Self Response Operations

2020 Census Language Guides
ID
D-G (eng)
D-G (large print)
D-G (braille)

Spanish
Chinese (simp.)
Vietnamese
Korean
Russian
Arabic
Tagalog
Polish
French
Haitian Creole
Portuguese
Japanese

D-G (spa)
D-G (zhs)
D-G (vie)
D-G (kor)
D-G (rus)
D-G (ara)
D-G (tgl)
D-G (pol)
D-G (fra)
D-G (hat)
D-G (por)
D-G (jpn)

Albanian
Amharic
Armenian
Bengali
Bosnian
Bulgarian
Burmese
Chinese (trad.)
Croatian
Czech
Dutch
Farsi
German
Greek
Gujarati
Hebrew
Hindi
Hmong
Hungarian
Igbo
Ilocano
Indonesian
Italian
Khmer
Lao
Lithuanian
Malayalam

D-G (sqi)
D-G (amh)
D-G (hye)
D-G (ben)
D-G (bos)
D-G (bul)
D-G (mya)
D-G (zht)
D-G (hrv)
D-G (ces)
D-G (nld)
D-G (fas)
D-G (deu)
D-G (ell)
D-G (guj)
D-G (heb)
D-G (hin)
D-G (hmn)
D-G (hun)
D-G (ibo)
D-G (ilo)
D-G (ind)
D-G (ita)
D-G (khm)
D-G (lao)
D-G (lit)
D-G (mal)

In

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Language
English
Large Print
Braille

lC
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ID
D-G (mar)
D-G (nav)
D-G (npi)
D-G (pan)
D-G (ron)
D-G (srp)
D-G (sin)
D-G (slk)
D-G (som)
D-G (swh)
D-G (tam)
D-G (tel)
D-G (tha)
D-G (tir)
D-G (tur)
D-G (twi)
D-G (ukr)
D-G (urd)
D-G (ydd)
D-G (yor)

In

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io

Language
Marathi
Navajo
Nepali
Punjabi
Romanian
Serbian
Sinhala
Slovak
Somali
Swahili
Tamil
Telugu
Thai
Tigrinya
Turkish
Twi
Ukrainian
Urdu
Yiddish
Yoruba

OMB No. 0607-1006: Approval Expires 11/30/2021

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Your Guide to the 2020 Census

In
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How to Respond to the 2020 Census
Paper Questionnaire

Welcome to the 2020 Census
Everyone counts.

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The goal of this census is to count every living person
in the U.S. once, only once, and in the right place.
We need your help to make sure everyone in your
community gets counted.

C

Census data are important.

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na
l

The U.S. Constitution requires a census every 10 years.
The results are used to determine the number of seats
each state has in Congress, draw boundaries for voting
districts, and determine how more than $675 billion in
federal funding is spent in communities each year.

Taking part is your civic duty.

at

Completing the census is required; it is a way to
participate in our democracy and say “I count!”

In
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Your information is confidential.
Federal law protects your responses. Your answers can
only be used to produce statistics and cannot be used
against you by any government agency or court.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

Use this guide to complete the 2020
Census paper questionnaire.
2020 Census paper questionnaires will arrive in
mailboxes and on doorsteps throughout the nation.

–

Number o f people =

2	

U.S. Census Bureau

Before You Begin
1. Find your questionnaire and open it to the first page.

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y

2. Use the information in this guide to mark your responses on the
English paper questionnaire. DO NOT WRITE YOUR ANSWERS ON
THIS GUIDE.

3. Before you answer the first question, count the people living in this
house, apartment, or mobile home using the guidelines below.

C

Who to Count

Count all people, including
babies, who live and sleep here
most of the time.

•

If no one lives or sleeps at
this address most of the time,
respond online.

In
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•

The census must also include
people without a permanent place
to live:

•

The Census Bureau also conducts
counts in institutions and other
places:

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Count the people living in this
house, apartment or mobile home:

•

Do not count anyone in a
nursing home, jail, prison,
detention facility, etc., on April 1,
2020.

•

Leave these people off your
questionnaire, even if they will
return to live here after they
leave college, the nursing home,
the military, jail, etc. Otherwise,
they may be counted twice.

If someone who does not have
a permanent place to live is
staying here on April 1, 2020,
count that person.
Read the questions and instructions on the next page.
Do not write your answers on this guide.

U.S. Census Bureau

3

Complete the questions on the front page
DO NOT WRITE YOUR ANSWERS ON THIS GUIDE
How many people were living or staying in this
house, apartment, or mobile home on April 1, 2020?

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Number of People

Were there any additional people staying here on
April 1, 2020 that you did not include in Question 1?
all that apply.

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Mark

„„ Children, related or unrelated, such as newborn
babies, grandchildren, or foster children

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„„ Relatives, such as adult children, cousins, or in-laws
„„ Nonrelatives, such as roommates or live-in
babysitters
„„ People staying here temporarily

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„„ No additional people

Is this house, apartment, or mobile home—

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Mark

ONE box.

„„ Owned by you or someone in this household with
a mortgage or loan? Include home equity loans.
„„ Owned by you or someone in the household free
and clear (without a mortgage or loan)?
„„ Rented?
„„ Occupied without payment of rent?

What is your telephone number?
We will only contact you if needed for official Census
Bureau business.

Telephone Number

4	

U.S. Census Bureau

Complete the questions on the left side of
page 2
DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

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y

Please provide information for each person living
here. If there is someone living here who pays the
rent or owns this residence, start by listing him or
her as Person 1. If the owner or the person who pays
rent does not live here, start by listing any adult living
here as Person 1.

Last Name(s)

Middle Initial

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First Name

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What is Person 1’s name?

What is Person 1’s sex? Mark
„„ Male

ONE box.

„„ Female

What is Person 1’s age and what is Person 1’s date of
birth?

In
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For babies less than 1 year old, do not write the age
in months. Write 0 as the age.

Age, in
years, on
April 1,
2020

Month

Day

Year of
birth

Is Person 1 of Hispanic, Latino, or Spanish origin?
„„ No, not of Hispanic, Latino or Spanish origin
„„ Yes, Mexican, Mexican Am., Chicano
„„ Yes, Puerto Rican
„„ Yes, Cuban
„„ Yes, another Hispanic, Latino or Spanish origin—
Print, for example, Salvadoran, Dominican,
Colombian, Guatemalan, Spaniard, Ecuadorian, etc.

U.S. Census Bureau	5

Complete the question on the right side
of page 2
DO NOT WRITE YOUR ANSWERS ON THIS GUIDE
What is Person 1’s race?
one or more boxes AND print origins.

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Mark

„„ White—Print, for example, German, Irish, English,
Italian, Lebanese, Egyptian, etc.

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„„ Black or African Am.—Print, for example, African
American, Jamaican, Haitian, Nigerian, Ethiopian,
Somali, etc.

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„„ American Indian or Alaska Native—Print 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.

In
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„„ Chinese
„„ Vietnamese
„„ Filipino
„„ Korean
„„ Asian Indian „„ Japanese
„„ Other Asian—
Print, for
example,
Pakistani,
Cambodian,
Hmong, etc.

6	

„„ Native Hawaiian
„„ Samoan
„„ Chamorro
„„ Other Pacific
Islander—Print,
for example,
Tongan, Fijian,
Marshallese, etc.

„„ Some other race—Print race or origin.

U.S. Census Bureau

Complete the questions for each additional
person
Each additional person will be asked the two questions below

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DO NOT WRITE YOUR ANSWERS ON THIS GUIDE
Does this person usually live or stay somewhere
else?
Mark

all that apply.

„„ No

„„ Yes, with a parent or
other relative

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„„ Yes, for college

„„ Yes, for a military
assignment

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„„ Yes, for a job or
business

„„ Yes, at a seasonal or
second residence
„„ Yes, in a jail or prison

„„ Yes, in a nursing home „„ Yes, for another reason

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How is this person related to Person 1?

In
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Mark

ONE box.

„„ 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

U.S. Census Bureau	7

Complete page 8 if you counted more than
six people
DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

Age, in
years, on
April 1,
2020

Month

Day

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Female

Last Name(s)

Year
of
Birth

Related to Person 1?

„„ Yes

„„ No

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Male

Middle Initial

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First Name

Please mail the completed English questionnaire in the postage-paid envelope you received.

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The 2020 Census is
easier than ever.

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Did you know you can
respond online?

If you are able to complete the 2020
Census online, go to the URL printed on
the questionnaire.

Video guides for completing the 2020 Census
online are available at
2020census.gov/languages
D-G (eng) English

8	

U.S. Census Bureau

OMB No. 0607-1006: Approval Expires 11/30/2021

Your Guide to the 2020 Census

In

fo

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at

io

na

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How to Respond to the
2020 Census
Paper Questionnaire

lC
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Welcome to the 2020 Census

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at

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na

Everyone counts.
The goal of this census is to count every living person in
the U.S. once, only once, and in the right place. We need
your help to make sure everyone in your community gets
counted.

fo

Census data are important.

In

The U.S. Constitution requires a census every 10 years. The
results are used to determine the number of seats each
state has in Congress, draw boundaries for voting districts,
and determine how more than $675 billion in federal
funding is spent in communities each year.

2	

U.S. Census Bureau

Taking part is your civic duty.

na

lC
op
y

Completing the census is required; it is a way to
participate in our democracy and say “I count!”

Your information is confidential.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

rm
at

io

Federal law protects your responses. Your answers can
only be used to produce statistics and cannot be used
against you by any government agency or court.
U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

OR go online to complete your 2020 Census questionnaire.

fo

Start here
Use a blue or black pen.

2.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Children, related or unrelated, such as newborn babies,
grandchildren, or foster children
Relatives, such as adult children, cousins, or in-laws

Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:

• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

3.

• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

Is this house, apartment, or mobile home — Mark ONE box.

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:

• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?
Mark all that apply.

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?

Occupied without payment of rent?

4.

What is your telephone number?

We will only contact you if needed for official Census Bureau
business .

In

Telephone Number

1.

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

Number o f people =

Use this guide to complete the 2020 Census paper
questionnaire.
2020 Census paper questionnaires will arrive in mailboxes
and on doorsteps throughout the nation.
U.S. Census Bureau	3

Before You Begin
1.	Find your questionnaire and open it to the first page.

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y

2.	Use the information in this large print guide to
mark your responses on the paper questionnaire.
DO NOT WRITE YOUR ANSWERS ON THIS GUIDE.

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3.	Before you answer the first question, count the people
living in this house, apartment, or mobile home using the
guidelines below.

In

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Read the questions and instructions on the next page.
Do not write your answers on this guide.

4	

U.S. Census Bureau

Who to Count
Count the people living in this house, apartment or mobile
home:

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•	 Count all people, including babies, who live and sleep
here most of the time.
•	 If no one lives or sleeps at this address most of the time,
respond online.

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The census must also include people without a permanent
place to live:

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•	 If someone who does not have a permanent place to live
is staying here on April 1, 2020, count that person.

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at

The Census Bureau also conducts counts in institutions
and other places:

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•	 Do not count anyone in a nursing home, jail, prison,
detention facility, etc., on April 1, 2020.

In

•	 Leave these people off your questionnaire, even if they
will return to live here after they leave college, the
nursing home, the military, jail, etc. Otherwise, they may
be counted twice.

U.S. Census Bureau	5

Complete the questions on the front page

lC
op
y

DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

Number of
People

In

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na

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

6	

U.S. Census Bureau

Complete the questions on the front page
(continued)

na

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DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

Mark

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Were there any additional people staying here on
April 1, 2020 that you did not include in Question 1?
all that apply.

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„„Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

In

„„Relatives, such as adult children, cousins, or in-laws
„„Nonrelatives, such as roommates or live-in babysitters
„„People staying here temporarily
„„No additional people
U.S. Census Bureau	7

Complete the questions on the front page
(continued)

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DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

ONE box.

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Mark

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Is this house, apartment, or mobile home—

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„„Owned by you or someone in this household with a
mortgage or loan? Include home equity loans.
„„Owned by you or someone in the household free and
clear (without a mortgage or loan)?

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„„Rented?

In

„„Occupied without payment of rent?

8	

U.S. Census Bureau

Complete the questions on the front page
(continued)

na

Telephone Number

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DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

What is your telephone number?

In

fo

rm
at

io

We will only contact you if needed for official Census
Bureau business.

U.S. Census Bureau	9

Complete the questions on the left side of
page 2

rm
at

io

na

lC
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DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

First Name

Last Name(s)

Middle Initial

In

fo

Please provide information for each person living here. If
there is someone living here who pays the rent or owns
this residence, start by listing him or her as Person 1. If the
owner or the person who pays rent does not live here, start
by listing any adult living here as Person 1.

What is Person 1’s name?

10	

U.S. Census Bureau

Complete the questions on the left side of
page 2 (continued)

What is Person 1’s sex? Mark

ONE box.

„„Female

In

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na

„„Male

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DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

U.S. Census Bureau	11

Complete the questions on the left side of
page 2 (continued)

Year of birth

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Month Day

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Age, in years,
on April 1,
2020

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DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

What is Person 1’s age and what is Person 1’s date of birth?

In

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For babies less than 1 year old, do not write the age in
months. Write 0 as the age.

12	

U.S. Census Bureau

Complete the questions on the left side of
page 2 (continued)

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DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

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at

Is Person 1 of Hispanic, Latino, or Spanish origin?
„„No, not of Hispanic, Latino or Spanish origin
„„Yes, Mexican, Mexican Am., Chicano

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„„Yes, Puerto Rican
„„Yes, Cuban

In

„„Yes, another Hispanic, Latino or Spanish origin—
Print, for example, Salvadoran, Dominican, Colombian,
Guatemalan, Spaniard, Ecuadorian, etc.

U.S. Census Bureau	13

Complete the question on the right side of
page 2

In

fo

rm
at

io

na

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DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

14	

U.S. Census Bureau

What is Person 1’s race?
Mark

one or more boxes AND print origins.

„„White—Print, for example, German, Irish, English, Italian,
Lebanese, Egyptian, etc.

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y

„„Black or African Am.—Print, for example, African
American, Jamaican, Haitian, Nigerian, Ethiopian, Somali,
etc.

io

na

„„American Indian or Alaska Native—Print 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.
„„Vietnamese

„„Native Hawaiian

„„Filipino

„„Korean

„„Samoan

„„Asian Indian

„„Japanese

„„Chamorro

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at

„„Chinese

In

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„„Other Asian—
Print, for example,
Pakistani,
Cambodian,
Hmong, etc.

„„Other Pacific
Islander—Print, for
example, Tongan,
Fijian, Marshallese,
etc.

„„Some other race—Print race or origin.
U.S. Census Bureau	15

Complete the questions for each additional
person
Each additional person will be asked the following two
questions

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DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

all that apply.

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Mark
„„No

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at

Does this person usually live or stay somewhere
else?

„„Yes, for college

In

„„Yes, for a military
assignment
„„Yes, for a job or
business

„„Yes, with a parent or other
relative
„„Yes, at a seasonal or second
residence
„„Yes, in a jail or prison

„„Yes, in a nursing home „„Yes, for another reason
16	

U.S. Census Bureau

Complete the questions for each additional
person (continued)

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DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

Mark

ONE box.

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at

„„Opposite-sex
unmarried partner

„„Father or mother

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„„Opposite-sex
husband/wife/spouse

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How is this person related to Person 1?

„„Grandchild
„„Parent-in-law

„„Same-sex
unmarried partner

„„Son-in-law or
daughter-in-law

In

fo

„„Same-sex
husband/wife/spouse

„„Biological son or daughter „„Other relative
„„Adopted son or daughter

„„Roommate or housemate

„„Stepson or stepdaughter

„„Foster child

„„Brother or sister

„„Other nonrelative

U.S. Census Bureau	17

Complete page 8 if you counted more than
six people
DO NOT WRITE YOUR ANSWERS ON THIS GUIDE

Male

Female

Middle Initial

Month

Day

Year of birth

Related to Person 1?
„„Yes „„No

na

Age, in years, on
April 1, 2020

Last Name(s)

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First Name

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at

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Please mail the completed questionnaire in the postagepaid envelope you received.

The 2020 Census is easier than ever.
Did you know you can respond online?

In

fo

If you are able to complete the 2020
Census online, go to the URL printed on
the questionnaire.
Video guides for completing the 2020
Census online are available at
2020census.gov/languages
D-G (large print)

18	

U.S. Census Bureau

Núm. de OMB 0607-1006: Aprobado hasta 11/30/2021

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Su Guía para el Censo del 2020

In
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Cómo Responder el Cuestionario Impreso
del Censo del 2020

Bienvenidos al Censo del 2020
Todos cuentan.

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El objetivo de este censo es contar a todas las
personas que viven en los Estados Unidos una vez,
solo una vez y en el lugar correcto. Necesitamos su
ayuda para asegurarnos de que se cuenten a todas las
personas en su comunidad.

Los datos del censo son importantes.

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La Constitución de los EE. UU. requiere un censo
cada 10 años. Los resultados se usan para determinar
el número de representantes que cada estado tiene
en el Congreso, establecer los límites de los distritos
electorales y decidir cómo se usan más de $675 mil
millones de fondos federales en las comunidades
cada año.

Participar es su deber cívico.

In
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at

Completar el censo es obligatorio. Es una forma de
participar en nuestra democracia y decir “¡Yo cuento!”.

Su información es confidencial.
La ley federal protege sus respuestas. Sus respuestas
se pueden usar solamente para producir estadísticas
y no pueden ser usadas en su contra por ninguna
agencia del gobierno o tribunal.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

4.

–

–

Use esta guía para completar el
cuestionario impreso del Censo del
2020.
Los cuestionarios impresos del Censo del 2020
llegarán a los buzones y a las puertas de los hogares
en todo el país.
Oficina del Censo de los EE. UU.

Antes de Comenzar
1.	 Busque su cuestionario y ábralo en la primera página.

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2.	 Use la información de esta guía en español para marcar sus respuestas
en el cuestionario impreso en inglés. NO ESCRIBA SUS RESPUESTAS
EN ESTA GUÍA.

A Quién Contar

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3.	 Antes de contestar la primera pregunta, cuente a las personas que
viven en esta casa, apartamento o casa móvil usando las siguientes
instrucciones.

La Oficina del Censo también lleva
a cabo recuentos en instituciones
y otros lugares:

•	 Cuente a todas las personas,
incluyendo a bebés, que viven y
duermen aquí la mayor parte del
tiempo.

•	 No cuente a alguien que está en
un hogar de ancianos o nursing
home, cárcel, prisión, centro de
detención, etc., el 1 de abril de
2020.

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Cuente a las personas que viven
en esta casa, apartamento o casa
móvil:

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•	 Si nadie vive o duerme en esta
dirección la mayor parte del
tiempo, responda por internet.

El censo también tiene que
incluir a las personas sin un lugar
permanente donde vivir:
•	 Si alguien que no tenga un lugar
permanente donde vivir se está
quedando aquí el 1 de abril de
2020, cuente a esa persona.

•	 No incluya a estas personas en
su cuestionario, aunque vuelvan
a vivir aquí después de salir
de la universidad, hogar de
ancianos o nursing home, las
Fuerzas Armadas, cárcel, etc.
De otra manera, tal vez sean
contadas dos veces.

Lea las preguntas e instrucciones de la página siguiente.
No escriba sus respuestas en esta guía.
Oficina del Censo de los EE. UU.	3

Complete las preguntas de la primera página
NO ESCRIBA SUS RESPUESTAS EN ESTA GUÍA

Número de Personas

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¿Cuántas personas estaban viviendo o quedándose
en esta casa, apartamento o casa móvil el 1 de abril
de 2020?

¿Había personas adicionales quedándose aquí el 1 de
abril de 2020 que usted no incluyó en la Pregunta 1?
todas las que correspondan.

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Marque

„„ Niños, emparentados o no, tales como bebés
recién nacidos, nietos o hijos de crianza (foster)

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„„ Parientes, tales como hijos adultos, primos o
parientes políticos

„„ Personas que no son parientes, tales como
compañeros de casa o cuarto, o niñeras que viven
en el hogar

„„ Personas que se quedan aquí temporalmente

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„„ No hay personas adicionales
¿Es esta casa, apartamento o casa móvil —

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Marque

UNA casilla.

