDENT VERIFY ADDRESS = No / Blank > ANYONE = No > UNIT STATUS = Else > RESPONDENT VERIFY ADDRESS = No / Blank > ANYONE = Yes/DK/Blank > RESPONDENT
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.

OTHER_COMPLETE

Screen Name	OTHER_COMPLETE
Variable Names
Data Needed	<REFDATE> <ADDRESS>
Pre-condition	RESPONDENT and VERIFY ADDRESS = “No” or Blank VERIFY ADDRESS = No / Blank > ANYONE = No > UNIT STATUS = Vacant residence > VACANCY > RESPONDENT VERIFY ADDRESS = No / Blank > ANYONE = No > UNIT STATUS = Else / Blank > RESPONDENT VERIFY ADDRESS = No / Blank > ANYONE = Yes/DK/Blank > RESPONDENT
Question Wording Before REFDATE	Thank you for providing information for <ADDRESS>.   Since you will not be living or staying at this address on <REFDATE>, you do not need to provide any additional information for it.   You may close the browser.
Question Wording On or After REFDATE	Thank you for providing information for <ADDRESS>.   Since you did not live or stay at this address on <REFDATE>, you do not need to provide any additional information for it. You may close the browser.
Response Options
Response Options Fills	N/A
Edits/Errors
Post-condition
Special Instructions

POPCOUNT

Screen Name	POPCOUNT
Variable Names	H_SIZE_STATED_CNT: NUM 2 [1-99] H_PC_EDIT1_IND: 1 H_PC_EDIT2_IND: 2
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. In Qualtrics POPCOUNT = numpeople 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.

PEOPLE

Screen Name	PEOPLE
Variable Names	P_FIRST_NAME: CHAR 20 P_MIDDLE_NAME: CHAR 20 P_LAST_NAME: CHAR 20
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 a maximum of 10 rows can be displayed.

UC

Screen Name	UC
Variable Names	H_UC_ADD_YES_IND: 0,1 H_UC_ADD_NO_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: Children, related or unrelated, such as newborn babies, grandchildren, or foster children Relatives, such as adult children, nieces, nephews, cousins, or in-laws Roommates or other nonrelatives People without a permanent place to live 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: Children, related or unrelated, such as newborn babies, grandchildren, or foster children Relatives, such as adult children, nieces, nephews, cousins, or in-laws Roommates or other nonrelatives People without a permanent place to live 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
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 HOME. If Answer the Question, go back to response options.
Post-condition	If “Yes”, goto UC_YES_NAMES If “No”, 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. But there will be an option to add more sets of name boxes for additional people (similar to PEOPLE screen). Create UC_COUNT variable and fill it with the number of person names added from UC, TARGETED_UC and ALTERNATE_UC.

UC_YES_NAMES

Screen Name	UC_ YES_NAMES
Variable Names	P_FIRST_NAME: CHAR 30 P_MIDDLE_NAME: CHAR 30 P_LAST_NAME: CHAR 30
Data Needed
Pre-condition	UC = “Yes”
Question Wording Before REFDATE	Please enter the name of each additional person that you did not already list.
Question Wording On or After REFDATE	Please enter the name of each additional person that you did not already list.
Response Options	This screen will display 4 rows of name fields: First Name 30-character text box Middle Name 30-character text box Last Name(s) 30-character text box An “Add another person” option A “Remove row” option
Response Options Fills	N/A
Edits/Errors
Post-condition	HOME
Special Instructions	Four sets of name boxes will be shown. But there will be an option to add more sets of name boxes for additional people (similar to PEOPLE screen). For Mobile view, the name label will display as: “First, middle, last name(s)”

HOME

Screen Name	HOME
Variable Names	H_TENURE_OWNED_MORT_IND: 1 H_TENURE_OWNED_FREE_IND: 2 H_TENURE_RENTED_IND: 3 H_TENURE_OCC_NOPAY_IND: 4
Data Needed
Pre-condition	UC or UC_YES_NAMES
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	If “Occupied without payment of rent” or blank, goto SEX. or If PERSONCOUNT =1, goto SEX. Else, goto OWNER.
Special Instructions	If “Occupied without payment of rent” set <REF NAME> = Person 1. If PERSONCOUNT= (1) set <REF NAME> = Person 1.

