U.S. Department of Commerce
Bureau of the Census DC
This is the official form for all the people at this address.
It is quick and easy, and your answers are protected by
law. Complete the Census and help your community get
what it needs — today and in the future!
OMB No. 0607-0856: Approval Expires 12/31/2000
Start Here Please use a black or
How many people were living or staying in this house,
apartment, or mobile home on April 1, 2000?
Number of people
Please turn the page and print the names of all the
people living or staying here on April 1, 2000.
INCLUDE in this number:
• foster children, roomers, or housemates
• people staying here on April 1, 2000 who
have no other permanent place to stay
• people living here most of the time while
working, even if they have another place to live
DO NOT INCLUDE in this number:
• college students living away while
• people in a correctional facility, nursing home,
or mental hospital on April 1, 2000
• Armed Forces personnel living somewhere else
• people who live or stay at another place most
of the time
The Census Bureau estimates that, for the average household, this form will take about
38 minutes to complete, including the time for reviewing the instructions and answers.
Comments about the estimate should be directed to the Associate Director for Finance and
Administration, Attn: Paperwork Reduction Project 0607-0856, Room 3104, Federal
Building 3, Bureau of the Census, Washington, DC 20233.
Respondents are not required to respond to any information collection unless it displays a
valid approval number from the Office of Management and Budget.
If you need help completing this form, call 1–800–471–9424 between 8:00 a.m. and
9:00 p.m., 7 days a week. The telephone call is free.
TDD – Telephone display device for the hearing impaired. Call 1–800–582–8330 between
8:00 a.m. and 9:00 p.m., 7 days a week. The telephone call is free.
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