Household Roster and Demographics
Case ID ________________ Interviewer Name __________________
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Person line # |
1a
FIRST NAME |
1b
LAST NAME |
2
[Flash A] Relationship to Person 1 |
3
Sex |
4
Age |
5
Hispanic |
6
[Flash B] Race Code(s) |
7 (15+) [Flash C] Educ Code |
8 (15+) Ever in Armed Forces? |
9 (15+) Marital Status Code |
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1 |
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[Person 1] |
M F |
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Y N |
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Y N |
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2 |
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M F |
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Y N |
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Y N |
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3 |
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M F |
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Y N |
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Y N |
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4 |
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M F |
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Y N |
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Y N |
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5 |
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M F |
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Y N |
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Y N |
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6 |
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M F |
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Y N |
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Y N |
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10. Residency
□ DC
□ Maryland
□ Virginia
11. Total annual income [of household]
□ Above $30,000
□ Below $30,000
| File Type | application/msword |
| File Title | Control card type information necessary for the household at the time of the interview |
| Author | barte002 |
| Last Modified By | Bureau Of The Census |
| File Modified | 2008-05-08 |
| File Created | 2008-05-08 |