OWNER

Screen Name	OWNER
Variable Names	For each person selected P_OWNER_RENTER_IND: 0,1 H_OWNER_RENTER_NONE_IND: 0,1 P_REFERENCE_PERSON_IND: 0,1
Data Needed	Roster names
Pre-condition	HOME = “Owned by you or someone in this household with a mortgage or loan (including home equity loans)?” or “Owned by you or someone in this household free and clear (without a mortgage or loan)?” or “Rented” and POPCOUNT= (2-99)
Question Wording Before REFDATE	Of the people who will be living at <ADDRESS>, who <FILL2> the house, apartment, or mobile home on <REFDATE>? Select all that apply.
Question Wording On or After REFDATE	Of the people who were living at <ADDRESS>, who <FILL2> the house, apartment, or mobile home on <REFDATE>? Select all that apply.
Question Wording Fills	If current date is before <REFDATE>, then If HOME=Rented, <FILL2> = “will rent” Else, <FILL2> = “will own” If current date is on or after <REFDATE>, then If HOME=Rented, <FILL2> = “rented” Else, <FILL2> = “owned”
Response Options	Respondent will be able to select all that apply: A response option for each name from the roster Also, include the response option “None of the above”.
Response Options Fills	N/A
Edits/Errors
Post-condition	SEX
Help Text link	OWNER
Special Instructions	Selecting a response option: A user may select all that apply. The Reference Person will be set as the Respondent. There will only be a “Next” (No “Previous”) button on this screen.

Respondent Demographics

RELATIONSHIP

Screen Name	RELATIONSHIP
Variable Names	P_REL_SPOUSE_OPP_IND: 0,1 P_REL_PARTNER_OPP_IND: 0,1 P_REL_SPOUSE_SAME_IND: 0,1 P_REL_PARTNER_SAME_IND: 0,1 P_REL_CHILD_BIO_IND: 0,1 P_REL_CHILD_ADOPTED_IND: 0,1 P_REL_CHILD_STEP_IND: 0,1 P_REL_SIBLING_IND: 0,1 P_REL_PARENT_IND: 0,1 P_REL_GRANDCHILD_IND: 0,1 P_REL_INLAW_PARENT_IND: 0,1 P_REL_INLAW_CHILD_IND: 0,1 P_REL_OTHER_REL_IND: 0,1 P_REL_HOUSEROOMMATE_IND: 0,1 P_REL_CHILD_FOSTER_IND: 0,1 P_REL_OTHER_NONREL_IND: 0,1
Data Needed	RESPONDENT NAME#
Pre-condition	PERSONCOUNT= (2-99) (who is not the Respondent) OC = “No” (if Demo Questions still need to be completed for remaining rostered persons) or WHERE (if Demo Questions still need to be completed for remaining rostered persons)
Question Wording	How is <NAME#> related to <REF NAME>? <NAME#> is <REF NAME>’s ...
Response Options	Respondent will only be able to select one of the following: 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
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 SEX. If Answer the Question, go back to response options.
Post-condition	Goto SEX
Help Text link	RELATIONSHIP
Special Instructions	This screen is not displayed for single-person households. This screen is not displayed for the reference person. There will only be a “Next” (No “Previous”) button on this screen

SEX

Screen Name	SEX
Variable Names	P_SEX_MALE_IND: 1 P_SEX_FEMALE_IND: 2
Data Needed	NAME#
Pre-condition	HOME = “Occupied without payment of rent” or blank or PERSONCOUNT=1 or OWNER (Person 1) or RELATIONSHIP (Person 2+)
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, go to DOB. If Answer the Question, go back to response options.
Post-condition	Go to DOB
Special Instructions

DOB

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	What is <NAME#>’s date of birth? Verify or enter correct age as of <REFDATE>.
Response Options	A user can select the Month (full word), Day, and Year. Only valid dates between January 1, 1898 and Dec. 31, 2024 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 may enter age in the numeric text box. Only allow entries up to 126.
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, go to HISPANIC ORIGIN. If Answer the Question, go back to response options.
Post-condition	Go to HISPANIC ORIGIN
Special Instructions	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.

HISPANIC ORIGIN

Screen Name	HISPANIC ORIGIN
Variable Names	P_HISP_NO_IND: 1 P_HISP_YES_MEXICAN_IND: 2 P_HISP_YES_PR_IND: 3 P_HISP_YES_CUBAN_IND: 4 P_HISP_YES_OTH_IND: 5 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, go to RACE. If Answer the Question, go back to response options.
Post-condition	Go to 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. If a response has been entered into a write-in field, and that specific response option is unchecked, a soft edit will appear along with a red hard edit “You have added text into an unselected answer choice. Please select the answer choice or remove the text.” You must do the above in order to proceed in the instrument.