„„ Propiedad suya o de alguien en este hogar con
una hipoteca o crédito hipotecario? Esto incluye
los préstamos con la propiedad como garantía.
„„ Propiedad suya o de alguien en este hogar libre y
sin deuda (sin una hipoteca o crédito hipotecario)?
„„ Alquilado(a) o rentado(a)?
„„ Ocupado(a) sin pago de alquiler o renta?
¿Cuál es su número de teléfono?
Nos comunicaremos con usted solo si es necesario
para asuntos oficiales de la Oficina del Censo.

Número de teléfono

4	

Oficina del Censo de los EE. UU.

Complete las preguntas que se encuentran en
la parte izquierda de la página 2
NO ESCRIBA SUS RESPUESTAS EN ESTA GUÍA

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Por favor, provea información para cada persona
que vive aquí. Si hay alguien que vive aquí que paga
el alquiler (renta) o es propietario de esta vivienda,
comience la lista con él o ella como la Persona 1. Si el
propietario o la persona que paga el alquiler (renta)
no vive aquí, comience la lista con cualquier adulto
que viva aquí como la Persona 1.

Apellido(s)

Inicial del Segundo
Nombre

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Nombre

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¿Cuál es el nombre de la Persona 1?

¿Cuál es el sexo de la Persona 1? Marque

„„ Masculino

UNA casilla.

„„ Femenino

¿Cuál es la edad de la Persona 1 y cuál es su fecha
de nacimiento?

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Para bebés menores de un año, no escriba los meses
de edad. Solo escriba 0.

Edad, en
años, el 1
de abril de
2020

Mes

Día

Año de
Nacimiento

¿Es la Persona 1 de origen hispano, latino o español?
„„ No, no es de origen hispano, latino o español
„„ Sí, mexicano, mexicanoamericano, chicano
„„ Sí, puertorriqueño
„„ Sí, cubano
„„ Sí, de otro origen hispano, latino o español — Escriba,
por ejemplo, salvadoreño, dominicano, colombiano,
guatemalteco, español, ecuatoriano, etc.

Oficina del Censo de los EE. UU.	5

Complete la pregunta que se encuentra en
la parte derecha de la página 2
NO ESCRIBA SUS RESPUESTAS EN ESTA GUÍA
¿Cuál es la raza de la Persona 1?
una o más casillas Y escriba los orígenes.

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Marque

„„ Blanca — Escriba, por ejemplo, alemán, irlandés,
inglés, italiano, libanés, egipcio, etc.

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„„ Negra o afroamericana — Escriba, por ejemplo,
afroamericano, jamaiquino, haitiano, nigeriano,
etíope, somalí, etc.

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„„ Indígena de las Américas o nativa de Alaska —
Escriba el nombre de la(s) tribu(s) en la(s) que
está inscrita o la(s) tribu(s) principal(es), por
ejemplo, Navajo Nation, Blackfeet Tribe, maya,
azteca, Native Village of Barrow Inupiat Traditional
Government, Nome Eskimo Community, etc.

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„„ China
„„ Vietnamita
„„ Filipina
„„ Coreana
„„ India asiática „„ Japonesa
„„ Otra asiática —
Escriba, por
ejemplo, pakistaní,
camboyano,
hmong, etc.

6	

„„ Nativa de Hawái
„„ Samoana
„„ Chamorra
„„ Otra de las islas
del Pacífico —
Escriba, por
ejemplo, tongano,
fiyiano, de las
Islas Marshall, etc.

„„ Alguna otra raza — Escriba la raza o el origen.

Oficina del Censo de los EE. UU.

Complete las preguntas para cada una de las
personas adicionales
A cada persona adicional se le harán las siguientes dos
preguntas

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NO ESCRIBA SUS RESPUESTAS EN ESTA GUÍA
¿Vive o se queda esta persona habitualmente en
algún otro lugar?
Marque

todas las que correspondan.

„„ No

„„ Sí, con el padre, la
madre u otro pariente

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„„ Sí, para ir a la
universidad

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„„ Sí, por un destino
militar

„„ Sí, por un empleo o
negocio

„„ Sí, en un hogar de
ancianos o nursing
home

„„ Sí, en una casa de
temporada o segunda
residencia

„„ Sí, en una cárcel o
prisión
„„ Sí, por alguna otra
razón

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¿Cómo está esta persona relacionada
con la Persona 1?

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Marque

UNA casilla.

„„ Esposo(a) del sexo opuesto
„„ Pareja no casada del sexo opuesto
„„ Esposo(a) del mismo sexo
„„ Pareja no casada del mismo sexo
„„ Hijo(a) biológico(a) o de sangre
„„ Hijo(a) adoptivo(a)
„„ Hijastro(a)
„„ Hermano(a)

„„ Padre o madre
„„ Nieto(a)
„„ Suegro(a)
„„ Yerno o nuera
„„ Otro pariente
„„ Roommate o compañero(a) de casa
„„ Hijo(a) foster
„„ Otra persona que no es pariente

Oficina del Censo de los EE. UU.	7

Complete la página 8 si contó más de
seis personas
NO ESCRIBA SUS RESPUESTAS EN ESTA GUÍA

Edad, en
años, el 1
de abril de
2020

Mes

Día

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Femenino

Apellido(s)

Año de
Nacimiento

¿Es pariente de la
Persona 1?
„„ Sí

„„ No

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Masculino

Inicial del
Segundo Nombre

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Nombre

Por favor, envíe por correo el cuestionario en inglés completado
usando el sobre con franqueo pagado que recibió.

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El Censo del 2020 es
más fácil que nunca.

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¿Sabía que usted puede
responder por internet?

Si puede completar el Censo del 2020
por internet, vaya a la dirección URL
impresa en el cuestionario.

Para ver un video sobre cómo completar el
Censo del 2020 por internet, vaya al sitio web
2020census.gov/languages
8	

D-G (spa) Spanish
Oficina del Censo de los EE. UU.

管理与预算办公室 (OMB) 批准文号 0607-1006: 有效期至 11/30/2021

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2020年人口普查指南

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如何回答2020年人口普查纸质问卷

欢迎参加2020年人口普查
每个人都应该被统计上。

人口普查数据很重要。

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本次人口普查的目标是统计住在美国的每一个人，而且每个人
都在正确的地方只被算上一次。我们需要您的帮助，以确保算
上您所在社区的每一个人。

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美国宪法要求每十年开展一次人口普查。普查结果会被用于确
定每个州在美国众议院中的席位、划分投票区界限和确定逾
6,750亿美元的联邦资金每年如何在社区分配使用。

参加人口普查是您的居民责任。

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您必须填写人口普查问卷。这是您参与民主并表达
“算上我！”的一种方式。

您的信息会得到保密。

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联邦法律为您在普查问卷上的回答保密。您的回答只能用于生
成统计数据，政府机构或法院不得根据您的回答作出对您不利
的裁决。

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

请使用本指南填写2020年人口普查纸质问卷。
2020年人口普查纸质问卷将寄到或送到全美各地的信箱和家中。

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.

Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws

Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:

• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

3.

• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Is this house, apartment, or mobile home — Mark ONE box.

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:

• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

Number o f people =

2	

美国人口普查局

开始填写之前
1.	 找到您的问卷，翻到问卷的第一页。

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2.	 使用本中文版指南中的信息在英文版纸质问卷中标出您的答案。
请勿在本指南中填写您的回答。

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3.	 在您回答第一个问题之前，请根据以下指南计算住在这个房子、
公寓或移动式房屋中的人数。

算上谁

人口普查局还在机构和其他地点统计	
人数：

•	 请算上大多数时间在此处居住和留宿
的所有的人，包括婴儿。

•	 请不要算上2020年4月1日在安养中
心/养老院、牢房、监狱、拘留所等
地的任何人。

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请算上住在这个房子、公寓或移动式房
屋中的人：

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•	 如果大多数时间没有人在这个地址居
住或留宿，请在线回答普查问卷。

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人口普查还必须包括没有固定住址的人：
•	 如果没有固定住址的人2020年4月1日
在此处暂住，请算上这个人。

•	 请不要在问卷中填写这些人，即使这些
人将来在离开了大学、安养中心/养老
院、军队、牢房等地方以后，会回到这
里住，也请不要把这些人填在此表上,
以免他们被统计两次。

请阅读下一页中的问题和说明。
请勿在本指南中填写您的回答。
美国人口普查局	

3

请填写首页的问题
请勿在本指南中填写您的回答
在 2020年4月1日那天, 有几个人在这所房子、公寓或移动式
房屋里居住或暂住?

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人数

除了在第1题中已包括的人以外, 是否还有人在2020年4月1日
那天住在这个地址?
来选择所有适用的选项。

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请用

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„„ 儿童（有或没有亲属关系），如新生儿、(外)孙子孙女或
政府寄养儿童
„„ 亲属，如成年子女、堂/表兄弟姐妹或姻亲

„„ 非亲属，如室友或住家保姆

„„ 暂住在这个地址的人

„„ 没有其他人

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这个房子、公寓或移动式房屋是 —

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请用

来选择一个适用的选项。

„„ 属于您或此地址住户的某个人,有房贷 (mortgage) 或房
屋净值贷款 (home equity loan)

„„ 属于您或此地址住户的某个人, 没有任何债务（无房贷或
房屋净值贷款）
„„ 租用
„„ 免租金住用

您的电话号码是什么?
我们只有在人口普查局工作需要时，才会与您联系。

电话号码

4	

美国人口普查局

请填写第2页左面的问题
请勿在本指南中填写您的回答

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请提供在这个地址居住的每个人的资料。如果屋主或租房人
住在这里, 请将此人填写为第一个人。如果屋主或租房人不
住在这里, 请将任何一位居住在这个地址的成年人填写为第
一个人。
第一个人的姓名是什么?

姓
(Last Name)

中间名缩写
(MI)

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名
(First Name)

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请用英文填写第一个人的姓名。

第一个人的性别是什么?	
请用
来选择一个适用的选项。
„„ 男性

„„ 女性

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第一个人的年龄及出生年月日是什么?

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如果婴儿不满周岁, 请填 0 岁。

2020年4月1日
的年龄

月

日

出生年份

第一个人是西班牙裔、拉美裔或西班牙后裔吗?
„„ 否，不是西班牙裔、拉美裔或西班牙后裔
„„ 是，墨西哥人、墨西哥裔美国人、奇卡诺人
„„ 是，波多黎各人
„„ 是，古巴人
„„ 是，其他西班牙裔、拉美裔或西班牙后裔 — 请在格子里
工整填写, 例如，萨尔瓦多人、多米尼加人、哥伦比亚
人、危地马拉人、西班牙人、厄瓜多尔人等。

美国人口普查局	

5

请填写第2页右面的问题
请勿在本指南中填写您的回答

第一个人的种族是什么?
来选择所有适用的选项，并在格子里工整填写后裔。

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请用

„„ 白人 — 请工整填写，例如，德国人、爱尔兰人、英格兰
人、意大利人、黎巴嫩人、埃及人等。

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„„ 黑人或非洲裔美国人 — 请工整填写，例如，非裔美国
人、牙买加人、海地人、尼日利亚人、埃塞俄比亚人、索
马里人等。

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„„ 美洲印第安人或阿拉斯加原住民 — 请工整填写登记或主
要部落名称。例如，纳瓦霍族、黑脚部族、玛雅人、阿兹
特克族、贝罗因努帕克传统政府原住民村落、诺姆爱斯基
摩人社区等。

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„„ 华人
„„ 越南人
„„ 菲律宾人
„„ 韩国人
„„ 印度人
„„ 日本人
„„ 其他亚裔 —
请工整填写，
例如，巴基斯
坦人、柬埔寨
人、苗族人等。

6	

„„ 夏威夷原住民
„„ 萨摩亚人
„„ 夏莫洛人
„„ 其他太平洋岛民 —
请工整填写，例
如，汤加人、斐济
人、马绍尔人等。

„„ 其他种族 — 请工整填写种族或后裔。

美国人口普查局

请为此住户的其他每个人填写问题
针对此住户的其他每个人，我们会多问以下两个问题：

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请勿在本指南中填写您的回答

这个人是否通常居住或暂住在其他地方?
请用

来选择所有适用的选项。

„„ 否
„„ 是，为了上大学

„„ 是，与父母或其他亲属在
一起

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„„ 是，为了执行军事任务
„„ 是，为了工作或业务

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„„ 是，在安养中心/养老院

„„ 是，在季节性住所或第二
套住所

„„ 是，在牢房或监狱
„„ 是，其他原因

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这个人与第一个人是什么关系?

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请用

美国人口普查局	

来选择一个适用的选项。

„„ 异性丈夫/妻子/配偶
„„ 异性未婚伴侣
„„ 同性丈夫/妻子/配偶
„„ 同性未婚伴侣
„„ 亲生儿子或女儿
„„ 养子或养女
„„ 继子或继女
„„ 兄弟或姐妹

„„ 父亲或母亲
„„ (外)孙子孙女
„„ 公婆（岳父母）
„„ 女婿或儿媳
„„ 其他亲属
„„ 室友或房友
„„ 政府寄养儿童
„„ 其他非亲属

7

如果您算上的人数超过六人，请填写第8页
请勿在本指南中填写您的回答

2020年4月1日
的年龄

月

日

出生年份

op
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女性

姓
(Last Name)

是否和第一个人有亲属关系？
„„ 是
„„ 否

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男性

中间名缩写
(MI)

C

名
(First Name)

请使用您收到的已付邮资信封邮寄完成的英文问卷。

2020年人口普查比以往更简单。

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您知道您可以在线回答吗?

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如果您能在线填写2020年人口普查问卷，
请访问问卷中印出的网址。

您可在下面的这个网站观看怎样
在线填写2020年人口普查的视频
指南：
2020census.gov/languages

D-G (zhs) Chinese (simp.)

8	

美国人口普查局

Số Phê chuẩn của OMB 0607-1006: Số Phê chuẩn Hết hạn vào ngày 11/30/2021

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Bản Hướng Dẫn về Thống Kê Dân Số 2020

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Cách Trả Lời Bản Câu Hỏi
Thống Kê Dân Số 2020 Trên Giấy

Chào mừng quý vị đến với Thống Kê Dân Số 2020
Tất cả mọi người đều được tính.

op
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Mục tiêu của cuộc thống kê dân số này là tính tất cả mọi người
hiện đang sống tại Hoa Kỳ, một lần, chỉ một lần thôi và ở đúng
địa điểm. Chúng tôi cần sự giúp đỡ của quý vị để đảm bảo là
mọi người trong cộng đồng của quý vị đều được tính.

Dữ liệu Thống Kê Dân Số rất quan trọng.

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Hiến Pháp Hoa Kỳ bắt buộc phải thực hiện thống kê dân số
mỗi 10 năm một lần. Kết quả thống kê được sử dụng để quyết
định số ghế mỗi tiểu bang có trong Quốc Hội, lập ranh giới cho
các Khu Vực Bỏ Phiếu và quyết định ngân quỹ hơn 675 tỷ đô
la của liên bang được chi dùng như thế nào trong các cộng
đồng mỗi năm.

Tham gia là nghĩa vụ công dân.

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Việc hoàn thành thống kê dân số là điều bắt buộc; đó là một
cách để chúng ta tham gia vào chế độ dân chủ và tuyên bố là
“Tôi được đếm!”

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Thông tin của quý vị được bảo mật.
Các câu trả lời của quý vị được bảo vệ bởi luật pháp liên bang.
Các câu trả lời chỉ có thể được sử dụng để lập dữ liệu thống
kê và không một cơ quan chính phủ hay tòa án nào có thể sử
dụng các câu trả lời của quý vị để chống lại quý vị.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

4.

What is your telephone number?

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

Telephone Number
How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

We will only contact you if needed for official Census Bureau
business .

–

–

Dùng bản hướng dẫn này để hoàn thành
bản câu hỏi Thống Kê Dân Số 2020 trên
giấy.
Bản câu hỏi Thống Kê Dân Số 2020 trên giấy sẽ được gửi
đến bằng thư và đến từng nhà trên khắp đất nước.
Cục Thống Kê Dân Số Hoa Kỳ

Trước Khi Quý Vị Bắt Đầu
1.	 Tìm bản câu hỏi thống kê dân số của quý vị và mở trang đầu tiên ra.

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2.	 Dùng thông tin trong bản hướng dẫn bằng Tiếng Việt này để đánh dấu các câu
trả lời của quý vị trong bản câu hỏi trên giấy bằng Tiếng Anh. ĐỪNG VIẾT CÁC
CÂU TRẢ LỜI CỦA QUÝ VỊ TRÊN BẢN HƯỚNG DẪN NÀY.

C

3.	 Trước khi trả lời câu hỏi đầu tiên, hãy tính số người hiện đang sống trong căn
nhà, căn hộ hay nhà lưu động (mobile home) này bằng cách dùng các hướng
dẫn dưới đây.

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Tính những Ai

Cục Thống Kê Dân Số cũng tiến
hành việc đếm người trong các cơ
sở và các địa điểm khác:

•	 Tính tất cả mọi người, gồm cả trẻ
sơ sinh, thường xuyên sống và ngủ
đêm ở đây.

•	 Không tính bất kỳ ai đang ở viện
dưỡng lão, nhà tù, nhà giam, trại
tạm giam, v.v. vào ngày 01 tháng
04 năm 2020.

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Đếm những người đang sống trong
căn nhà, căn hộ hay nhà lưu động
(mobile home) này:

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•	 Nếu không có ai thường xuyên sống
hoặc ngủ đêm tại địa chỉ này thì hãy
vào mạng để trả lời bản câu hỏi.
Thống kê dân số cũng phải tính cả
những người không có chỗ ở cố
định:

•	 Bỏ những người này ra khỏi bản
thống kê của quý vị, cho dù họ sẽ
quay lại sống ở đây sau khi rời
trường đại học, viện dưỡng lão,
quân đội, nhà tù, v.v. Nếu không làm
vậy thì họ sẽ được tính hai lần.

•	 Nếu một người không có chỗ ở cố
định mà đang sống ở đây vào ngày
01 tháng 04 năm 2020 thì hãy tính
người đó.
Xin đọc các câu hỏi và hướng dẫn ở trang tiếp theo.
Đừng viết các câu trả lời của quý vị trên bản hướng dẫn này.

Cục Thống Kê Dân Số Hoa Kỳ	

3

Trả lời các câu hỏi ở trang đầu tiên
ĐỪNG VIẾT CÁC CÂU TRẢ LỜI CỦA QUÝ VỊ TRÊN BẢN HƯỚNG DẪN NÀY
Có bao nhiêu người hiện đang sống hoặc cư ngụ trong
căn nhà, căn hộ, hay nhà lưu động (mobile home) này
vào ngày 01 tháng 04 năm 2020?

op
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Số người

Có thêm người nào khác cư ngụ ở đây vào ngày 01
tháng 04 năm 2020 mà quý vị đã không tính trong
Câu hỏi 1 không?
vào tất cả các ô thích hợp.

C

Đánh dấu

„„ Trẻ em, là họ hàng hay không phải họ hàng, như là trẻ
sơ sinh, cháu nội ngoại, hoặc con được chính phủ trả
tiền nhờ nuôi

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„„ Người thân, như con cái đã trưởng thành, anh/chị em
họ, họ hàng bên chồng/vợ
„„ Những người không phải họ hàng, như người ở cùng
phòng hoặc người giữ trẻ sống cùng trong nhà
„„ Những người tạm trú ở đây
„„ Không có thêm người nào khác

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Căn nhà, căn hộ, hay nhà lưu động (mobile home) này
có phải —

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Đánh dấu

vào MỘT ô.

„„ Là nhà quý vị hoặc người trong gia đình sở hữu mà vẫn
còn vay nợ trả góp? Kể cả các khoản vay thêm dùng nhà
thế chấp.
„„ Là nhà quý vị hoặc người trong gia đình sở hữu mà
không còn nợ (như không còn vay nợ trả góp hoặc vay
nhà băng)?
„„ Là nhà thuê?
„„ Không có người chủ nhà sống ở đây, và người sống ở
đây không phải trả tiền?
Số điện thoại của quý vị là gì?
Chúng tôi chỉ liên lạc với quý vị khi cần cho các công việc
chính thức của Cục Thống Kê Dân Số.

