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ICR 202610-0607-003 · OMB 0607-0110 · Object 174136900.
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| File Type | application/pdf |
|---|---|
| File Title | untitled |
| Last Modified By | Amgraf OneForm Designer Plus |
| File Modified | 2024-03-18 |
| File Created | 2011-11-07 |
| Conversion State | complete |
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FORM SOC-QI/MF.1 (04-07-2021) OMB No. 0607-0110: Approval Expires 03-31-2027 U.S. DEPARTMENT OF COMMERCE U.S. CENSUS BUREAU SURVEY OF CONSTRUCTION MULTIFAMILY BUILDINGS Title 13, United States Code (U.S.C.), Sections 131, 182, and 8(b), Title 12 U.S.C., Sections 1701z-1 and 1701z-2g, authorizes the Census Bureau to conduct this collection and to request your voluntary assistance. The U.S. Census Bureau is required by Section 9 of Title 13 to keep your information confidential and can use your responses only to produce statistics. The Census Bureau is not permitted to publicly release your responses in a way that could identify your business, organization, or institution. Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the systems that transmit your data. The eight-digit OMB number is 0607-0110 and appears in the upper right corner of this page. Without this approval, we cannot conduct this survey. We estimate this survey will take an average of 5 minutes to complete an interview. More information about this estimate and an address where you may write with comments is in the letter that accompanies this form. TO BE COMPLETED BY CENSUS FIELD REPRESENTATIVE Address or location of building Builder/Owner SAMPLE FORM Building permit number PSU Project Name BPOID Permit Month Day Issued: Year Block Lot Serving post office, State, ZIP Code RO TO BE COMPLETED BY RESPONDENT Month START_DATE Year When did excavation start for the footings or foundation of this building? DEVELOPMENT Will this building be in a development that is age-restricted? EXCOMP_DATE Month Year 1 Yes No 2 When do you expect at least half of the units to be available for occupancy? MANUFACTURE Month COMP_DATE Year Will this building be – 1 When were half of the units in this building available for occupancy? 2 3 Modular? Panelized? Site built? BUILDINGS FRAMING Will this project be – 1 Detached Housing Unit What primary material is being used for the structural framing of this building? 2 Stacked Building 3 Side-by-Side Building 1 Wood 4 Mixture of Units Building 2 More than One Building - Skip to TOTAL_UNITS 3 Steel Concrete/masonry other than insulated concrete forms 4 Insulated concrete forms or SIP 5 Other – Specify 5 BUILDING_UNITS How many total housing units will there be in this building? TOTALSQFOOT Skip to TOTAL_UNITS How many total housing units will these buildings cover? FLOORS What will be the total square foot area of this building? Of this total, what will be the residential square foot area (excluding boiler rooms, garage space, etc.)? FLOORS How many total floors will be in this building, excluding the basement? How many floors will be residential? IF_ATTACHED Will any of the units be attached side-by-side with no other units above or below? 1 Yes 2 No SOC-QI/MF.1 PAGE 1, BLACK 100% TONE How many units will have – no separate bedrooms (efficiency)? EFFICIENCY one bedroom? ONE_BEDROOMS two bedrooms? TWO_BEDROOMS three or more bedrooms? THREE_BEDROOMS PLEASE CONTINUE ON REVERSE SIDE SOC-QI/MF.1 PAGE 1, PANTONE YELLOW 102 - 100% and 40% TONE PRIMARYSOURCE How many units will have – one bathroom? ONE_BATHROOMS one and a half bathrooms? 1_1/2 BATHROOMS What principal energy source will be used for heating this building? two bathrooms or more? TWO_BATHROOMS 1 7 Electricity Natural Gas Bottled or liquefied Gas (including propane) Oil (including heating oil or kerosene) Wood (including pellets) Solar Coal 8 Other – Specify 2 FIREPLACE 3 How many units will have a built-in fireplace? 6 LAUNDRY What laundry facilities will this building have? 1 2 4 5 Individual washer/dryer connections in every unit Shared laundry facilities 3 Both individual washer/dryer connections and shared laundry facilities 4 No shared laundry facilities or individual washer/dryer connections AIRCONDITIONING Will this building have air-conditioning? 1 Yes 2 No HEATSYS OWNERSHIP What type of heating system will be used in this building? Air-source heat pump 2 Will the units in this building be – 1 For rent? For sale? 3 Ground-source heat pump 4 Forced-air furnace 5 Hot water or steam 6 Electric baseboard 7 Fireplace with insert 8 Solid stove 1 Within the Building Liquid stove 2 Within the Complex 10 Passive Solar 3 Both 11 No heat 4 Other/None 12 Other - Specify 9 2 PARKING Will this building be in a complex that has a parking garage? Please visit our website at: www.census.gov/starts NOTES: PLEASE RETAIN THIS FORM FOR YOUR USE WHEN CONTACTED BY YOUR CENSUS REPRESENTATIVE FORM SOC-QI/MF.1 (04-06-2018) SOC-QI/MF.1 PAGE 2, BLACK 100% TONE SOC-QI/MF.1 PAGE 2, PANTONE YELLOW 102 - 100% and 40% TONE