RACE

Screen Name	RACE
Variable Names	P_RACE_WHITE_IND: 1 P_RACE2_WHITE_TEXT: CHAR 200 P_RACE_BLACK_IND: 2 P_RACE2_BLACK_TEXT: CHAR 200 P_RACE_AIAN_IND: 3 P_RACE2_AIAN_TEXT: CHAR 200 P_RACE2_CHINESE_IND: 4 P_RACE2_FILIPINO_IND: 5 P_RACE2_ASIANINDIAN_IND: 6 P_RACE2_VIETNAMESE_IND: 7 P_RACE2_KOREAN_IND: 8 P_RACE2_JAPANESE_IND: 9 P_ASIAN_OTHER_IND: 10 P_ASIAN_OTHER_TEXT: CHAR 200 P_RACE2_NATHAWAIIAN_IND: 11 P_RACE2_SAMOAN_IND: 12 P_RACE2_CHAMORRO_IND: 13 P_NHPI_OTHER_IND: 14 P_NHPI_OTHER_TEXT: CHAR 200 P_RACE_SOR_IND: 15 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, go to OC. If Answer the Question, go back to response options.
Post-condition	Go to 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. If a response has been entered into a write-in field, and that specific response option is unchecked, a soft edit will appear along with a red hard edit “You have added text into an unselected answer choice. Please select the answer choice or remove the text.” You must do the above in order to proceed in the instrument.

OC

Screen Name	OC
Variable Names	P_LOC_ELSE_NO_IND: 1 P_LOC_ELSE_RELATIVES_IND: 2 P_LOC_ELSE_COLLEGE_IND: 3 P_LOC_ELSE_MILITARY_IND: 4 P_LOC_ELSE_JOB_IND: 5 P_LOC_ELSE_NURSINGHOME_IND: 6 P_LOC_ELSE_JAIL_IND: 7 P_LOC_ELSE_SEASONAL_IND: 8 P_LOC_ELSE_OTHER_IND: 9
Data Needed	NAME# <ADDRESS>
Pre-condition	RACE
Question Wording	Does <NAME#> sometimes live or stay somewhere else, other than <ADDRESS>? If <NAME> stays at more than one other place, select the response that applies to where they stay most often.
Question Wording Fills
Response Options	Respondent will only be able to select one of the following: 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
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, see post-condition below. If Answer the Question, go back to response options.
Post-condition	If any of the Yes options are selected, go to ALTERNATE_ADDRESS. If “No” was selected: AND if Demographic Questions have not been asked for all people listed on roster, goto RELATIONSHIP for next person on roster. or Else, if POPCOUNT <> PERSONCOUNT, go to CD_CHECK or Else, goto VAC_CROWD_A
Special Instructions

ALTERNATE_ADDRESS

Screen Name	ALTERNATE_ADDRESS
Variable Names	P_ALT_ADR_STNM_TEXT: VARCHAR2 (100) P_ALT_ADR_UNIT_TEXT: VARCHAR2 (50) P_ALT_ADR_CITY_TEXT: VARCHAR2 (100) P_ALT_ADR_STATE_TEXT: VARCHAR2 (2) P_ALT_ADR_ZIP_TEXT: VARCHAR2 (5) P_ALT_ADR_NO_STR_ADR_IND: ‘The place does not have a street address’
Data Needed	NAME#
Pre-condition	Any of the “Yes” options selected on OC
Question Wording	What is the street address of the other place where <NAME#> sometimes lives or stays? Provide the street address you would use to have a package delivered directly to that residence, not a Rural Route or P.O. Box address that is used only for mailing purposes. A street address is the most helpful for processing your response.
Question Wording Fills
Response Options	Street Address Ex: 101 N Main St (100-character text box) Apt/Unit Ex: Apt 23 (50-character text box) City (30-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 “The place does not have a street address” option.
Edits/Errors
Post-condition	If the respondent provides the preferred address fields and selects “Next”, goto MOST If “The place does not have a street address,” is checked, goto ALTERNATE_ADDRESS_OTHER.
Special Instructions	No soft edit