Số Điện thoại

4	

Cục Thống Kê Dân Số Hoa Kỳ

Trả lời các câu hỏi ở phía bên trái của trang 2
ĐỪNG VIẾT CÁC CÂU TRẢ LỜI CỦA QUÝ VỊ TRÊN BẢN HƯỚNG DẪN NÀY

op
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Xin cung cấp thông tin về mỗi người sống ở đây. Nếu người
sở hữu hoặc thuê nhà này hiện đang sống ở đây, hãy bắt
đầu từ người này là Người số 1. Nếu người sở hữu hoặc
thuê nhà này không sống ở đây thì hãy bắt đầu bằng bất cứ
người lớn nào đang sống ở đây là Người số 1.

Họ (Last Name)

Viết tắt tên đệm (MI)

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Tên (First Name)

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Người số 1 Họ tên là gì?

Giới tính của Người số 1 là gì? Đánh dấu
„„ Nam

vào MỘT ô.

„„ Nữ

Người số 1 bao nhiêu tuổi và tháng ngày năm sinh của
Người số 1 là gì?

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Đối với trẻ sơ sinh chưa tròn 1 tuổi, xin đừng viết số tháng
tuổi. Hãy viết tuổi của trẻ là 0.

Tuổi tính vào
ngày 01 tháng
04 năm 2020,
tính theo năm

Tháng

Ngày

Năm sinh

Có phải Người số 1 là người Châu Mỹ La-tinh nói tiếng
Tây Ban Nha không?
„„ Không, không phải người Châu Mỹ La-tinh nói tiếng Tây
Ban Nha
„„ Có, người Mexico, Mỹ gốc Mexico, Chicano
„„ Có, người Puerto Rico
„„ Có, người Cuba

Cục Thống Kê Dân Số Hoa Kỳ	

„„ Có, người Châu Mỹ La-tinh nói tiếng Tây Ban Nha khác —
Hãy viết bằng chữ in, ví dụ: người Salvador, Dominic,
Columbia, Guatemala, Tây Ban Nha, Ecuador, v.v.

5

Trả lời câu hỏi ở phía bên phải của trang 2
ĐỪNG VIẾT CÁC CÂU TRẢ LỜI CỦA QUÝ VỊ TRÊN BẢN HƯỚNG DẪN NÀY

Chủng tộc của Người số 1 là gì?

op
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Đánh dấu vào một hay nhiều ô VÀ viết tên các nguồn gốc
bằng chữ in.
„„ Người Da Trắng — Hãy viết bằng chữ in, ví dụ: người
Đức, Ái Nhĩ Lan, Anh, Ý, Libăng, Ai Cập, v.v.

C

„„ Người Da Đen hay người Mỹ đen — Hãy viết bằng chữ
in, ví dụ: người Mỹ đen, Jamaica, Haiti, Nigeria, Ethiopia,
Somali , v.v.

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„„ Người Thổ Dân Châu Mỹ Da Đỏ hay Thổ Dân Alaska —
Hãy viết bằng chữ in tên của (các) bộ lạc ghi danh hoặc
bộ lạc chính, ví dụ, Navajo Nation, Bộ lạc Blackfeet,
Maya, Aztec, Làng Thổ dân thuộc Chính phủ Cổ Truyền
Barrow Inupiat, Cộng đồng người Nome Eskimo, v.v.
„„ Người Việt Nam „„ Người Thổ Dân
Hawaii
„„ Người Philipin „„ Người Hàn quốc „„ Người Samoa
„„ Người Ấn Độ „„ Người Nhật
„„ Người Chamorro
„„ Người Châu
„„ Người Đảo Thái
Á khác — Hãy
Bình Dương
viết bằng chữ
khác — Hãy viết
in, ví dụ: người
bằng chữ in, ví
Pakistan,
dụ: người Tonga,
Campuchia,
Fiji, người
Hmông, v.v.
Marshall, v.v.

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„„ Người Hoa

6	

„„ Một số chủng tộc khác — Hãy viết bằng chữ in tên
chủng tộc hoặc nguồn gốc.

Cục Thống Kê Dân Số Hoa Kỳ

Trả lời các câu hỏi cho mỗi người được thêm vào
Mỗi người được thêm vào sẽ được hỏi thêm hai câu hỏi dưới đây

op
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ĐỪNG VIẾT CÁC CÂU TRẢ LỜI CỦA QUÝ VỊ TRÊN BẢN HƯỚNG DẪN NÀY

Có phải người này thường xuyên sống hoặc cư ngụ ở
nơi khác không?
Đánh dấu
„„ Không

vào tất cả các ô thích hợp.

„„ Có, ở với cha mẹ hay
người thân khác

C

„„ Có, vì ở trường đại học
„„ Có, vì nghĩa vụ trong
quân đội

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„„ Có, ở nhà nghỉ mát hay
nhà ở khác
„„ Có, vì công việc hoặc kinh
doanh
„„ Có, trong nhà tù hay nhà
tạm giam
„„ Có, trong viện dưỡng lão
„„ Có, vì lý do khác

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Người này có liên quan đến Người số 1 như thế nào?

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Đánh dấu

Cục Thống Kê Dân Số Hoa Kỳ	

vào MỘT ô.

„„
„„
„„
„„
„„
„„
„„
„„

Chồng/vợ khác giới
Người khác giới sống chung không đăng ký kết hôn
Chồng/vợ cùng giới
Người cùng giới sống chung không đăng ký kết hôn
Con trai hoặc con gái ruột
Con trai hoặc con gái nuôi
Con trai hoặc con gái riêng
Anh/chị/em ruột

„„
„„
„„
„„
„„
„„
„„
„„

Cha hoặc mẹ
Cháu nội/ngoại
Cha/mẹ chồng/vợ
Con rể hoặc con dâu
Họ hàng khác
Người cùng thuê nhà hoặc cùng thuê phòng
Con được chính phủ trả tiền nhờ nuôi
Không có họ hàng

7

Trả lời trang 8 nếu quý vị có nhiều hơn sáu người
ĐỪNG VIẾT CÁC CÂU TRẢ LỜI CỦA QUÝ VỊ TRÊN BẢN HƯỚNG DẪN NÀY

Tuổi tính vào
ngày 01 tháng
04 năm 2020,
tính theo năm

Tháng

Ngày

Năm
sinh

op
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Nữ

Họ (Last Name)

Mối quan hệ với Người
số 1?
„„ Có

„„ Không

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Nam

Viết tắt tên đệm (MI)

C

Tên (First Name)

Vui lòng để bản câu hỏi Tiếng Anh được điền đầy đủ vào phong bì đã trả bưu
phí mà quý vị nhận được và gửi lại qua đường bưu điện cho chúng tôi.

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Trả lời Thống Kê Dân Số
2020 dễ dàng hơn bao
giờ hết.
Quý vị có biết là mình có thể
trả lời trên mạng?

Nếu quý vị có thể trả lời Thống Kê Dân Số
2020 trên mạng thì hãy vào đường dẫn URL
được in trong bản câu hỏi.

Video hướng dẫn cách trả lời Thống Kê Dân Số
2020 trên mạng có tại
2020census.gov/languages
8	

D-G (vie) Vietnamese
Cục Thống Kê Dân Số Hoa Kỳ

OMB 번호. 0607-1006: 승인 만료일 11/30/2021

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2020년 센서스 인구조사 안내서

In
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2020년 센서스 인구조사 종이 설문지 작성 요령

2020년 센서스 인구조사에 오신 것을 환영합니다
한 사람도 빠짐없이 세어야 합니다.

op
y

이 센서스 인구조사는 미국에 살고 있는 모든 사람의 수를
어디에 사는지를 기준으로 단 한 번만 중복 없이 세는 것을
목표로 합니다. 지역 사회에 사는 모든 사람을 한 사람도
빠짐없이 세기 위해서는 귀하의 도움이 필요합니다.

C

인구조사 데이터는 중요합니다.

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미국 연방 헌법은 10년에 한 번씩 센서스 인구조사를
실시하는 것을 의무화하고 있습니다. 인구조사의 결과는 각
주를 대표하는 미국 연방하원 의석 수를 결정하고, 선거구의
경계를 설정하며, 매년 6,750억 달러가 넘는 연방 자금을
지역 사회에 어떻게 배분할 지 결정하는 데 사용됩니다.

참여하는 것은 시민으로서의 의무입니다.

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센서스 인구조사 설문지에 응답하는 것은 의무 사항입니다.
이것은 우리의 민주주의에 참여하고 "내가 이 숫자에
포함된다!"고 말하는 한 방법이기도 합니다.

귀하의 정보는 비밀로 유지됩니다.
연방법은 귀하의 응답을 보호합니다. 귀하의 응답은 통계를
내기 위한 목적으로만 사용될 수 있으며, 그 어떤 정부
기관이나 법원에 의해서도 귀하에게 불리한 목적으로 이용될
수 없습니다.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

이 안내서를 이용하여 2020년 센서스
인구조사 종이 설문지를 작성해 주십시오.

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

4.

–

–

2020년 센서스 인구조사 종이 설문지가 곧 미국 전역의 각
주소마다 배달될 것입니다.
미국 인구조사국

시작하기 전에 해야 할 일
1.	 설문지를 찾아 첫 페이지부터 봐 주십시오.

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2.	 이 한국어 안내서를 참고하셔서 영어로 된 종이 설문지에 귀하의 응답을 표시해
주십시오. 이 안내서에 귀하의 응답을 적지 마십시오.

C

3.	 첫 번째 질문에 답하기 전에, 아래의 안내에 따라 이 집, 아파트 또는 이동식
주택에 사는 사람들의 수를 세어 주십시오.

다음에 해당하는 사람들의 수를 세어 주십시오
인구조사국은 기관 및 시설 등에서도
인구수를 집계하고 있습니다. 그러므로,

•	 아기를 포함하여, 이 곳에서 살고
잠자면서 대부분의 시간을 보내는
모든 사람의 수를 세어 주십시오.

•	 2020년 4월 1일에 요양원이나
양로원, 감옥이나 교도소, 또는
구류시설 등에 살고 있는 사람은
세지 마십시오.

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이 집, 아파트 또는 이동식 주택에 사는
사람들의 수를 세어 주십시오.

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•	 이 주소지에서 살거나 잠자면서
대부분의 시간을 보내는 사람이
아무도 없다면, 인터넷으로 응답해
주십시오.

센서스 인구조사에는 정해진 주거지가
없는 사람도 반드시 포함되어야 합니다.
그러므로,

•	 이 사람들이 대학, 요양원이나
양로원, 군대, 감옥 등에서 나와
이곳에 돌아와 살게 될 예정이라
하더라도, 설문 작성시에는 이들을
포함하지 마십시오. 그렇지 않으면,
이 사람들이 중복 집계될 수도
있습니다.

•	 정해진 주거지가 없는 사람이
2020년 4월 1일에 이 곳에 머물고
있다면, 이 사람도 세어 주십시오.
다음 페이지의 질문과 작성 요령을 읽어 주십시오.
이 안내서에 귀하의 응답을 적지 마십시오.

미국 인구조사국	

3

설문지 앞 면의 질문들에 대한 응답을 작성해
주십시오
이 안내서에 귀하의 응답을 적지 마십시오

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2020년 4월 1일에 이 집, 아파트, 또는 이동식 주택에는 몇
사람이 살거나 머물고 있었습니까?

사람 수 (명)

2020년 4월 1일에 이 집에 머문 사람들 중, 질문 1에서
포함하지 않은 사람이 한 명이라도 더 있습니까?
표시해 주십시오.

C

해당되는 모든 항목에

„„ 신생아, 손자/손녀, 정부 위탁아 등 혈연 또는 비혈연
관계에 있는 아이

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„„ 성인 자녀, 사촌, 시가/처가의 가족 등 친인척

„„ 룸메이트, 또는 입주 베이비시터 등 친척이 아닌 거주인

„„ 이 곳에 임시로 머무는 사람

at

„„ 추가할 사람 없음

이 집, 아파트, 또는 이동식 주택의 소유 상태를 가장 잘

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설명하는 항목을 다음 보기 중에서 골라 주십시오.
하나에만

표시해 주십시오.

„„ 귀하 또는 이 가구의 다른 사람이 모기지 또는 대출로
소유. 주택 담보 대출을 포함해 주십시오.
„„ 귀하 또는 이 가구의 다른 사람이 부채 (모기지 또는
대출) 없이 소유
„„ 임대 (렌트) 중
„„ 임대료 (렌트비)를 내지 않고 무료로 살고 있음
귀하의 전화 번호는 무엇입니까?
인구조사국 업무 관계상 꼭 필요한 경우에만 연락을
드리겠습니다.

전화번호

4	

미국 인구조사국

2페이지 좌측면 질문들에 대한 응답을 작성해
주십시오
이 안내서에 귀하의 응답을 적지 마십시오

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이 곳에 살고 있는 모든 사람들에 대한 정보를 적어
주십시오. 이 거주지를 소유하거나 임대료(렌트비)를 내는
사람이 여기 살고 있다면, 그 사람을 가구원 1로 정하여
시작해 주십시오. 만약 이 집을 소유하거나 임대한 사람이
이 곳에 살고 있지 않다면, 이 집에 살고 있는 성인 중 한
사람을 가구원 1로 정하여 시작해 주십시오.
가구원 1의 이름은 무엇입니까?

C

가구원 1의 이름은 영문으로 적어 주십시오.

성
(Last Name(s))

중간 이름
첫 자 (MI)

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이름
(First Name)

가구원 1의 성별은 무엇입니까? 
하나에만
표시해 주십시오.

„„ 남성

„„ 여성

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가구원 1의 나이와 생년월일은 어떻게 됩니까?

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1살 미만의 아기인 경우, 나이를 개월 단위로 쓰지 말고 0
이라고 적어 주십시오.

2020년 4
월 1일 기준
만 나이 (세)

월

일

출생년도

가구원 1은 히스패닉, 중남미, 또는 스페인 계통입니까?
„„ 아니요, 히스패닉, 중남미, 또는 스페인 계통 아님
„„ 예, 멕시칸 또는 멕시코계 미국인
„„ 예, 푸에르토리코계
„„ 예, 쿠바계
„„ 예, 기타 히스패닉, 중남미, 또는 스페인 계통 — 예를
들면, 엘살바도르계, 도미니카계, 콜롬비아계, 과테말라계,
스페인계, 에콰도르계 처럼 구체적으로 적어 주십시오.

미국 인구조사국	

5

2페이지 우측면 질문에 대한 응답을 작성해 주십시오
이 안내서에 귀하의 응답을 적지 마십시오
가구원 1의 인종은 무엇입니까?
하나 또는 그 이상의 해당 항목에
민족을 적어 주십시오.

표시하시고 출신

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„„ 백인 — 예를 들면, 독일계, 아일랜드계, 잉글랜드계,
이탈리아계, 레바논계, 이집트계 처럼 구체적으로 적어
주십시오.

C

„„ 흑인 또는 아프리카계 미국인 — 예를 들면, 아프리카계
미국인, 자메이카계, 아이티계, 나이지리아계,
에티오피아계, 소말리아계 처럼 구체적으로 적어
주십시오.

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„„ 아메리칸 인디언 또는 알래스카 원주민 — 예를 들면,
나바호 부족, 블랙풋 부족, 마야족, 아즈텍족, 바로우
이누피아트 전통 정부 원주민, 놈 에스키모 원주민 처럼
등록된 부족이나 주요 부족의 이름을 구체적으로 적어
주십시오.

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„„ 중국계
„„ 베트남계
„„ 필리핀계
„„ 한국계
„„ 인도계
„„ 일본계
„„ 기타 아시아인
— 예를 들면,
파키스탄계,
캄보디아계,
몽족 처럼
구체적으로
적어 주십시오.

6	

„„ 하와이 원주민
„„ 사모아족
„„ 차모로족
„„ 기타 태평양 섬
원주민 — 예를
들면, 통가족,
피지족, 마셜
군도 원주민 처럼
구체적으로 적어
주십시오.

„„ 그 밖의 다른 인종 — 인종 또는 출신 민족을 구체적으로
적어 주십시오.

미국 인구조사국

추가하실 가구원(들) 각각에 대해 질문에 응답해
주십시오
추가되는 각각의 가구원(들)은 다음 두 가지 질문에도 답해야 합니다

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이 안내서에 귀하의 응답을 적지 마십시오
이 사람은 평소에 다른 곳에서 살거나 머물기도
합니까?
해당되는 모든 항목에
„„ 아니요

표시해 주십시오.

„„ 예, 부모 또는 친척과 함께

„„ 예, 군 복무 관계로

„„ 예, 별장이나 다른
거주지에서

C

„„ 예, 대학에 다니기 위해

„„ 예, 감옥이나 교도소에

„„ 예, 요양원이나 양로원에

„„ 예, 그 밖의 다른 이유로

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„„ 예, 직장 또는 사업
관계로

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이 사람은 가구원 1과 어떤 관계입니까?

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하나에만

미국 인구조사국	

표시해 주십시오.

„„ 이성의 남편/부인/배우자
„„ 결혼하지 않고 함께 사는 이성의 동거인
„„ 동성의 남편/부인/배우자
„„ 결혼하지 않고 함께 사는 동성의 동거인
„„ 친아들 또는 친딸
„„ 입양한 자녀
„„ 의붓자녀
„„ 형제 또는 자매

„„ 아버지 또는 어머니
„„ 손자/손녀
„„ 장인/장모 또는 시부모
„„ 사위 또는 며느리
„„ 기타 친척
„„ 룸메이트 또는 하우스메이트
„„ 정부 위탁아
„„ 기타 친척이 아닌 거주인

7

첫 페이지의 질문 1에서 포함한 사람이 6명
이상이라면, 8페이지도 작성해 주십시오
이 안내서에 귀하의 응답을 적지 마십시오

2020년 4월
1일 기준 만
나이 (세)

월

일

출생년도

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여성

성
(Last Name(s))

가구원 1과 친척
관계입니까?
„„ 예

„„ 아니요

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남성

중간 이름 첫 자
(MI)

C

이름
(First Name)

작성된 영어 설문지는 선불 우편봉투에 넣어 우편으로 보내 주십시오.

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2020년 센서스 인구조사는
그 어느 때 보다 쉽습니다.

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인터넷으로 설문에 응답할 수
있다는 것을 알고 계셨습니까?

2020년 센서스 인구조사를 인터넷으로
작성하실 수 있다면, 설문지에서 인터넷 주소
(URL)를 찾아 방문해 주십시오.

2020년 센서스 인구조사를 인터넷으로 작성하기
위한 비디오 안내는
2020census.gov/languages에서 보실 수 있습니다.
D-G (kor) Korean

8	

미국 인구조사국

Номер разрешения Административно-бюджетного управления США (OMB): 0607-1006.
Срок разрешения истекает 11/30/2021.

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Руководство к Переписи населения 2020 года

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Как заполнять бумажную анкету Переписи
населения в 2020 году

Добро пожаловать на Перепись населения
2020 года
Подсчитать каждого

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Цель данной переписи населения заключается в том, чтобы
подсчитать каждого проживающего в США один и только
один раз и по правильному адресу. Нам нужна Ваша помощь,
чтобы обеспечить подсчет всех людей в Вашем районе.

Данные переписи населения важны

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C

Согласно Конституции США перепись населения должна
проводиться каждые 10 лет. Результаты переписи населения
используются для определения количества представителей
от каждого штата в Конгрессе США, границ избирательных
округов и того, как будут каждый год распределяться свыше
675 млрд долларов федеральных средств на нужды местных
сообществ.

Участие в переписи — Ваш
гражданский долг

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Заполнение анкеты переписи обязательно. Это способ
принять участие в демократическом процессе в нашей
стране и почувствовать свою значимость для страны.

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Ваша информация является
конфиденциальной

Ваши ответы защищены федеральным законом. Ваши ответы
могут использоваться только для формирования статистики
и не могут использоваться против Вас государственными
или судебными органами.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

4.

–

–

Используйте данное руководство для
заполнения бумажной анкеты Переписи
населения 2020 года
Бумажные анкеты Переписи населения 2020 года будут
доставлены в почтовые ящики и на пороги домов по всей
стране.

Бюро переписи населения США

Перед началом заполнения анкеты
1.	 Откройте анкету переписи на первой странице.
2.	 Пользуйтесь эти руководством на русском языке при ответе на вопросы
в бумажной анкете на английском языке. НЕ ПИШИТЕ ВАШИ ОТВЕТЫ В
НАСТОЯЩЕМ РУКОВОДСТВЕ.