ALTERNATE_ADDRESS_OTHER

Screen Name	ALTERNATE_ADDRESS_OTHER
Variable Names	P_ALTOTH_ADR_CITY_TEXT: VARCHAR2 (100) P_ALTOTH_ADR_STATE_TEXT: VARCHAR2 (2) P_ALTOTH_ADR_ZIP_TEXT: VARCHAR2 (5) P_ALTOTH_ADR_LOC_DESC_TEXT: VARCHAR2 (250)
Data Needed
Pre-condition	Respondent selects “The place does not have a street address” on ALTERNATE_ADDRESS
Question Wording	Please describe the physical location of the other place where <NAME#> sometimes lives or stays. Also provide a city, state, and ZIP Code.
Response Options	Please provide as much information as possible. For example: a rural route address or E-911 address a location description such as “The apartment over the gas station” or “The brick house with the screened porch on the northeast corner of Farm Road and HC 46” Physical Location Description: (250-character text box) City (30-character text box) State (Drop down menu with alphabetical 50 states and District of Columbia) ZIP Code (5-digit text box)
Edits/Errors
Post-condition	MOST
Special Instructions	No soft edit

MOST

Screen Name	MOST
Variable Names	P_LOC_MOST_RFN_ADR_IND: 1 P_LOC_MOST_OTHER_IND: 2 P_LOC_MOST_REFANDALT_IND: 3 P_LOC_MOST_ELSEWHERE_IND: 4
Data Needed	NAME# <ADDRESS> <ALTERNATE ADDRESS> = Street Address, Unit, City, State, Zip provided on ALTERNATE ADDRESS screen
Pre-condition	ALTERNATE_ADDRESS Or ALTERNATE_ADDRESS_OTHER
Question Wording	Where does <NAME#> sleep most often?
Question Wording Fills
Response Options	Respondent will only be able to select one of the following: <ADDRESS> <ALTERNATE ADDRESS> (or “The other place where they sometimes live or stay” when address was not provided on the ALTERNATE_ADDRESS screen) Equal time at both places Some other place
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 WHERE. If Answer the Question, go back to response options.
Post-condition	Goto WHERE
Special Instructions

WHERE

Screen Name	WHERE
Variable Names	P_LOC_OCD_RFN_ADR_IND: 1 P_LOC_OCD_OTHER_IND: 2 P_LOC_OCD_ELSEWHERE_IND: 3 P_LOC_OCD_DK_IND: 4
Data Needed	NAME# <REFDATE> <ADDRESS> <ALTERNATE ADDRESS>
Pre-condition	MOST
Question Wording Before REFDATE	On <REFDATE>, where will <NAME#> be sleeping overnight?
Question Wording On or After REFDATE	On <REFDATE>, where was <NAME#> sleeping overnight?
Question Wording Fills
Response Options	Respondent will only be able to select one of the following: <ADDRESS> <ALTERNATE ADDRESS> (or “The other place where they sometimes live or stay” if a valid address was not provided on the ALTERNATE_ADDRESS screen) Some other place Don’t Know
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 next screen (following Post-condition criteria for this screen). If Answer the Question, go back to response options.
Post-condition	If Demographic Questions have not been asked for all people listed on roster, goto RELATIONSHIP for next person on roster. or Else, if POPCOUNT <> PERSONCOUNT, go to CD_CHECK or Else, goto VAC_CROWD_A
Special Instructions

Coverage

CD_CHECK

Screen Name	CD_CHECK
Variable Names	H_SIZE_STATED_CNT: NUM 2 [1-99] H_SIZE_CALCULATED_INT: NUM 2 [1-99] H_SIZE_CHECK_CODE: 0,1,2,3 H_SIZE_CHECK_CNT: NUM 2 [1-99]
Pre-condition	OC and POPCOUNT <> PERSONCOUNT Or WHERE and POPCOUNT <> PERSONCOUNT
Question Wording Before REFDATE	Earlier, you said that the number of people living or staying at <ADDRESS> will be <POPCOUNT>, but you have listed <PERSONCOUNT> <FILL1>. The names you listed are: <NAMES FROM ROSTER> Including yourself, how many people will be living or staying at <ADDRESS> on <REFDATE>?
Question Wording On or After REFDATE	Earlier, you said that the number of people living or staying at <ADDRESS> was <POPCOUNT>, but you have listed <PERSONCOUNT> <FILL1>. The names you listed are: <NAMES FROM ROSTER> Including yourself, how many people were living or staying at <ADDRESS> on <REFDATE>?
Response Options	Respondent will only be able to select one of the following: <POPCOUNT> <PERSONCOUNT> Other If “Other” is selected: {display one 2-digit numeric textbox}
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 next screen (following Post-condition criteria for this screen). If Answer the Question, go back to response options.
Post-condition	WHOLE/PARTIAL
Help Text link
Special Instructions	If PERSONCOUNT = 1, <FILL1> = “person” If PERSONCOUNT = (2-99), <FILL1> = “people” There will only be a “Next” (No “Previous”) button on this screen.