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3.	 Перед тем, как ответить на первый вопрос, посчитайте количество
человек, проживающих в этом доме, квартире или передвижном доме,
пользуясь следующими правилами:

Бюро переписи населения также
проводит перепись в учреждениях
и других местах временного
пребывания. Поэтому:
•	 Не включайте в Вашу анкету
переписи людей, находящихся
1 апреля 2020 года в доме
престарелых, в местах
предварительного заключения,
тюрьме, следственном
изоляторе и т. д.
•	 Не включайте этих людей в Вашу
анкету, даже если они вернутся
для проживания по этому адресу
из колледжа, дома престарелых,
военной службы, заключения
и т. д. В противном случае
существует вероятность, что они
могут быть посчитаны дважды.

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Посчитайте количество человек,
проживающих в этом доме, квартире
или передвижном доме:
•	 Посчитайте всех людей, в том
числе младенцев, которые живут
и спят здесь большую часть
времени.
•	 Если никто не живет и не спит
по этому адресу большую часть
времени, то заполните анкету в
Интернете.
Перепись населения должна также
учитывать людей, не имеющих
постоянного места жительства.
Поэтому:
•	 Если 1 апреля 2020 года по
этому адресу будет находиться
человек без постоянного места
жительства, то включите этого
человека в число проживающих.

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Кого необходимо учитывать в анкете переписи

Прочтите вопросы и инструкции на следующей странице.
Не пишите Ваши ответы в настоящем руководстве.
Бюро переписи населения США	3

Ответьте на вопросы на лицевой странице
НЕ ПИШИТЕ ВАШИ ОТВЕТЫ В НАСТОЯЩЕМ РУКОВОДСТВЕ
Сколько человек проживало или находилось в этом
доме, квартире или передвижном доме 1 апреля
2020 года?

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Количество человек

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Находились ли по этому адресу 1 апреля 2020 года
еще какие-либо люди, которых Вы не включили в
ответ на вопрос №1?
все подходящие варианты ответа:
Отметьте
„„ Дети родные или неродные, например: младенцы,
внуки или дети на временном воспитании по
решению суда (foster)
„„ Родственники, например: взрослые дети,
двоюродные, троюродные и т.п. братья и сестры
или родственники по супружеской линии
„„ Люди, не являющиеся родственниками, например:
соседи по комнате/квартире/частному дому
(roommates) или проживающие в доме няни
„„ Люди, находящиеся по этому адресу временно
„„ Другие люди по этому адресу не находились

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Этот дом, квартира или передвижной дом —
Отметьте
ОДИН вариант ответа:
„„ Приобретен(а) в моргич (кредит на жилье)
или взаем Вами или другими членами Вашего
домохозяйства, включая кредиты под залог
собственной доли недвижимости
„„ Находится в Вашей собственности или
собственности другого члена Вашего
домохозяйства, и стоимость полностью выплачена
(без моргича или ссуды)
„„ Используется на правах аренды
„„ Используется без оплаты аренды
Укажите Ваш номер телефона
Мы свяжемся с Вами только по служебной
необходимости Бюро переписи населения.

Номер телефона

4	

Бюро переписи населения США

Ответьте на вопросы на левой стороне страницы 2
НЕ ПИШИТЕ ВАШИ ОТВЕТЫ В НАСТОЯЩЕМ РУКОВОДСТВЕ

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Укажите информацию по каждому проживающему
здесь человеку. Если по этому адресу проживает
человек, который платит арендную плату или является
владельцем этой недвижимости, начните с указания
этого лица в качестве Человека №1. Если тот, кто
платит арендную плату или является владельцем
этой недвижимости, по этому адресу не проживает,
то в качестве Человека №1 запишите любого
проживающего здесь взрослого человека.
Как зовут Человека №1?

Пожалуйста, укажите имя Человека №1 латинскими
буквами.

Фамилия(и)

C

Имя

Инициал второго
имени или отчества

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Укажите пол Человека №1. 
Отметьте ОДИН вариант ответа:
„„ Мужской пол

„„ Женский пол

Месяц

День

Год рождения

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Возраст на
1 апреля
2020 года
(в годах)

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Укажите возраст и дату рождения Человека №1.
Для детей моложе 1 года не указывайте возраст
в месяцах. Поставьте 0 в графе «возраст». Впишите
цифры в клеточки.

Имеет ли Человек №1 испаноязычное,
латиноамериканское или испанское происхождение?
„„ Нет, не имеет испаноязычного, латиноамериканского
или испанского происхождения
„„ Да, мексиканец (мексиканка), американец
(американка) мексиканского происхождения, чикано
„„ Да, пуэрториканец (пуэрториканка)
„„ Да, кубинец (кубинка)
„„ Да, имеет другое испаноязычное,
латиноамериканское или испанское происхождение
— укажите печатными буквами, например:
сальвадорец (сальвадорка), доминиканец
(доминиканка), колумбиец (колумбийка), уроженец
(уроженка) Эквадора, испанец (испанка) и т.д.

Бюро переписи населения США	5

Ответьте на вопрос на правой стороне страницы 2
НЕ ПИШИТЕ ВАШИ ОТВЕТЫ В НАСТОЯЩЕМ РУКОВОДСТВЕ

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C

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Укажите расовую принадлежность человека №1.
Отметьте один или несколько вариантов ответа И
укажите происхождение печатными буквами:
„„ Белый (белая) — укажите происхождение печатными
буквами, например: немец (немка), ирландец
(ирландка), англичанин (англичанка), итальянец
(итальянка), ливанец (ливанка), египтянин
(египтянка) и т. д.
„„ Черный (черная) или афро-американец
(афро-американка) — укажите происхождение
печатными буквами, например: афро-американец
(афро-американка), уроженец (уроженка) Ямайки,
гаитянин (гаитянка), нигериец (нигерийка), эфиоп
(эфиопка), сомалиец (сомалийка) и т. д.
„„ Американский индеец (индианка) или уроженец
(уроженка) Аляски — укажите печатными буквами
название зарегистрированной племенной общины
или основного племени (племен), например:
представитель народа Навахо, племени «Блэкфит»,
народа Майя, Ацтеков, инупиат/инупиаткa Барроу,
член сообщества эскимосов г. Ном и т. д.
„„ Китаец
(китаянка)

„„ Вьетнамец „„ Уроженец
(вьетнамка)
(уроженка)
Гавайских
островов

„„ Самоанец
(самоанка)
„„ Чаморриец
(чаморроанка)
„„ Для уроженцев
других
тихоокеанских
островов
— укажите
происхождение
печатными
буквами, например:
уроженец
(уроженка)
островов Тонга,
уроженец
(уроженка)
Фиджи, уроженец
(уроженка)
Маршаллловых
островов и т. д.
„„ Другая раса — укажите печатными буквами расовую
принадлежность или этническое происхождение.

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„„ Филиппинец
„„ Кореец
(филиппинка)
(кореянка)
„„ Индиец
„„ Японец
(индианка)
(японка)
„„ Для выходцев
из других стран
Азии — укажите
происхождение
печатными
буквами,
например:
пакистанец
(пакистанка),
камбоджиец
(камбоджийка),
хмонг и т. д.

6	

Бюро переписи населения США

Ответьте на вопросы о каждом дополнительно
вписанном человеке
В отношении каждого дополнительно вписанного человека
будут заданы два приведенных ниже вопроса

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НЕ ПИШИТЕ ВАШИ ОТВЕТЫ В НАСТОЯЩЕМ РУКОВОДСТВЕ
Проживает или находится ли этот человек где-либо
еще?
Отметьте
„„ Нет

все подходящие варианты ответа:

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„„ Да, в колледже
„„ Да, с одним из
родителей или другим
„„ Да, по месту службы в
родственником
вооружённых силах
„
„
Да, по месту второго
„„ Да, в связи с работой
или сезонного жилья
или бизнесом
„„ Да, в следственном
„„ Да, в доме
изоляторе или тюрьме
престарелых
„„ Да, по другой причине

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Кем приходится этот человек Человеку №1?
Отметьте
ОДИН вариант ответа:
„„ Супругом/супругой противоположного пола
„„ Не состоящим(ей) в браке партнёром/партнёршей
противоположного пола
„„ Супругом/супругой того же пола
„„ Не состоящим(ей) в браке партнёром/партнёршей
того же пола
„„ Родным сыном или родной дочерью
„„ Усыновлённым или удочерённым ребёнком
„„ Пасынком или падчерицей
„„ Братом или сестрой
„„
„„
„„
„„
„„
„„

Отцом или матерью
Внуком или внучкой
Свёкром, свекровью, тестем, тёщей
Зятем или невесткой
Другим родственником/родственницей
Соседом/соседкой по комнате или дому/квартире
(roommate)
„„ Ребенком на временном воспитании по решению
суда (foster)
„„ Другим человеком, который не является
родственником

Бюро переписи населения США	7

Заполните страницу 8, если Вы подсчитали
более шести человек
НЕ ПИШИТЕ ВАШИ ОТВЕТЫ В НАСТОЯЩЕМ РУКОВОДСТВЕ

Возраст
1 апреля
2020 года
(в годах)

Месяц

День

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Женский
пол

Фамилия(и)

Год
рождения

Состоит ли в родстве
с Человеком №1?
„„ Да

„„ Нет

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Мужской
пол

Инициал второго
имени или отчества

C

Имя

Отправьте заполненную анкету переписи населения на английском языке
по почте в полученном конверте с оплаченными почтовыми расходами.

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Отвечать на вопросы
Переписи населения
в 2020 году стало проще

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Знаете ли Вы, что можете
отвечать по Интернету?

Если Вы предпочитаете заполнить
анкету Переписи населения 2020 года по
Интернету, воспользуйтесь ссылкой на
веб-сайт (URL), напечатанной в анкете.

Видеоруководства по
заполнению онлайн-анкеты
Переписи населения 2020 года доступны
в Интернете по адресу:
2020census.gov/languages
8	

D-G (rus) Russian
Бюро переписи населения США

‫رقم موافقة ‪ :0607-1006 OMB‬تنتهي صالحية هذه املوافقة يف‏‪11/30/2021‬‬

‫دليلك للتعداد السكاين لسنة ‪2020‬‬

‫‪op‬‬
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‫كيف تشارك يف االستبيان الورقي للتعداد السكاين لسنة ‪2020‬‬

‫‪C‬‬
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2020 ‫مرح ًبا يف التعداد السكاين لسنة‬

.‫يجب عدّ الجميع‬

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،‫الهدف من هذا التعداد السكاين هو إحصاء كل من يعيشون يف الواليات املتحدة‬
‫ نحتاج مساعدتك للتأكد من أن‬.‫ ومرة واحدة فقط ويف املكان الصحيح‬،‫مرة واحدة‬
.‫الجميع يف مجتمعك يتم ع ّده‬

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.‫معلومات التعداد السكاين مهمة‬

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‫ تستخدم النتائج لتحديد‬.‫ سنوات‬10 ‫الدستور األمرييك ينص عىل إجراء تعداد كل‬
‫ ورسم حدود التصويت يف الدوائر االنتخابية‬،‫عدد املقاعد لكل والية يف الكونغرس‬
‫ مليار دوالر أمرييك يف التمويل الفيدرايل‬675 ‫وتحديد كيفية إنفاق أكرث من‬
.‫للمجتمعات كل عام‬

.‫املشاركة هي واجبك املدين‬

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‫استكامل التعداد السكاين واجب؛ فهو طريقة للمشاركة يف الدميقراطية التي منلكها‬
"!‫ونقول "أنا أشارك يف اإلحصاء‬

.‫معلوماتك رسية‬

‫ تُسخدم إجاباتك فقط لتقديم اإلحصاء وال ميكن‬.‫القانون الفيدرايل يحمي إجاباتك‬
.‫استخدامها ضدك من قبل أي وكالة حكومية أو محكمة‬

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

Number o f people =

‫مكتب اإلحصاء األمرييك‬

‫استخدم هذا الدليل الستكامل االستبيان الورقي للتعداد‬
.2020 ‫السكاين لسنة‬

‫ اىل صناديق الربيد واىل‬2020 ‫سرتسل اإلستبيانات الورقية للتعداد السكاين لسنة‬
.‫املنازل يف جميع أنحاء الوطن‬

	2

‫قبل أن تبدأ‬
‫‪ 	.1‬احرض استبيانك وافتحه عىل الصفحة األوىل‪.‬‬
‫‪	.2‬استخدم املعلومات املتوفرة يف دليل اللغة العربية هذا لتظليل إجاباتك يف االستبيان الورقي باللغة‬
‫اإلنجليزية‪ .‬ال تكتب إجاباتك عىل هذا الدليل‪.‬‬

‫‪op‬‬
‫‪y‬‬

‫‪	.3‬قبل أن تجيب عن السؤال األول‪ ،‬قم ب ّعد األشخاص الذين يعيشون يف هذا املنزل أو الشقة أو املنزل‬
‫املتنقل باستخدام املبادئ التوجيهية أدناه‪.‬‬

‫‪C‬‬

‫عده‬
‫من الذي يجب ّ‬

‫	•قم ب ّعد جميع األشخاص‪ ،‬مبا يف ذلك األطفال‪،‬‬
‫الذين يعيشون وينامون هنا يف معظم‬
‫الوقت‪.‬‬

‫	•ال تقم ب ّعد أي شخص موجود يف دار رعاية‬
‫املسنني‪ ،‬السجن‪ ،‬الحبس‪ ،‬مركز االعتقال‪ ،‬إلخ‪،‬‬
‫يف ‪ 1‬أبريل‪ /‬نيسان ‪.2020‬‬

‫	•إذا مل يكن أي أحد يعيش أو ينام يف هذا‬
‫العنوان معظم الوقت‪ ،‬أجب عىل اإلنرتنت‪.‬‬

‫	•ال تدرج هؤالء األشخاص يف االستبيان الخاص‬
‫بك‪ ،‬حتى إذا كانوا سيعودون للعيش هنا بعد‬
‫مغادرتهم الكلية‪ ،‬دار رعاية املسنني‪ ،‬الجيش‪،‬‬
‫السجن‪ ،‬إلخ‪ .‬وإال‪ ،‬فقد يتم ّعدهم مرتني‪.‬‬

‫	•فإذا كان هناك شخص ما ال ميلك مكاناً دامئاً‬
‫للعيش فيه يقيم هنا يف ‪ 1‬أبريل‪ /‬نيسان‬
‫‪ ،2020‬فقم ب ّعد هذا الشخص‪.‬‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫يجب أن يتضمن التعداد السكاين كذلك األشخاص‬
‫الذين ال ميلكون مكان دائم للعيش فيه‪:‬‬

‫‪at‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫قم ب ّعد األشخاص الذين يعيشون يف هذا املنزل أو‬
‫الشقة أو املنزل املتنقل‪:‬‬

‫يقوم مكتب اإلحصاء األمرييك كذلك بإجراء اإلحصاء‬
‫يف املؤسسات واألماكن األخرى‪:‬‬

‫اقرأ األسئلة والتعليامت يف الصفحة التالية‪.‬‬
‫ال تكتب إجاباتك عىل هذا الدليل‪.‬‬
‫مكتب اإلحصاء األمرييك	‬

‫‪3‬‬

‫أكمل األسئلة يف الصفحة األمامية‬
‫ال تكتب إجاباتك عىل هذا الدليل‬

‫كم عدد األشخاص الذين كانوا مقيمني أوساكنني يف هذا املنزل أو هذه الشقة أو‬
‫هذا املنزل املتنقل يف ‪ 1‬أبريل‪ /‬نيسان ‪2020‬؟‬

‫‪op‬‬
‫‪y‬‬

‫عدد األشخاص‬

‫هل كان هناك أي أشخاص إضافيني يعيشون هنا يف ‪ 1‬أبريل‪/‬‬
‫نيسان ‪ 2020‬مل تدرجهم يف السؤال األول؟‬

‫‪C‬‬

‫اخرت‬

‫كل ما ينطبق‪.‬‬

‫يف هذا املنزل أو هذه الشقة أو هذا املنزل املتنقّل —‬
‫اخرت مربع واحد‪.‬‬

‫ما هو رقم هاتفك؟‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫„ „عقار متلكه أنت أو أي شخص آخر يف هذا البيت ويكون خاضعا لرهن‬
‫عقاري أو قرض؟ مبا يف ذلك قرض األصل العقاري‪.‬‬
‫„ „عقار متلكه أنت أو أي شخص آخر يف هذا البيت ملكية خالصة (بدون‬
‫رهن عقاري أو قرض)؟‬
‫„ „باإليجار؟‬
‫„ „تسكن فيه بدون دفع اإليجار؟‬

‫‪at‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫„ „األوالد‪ ،‬ذي صلة بالعائلة أم ال‪ ،‬مثل املواليد الجدد‪ ،‬األحفاد‪ ،‬أو األوالد‬
‫الذين تلقوا رعاية من خالل الربنامج الحكومي ‪Foster‬‬
‫„ „األقارب مثل األوالد البالغني‪ ،‬أبناء العم أو باملصاهرة‬
‫„ „غري األقارب‪ ،‬مثل رشكاء السكن أو املربيات املقيامت‬
‫„ „األشخاص املقيمون هنا بصفة مؤقتة‬
‫„ „ال يوجد أشخاص إضافيني‬

‫سنتصل بك فقط إذا احتاج األمر ألجل أمور إدارية تتعلق مبكتب اإلحصاء‪.‬‬

‫رقم الهاتف‬

‫‪	4‬‬

‫مكتب اإلحصاء األمرييك‬

‫أكمل األسئلة يف الجانب األيرس من صفحة ‪2‬‬

‫ال تكتب إجاباتك عىل هذا الدليل‬

‫‪op‬‬
‫‪y‬‬

‫يُرجى توفري املعلومات الخاصة بكل شخص يعيش هنا‪ .‬إذا كان هناك شخص ما‬
‫يعيش هنا ويسدد اإليجار أو ميتلك محل اإلقامة هذا‪ ،‬فابدأ بذكره أو ذكرها بصفته‬
‫الشخص ‪ .1‬إذا كان املالك أو الشخص الذي يسدد اإليجار ال يعيش هنا‪ ،‬فأبدأ بذكر‬
‫أي بالغ يعيش هنا بصفته الشخص ‪.1‬‬
‫ما اسم الشخص ‪1‬؟‬

‫الرجاء توفري اسم الشخص ‪ 1‬باللغة اإلنجليزية‪.‬‬

‫‪C‬‬
‫„ „أنثى (‪)Female‬‬

‫الحرف األول من اسم األب‪/‬‬
‫األوسط (‪)MI‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫ما جنس الشخص ‪1‬؟ اخرت‬

‫مربع واحد‪.‬‬

‫اسم العائلة‬

‫(‪)Last Name‬‬

‫االسم األول‬

‫(‪)First Name‬‬

‫„ „ذكر (‪)Male‬‬

‫ما عمر الشخص ‪ 1‬وما هو تاريخ ميالد الشخص ‪1‬؟‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫‪at‬‬

‫بالنسبة لألطفال الذين أعامرهم أقل من سنة واحدة‪ ،‬ال تكتب أعامرهم باألشهر‪.‬‬
‫اكتب ‪ 0‬كعمر لهم‪.‬‬

‫سنة املیالد‬

‫هل الشخص ‪ 1‬من أصل هسباين أو التيني أو أسباين؟‬
‫„ „ال‪ ،‬ليس من أصل هسباين أو التيني أو إسباين‬
‫„ „نعم‪ ،‬مكسييك‪ ،‬مكسييك أمريكاين‪ ،‬تشيكانو‬
‫„ „نعم‪ ،‬بورتورييك‬
‫„ „نعم‪ ،‬كويب‬
‫„ „نعم‪ ،‬من أصل هسباين أو التيني أو أسباين آخر — اكتب‪ ،‬عىل سبيل املثال‪،‬‬
‫سلفادوري‪ ،‬دومينيكاين‪ ،‬كولومبي‪ ،‬غواتياميل‪ ،‬إسباين‪ ،‬إكوادوري‪ ،‬إلخ‪.‬‬

‫مكتب اإلحصاء األمرييك	‬

‫اليوم‬

‫الشهر‬

‫العمر يف ‪1‬‬
‫أبريل‪ /‬نيسان‬
‫‪،2020‬‬
‫بالسنوات‬

‫‪5‬‬

‫أكمل السؤال يف الجانب األمين من صفحة ‪2‬‬

‫ال تكتب إجاباتك عىل هذا الدليل‬
‫ما عرق الشخص ‪1‬؟‬

‫‪op‬‬
‫‪y‬‬

‫اخرت‬

‫مربع أو أكرث و اكتب األصول‪.‬‬

‫‪C‬‬

‫„ „أبيض — اكتب‪ ،‬عىل سبيل املثال‪ ،‬أملاين‪ ،‬أيرلندي‪ ،‬إنجليزي‪ ،‬إيطايل‪ ،‬لبناين‪،‬‬
‫مرصي‪ ،‬إلخ‪.‬‬
‫„ „أسود أو أمرييك من أصل إفريقي — اكتب‪ ,‬عىل سبيل املثال‪ ،‬أمرييك من‬
‫أصل إفريقي‪ ،‬جاماييك‪ ،‬من هايتي‪ ،‬نيجريي‪ ،‬أثيويب‪ ،‬صومايل‪ ،‬إلخ‪.‬‬
‫„ „سكان أمريكا األصليني أو سكان أالسكا األصليني — اكتب اسم القبيلة‬
‫(القبائل) املسجلة أو األساسية‪ ،‬عىل سبيل املثال‪ ،‬أمة النافاجو‪ ،‬قبيلة بالك‬
‫فيت‪ ،‬املايا‪ ،‬األزتيك‪ ،‬أصييل القرية من الحكومة التقليدية للبارو أينوبيات‪،‬‬
‫جامعة نوم إسكيمو‪ ،‬إلخ‪.‬‬
‫„ „من سكان هاواي األصليني „ „فيتنامي „ „صيني‬
‫„ „فلبيني‬
‫„ „كوري‬
‫„ „من ساموا‬
‫„ „هندي‬
‫„ „ياباين‬
‫„ „تشامورو‬
‫„ „أسيوي آخر — اكتب‪،‬‬
‫„ „غريهم من سكان جرز‬
‫عىل سبيل املثال‪،‬‬
‫املحيط الهادئ — اكتب‪،‬‬
‫باكستاين‪ ،‬كمبودي‪،‬‬
‫عىل سبيل املثال‪ ،‬تونغي‪،‬‬
‫همونغ‪ ،‬إلخ‪.‬‬
‫فيجي‪ ،‬مارشايل‪ ،‬إلخ‪.‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬
‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫‪at‬‬

‫„ „عرق آخر — اكتب العرق أو األصل‪.‬‬

‫‪	6‬‬

‫مكتب اإلحصاء األمرييك‬

‫أكمل األسئلة لكل شخص إضايف‬

‫كل شخص إضايف سيطرح عليه السؤالني أدناه‬
‫ال تكتب إجاباتك عىل هذا الدليل‬

‫‪op‬‬
‫‪y‬‬

‫‪C‬‬

‫هل يسكن هذا الشخص أو يقيم عاد ًة يف مكان آخر؟‬
‫اخرت كل ما ينطبق‪.‬‬
‫„ „ال‬
‫„ „نعم‪ ،‬مع أحد الوالدين أو قريب „ „نعم‪ ،‬من أجل الكلية‬
‫آخر‬
‫„ „نعم‪ ،‬يف مهمة عسكرية‬
‫أو‬
‫موسمي‬
‫مسكن‬
‫يف‬
‫نعم‪،‬‬
‫„„‬
‫„ „نعم‪ ،‬من أجل الوظيفة أو‬
‫ثانوي‬
‫العمل‬
‫„ „نعم‪ ،‬يف السجن أو الحبس‬
‫„ „نعم‪ ،‬يف دار لرعاية املسنني‬
‫„ „نعم‪ ،‬لسبب آخر‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫اخرت‬

‫مربع واحد‪.‬‬

‫„ „األب أو األم‬
‫„ „الحفيد‬
‫„ „والد ‪ /‬والدة الزوج أو الزوجة‬
‫„ „زوج االبنة أو زوجة االبن‬
‫„ „قريب آخر‬
‫„ „رشيك سكن‬
‫„ „طفل تلقى رعاية من خالل الربنامج الحكومي ‪Foster‬‬
‫„ „شخص آخر من غري األقارب‬

‫مكتب اإلحصاء األمرييك	‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫„ „الزوج أو الزوجة من الجنس اآلخر‬
‫„ „رشيك الحياة بدون زواج من الجنس اآلخر‬
‫„ „الزوج أو الزوجة من نفس الجنس‬
‫„ „رشيك الحياة بدون زواج من نفس الجنس‬
‫„ „االبن أو االبنة‬
‫„ „االبن أو االبنة بالتبني‬
‫„ „ابن أو ابنة الزوج أو الزوجة‬
‫„ „األخ أو األخت‬

‫‪at‬‬

‫ما هي عالقة هذا الشخص مع الشخص ‪1‬؟‬

‫‪7‬‬

‫أكمل صفحة ‪ 8‬إذا قمت بإحصاء أكرث من ستة أشخاص‬
‫ال تكتب إجاباتك عىل هذا الدليل‬

‫الحرف األول من اسم األب‪/‬‬
‫األوسط (‪)MI‬‬

‫اسم العائلة‬

‫(‪)Last Name‬‬

‫‪op‬‬
‫‪y‬‬

‫‪C‬‬

‫ذو صلة بالشخص‪1 ‬؟‬
‫„ „نعم (‪)Yes‬‬
‫„ „ال (‪)No‬‬

‫سنة املیالد‬

‫اليوم‬

‫الشهر‬

‫العمر يف ‪ 1‬أبريل‪/‬‬
‫نيسان ‪،2020‬‬
‫بالسنوات‬

‫االسم األول‬

‫(‪)First Name‬‬

‫أنثى (‪)Female‬‬

‫ذكر (‪)Male‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫يُرجى إرسال استبيان اللغة اإلنجليزية املكتمل بالربيد يف مظروف خدمة الربيد مدفوعة األجر الذي تسلمته‪.‬‬

‫التعداد السكاين لسنة ‪2020‬‬

‫‪at‬‬

‫أسهل من أي وقت مىض‪.‬‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫هل تعلم أنه ميكنك املشاركة باإلجابة‬
‫عىل اإلنرتنت؟‬

‫إذا كنت تسطيع استكامل التعداد السكاين لسنة ‪2020‬‬
‫عىل اإلنرتنت‪ ،‬اذهب لعنوان املوقع عىل الشبكة املطبوع عىل‬
‫االستبيان‪.‬‬

‫دليل فيديو مصور الستكامل التعداد‬
‫السكاين لسنة ‪ 2020‬عىل اإلنرتنت‬
‫متوفر عىل‬
‫‪2020census.gov/languages‬‬

‫‪D-G (ara) Arabic‬‬

‫‪	8‬‬

‫مكتب اإلحصاء األمرييك‬

Numero ng OMB 0607-1006: Petsa ng pagka-walang bisa 11/30/2021

op
y

Ang Iyong Patnubay sa 2020 Senso

In
fo
rm

at

io
na
l

C

Paano Sagutan ang Papel na Palatanungan
ng 2020 Senso

Maligayang pagbati mula sa 2020 Senso
Ang lahat ay binibilang.

op
y

Ang layunin nitong senso ay bilangin ang bawat tao
na naninirahan sa U.S. nang minsan at minsan lang, at
sa tamang lugar. Kailangan namin ang iyong tulong
upang masiguro na ang lahat sa iyong komunidad ay
nabibilang.

Ang datos ng Senso ay mahalaga.

io
na
l

C

Ang Konstitusyon ng U.S. ay nangangailangan ng senso
bawat 10 taon. Ang mga resulta ay ginagamit upang
matukoy ang bilang ng mga puwesto ng bawat estado
sa Kongreso, gumawa ng mga hangganan para sa mga
distrito ng pagboto, at tukuyin kung paano ang higit
sa 675 bilyong dolyar na pederal na pagpopondo ay
ginagastos sa mga komunidad bawat taon.

Ang paglahok ay iyong tungkulin sa
bayan.

at

Ang pagkumpleto sa senso ay kinakailangan; ito ay
isang paraan sa paglahok sa ating demokrasya at
sabihing “Mahalaga ako!”

In
fo
rm

Ang iyong impormasyon ay
kompedensiyal.

Ang iyong mga sagot ay protektado ng batas na
pederal. Ang iyong mga sagot ay magagamit lamang
sa paggawa ng estadistika at hindi magagamit laban
sa iyo ng alinmang ahensiya ng gobyerno o korte.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

4.

–

–

Gamitin ang patnubay na ito
upang kumpletuhin ang papel na
palatanungan ng 2020 Senso.

Ang papel na palatanungan ng 2020 Senso ay darating
sa mga mailbox at sa mga pintuan sa buong bansa.
Kawanihan ng Senso ng U.S.

Bago Ka Magsimula
1.	 Hanapin ang iyong palatanungan at buksan ito sa unang pahina.

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2.	 Gamitin ang impormasyon sa patnubay na ito na nakasulat sa Tagalog
upang markahan ang iyong mga sagot sa papel na palatanungang
nakasulat sa Ingles. HUWAG ISULAT ANG MGA SAGOT MO SA GABAY
NA ITO.

Sino ang Dapat Bilangin

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3.	 Bago ka sumagot sa unang tanong, bilangin ang mga taong
naninirahan dito sa bahay, apartment, o tirahang naililipat (mobile
home) gamit ang mga patnubay sa ibaba.

Ang Kawanihan ng Senso ay
gumagawa rin ng mga pagbilang sa
mga institusyon at ibang mga lugar:

•	 Bilangin ang lahat ng mga tao,
kabilang ang mga sanggol, na
nakatira at natutulog dito sa
kadalasan.

•	 Huwag bilangin ang sinumang
nasa tirahan na may taga-alaga
(nursing home), nasa kulungan,
bilangguan, detensyon na
pasilidad, atbp., sa Abril 1, 2020.

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Bilangin ang mga taong naninirahan
sa bahay, apartment o tirahang
naililipat (mobile home) na ito:

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•	 Kung walang naninirahan o
natutulog sa address na ito sa
kadalasan, sumagot online.
Kailangan ding bilangin ng
senso ang mga taong walang
permanenteng lugar na titirhan:

•	 Kung may taong walang
permanenteng lugar na tinitirhan
ay namamalagi dito sa Abril 1,
2020, bilangin ang taong iyon.

•	 Huwag isama ang mga taong
ito sa iyong palatanungan, kahit
babalik sila upang manirahan
dito pag-alis nila sa kolehiyo,
tirahan na may taga-alaga
(nursing home), military,
kulungan, atbp. Kung hindi,
maaari silang mabilang nang
doble.

Basahin ang mga tanong at mga tagubilin sa susunod na pahina.
Huwag isulat ang mga sagot mo sa gabay na ito.
Kawanihan ng Senso ng U.S.	3

Kumpletuhin ang mga tanong sa
pangunahing pahina
HUWAG ISULAT ANG MGA SAGOT MO SA GABAY NA ITO

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Ilang tao ang tumira o nanatili sa bahay,
apartment, o tirahang naililipat (mobile home) na ito
sa Abril 1, 2020?
Bilang ng Tao

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Mayroon bang sinumang karagdagang tao na
nanirahan dito sa Abril 1, 2020 na hindi mo isinama sa
Unang Tanong?
Markahan ang lahat ng naaangkop.
„„ Mga bata, kamag-anak man o hindi, katulad ng mga
bagong silang, mga apo, o mga anak-anakan (foster
children)
„„ Mga kamag-anak, tulad ng mga nasa tamang gulang na
mga anak, pinsan, biyenan, manugang, hipag, o bayaw
„„ Mga hindi kamag-anak, gaya ng mga kakuwarto o
naninirahang mga babysitter
„„ Mga taong pansamantalang namamalagi dito
„„ Walang karagdagang tao

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Ito bang bahay, apartment, o tirahang naililipat

(mobile home) na ito ay —
Markahan ang ISANG kahon.
„„ Pag-aari mo o ninumang nasa sambahayang ito (mga
kasama sa tirahang ito) nang may mortgage o utang?
Isama ang home equity na mga utang.
„„ Pag-aari mo o ninumang nasa sambahayang ito (mga
kasama sa tirahang ito nang) (walang mortgage o
utang)?
„„ Inuupahan?
„„ Tinitirahan nang walang bayad sa upa?
Ano ang iyong numero ng telepono?
Kokontakin lang namin kayo kung kailangan para sa
opisyal na tungkulin ng Kawanihan ng Senso.

Numero ng Telepono

4	

Kawanihan ng Senso ng U.S.

Kumpletuhin ang mga tanong sa kaliwang
bahagi ng pangalawang pahina
HUWAG ISULAT ANG MGA SAGOT MO SA GABAY NA ITO

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Pakibigay ang impormasyon para sa bawat taong
nakatira dito. Kung mayroong nakatira dito na
nagbabayad ng upa o nagmamay-ari ng tirahan,
magsimula sa pamamagitan ng paglista sa kanya
bilang Unang Tao. Kung ang may-ari o ang taong
nagbabayad ng upa ay hindi nakatira dito, magsimula
sa paglista ng sinumang nasa tamang edad na
naninirahan dito bilang Unang Tao.

(Mga)
Apelyido
(Last Name(s))

Gitnang
Inisyal (MI)

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Unang
Pangalan
(First Name)

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Ano ang pangalan ng Unang Tao?

Ang Unang Tao ba ay lalaki o babae? 
Markahan ang ISANG kahon.
„„ Lalaki

„„ Babae

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Ano ang edad ng Unang Tao at ano ang petsa ng
kapanganakan ng Unang Tao?
Para sa mga sanggol na wala pang 1 taong gulang,
huwag isulat ang edad sa buwan. Isulat ang 0 bilang
edad.

Edad
(bilang ng
taon) Abril
1, 2020

Buwan

Araw

Taon ng
kapanganakan

Hispaniko, Latino, o Espanyol ba ang angkang
pinagmulan ng Unang Tao?
„„ Hindi, hindi Hispaniko, Latino, o Espanyol
ang pinagmulan
„„ Oo, Mehikano, Mehikanong Amerikano, Chicano
„„ Oo, Puerto Rican
„„ Oo, Kubano
„„ Oo, ibang Hispaniko, Latino, o Espanyol na
pinagmulan—Isulat nang malinaw, halimbawa,
Salvadoran, Dominikano, Kolumbyano, Guatemalan,
Kastila, Ecuadorian, atbp.

Kawanihan ng Senso ng U.S.	5

Kumpletuhin ang tanong sa kanang bahagi ng
pangalawang pahina
HUWAG ISULAT ANG MGA SAGOT MO SA GABAY NA ITO

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Ano ang lahi ng Unang Tao?
Markahan ang isa o higit pang mga kahon AT isulat
nang mas malinaw ang mga angkang pinagmulan.
„„ Puti—Isulat nang malinaw, halimbawa, Aleman, Irish,
Ingles, Italyano, Lebanese, Egyptian, atbp.
„„ Itim o Aprikanong Amerikano—Isulat nang malinaw,
halimbawa, Aprikanong Amerikano, Jamaican,
Haitian, Nigerian, Ethiopian, Somali, atbp.
„„ Amerikanong Indian o Katutubong Alaskan—
Isulat nang malinaw ang pangalan ng naka-enroll
o (mga) pangunahing tribo, halimbawa, Navajo
Nation, Blackfeet Tribe, Mayan, Aztec, Tradisyonal
na Pamahalaan ng Katutubong Nayon ng Barrow
Inupiat, Komunidad ng Nome Eskimo, atbp.

„„ Tsino

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„„ Filipino
„„ Asyanong
Indian
„„ Ibang
Asyano—
Isulat nang
malinaw,
halimbawa,
Pakistani,
Cambodian,
Hmong, atbp.

6	

„„ Vietnamese „„ Katutubong
Hawayano
„„ Koreano
„„ Samoan
„„ Hapon
„„ Chamorro
„„ Ibang Taga-Islang
Pasipiko—Isulat
nang malinaw,
halimbawa,
Tongan, Fijian,
Marshallese, atbp.

„„ Iba pang lahi—Isulat nang malinaw ang lahi
o pinagmulan.

Kawanihan ng Senso ng U.S.

Kumpletuhin ang mga tanong para sa bawat
karagdagang tao
Ang bawat karagdagang tao ay tatanungin ng dalawang
katanungan sa ibaba

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HUWAG ISULAT ANG MGA SAGOT MO SA GABAY NA ITO
Ang tao bang ito ay karaniwang nakatira
o nananatili sa ibang lugar?
Markahan
„„ Hindi

ang lahat ng naaangkop.

„„ Oo, kasama ang
magulang o ibang
„„ Oo, kasama ng
kamag-anak
assignment sa military
„
„
Oo,
sa isang
„„ Oo, para sa trabaho
pana-panahon
o negosyo
o pangalawang tirahan
„„ Oo, sa isang tirahan
„
„
Oo,
sa kulungan
na may taga-alaga
(nursing home)
„„ Oo, para sa ibang
dahilan

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„„ Oo, para sa kolehiyo

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Ang tao bang ito ay kamag-anak ng Unang Tao?
Markahan ang ISANG kahon.
„„ Mag-asawang lalaki at babae
„„ Nagsasamang mag-partner na babae at lalaki na
hindi kasal
„„ Mag-asawang parehong lalaki o parehong babae
„„ Nagsasamang mag-partner na parehong lalaki
o parehong babae na hindi kasal
„„ Tunay na anak (anak sa dugo)
„„ Ampon na anak
„„ Anak ng asawa
„„ Kapatid

„„ Ama o ina
„„ Apo
„„ Biyenan
„„ Manugang
„„ Ibang kamag-anak
„„ Kakuwarto o kabahay
„„ Anak-anakan (foster child)
„„ Ibang hindi kamag-anak

Kawanihan ng Senso ng U.S.	7

Kumpletuhin ang ika-8 pahina kung mahigit
sa anim na katao ang nabilang mo
HUWAG ISULAT ANG MGA SAGOT MO SA GABAY NA ITO

Edad
(bilang ng
taon) Abril
1, 2020

Buwan

Araw

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Babae

Taon ng
kapanganakan

May relasyon sa
Unang  Tao?
„„ Oo

„„ Hindi

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Lalaki

(Mga) Apelyido
(Last Name(s))

Gitnang
Inisyal (MI)

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Unang Pangalan
(First Name)

Mangyaring ipadala sa koreo ang nakumpletong palatanungan
sa Ingles gamit ang sobreng may bayad na selyong iyong natanggap.

at

Ang 2020 Senso ay mas
madali kaysa dati.

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Alam mo bang pwede ka
ring sumagot online?

Kung hindi mo magawang kumpletuhin
ang 2020 Senso online, pumunta sa URL
na nakasulat sa palatanungan.

Ang mga video na patnubay
para sa pagkumpleto ng 2020 Senso online
ay makikita sa
2020census.gov/languages
8	

D-G (tgl) Tagalog
Kawanihan ng Senso ng U.S.

Nr OMB. 0607-1006: Zatwierdzenie wygasa 11/30/2021

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Spis Ludności 2020 - Przewodnik

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Jak wypełnić papierowy kwestionariusz
Spisu Ludności 2020

Witamy w Spisie Ludności 2020
Każdy się liczy.

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Celem niniejszego Spisu Ludności jest policzenie każdej
osoby mieszkającej w USA tylko i wyłącznie jeden raz
oraz we właściwym miejscu. Potrzebujemy Państwa
pomocy, aby upewnić się, że każda osoba w Państwa
społeczności zostanie policzona.

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Dane pochodzące ze Spisu Ludności
są ważne.

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Konstytucja Stanów Zjednoczonych wymaga, aby Spis
Ludności był przeprowadzany co 10 lat. Wyniki spisu
używane są do określenia liczby miejsc w Kongresie,
przysługujących każdemu stanowi, ustalenia granic
okręgów wyborczych oraz określenia sposobów
wydatkowania funduszy federalnych w wysokości ponad
675 miliardów dolarów co roku w społecznościach.

Wzięcie udziału w spisie jest
obowiązkiem obywatelskim.

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Wzięcie udziału w Spisie Ludności jest obowiązkowe.
W ten sposób każdy uczestniczy w naszej demokracji i
mówi „Jestem brany pod uwagę!”

Państwa dane są poufne.
Odpowiedzi są chronione prawem federalnym. Państwa
odpowiedzi mogą być wykorzystane tylko do utworzenia
danych statystycznych i nie mogą zostać użyte przeciwko
Państwu przez żaden organ rządowy bądź sąd.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

4.