WHOLE/PARTIAL

Screen Name	WHOLE/PARTIAL
Variable Names	H_WP_EVERYONE_IND: 2 H_WP_SOME_IND: 3
Data Needed	<ADDRESS> <REFDATE>
Pre-condition	OC or WHERE or CD_CHECK
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 listed everyone. I listed only some of the people. If “I listed only some of the people." is selected, display the following: The Census Bureau is interested in understanding why some people are not listed on the questionnaire. Please share your reasons for not listing everyone. {250-character textbox}
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, go to VAC_CROWD_1A or VAC_CROWD_2A (based on sample assignment) If Answer the Question, go back to response options.
Post-condition	If “I listed only some of the people” is selected, goto FORWARD_SURVEY Else, go to VAC_CROWD_1A or VAC_CROWD_2A (based on sample assignment)
Special Instructions	There will only be a “Next” (No “Previous”) button on this screen.

FORWARD_SURVEY

Screen Name	FORWARD_SURVEY
Variable Names
Data Needed
Pre-condition	WHOLE/PARTIAL = “I listed only some of the people”
Question Wording Before REFDATE	The Census Bureau needs to count everyone living or staying at [ADDRESS]. Please provide contact information for the people that you did not list on your questionnaire so the Census Bureau can text or email them their 2024 National Census Survey link.
Question Wording On or After REFDATE	The Census Bureau needs to count everyone who lived or stayed at [ADDRESS]. Please provide contact information for the people that you did not list on your questionnaire so the Census Bureau can text or email them their 2024 National Census Survey link.
Response Options	Name 100-character text box Cell phone number 10-digit text box Email address 50-character text box
Response Options Fills	N/A
Edits/Errors
Post-condition	If email is filled with a valid email, send the email forward message to the email address. If the cell phone field is filled with a valid 10 digit number, send the text forward message to the cell phone number Then, Go to VAC_CROWD_1A or VAC_CROWD_2A (based on sample assignment)
Special Instructions	There will be a Previous and Next button on screen.

EMAIL FORWARD_Message - DRAFT

	The U.S. Census Bureau selected your address to participate in the 2024 National Census Survey. Please answer this 10-minute survey by December 1, 2024. www.census.gov/2024survey Census ID: [Fill login id from case] Opt-out
	The U.S. Census Bureau selected your address to participate in the 2024 National Census Survey. Please answer this 10-minute survey by December 1, 2024. www.census.gov/2024survey Census ID: [Fill login id from case] Opt-out

TEXT FORWARD_Message - DRAFT

The U.S. Census Bureau selected your address to participate in the 2024 National Census Survey. Please answer this 10-minute survey by December 1, 2024. www.census.gov/2024survey with Census ID: xxxx-xxxx-xxxx. Reply STOP to cancel. Text HELP for more info. Msg&data rates may apply.

The U.S. Census Bureau selected your address to participate in the 2024 National Census Survey. Please answer this 10-minute survey by December 1, 2024. www.census.gov/2024survey with Census ID: xxxx-xxxx-xxxx. Reply STOP to cancel. Text HELP for more info. Msg&data rates may apply.

VAC_CROWD_1A

Screen Name	VAC_CROWD_1A
Variable Names	h_vc1_someone_ind h_vc1_noone_ind h_vc1_unsure_ind h_vc1_whathome_ind h_vc1_nohome_ind
Data Needed
Pre-condition	WHOLE/PARTIAL
Question Wording Before REFDATE	Imagine standing at your front door looking out to your right. Picture your neighbor's house, apartment unit, or mobile home immediately to your right. Is anyone living in that home? Why are we asking this question?
Question Wording On or After REFDATE	Imagine standing at your front door looking out to your right. Picture your neighbor's house, apartment unit, or mobile home immediately to your right. Is anyone living in that home? Why are we asking this question?
Response Options	Respondent will only be able to select one of the following: Yes, someone is living there No, no one is living there I am unsure if someone is living there I am unsure of what home this would be There is no home to my right
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, go to TIME_CAPSULE If Answer the Question, go back to response options.
Post-condition	If “No, no one is living there” is selected, go to VAC_CROWD_1B Else, go to TIME_CAPSULE
Special Instructions	There will only be a “Next” (No “Previous”) button on this screen.