–

–

Prosimy o skorzystanie z tego
przewodnika, aby wypełnić
kwestionariusz Spisu Ludności 2020
w wersji papierowej.

Kwestionariusz Spisu Ludności 2020 w wersji
papierowej znajdzie się w skrzynkach pocztowych i pod
drzwiami domów w całym kraju.
Urząd Spisu Ludności USA

Zanim rozpoczniesz
1.	 Proszę znaleźć kwestionariusz i otworzyć go na pierwszej stronie.

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2.	 Proszę skorzystać z informacji podanych w niniejszym przewodniku
w języku polskim przy zaznaczaniu odpowiedzi w kwestionariuszu
w wersji papierowej w języku angielskim. PROSZĘ NIE WPISYWAĆ
ODPOWIEDZI W TYM PRZEWODNIKU.

Kogo należy policzyć

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3.	 Przed udzieleniem odpowiedzi na pierwsze pytanie, proszę policzyć
osoby mieszkające w tym domu, mieszkaniu lub przyczepie mieszkalnej
według poniższych wytycznych.

Urząd Spisu Ludności prowadzi
również spis w instytucjach i
innych miejscach:

•	 Proszę policzyć wszystkie
osoby, w tym również
niemowlęta, które zwykle tu
mieszkają i nocują.

•	 Proszę nie liczyć osób, które 1
kwietnia 2020 roku przebywają
w domu opieki, więzieniu,
zakładzie karnym lub izbie
zatrzymań itd.

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Proszę policzyć osoby mieszkające
w tym domu, mieszkaniu lub
przyczepie mieszkalnej:

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•	 Jeśli osoby przebywające pod
tym adresem zwykle mieszkają
lub nocują gdzie indziej, należy
wypełnić kwestionariusz online.

Spis Ludności musi również
objąć osoby bez stałego miejsca
zamieszkania:
•	 Jeżeli 1 kwietnia 2020 roku
mieszka lub przebywa tu ktoś,
kto nie ma stałego miejsca
zamieszkania, proszę policzyć tę
osobę.

•	 Proszę pominąć te osoby
w kwestionariuszu, nawet jeżeli
powrócą tu po zakończeniu
studiów, z domu opieki, po
zakończeniu służby wojskowej,
więzienia itd. W przeciwnym
razie zostaną policzone dwa
razy.

Proszę przeczytać pytania i wskazówki na następnej stronie.
Proszę nie wpisywać odpowiedzi w tym przewodniku.
Urząd Spisu Ludności USA	3

Proszę udzielić odpowiedzi na pytania
znajdujące się na pierwszej stronie
PROSZĘ NIE WPISYWAĆ ODPOWIEDZI W TYM PRZEWODNIKU

Liczba osób

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Ile osób mieszkało lub przebywało w tym domu,
mieszkaniu lub przyczepie mieszkalnej 1 kwietnia
2020 roku?

Czy były jakieś dodatkowe osoby, które przebywały
tu 1 kwietnia 2020 roku, których nie uwzględnił/a
Pan/Pani w Pytaniu 1?
wszystkie które dotyczą.

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Proszę zaznaczyć

„„ Dzieci, spokrewnione lub niespokrewnione, np.
noworodki, wnuki lub dzieci z rodzin zastępczych

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„„ Krewni, tacy jak dorosłe dzieci, kuzyni lub
teściowie

„„ Osoby niespokrewnione, takie jak współlokatorzy
lub opiekunki do dzieci mieszkające na miejscu

„„ Osoby przebywające tu tymczasowo

„„ Żadnych dodatkowych osób

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Czy ten dom, mieszkanie lub przyczepa
mieszkalna jest —

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Proszę zaznaczyć

JEDNO pole.

„„ Własnością Pana/Pani lub kogoś w gospodarstwie
domowym z hipoteką (mortgage) lub kredytem
hipotecznym (loan)? Proszę uwzględnić kredyty
pod zastaw nieruchomości (equity loans).
„„ Własnością Pana/Pani lub kogoś w gospodarstwie
domowym bez żadnych obciążeń (bez hipoteki
(mortgage) lub kredytu (loan))?
„„ Wynajmowane?
„„ Zamieszkiwane bez opłacania czynszu?
Jaki jest Pana/Pani numer telefonu?

Numer telefonu

4	

Skontaktujemy się z Panem/Panią wyłącznie wtedy,
gdy Urząd Spisu Ludności będzie tego potrzebować
do swoich celów.
Urząd Spisu Ludności USA

Proszę udzielić odpowiedzi na pytania
znajdujące się w lewej części na stronie 2
PROSZĘ NIE WPISYWAĆ ODPOWIEDZI W TYM PRZEWODNIKU

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Proszę podać informacje na temat każdej osoby,
która tutaj mieszka. Jeżeli mieszka tu ktoś, kto płaci
czynsz lub jest właścicielem tej nieruchomości,
proszę podać go najpierw jako Osobę 1. Jeżeli
właściciel lub osoba płacąca czynsz nie mieszka tutaj,
proszę podać dowolną osobę dorosłą jako Osobę 1.

Imię
(First Name)

Nazwisko(a)
(Last Name(s))

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Jak się nazywa Osoba 1?

Inicjał drugiego
imienia (Middle Initial)

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Jaka jest płeć Osoby 1? 
Proszę zaznaczyć JEDNO pole.
„„ Płeć męska

„„ Płeć żeńska

Jaki jest wiek Osoby 1 i jaka jest jej data urodzenia?

Miesiąc

Dzień

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Wiek
1 kwietnia
2020 roku,
w latach

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Jeżeli niemowlę ma poniżej 1 roku, nie należy
wpisywać wieku w miesiącach. Proszę podać 0 jako
wiek.

Rok
urodzenia

Czy Osoba 1 jest pochodzenia latynoskiego lub
hiszpańskiego?

„„ Nie, nie jest pochodzenia latynoskiego ani
hiszpańskiego
„„ Tak, jest pochodzenia meksykańskiego, jest
Amerykaninem/ką meksykańskiego pochodzenia
lub Chicano
„„ Tak, jest pochodzenia portorykańskiego
„„ Tak, jest pochodzenia kubańskiego
„„ Tak, jest innego pochodzenia latynoskiego lub
hiszpańskiego — proszę wpisać pochodzenie
na przykład salwadorskie, dominikańskie,
kolumbijskie, gwatemalskie, hiszpańskie,
ekwadorskie itd.
Urząd Spisu Ludności USA	5

Proszę udzielić odpowiedzi na pytanie
znajdujące się w prawej części na stronie 2
PROSZĘ NIE WPISYWAĆ ODPOWIEDZI W TYM PRZEWODNIKU
Jaka jest rasa Osoby 1?

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Proszę zaznaczyć jedno lub więcej pole ORAZ
wpisać pochodzenie drukowanymi literami.
„„ Biały/a — proszę wpisać pochodzenie na przykład
niemieckie, irlandzkie, angielskie, włoskie, libańskie,
egipskie itd.

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„„ Czarnoskóry/Czarnoskóra lub Afroamerykanin/ka
— proszę wpisać pochodzenie na przykład
afroamerykańskie, jamajskie, haitańskie,
nigeryjskie, etiopskie, somalijskie itd.

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„„ Indianin/ka lub rdzenny/a mieszkaniec/ka Alaski
— proszę wpisać drukowanymi literami, nazwę
szczepu głównego lub uznanego federalnie,
na przykład Naród Navajo, szczep Blackfeet,
Majowie, Aztekowie, z Tradycyjnych Władz Wioski
Rdzennych Mieszkańców Barrow Inupiat (Native
Village of Barrow Inupiat Traditional Government),
Społeczność Eskimosów Nome itd.

„„ Pochodzenie „„ Osoba
z rdzennym
wietnamskie
pochodzeniem
hawajskim
„„ Pochodzenie
„„ Pochodzenie „„ Pochodzenie
filipińskie
koreańskie
samoańskie
„„ Pochodzenie
„„ Pochodzenie „„ Mieszkaniec/ka
hinduskie
japońskie
Chamorro
„
„
Inny/a
„„ Inny/a Azjata/ka
mieszkaniec/
— proszę wpisać
ka wysp
pochodzenie
Pacyfiku —
na przykład
proszę wpisać
pakistańskie,
na przykład
kambodżańskie,
mieszkaniec/
hmongijskie itd.
ka Tonga, Fidżi,
Wysp Marshalla
itd.
„„ Inna rasa — proszę wpisać drukowanymi literami
rasę lub pochodzenie.

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„„ Pochodzenie
chińskie

6	

Urząd Spisu Ludności USA

Proszę udzielić odpowiedzi na pytania
dotyczące każdej dodatkowej osoby
Proszę odpowiedzieć na dwa poniższe pytania dotyczące każdej
dodatkowej osoby

op
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PROSZĘ NIE WPISYWAĆ ODPOWIEDZI W TYM PRZEWODNIKU
Czy ta osoba zwykle mieszka lub przebywa gdzie
indziej?
Proszę zaznaczyć
„„ Nie

wszystkie które dotyczą.

„„ Tak, z rodzicem lub
innym krewnym

„„ Tak, w związku
z przydziałem do
służby wojskowej

„„ Tak, w sezonowym
lub drugim miejscu
zamieszkania

„„ Tak, ze względu na
pracę lub firmę

„„ Tak, w więzieniu lub
zakładzie karnym

„„ Tak, w domu opieki

„„ Tak, z innego powodu

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„„ Tak, ze względu na
studia

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Jakie jest pokrewieństwo tej osoby z Osobą 1?

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Proszę zaznaczyć

JEDNO pole.

„„ Mąż/żona/współmałżonek przeciwnej płci
„„ Partner przeciwnej płci bez związku małżeńskiego
„„ Mąż/żona/współmałżonek tej samej płci
„„ Partner tej samej płci bez związku małżeńskiego
„„ Biologiczny syn lub córka
„„ Adoptowany syn lub córka
„„ Pasierb lub pasierbica
„„ Brat lub siostra

„„ Ojciec lub matka
„„ Wnuk/wnuczka
„„ Teść/teściowa
„„ Zięć lub synowa
„„ Inny krewny
„„ Współlokator/ka
„„ Dziecko z rodziny zastępczej
„„ Inna osoba niespokrewniona

Urząd Spisu Ludności USA	7

Proszę wypełnić stronę 8, jeśli policzono
więcej niż 6 osób
PROSZĘ NIE WPISYWAĆ ODPOWIEDZI W TYM PRZEWODNIKU

Wiek
1 kwietnia
2020 roku,
w latach

Miesiąc

Dzień

op
y

Płeć
żeńska

Nazwisko(a)
(Last Name(s))

Rok
urodzenia

Spokrewniona
z Osobą 1?
„„ Tak „„ Nie

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Płeć męska

Inicjał drugiego
imienia (Middle Initial)

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Imię
(First Name)

Proszę wysłać wypełniony kwestionariusz w języku angielskim
w otrzymanej kopercie z uiszczoną opłatą pocztową.

at

Spis Ludności 2020
jest łatwiejszy niż
kiedykolwiek.

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Czy wiedzą Państwo,
że można wypełnić
kwestionariusz online?

Jeśli jest Pan/Pani w stanie wypełnić
kwestionariusz Spisu Ludności 2020
online, proszę przejść pod adres URL
wydrukowany na kwestionariuszu.

Wideo-przewodniki do wypełnienia
kwestionariusza Spisu Ludności 2020
online są dostępne na stronie
2020census.gov/languages
8	

D-G (pol) Polish
Urząd Spisu Ludności USA

OMB No. 0607-1006: L’agrément expire le 11/30/2021

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Votre guide pour le Recensement 2020

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Comment répondre au questionnaire papier du
Recensement 2020

Bienvenue au Recensement 2020
Chacun compte.

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L’objectif de ce recensement est de compter chaque
personne vivant aux États-Unis, une seule fois et au
bon endroit. Nous avons besoin de votre aide pour
nous assurer que chacun dans votre communauté
est compté.

C

Les données du recensement sont
importantes.

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La Constitution des États-Unis impose un recensement
tous les dix ans. Les résultats servent à déterminer
le nombre de sièges de chaque État au Congrès, à
dessiner les limites des circonscriptions électorales et à
déterminer comment plus de 675 milliards de dollars en
financement fédéral sont dépensés chaque année dans
les communautés.

at

Votre participation relève de votre
devoir civique.

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Il est obligatoire de répondre au recensement ; c’est
une manière de participer à notre démocratie et de
dire « je compte ! »

Vos renseignements sont confidentiels.
La loi fédérale protège vos réponses. Vos réponses ne
peuvent servir qu’à la production de statistiques et ne
peuvent pas être utilisées contre vous par une agence
gouvernementale ou un tribunal.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

Utilisez ce guide pour remplir
le questionnaire papier du
Recensement 2020.

–

–

Les questionnaires papier du Recensement 2020
seront déposés dans les boîtes aux lettres et sur les
pas-de-porte partout dans le pays.
Bureau de recensement des États-Unis

Avant de commencer
1.	 Prenez votre questionnaire et ouvrez-le à la première page.

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2.	 Utilisez les renseignements contenus dans ce guide en français
pour inscrire vos réponses dans le questionnaire papier en anglais.
N’INSCRIVEZ PAS VOS RÉPONSES SUR CE GUIDE.

3.	 Avant de répondre à la première question, comptez les personnes
qui vivent dans cette maison, cet appartement ou ce mobile home en
suivant les recommandations ci-dessous.

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Qui compter

Le Bureau du recensement
procède également à des
recensements dans les institutions
et autres lieux :

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Comptez les personnes
vivant dans cette maison, cet
appartement ou ce mobile home :

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•	 Comptez toutes les personnes, y
compris les bébés, qui vivent et
dorment ici la plupart du temps.

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•	 Si personne ne vit ou ne dort
à cette adresse la plupart du
temps, répondez en ligne.

Le recensement doit également
inclure les personnes sans
résidence permanente :
•	 Si une personne sans résidence
permanente demeure ici au 1er
avril 2020, vous devez compter
cette personne.

•	 Ne comptez personne résidant
dans une maison de retraite,
une prison, un établissement de
détention, etc. au 1er avril 2020.
•	 N’ajoutez pas ces personnes
dans votre questionnaire, même
si elles pensent retourner vivre
ici après avoir quitté l’université,
la maison de retraite, l’armée, la
prison, etc. Elles risquent sinon
d’être comptées deux fois.

Lisez les questions et les instructions à la page suivante.
N’inscrivez pas vos réponses sur ce guide.
Bureau de recensement des États-Unis	3

Répondez aux questions de la première page
N’INSCRIVEZ PAS VOS RÉPONSES SUR CE GUIDE
Combien de personnes vivaient ou résidaient dans
cette maison, cet appartement ou ce mobile home
au 1er avril 2020 ?

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Nombre de personnes

Des personnes supplémentaires séjournaient-elles
ici au 1er avril 2020 qui n’étaient pas incluses dans
la question 1 ?
Cochez

toutes les cases applicables.

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„„ Enfants, ayant ou non un lien de parenté, tels que
des nouveau-nés, petits-enfants ou enfants placés
en familles d’accueil

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„„ Membres de la famille, tel que des enfants adultes,
des cousins ou des beaux-parents
„„ Personnes sans lien de parenté, tels que des
colocataires ou gardiennes d’enfants à domicile
„„ Personnes séjournant à titre provisoire
„„ Pas de personnes supplémentaires

at

Est-ce que cette maison, cet appartement ou ce
mobile home est —

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Cochez

UNE SEULE case.

„„ Détenu(e) en propriété par vous ou une personne
de ce foyer suivant un prêt ou un crédit immobilier
(y compris les prêts sur la valeur d'un bien
immobilier) ?
„„ Est détenu(e) en propriété pleine et entière par
vous ou par une personne de ce foyer (sans crédit
ou prêt immobilier) ?
„„ En location ?
„„ Occupé(e) sans paiment de loyer ?
Quel est votre numéro de téléphone ?
Nous vous contacterons uniquement si nécessaire
pour des affaires officielles du Bureau de
recensement.

Numéro de téléphone

4	

Bureau de recensement des États-Unis

Répondez aux questions sur le côté gauche
de la deuxième page
N’INSCRIVEZ PAS VOS RÉPONSES SUR CE GUIDE

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Veuillez fournir des informations pour chaque
personne vivant ici. Si quelqu’un qui habite ici paie
le loyer ou est propriétaire de cette résidence,
commencez par l’inscrire comme Personne 1. Si le
propriétaire ou la personne qui paie le loyer n’habite
pas ici, commencez par inscrire tout adulte qui habite
ici comme Personne 1.

Nom(s) de famille
(Last Name(s))

Initiale du second
prénom
(Middle Initial)

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Prénom
(First Name)

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Quel est le nom de la Personne 1 ?

Quel est le sexe de la Personne 1 ? 
Cochez UNE SEULE case.
„„ Masculin

„„ Féminin

Quel est l’âge de la Personne 1 et quelle est sa date
de naissance ?

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at

Pour les bébés de moins d’un an, n’inscrivez pas l’âge
en mois. Inscrivez 0 comme âge.

Âge, en
années,
au 1er avril
2020

Mois

Jour

Année de
naissance

La Personne 1 est-elle d’origine hispanique, latine ou
espagnole ?
„„ Non, pas d’origine hispanique, latine ou espagnole
„„ Oui, Mexicain, Mexicain Américain, Chicano
„„ Oui, Portoricain
„„ Oui, Cubain
„„ Oui, d’une autre origine hispanique, latine ou
espagnole — inscrivez en caractères d’imprimerie,
par exemple, Salvadorien, Dominicain, Colombien,
Guatémaltèque, Espagnol, Équatorien, etc.

Bureau de recensement des États-Unis	5

Répondez à la question sur le côté droit de la
deuxième page
N’INSCRIVEZ PAS VOS RÉPONSES SUR CE GUIDE
Quelle est la race de la Personne 1 ?

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Cochez une ou plusieurs cases ET inscrivez les
origines en caractères d’imprimerie.
„„ Blanc — inscrivez en caractères d’imprimerie,
par exemple, Allemand, Irlandais, Anglais, Italien,
Libanais, Égyptien, etc.

C

„„ Noir ou Afro-Am. — inscrivez en caractères
d’imprimerie, par exemple, Afro-Américain,
Jamaïcain, Haïtien, Nigérien, Éthiopien, Somalien, etc.

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„„ Indien Américain ou natif de l’Alaska — inscrivez en
caractères d’imprimerie le nom des tribus inscrites
ou principales, par exemple, la Nation Navajo, la
Tribu Blackfeet, les Mayas, les Aztèques, le Village
Natif du Gouvernement Traditionnel Barrow
Inupiat, la Communauté Eskimo Nome, etc.

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„„ Chinois
„„ Vietnamien „„ Hawaïen natif
„„ Philippin
„„ Coréen
„„ Samoan
„„ Indien
„„ Japonais
„„ Chamorro
Asiatique
„„ Autre
„„ Autre
Asiatique —
Polynésien —
inscrivez en
inscrivez en
caractères
caractères
d’imprimerie,
d’imprimerie,
par exemple,
par exemple,
Pakistanais,
Tongan, Fidjien,
Cambodgien,
Marshallais, etc.
Hmong, etc.
„„ Une autre race — inscrivez la race ou l’origine en
caractères d’imprimerie.

6	

Bureau de recensement des États-Unis

Répondez aux questions pour chaque
personne supplémentaire
Chaque personne supplémentaire devra répondre aux deux
questions suivantes

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N’INSCRIVEZ PAS VOS RÉPONSES SUR CE GUIDE
Cette personne vit-elle ou réside-t-elle
ailleurs habituellement ?
Cochez

toutes les cases applicables.

„„ Non

„„ Oui, avec un parent ou
un autre membre de la
famille

C

„„ Oui, pour l’université
„„ Oui, en mission
militaire

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„„ Oui, pour être plus près „„ Oui, dans une
résidence saisonnière
d’un travail ou d’une
ou secondaire
entreprise
„„ Oui, dans une maison „„ Oui, en prison
de retraite

„„ Oui, pour une autre
raison

at

Quelle est la relation entre cette personne et
la Personne 1 ?

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Cochez

UNE SEULE case.

„„ Mari/femme/époux(se) de sexe opposé
„„ Partenaire non marié de sexe opposé
„„ Mari/femme/époux(se) de même sexe
„„ Partenaire non marié de même sexe
„„ Fils ou fille biologique
„„ Fils ou fille adopté
„„ Fils ou fille de l'époux/se
„„ Frère ou soeur
„„ Père ou mère
„„ Petit-enfant
„„ Beau-parent
„„ Beau-fils ou belle-fille
„„ Autre membre de la famille
„„ Colocataire ou co-occupant
„„ Enfant placé en famille d’accueil
„„ Autre personne sans lien de parenté

Bureau de recensement des États-Unis	7

Remplissez la page 8 si vous avez compté
plus de six personnes
N’INSCRIVEZ PAS VOS RÉPONSES SUR CE GUIDE

Âge, en
années,
au 1er avril
2020

Mois

Jour

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Féminin

Nom(s) de famille
(Last Name(s))

Année de
naissance

Relation avec la
Personne 1 ?
„„ Oui

„„ Non

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Masculin

Initiale du second
prénom (Middle Initial)

C

Prénom
(First Name)

Veuillez envoyer par la poste le questionnaire en anglais rempli
dans l’enveloppe affranchie que vous avez reçue.

In
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at

Le Recensement 2020
est plus facile que
jamais.

Saviez-vous que vous
pouvez répondre en ligne ?
Si vous pouvez remplir le questionnaire
du Recensement 2020 en ligne,
consultez le lien figurant sur le
questionnaire.

Des guides vidéo pour remplir le
questionnaire du Recensement 2020 en ligne
sont disponibles à l’adresse suivante
2020census.gov/languages
8	

D-G (fra) French
Bureau de recensement des États-Unis

Nimewo OMB. 0607-1006: Apwobasyon an Ekspire 11/30/2021

op
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Gid ou pou Resansman 2020 an

In
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C

Fason pou Reponn Kesyonè
sou Papye Resansman 2020 an

Byenvini nan Resansman 2020 an
Tout moun konte.

op
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Objektif resansman sa a se pou konte chak grenn
moun nan peyi Etazini, yon fwa, sèlman yon fwa epi
nan bon kote a. Nou bezwen èd ou pou garanti yo
konte tout moun nan kominote w la.

Done resansman yo enpòtan.

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C

Konstitisyon Etazini a egzije pou yo fè yon resansman
chak 10 zan. Yo sèvi ak rezilta yo pou detèmine
konbyen plas chak eta genyen nan Kongrè, trase limit
pou distri elektoral, epi detèmine kijan pou yo depanse
plis pase $675 bilyon dola nan finansman federal nan
kominote yo chak ane.

at

Ou gen yon responsablite sivik
pou patisipe.

In
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Ou oblije ranpli resansman sa a; se yon fason pou
patisipe nan demokrasi nou an epi pou ka di "Mwen
konte!"

Enfòmasyon ou ap konfidansyèl.
Lwa federal pwoteje enfòmasyon ou yo. N ap itilize
repons ou yo sèlman pou kreye estatistik epi pa gen
okenn ajans govènman an oswa tribinal ki ka itilize
repons ou yo kont ou.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

Itilize gid sa a pou ranpli kesyonè sou
papye Resansman 2020 an.

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

Kesyonè sou papye resansman 2020 yo pral rive nan
bwat lèt epi devan pòt moun toupatou nan peyi a.

Number o f people =

2	

Biwo Resansman Etazini

Avan ou Kòmanse
1.	 Pran kesyonè ou a epi ouvri li nan premye paj la.

op
y

2.	 Itilize enfòmasyon ki nan gid an Kreyòl Ayisyen sa a pou make repons
ou yo sou kesyonè Anglè sou papye a. PIGA OU EKRI REPONS OU YO
SOU GID SA A.

Moun pou Konte

C

3.	 Avan ou reponn premye kesyon an, konte moun ki ap viv nan kay,
apatman, oswa kay mobil sa a pandan w ap swiv gid yo ki anba la a.

Biwo resansman an konte moun
nan enstitisyon ak lòt kote tou:

•	 Konte tout moun, tibebe, moun
ki ap viv la oswa dòmi la pifò
tan.

•	 Pa konte okenn moun ki nan yon
mezon retrèt, prizon, elatriye
premye avril 2020.

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Konte moun ki ap viv nan kay,
apatman, oswa kay mobil sa a:

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•	 Si pa gen okenn moun ki ap viv
oswa dòmi nan adrès sa a pifò
tan, reponn sou entènèt la.

Resansman an dwe mete moun ki
pa gen yon kote pèmanan pou viv
yo tou:

•	 Pa mete moun sa yo nan
kesyonè ou a, menm si yo pral
retounen pou viv la apre yo
kite kolèj, mezon retrèt, militè,
prizon, elatriye. Sinon, yo ka
konte yo de fwa.

•	 Si yon moun ki pa gen yon adrès
pèmanan ap viv la premye avril
2020, konte moun sa a.

Li kesyon ak enstriksyon yo sou pwochen paj la.
Piga ou ekri repons ou yo sou gid sa a.
Biwo Resansman Etazini	3

Reponn kesyon yo ki sou paj devan an
PIGA OU EKRI REPONS OU YO SOU GID SA A

Kantite Moun

op
y

Konbyen moun ki tap viv oswa ki tap rete nan kay,
apatman, oswa kay mobil sa a premye avril 2020?

Èske te gen plis moun ki tap viv la premye avril
2020 ou pa te mete pou Kesyon 1?
tout bon repons yo.

C

Make

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„„ Timoun, swa fanmi oswa ki pa fanmi, tankou tibebe
ki fenk fèt, pitit-pitit, oswa pitit fwaye dakèy (foster
children)
„„ Fanmi, tankou pitit ki endepandan, kouzen, kouzin,
oswa fanmi madanm/mari ou
„„ Moun ki pa fanmi, tankou kolokatè oswa moun ki
ap gade timoun ki abite nan kay la
„„ Moun ki rete la pou yon ti tan

at

„„ Pa gen plis moun

Èske se yon kay, apatman, oswa kay mobil —

In
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Make

YON sèl bwat.

„„ Pwopriyete oumenm oswa pwopriyete yon moun
nan kay la ki gen yon ipotèk oswa ki prete yon
lajan? Mete prè ki sekirize ak byen imobilye.
„„ Pwopriyete oumenm oswa pwopriyete yon moun
nan kay la ki lib (san yon ipotèk oswa yon prè)?
„„ Lwe?
„„ Gen moun ki te abite la san yo pat peye lwaye?
Ki nimewo telefòn ou?
Se sèlman pou zafè ofisyèl Biwo Resansman an ap
kontakte ou.

Nimewo Telefòn

4	

Biwo Resansman Etazini

Reponn kesyon yo ki sou bò goch paj 2 a
PIGA OU EKRI REPONS OU YO SOU GID SA A

Siyati
(Last Name)

Inisyal Dezyèm
Prenon (MI)

io
na
l

Prenon
(First Name)

C

Ki non Moun 1?

op
y

Tanpri bay enfòmasyon sou chak moun ki ap viv la a.
Si gen yon moun ki ap viv la a ki peye lwaye kay la
oswa ki pwopriyetè rezidans sa a, pou kòmanse mete
li kòm Moun 1. Si pwopriyetè a oswa moun ki peye
lwaye kay la pap viv la a, pou kòmanse mete nenpòt
adilt ki ap viv la kòm Moun 1.

Èske Moun 1 se yon femèl oswa mal?
Make YON sèl bwat.
„„ Mal

„„ Femèl

Ki laj Moun 1 epi ki Dat Nesans Moun 1?

In
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at

Pou tibebe ki poko gen 1 lane yo, pa ekri laj yo an
mwa. Ekri 0 kòm laj la.

Laj premye
avril 2020,
an ane

Mwa

Jou

Ane
Nesans

Èske Moun 1 gen orijin Ispanik, Latino, oswa Panyòl?
„„ Non, li pa gen orijin Ispanik, Latino, oswa Panyòl
„„ Wi, Meksiken, Meksiken Ameriken, Chikano
„„ Wi, Pòtoriken
„„ Wi, Kiben
„„ Wi, yon lòt orijin Ispanik, Latino, oswa Panyòl —
Mete, pa egzanp, Salvadoryen, Dominiken,
Kolonbyen, Gwatemalyen, Panyòl, Ekwadoryen,
elatriye.

Biwo Resansman Etazini	5

Reponn kesyon an ki sou bò dwat paj 2 a
PIGA OU EKRI REPONS OU YO SOU GID SA A
Ki ras Moun 1?
Make

youn oswa plizyè bwat EPI ekri orijin yo.

op
y

„„ Blan — Ekri, pa egzanp, Alman, Ilandè, Angle,
Libanè, Ejipsyen, elatriye.

„„ Nwa oswa Ameriken Nwa — Ekri, pa egzanp,
Ameriken Nwa, Jamayiken, Ayisyen, Nijeryen,
Etyopyen, Somali, elatriye.

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„„ Endyen Ameriken oswa natif-natal Alaska — Ekri
non tribi prensipal li enskri ladan an, pa egzanp,
Nasyon Navajo, Tribi Blackfeet, Mayan, Aztèk, Vilaj
natif-natal Gouvènman Tradisyonèl Barrow Inupiat,
Kominote Nòm Eskimo, elatriye.
„„ Chinwa

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„„ Filipino
„„ Endyen
Azyatik
„„ Lòt Azyatik
— Ekri, pa
egzanp, mete
Pakistanè,
Kanbodyen,
Mong,
elatriye.

6	

„„ Vyetnamyen „„ Awayen
natif-natal
„„ Koreyen
„„ Samoyen
„„ Japonè
„„ Chamowo
„„ Lòt moun ki sòti
nan Zile Pasifik
yo — Ekri, pa
egzanp, Tongan,
Fijyan, Machalèz,
elatriye.

„„ Yon lòt ras — Ekri ras oswa orijin nan.

Biwo Resansman Etazini

Reponn kesyon yo pou chak lòt moun anplis
Yo pral poze chak moun anplis de kesyon yo ki anba la a
PIGA OU EKRI REPONS OU YO SOU GID SA A

Make

op
y

Èske moun sa a nòmalman viv oswa rete
yon lòt kote?
tout bon repons yo.

„„ Non
„„ Wi, pou kolèj

C

„„ Wi, pou yon misyon
militè

„„ Wi, ak yon paran oswa
lòt fanmi

io
na
l

„„ Wi, pou yon travay
oswa biznis

„„ Wi, nan yon mezon
retrèt

„„ Wi, nan yon kay pou
sezon oswa dezyèm
kay
„„ Wi, nan yon prizon
„„ Wi, pou yon lòt rezon

Kisa moun sa a ye pou Moun 1?
YON sèl bwat.

In
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at

Make

„„ Mari/madanm/epou ki gen sèks opoze
„„ Moun sèks opoze ki pa marye
„„ Mari/madanm/epou ki menm sèks
„„ Moun ki ansanm ki pa marye ki menm sèks
„„ Pitit gason oswa pitit fi natirèl
„„ Pitit gason oswa pitit fi adoptif
„„ Bofis oswa bèlfi (pitit madanm/oswa pitit mari ou
ki pa pitit natirèl ou)
„„ Frè oswa sè
„„ Papa oswa manman
„„ Pitit-pitit
„„ Bèlmè oswa bopè (pitit li marye ak li)
„„ Bofis oswa bèlfi (marye ak pitit li)
„„ Lòt fanmi
„„ Moun ki pataje menm kay oswa kolokatè
„„ Pitit fwaye dakèy (foster child)
„„ Lòt moun ki pa fanmi

Biwo Resansman Etazini	7

Ranpli paj 8 si ou te konte plis pase sis moun
PIGA OU EKRI REPONS OU YO SOU GID SA A

Laj premye
avril 2020,
an ane

Mwa

Jou

op
y

Femèl

Siyati
(Last Name)

Ane
Nesans

Se fanmi Moun 1?
„„ Wi

„„ Non

io
na
l

Mal

Inisyal Dezyèm
Prenon (MI)

C

Prenon
(First Name)

Tanpri voye kesyonè anglè ou ranpli a pa lapòs nan anvlòp
tenb deja peye ou te resevwa a.

at

Resansman 2020 an vin
pi fasil kounye a.

In
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Èske ou te konnen ou ka
reponn sou entènèt la?

Si ou kapab ranpli Resansman 2020 an
sou entènèt la, ale sou adrès sitwèb ki
make sou kesyonè a.

Gid videyo ki montre kijan pou ranpli
kesyonè Resansman 2020 an sou entènèt
la disponib nan
2020census.gov/languages
8	

D-G (hat) Haitian Creole
Biwo Resansman Etazini

OMB N.º. 0607-1006: A aprovação vence em 11/30/2021

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O seu guia para o Censo de 2020

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Como responder ao questionário
do Censo de 2020 na versão em papel

Bem-vindo ao Censo de 2020
Todos serão contados.

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O objetivo do censo é contar todas as pessoas que
moram nos Estados Unidos somente uma vez e no
domicílio correto. Precisamos da sua ajuda para
termos certeza de que todos na sua comunidade serão
contados.

Os dados do Censo são importantes.

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A Constituição dos EUA requer que o censo seja
conduzido a cada dez anos. Os resultados são usados
para determinar a quantidade de assentos que cada
estado terá no Congresso, delimitar os distritos
eleitorais e determinar como mais de US$ 675 bilhões
em verba federal serão investidos nas comunidades a
cada ano.

Participar é seu dever cívico.

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Preencher o censo é obrigatório e uma maneira de
participar da nossa democracia ao dizer: "Conte
comigo!"

Os seus dados são confidenciais.
A legislação federal protege as suas respostas. As
suas respostas podem ser usadas somente para fins
estatísticos e não poderão ser usadas contra você por
nenhuma agência governamental ou tribunal.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

4.

What is your telephone number?

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

Telephone Number
How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

We will only contact you if needed for official Census Bureau
business .

–

–

Use este guia ao preencher
o questionário do Censo de 2020
na versão em papel.
O questionário do Censo de 2020 na versão em papel
será distribuído por todo o país, sendo entregue
na caixa de correio ou deixado na entrada de cada
domicílio.

Agência do Censo dos EUA

Antes de começar
1.	 Encontre o seu questionário e abra-o na primeira página.

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2.	 Use as informações deste guia em português para marcar as suas
respostas no questionário em papel que está em inglês. NÃO ESCREVA
AS SUAS RESPOSTAS NESTE GUIA.
3.	 Antes de responder à primeira pergunta, conte as pessoas que moram
nesta casa, neste apartamento ou neste trailer usando as diretrizes
abaixo.

C

Quem contar

A Agência do Censo também
faz contagens em instituições
e outros locais:

•	 Conte todas as pessoas,
incluindo bebês, que moram
e dormem aqui durante grande
parte do tempo.

•	 Não conte ninguém que se
encontre em asilo, cadeia,
prisão, casa de detenção, etc.
no dia 1º de abril de 2020.

•	 Se ninguém mora ou dorme
neste endereço durante grande
parte do tempo, responda ao
questionário pela internet.

•	 Deixe essas pessoas fora do
questionário, mesmo que
voltem a morar aqui depois
de se formarem na faculdade,
deixarem o asilo, as forças
armadas, a cadeia, etc. Caso
contrário, essas pessoas
poderão ser contadas duas
vezes.

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Conte as pessoas que moram
nesta casa, neste apartamento
ou neste trailer:

O Censo também precisa incluir
pessoas que não têm um domicílio
permanente:
•	 Se alguém sem domicílio
permanente morar ou estiver
vivendo aqui no dia 1º de abril
de 2020, inclua essa pessoa.

Leia as perguntas e instruções na próxima página.
Não escreva as suas respostas neste guia.
Agência do Censo dos EUA	

3

Preencha as respostas na primeira página
NÃO ESCREVA AS SUAS RESPOSTAS NESTE GUIA
Quantas pessoas estavam vivendo ou morando
nesta casa, neste apartamento ou neste trailer no
dia 1º de abril de 2020?

op
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Quantidade de pessoas

Alguma outra pessoa estava vivendo aqui no dia 1º de
abril de 2020 e que você não incluiu na Pergunta 1?
todas as opções válidas.

C

Marque

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„„ Crianças, sejam parentes ou não, tais como bebês
recém-nascidos, netos ou filhos de criação (foster
children)

„„ Parentes, tais como filhos crescidos, primos ou
sogros

„„ Pessoas que não são parentes, tais como colegas
de quarto ou babás que moram no domicílio

„„ Pessoas que vivem no domicílio temporariamente

at

„„ Nenhuma outra pessoa

Esta casa, este apartamento ou este trailer é...

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Marque

UMA opção.

„„ De propriedade sua ou de outra pessoa nesta
residência, que esteja pagando hipoteca ou
empréstimo? Inclua financiamento da casa própria.
„„ De propriedade sua ou de outra pessoa nesta
residência, com os pagamentos quitados (sem
hipoteca ou empréstimo)?
„„ Alugado?
„„ Ocupado sem pagamento de aluguel?
Qual é o seu número de telefone?
Entraremos em contato somente se necessário,
conforme as atividades oficiais da Agência do Censo.

Número do telefone

4	

Agência do Censo dos EUA

Preencha as respostas no lado esquerdo da
página 2
NÃO ESCREVA AS SUAS RESPOSTAS NESTE GUIA

op
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Forneça os dados de cada pessoa que mora aqui.
Se alguém aqui pagar aluguel ou for o proprietário
da residência, coloque ele(a) no topo da lista, como
a Pessoa 1. Se o proprietário ou pessoa que paga
aluguel não morar aqui, coloque qualquer adulto que
mora aqui no topo da lista, como a Pessoa 1.

Sobrenome(s)
(Last Name(s))

Inicial do
meio (MI)

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Nome
(First Name)

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Qual é o nome da Pessoa 1?

Qual é o sexo da Pessoa 1? Marque

„„ Masculino

UMA opção.

„„ Feminino

Qual é a idade da Pessoa 1 e a respectiva data de
nascimento da Pessoa 1?

Ano de
nascimento

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Idade, em
anos, no
dia 1º de
abril de
2020

at

Para bebês com menos de 1 ano de idade, não
informe a idade em meses. Escreva 0 na idade.

Mês

Agência do Censo dos EUA	

Dia

A Pessoa 1 é de origem hispânica, latina ou
espanhola?
„„ Não, não é de origem hispânica, latina ou
espanhola
„„ Sim, é mexicano, mexicano-americano, chicano
„„ Sim, é porto-riquenho
„„ Sim, é cubano
„„ Sim, é de outra origem hispânica, latina ou
espanhola — Escreva, por exemplo: salvadorenho,
dominicano, colombiano, guatemalteco, espanhol,
equatoriano, etc.

5

Preencha a resposta no lado direito da
página 2
NÃO ESCREVA AS SUAS RESPOSTAS NESTE GUIA
Qual é a raça da Pessoa 1?

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Marque uma ou mais caixas E escreva as origens
por extenso.

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„„ Branco — Escreva, por exemplo: alemão, irlandês,
inglês, italiano, libanês, egípcio, etc.
„„ Negro ou afro-americano — Escreva, por exemplo:
afro-americano, jamaicano, haitiano, nigeriano,
etíope, somali, etc.
„„ Indígena americano ou nativo do Alasca — Escreva
o nome da Tribo registrada ou principal, por
exemplo: Nação Navajo, tribo Blackfeet, maias,
astecas, nativo da Vila de Barrow do governo
tradicional dos Inupiat, Comunidade Nome
Esquimó, etc.

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„„ Chinês
„„ Vietnamita
„„ Filipino
„„ Coreano
„„ Indígena
„„ Japonês
asiático
„„ Outra etnia
asiática —
Escreva, por
exemplo:
paquistanês,
cambojano,
hmong, etc.

6	

„„ Nativo do Havaí
„„ Samoano
„„ Chamorro
„„ Outra etnia das
ilhas do Pacífico —
Escreva, por
exemplo:
tonganês, fijiano,
marshalino, etc.

„„ Outras raças — Escreva a raça ou a origem.

Agência do Censo dos EUA

Preencha as respostas para cada pessoa
adicional
As duas perguntas abaixo serão feitas para cada pessoa adicional

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NÃO ESCREVA AS SUAS RESPOSTAS NESTE GUIA
Esta pessoa geralmente mora ou vive em outro
lugar?
Marque

todas as opções válidas.