VAC_CROWD_1B

Screen Name	VAC_CROWD_1B
Variable Names
Data Needed
Pre-condition	VAC_CROWD_1A = “No, no one is living there”
Question Wording Before REFDATE	What is the address of that vacant home?
Question Wording On or After REFDATE	What is the address of that vacant home?
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
Response Options Fills	N/A
Edits/Errors
Post-condition	TIME_CAPSULE
Special Instructions

VAC_CROWD_2A

Screen Name	VAC_CROWD_2A
Variable Names
Data Needed
Pre-condition	WHOLE/PARTIAL
Question Wording Before REFDATE	Do you know the street address of any houses, apartments, or mobile homes that will be vacant on <REFDATE>? This could be homes inside or outside your neighborhood. Please also consider seasonal or vacation homes or short-term rentals where no one is permanently living. Why are we asking this question?
Question Wording On or After REFDATE	Do you know the street address of any houses, apartments, or mobile homes that were vacant on <REFDATE>? This could be homes inside or outside your neighborhood. Please also consider seasonal or vacation homes or short-term rentals where no one is permanently living. Why are we asking this question?
Response Options	Respondent will only be able to select one of the following: Yes No
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, go to TIME_CAPSULE If Answer the Question, go back to response options.
Post-condition	If “Yes” is selected, go to VAC_CROWD_2B Else, go to TIME_CAPSULE
Special Instructions	There will only be a “Next” (No “Previous”) button on this screen.

VAC_CROWD_2B

Screen Name	VAC_CROWD_2B
Variable Names
Data Needed
Pre-condition	VAC_CROWD_2A = “Yes”
Question Wording Before REFDATE	What is the address of that vacant home? If you know more than one vacant home address, enter only one.
Question Wording On or After REFDATE	What is the address of that vacant home? If you know more than one vacant home address, enter only one.
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
Response Options Fills	N/A
Edits/Errors
Post-condition	TIME_CAPSULE
Special Instructions

TIME_CAPSULE 

Screen Name	TIME_CAPSULE
Variable Names
Data Needed
Pre-condition	VAC_CROWD_B  or VAC_CROWD_A=”No” or Blank
Question Wording  Before REFDATE	Future generations would like to know what you have to say.  Consider writing a message that will become publicly available after 72 years. Help
Question Wording   On or After REFDATE	Future generations would like to know what you have to say.  Consider writing a message that will become publicly available after 72 years. Help
Response Options	Display 500-character text field.
Response Options Fills	N/A
Edits/Errors
Post-condition	SUBMIT
Special Instructions

SUBMIT Census Questionnaire

Screen Name	SUBMIT Census Questionnaire
Variable Names	RESP_SUBMIT_IND:
Data Needed
Pre-condition	TIME_CAPSULE
Question Wording	You are almost finished with the survey. To submit your responses, click the button below. Once you see 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, go to CONFIRMATION
Special Instructions	There will only be a “Submit Questionnaire” (No “Edit Questionnaire”) button on this screen.

CONFIRMATION

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 2024 National Census Survey questionnaire for: <FULL ADDRESS> Date and time of submission If you receive other mail from the Census Bureau about the 2024 National Census Survey 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

NO_COMPLETE

Screen Name	NO_COMPLETE
Data Needed
Pre-condition	Cases where user exceeds 3 login attempts on the LOGIN screen. Cases where no valid address is provided. Cases where no popcount is provided on the POPCOUNT screen.
Question Wording	Your 2024 National Census Survey 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

NO_COMPLETE_AUTH

Screen Name	NO_COMPLETE_AUTH
Data Needed
Pre-condition	Cases where user exceeds 3 login attempts on the LOGIN screen. Cases where no valid address is provided. Cases where no popcount is provided on the POPCOUNT screen.
Question Wording	Your 2024 National Census Survey could not be completed. 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

SESSION TIMEOUT

Screen Name	SESSION TIMEOUT
Data Needed
Pre-condition	Total duration within the instrument reaches 15 minutes
Question Wording	Sessions will display a pop-up window when total duration reaches 14 minutes. It will display the following text for 1 minute. Your session is about to expire. Select Continue to keep working. Su sesión está a punto de terminar. Seleccione Continuar para seguir trabajando. <Exit/Salir> <Continue/Continuar>
Special Instructions	If the respondent selects “Continue/Continuar” the respondent will remain in the instrument. If respondent selects “Exit/Salir” or reaches the maximum duration of 15 minutes (not idle time), the screen display an image file with the following: 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.