„„ Não

„„ Sim, dos pais ou outro
parente

C

„„ Sim, por causa da
universidade

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„„ Sim, em missão militar „„ Sim, em residência
de temporada ou
„„ Sim, por causa
alternativa
do trabalho ou da
empresa

„„ Sim, em um asilo

„„ Sim, na cadeia ou prisão

„„ Sim, por outro motivo

at

Qual é a relação entre esse indivíduo e a Pessoa 1?

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Marque

Agência do Censo dos EUA	

UMA opção.

„„ Marido/mulher/cônjuge do sexo oposto
„„ Parceiro do sexo oposto, não casados
„„ Marido/mulher/cônjuge do mesmo sexo
„„ Parceiro do mesmo sexo, não casados
„„ Filho ou filha biológico(a)
„„ Filho ou filha adotivo(a)
„„ Filho ou filha do cônjuge
„„ Irmão ou irmã

„„ Pai ou mãe
„„ Neto ou neta
„„ Sogro ou sogra
„„ Genro ou nora
„„ Outro parente
„„ Colega de quarto ou apartamento
„„ Filho de criação (foster child)
„„ Outro, sem parentesco

7

Preencha a página 8 se contou mais de seis
pessoas
NÃO ESCREVA AS SUAS RESPOSTAS NESTE GUIA

Idade, em
anos, no
dia 1º de
abril de
2020

Mês

Dia

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Feminino

Sobrenome(s)
(Last Name(s))

Ano de
nascimento

Tem relação com
a Pessoa 1?
„„ Sim

„„ Não

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Masculino

Inicial do
meio (MI)

C

Nome
(First Name)

Envie o questionário em inglês preenchido no envelope
com postagem paga que você recebeu.

at

O Censo de 2020 está
mais fácil do que nunca.

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Sabia que você pode
responder pela internet?

Se puder responder o Censo de 2020
pela internet, visite a URL impressa no
questionário.

Guias em vídeo sobre como preencher
o Censo de 2020 pela internet estão
disponíveis no seguinte endereço
2020census.gov/languages
8	

D-G (por) Portuguese
Agência do Censo dos EUA

OMB 承認番号 0607-1006: 承認期限 11/30/2021

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2020年国勢調査ガイド

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2020年国勢調査紙の調査票の回答方法

2020年国勢調査へようこそ
全員を数えます。

国勢調査データは重要です。

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この国勢調査の目的は、適切な場所で、
アメリカ合衆国在住者全員を一度ずつ
数えることです。
コミュニティにいる全員が必ず数えられるように、
ご協力をお
願いいたします。

C

アメリカ合衆国憲法により、10年ごとに国勢調査を行うことが義務付けられ
てます。国勢調査の結果に基づいて、議会における各州の議席数、選挙区の画
定、6750億ドル以上の連邦政府連邦政府の資金が毎年どのようにコミュニ

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ティへ分配されるかなどが決定されます。

参加は住民の義務です。

国勢調査への回答は必須です。つまり、民主社会に参加して、
「私は数に	
入っています！」
と言うことでもあります。

at

個人情報は保護されます。

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あなたの回答は連邦法によって保護されます。いただいたご回答を統計作成
のためのみに使用し、政府機関や裁判所により、あなたに不利な証拠として使
用されることはありません。

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

Children, related or unrelated, such as newborn babies,
grandchildren, or foster children
Relatives, such as adult children, cousins, or in-laws

Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

2020年国勢調査紙の調査票は、アメリカ国内すべての住所に郵送または玄
関先にお届けします。

No additional people

3.

Is this house, apartment, or mobile home — Mark ONE box.

4.

What is your telephone number?

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:

• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?
Mark all that apply.

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

The census must also include people without a permanent
place to live, so:

このガイドに従って、2020年国勢調査紙の調査票に記
入してください。

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?

Occupied without payment of rent?

We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

Number o f people =

2	

アメリカ合衆国国勢調査局

はじめる前に
1.	 調査票を用意して、最初のページを開いてください。
2.	 この日本語のガイドに従って、英語の紙の調査票に回答をマークしてください。 	
このガイドに回答を記入しないでください。

C

以下の方たちを人数に入れてください

op
y

3.	 最初の質問に回答する前に、以下のガイドラインに使用してこの家、	
アパート、
またはモービルホームに住んでいる人々を数えてください。

国勢調査局は、施設や他の場所でも人数を数え
ます:

•	 ここに、たいてい住んで寝る人全員（乳幼児	

•	2020年4月1日に、介護施設（老人ホー ムや

io
na
l

この家、
アパート、
またはモービルホームに住んでい
る人々を数えてください:
を含む）を人数に入れてください。

•	 この住所に、たいてい誰も住んでいない、また

at

は寝ていない場合は、オンラインで回答してく
ださい。

In
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rm

国勢調査では、特定の住所を持たない人も必ず人
数に入れてください:

グループホーム）、拘置所、刑務所などにいた
人は、人数に入れないでください。

•	 大学、介護施設（老人ホームやグループホー

ム）、軍隊、拘置所などを離れた後、
この住所に
住む予定の方であっても、調査票の人数に入
れないでください。含めると、それらの方は重
複して数えられる可能性があります。

•	2020 年4月1日に、特定の住所を持たない

人が、
ここに滞在している場合は、その人を人
数に入れてください。

次ページの質問と手引きをお読みください。	
このガイドに回答を記入しないでください。
アメリカ合衆国国勢調査局	

3

前面の質問に回答してください
このガイドに回答を記入しないでください
2020年4月1日に、
この家、
アパートまたはモービルホームに、	
住んでいた、
または滞在していた人は何人ですか?

op
y

人数

2020年4月1日に、
この住所に滞在していたにもかかわらず、
質問1の人数に入っていない方で、追加する方がいますか？
してください。

C

該当者をすべてマーク

„„ 新生児、孫、里子など、血縁関係の有無に関わらない子供
„„ 成人した子供、いとこ、義理の親族などの親族

io
na
l

„„ ルームメイトや住み込みベビーシッターなど、	
親族でない人
„„ 一時的に滞在している人
„„ 追加する人はいない

In
fo
rm

at

この家、
アパートまたはモービルホームの住居の種類に最も近
いものを —
ひとつ選んでマーク

してください。

„„ ご自分、
またはこの世帯のどなたかが、住宅ローン（住宅担
保融資を含む）
で所有する
„„ ご自分、
またはこの世帯のどなたかが、住宅ローンなしで
所有する
„„ 賃貸

„„ 家賃を払わずに居住
電話番号を記入してください。
国勢調査局から必要がある場合に限ってご連絡いたします。

電話番号

4	

アメリカ合衆国国勢調査局

2ページ目の左側の質問に回答してください
このガイドに回答を記入しないでください

op
y

ここに住んでいる人それぞれの情報を提供してください。家賃
を払っている、
またはこの住居を所有する人が、
ここに住んで
いる場合は、その人を世帯員 1に記入してください。所有者ま
たは家賃を払っている人が、
ここに住んでいない場合は、
ここ
に住む大人（どなたでも）を世帯員1に記入してください。
世帯員1の氏名を記入してください。

名	
(First Name)

姓	
(Last Name)

ミドルネームの
イニシャル (MI)

C

世帯員1の氏名を英語で記入してください。

io
na
l

世帯員 1の性別を選択してください。
ひとつ選んでマーク してください。
„„ 男性

„„ 女性

世帯員 1の年齢と生年月日を記入してください。

In
fo
rm

at

1歳未満の乳児は、
月齢で年齢を記入しないでください。	
年齢を0と記入してください。

2020年4月
1日時点での
年齢

月

日

誕生年

世帯員1 は、
ヒスパニック系、
ラテン系、
スペイン系ですか?
„„ いいえ、ヒスパニック系、
ラテン系、
スペイン系ではありま
せん
„„ はい、
メキシコ系、
メキシコ系アメリカ人、チカーノです
„„ はい、
プエルトリコ系です
„„ はい、キューバ系です

„„ はい、その他のヒスパニック系、
ラテン系、
スペイン系で	
す—サルバドール系、
ドミニカ系、
コロンビア系、
グアテマ
ラ系、
スペイン系、
エクアドル系 のように記入してください 。
アメリカ合衆国国勢調査局	

5

2ページ目の右側の質問に回答してください
このガイドに回答を記入しないでください

世帯員1の人種を記入してください。
して、ルーツを記入してくだ

op
y

ひとつ以上のボックスをマーク
さい。

„„ 白人—ドイツ系、
アイルランド系、イギリス系、イタリ ア系、
レバノン系、エジプト系のように記入してください。

C

„„ 黒人またはアフリカ系アメリカ人—アフリカ系アメリカ
人、
ジャマイカ系、ハイチ系、
ナイジェリア系、エチオピア
系、
ソマリア系のように記入してください。

io
na
l

„„ アメリカンインディアンまたはアラスカ原住民—ナバホ
族、
ブラックフット族、マヤ族、
アズテック族、
アラスカ州バロ
ーネイティブ村イヌピアット伝統政府、
ノームエスキモーコ
ミュニティのように登録したまたは主な部族を記入してく
ださい。
中国系
„„ ベトナム系
フィリピン系
„„ 韓国系
インド系
„„ 日系/日本人
その他アジア
系—パキスタン
系、
カンボジア
系、モン族のよ
うに記入してく
ださい。

In
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rm

at

„„
„„
„„
„„

6	

„„
„„
„„
„„

ハワイ原住民
サモア系
チャモロ系
その他太平洋諸島
民—トンガ系、
フィ
ジー系、マーシャル
諸島民のように記
入してください。

„„ 他の人種—人種またはルーツを記入してください。

アメリカ合衆国国勢調査局

追加する世帯員それぞれについて、質問に回答
してください
追加する世帯員それぞれには、以下の2つの質問もいたします

op
y

このガイドに回答を記入しないでください
ふだん別の場所に住んでいる、
または滞在していますか?
該当するものをすべてマーク
„„ いいえ

してください。

C

„„ はい、大学に在学中のため „„ はい、親や他の親族とい
るため
„„ はい、軍の任務のため
„„ はい、仕事のため

io
na
l

„„ はい、介護施設（老人ホー
ムやグループホーム）に	
いるため

„„ はい、別荘または別宅にい
るため
„„ はい、拘置所または刑務所
にいるため
„„ はい、他の理由のため

この人は世帯員 1とどのような続柄ですか?

In
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rm

at

ひとつ選んでマーク

アメリカ合衆国国勢調査局	

してください。

„„
„„
„„
„„
„„
„„
„„
„„

異性の夫/妻/配偶者
異性の結婚していないパートナー
同性の夫/妻/配偶者
同性の結婚していないパートナー
実子（息子または娘）
養子（息子または娘）
連れ子（息子または娘）
兄弟・姉妹

„„
„„
„„
„„
„„
„„
„„
„„

父または母
孫
義理の親
義理の息子または娘
他の親族
ルームメイトまたは同居人
里子
その他の親族でない人

7

6人を超える場合は、8ページ目に記入してください
このガイドに回答を記入しないでください

2020年4月
1日時点での
年齢

月

日

誕生年

op
y

女性

姓	
(Last Name)

世帯員1と親族関係にあ
りますか?
„„ はい
„„ いいえ

io
na
l

男性

ミドルネームの
イニシャル (MI)

C

名	
(First Name)

回答済みの英語の調査票は、受け取った郵便料金支払い済みの封筒に入れて郵送してください。

at

2020年国勢調査は、より簡単に
なりました。

In
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オンラインで回答できることをご存知でしょ
うか。
2020年国勢調査にオンラインで回答できる場合は、調

査票に記載のURLにアクセスしてください。

2020年国勢調査のオンライン回答方法
についてのビデオガイドを下記のURLより、
ご覧いただけます。
2020census.gov/languages
D-G (jpn) Japanese

8	

アメリカ合衆国国勢調査局

Nr. OMB 0607-1006: Aprovimi skadon më 11/30/2021

Udhëzuesi juaj për Census 2020

In
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rm

at

io
na
l

C

op
y

Si t'i përgjigjeni pyetësorit në letër Census 2020

Mirësevini në Census 2020
Të gjithë numërohen.

op
y

Synimi i këtij censusi është që të numërohet çdo person
i gjallë në SHBA një herë, dhe vetëm një herë, dhe në
vendin e duhur. Kemi nevojë për ndihmën tuaj për t'u
siguruar që të gjithë në komunitetin tuaj të numërohen.

Të dhënat e censusit janë të rëndësishme.

io
na
l

C

Kushtetuta amerikane kërkon që të bëhet një census çdo
10 vjet. Rezultatet përdoren për të përcaktuar numrin
e vendeve që ka çdo shtet në Kongres, të përcaktohen
kufijtë për qarqet e votimit, dhe të përcaktohet se sa më
tepër se $675 miliardë USD shpenzohen në fondin federal
në komunitete çdo vit.

Pjesëmarrja juaj është përgjegjësi civile.

In
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at

Është e nevojshme të plotësohet censusi; është një
mënyrë për të marrë pjesë në demokracinë tonë dhe për
të thënë "Unë llogaritem!"

Informacioni juaj është konfidencial.
Ligji federal i mbron përgjigjet tuaja. Përgjigjet tuaja
mund të përdoren vetëm për të nxjerrë statistika dhe
nuk mund të përdoren kundër jush nga asnjë agjenci
qeveritare ose gjykatë.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

Përdoreni këtë udhëzues për të plotësuar
pyetësorin në letër Census 2020.
Pyetësorët në letër Census 2020 do të vijnë nëpër dyert
dhe kutitë postare në të gjithë vendin.

–

Number o f people =

2	

Byroja Amerikane e Censusit

Para se të filloni
1.	 Gjeni pyetësorin tuaj dhe hapeni në faqen e parë.

op
y

2.	 Përdorni informacionin në këtë udhëzues shqip për të shënuar
përgjigjet tuaja në pyetësorin në letër në anglisht. MOS I SHKRUANI
PËRGJIGJET TUAJA NË KËTË UDHËZUES.

Cilët të numëroni

C

3.	 Para se të filloni me pyetjen e parë, numëroni njerëzit që jetojnë në
shtëpi, apartament ose banesë të lëvizshme duke ndjekur udhëzimet e
mëposhtme.

Byroja amerikane e censusit
bën gjithashtu numërime në
institucione dhe në vende të tjera:

•	 Numëroni të gjithë njerëzit, duke
përfshirë edhe foshnjat, të cilët
jetojnë dhe flejnë këtu shumicën
e kohës.

•	 Mos numëroni asnjë që jeton në
shtëpi pleqsh, burg, institucion
dënimi, etj., më 1 prill 2020.

at

io
na
l

Numëroni njerëzit që jetojnë në
këtë shtëpi, apartament, ose
banesë të lëvizshme:

In
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•	 Nëse askush nuk jeton ose nuk
fle në këtë adresë shumicën e
kohës, përgjigjuni online.

Censusi duhet të përfshijë
gjithashtu njerëzit që nuk kanë një
adresë të përhershme banimi:

•	 Mos i përfshini këta njerëz në
pyetësor, edhe nëse ata do të
kthehen të jetojnë këtu pasi
të mbarojnë universitetin,
të largohen nga shtëpia për
të moshuar, ushtria, burgu,
etj. Përndryshe, ata mund të
numërohen dy herë.

•	 Nëse dikush që nuk ka një
adresë të përhershme banimi
po qëndron këtu më 1 prill 2020,
numërojeni atë person.
Lexoni pyetjet dhe udhëzimet në faqen tjetër.
Mos i shkruani përgjigjet tuaja në këtë udhëzues.

Byroja Amerikane e Censusit	3

Përgjigjuni pyetjeve në faqen e parë
MOS I SHKRUANI PËRGJIGJET TUAJA NË KËTË UDHËZUES
Sa njerëz jetojnë në këtë shtëpi, apartament, banesë
të lëvizshme më 1 prill 2020?

op
y

Numri i njerëzve

A ka njerëz të tjerë që jetojnë këtu më 1 prill 2020
të cilët nuk i keni përfshirë te pyetja 1?
Shënoni

të gjitha përgjigjet që zbatohen.

C

„„ Fëmijë, me ose pa lidhje gjaku, si për shembull
foshnjat e sapolindura, nipat ose mbesat, fëmijët
nën kujdestarinë e shtetit (foster)

io
na
l

„„ Të afërm, si për shembull fëmijë të rritur, kushërinj,
kunetër, ose të afërm nga martesa
„„ Persona jo të afërm, si për shembull shokë ose
shoqe dhome ose kujdestare fëmijësh që jetojnë
në shtëpi
„„ Njerëz që jetojnë këtu përkohësisht
„„ Nuk ka njerëz të tjerë

at

A është kjo shtëpi, apartament ose banesë e
lëvizshme —

In
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rm

Shënoni

NJË kuti.

„„ Në pronësinë tuaj ose të dikujt tjetër në këtë familje
me kredi ose hua? Përfshi kreditë konsumatore me
hipotekë.
„„ Në pronësinë tuaj ose dikujt tjetër në familje e lirë
dhe e pastër (d.m.th. pa kredi ose hua)?
„„ Me qira?
„„ E zënë pa pagesë qiraje?
Cili është numri i telefonit tuaj?
Ne do t'ju kontaktojmë nëse është e nevojshme për
punët zyrtare të byrosë amerikane të censusit.

Numri i telefonit

4	

Byroja Amerikane e Censusit

Plotësoni pyetjet në anën e majtë të faqes 2
MOS I SHKRUANI PËRGJIGJET TUAJA NË KËTË UDHËZUES

op
y

Ju lutem jepni informacion për çdo person që jeton
këtu. Nëse ka ndonjë person tjetër që jeton këtu i cili
paguan qira ose është pronar i kësaj banese, filloni
duke e renditur atë si personin 1. Nëse pronari ose
personi që paguan qiranë nuk jeton këtu, filloni duke
renditur çdo person të rritur që jeton këtu si personi 1.

Mbiemri(at)
(last name[s])

Emri i mesmë
(middle initial)

io
na
l

Emri
(first name)

C

Cili është emri i personit 1?

Cila është gjinia e personit 1? Shënoni
„„ Mashkull

NJË kuti.

„„ Femër

Cila është mosha e personit 1 dhe cila është data e
lindjes e personit 1?

at

Për foshnjat më pak se 1 vjeç, mos e shkruani moshën
me muaj. Shkruani moshën 0.

Viti i
lindjes

In
fo
rm
Mosha, në
vjeç, më
1 prill 2020

Muaji

Dita

A është personi 1 me origjinë hispanike, latine ose
spanjolle?
„„ Jo, jo me origjinë hispanike, latine ose spanjolle
„„ Po, meksikan, meksikano-amerikan, çikano
„„ Po, portorikan
„„ Po, kubanez
„„ Po, origjinë tjetër hispanike, latine ose spanjolle
— Shkruani me shtyp, për shembull, salvadorian,
dominikan, kolumbian, guatemalan, spanjoll,
ekuadorian, etj.

Byroja Amerikane e Censusit	5

Plotësoni pyetjen në anën e djathtë të faqes 2
MOS I SHKRUANI PËRGJIGJET TUAJA NË KËTË UDHËZUES
Cila është raca e personit 1?

op
y

Shënoni një ose më shumë kuti DHE shkruani me
shtyp origjinat.
„„ I bardhë — Shkruani me shtyp, për shembull,
gjerman, irlandez, anglez, italian, libanez, egjiptian,
etj.

C

„„ I zi ose afro-amerikan — Shkruani me shtyp, për
shembull, afro-amerikan, xhamajkan, haitian,
nigerian, etiopas, somalez, etj.

io
na
l

„„ Indian amerikan ose vendës i Alaskës — Shkruani
me shtyp emrin e fisit(eve) të regjistruara ose
principale, për shembull, Navajo Nation, Blackfeet
Tribe, majan, aztek, Native Village of Barrow
Inupiat Traditional Government, Nome Eskimo
Community, etj.
„„ Kinez

„„ Filipinas
„„ Korean
„„ Indian i Azisë „„ Japonez
„„ Aziatik tjetër
— Shkruani
me shtyp,
për shembull,
pakistanez,
kamboxhian,
hmong, etj.

at
In
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rm
6	

„„ Vietnamez

„„ Indigjen nga
Havai
„„ Samoan
„„ Kamorranez
„„ Ishull tjetër
i Paqësorit
— Shkruani
me shtyp,
për shembull,
tongan, fixhian,
marshallez, etj.

„„ Racë tjetër — Shkruani me shtyp racën ose
origjinën.

Byroja Amerikane e Censusit

Plotësoni pyetjet për çdo person tjetër
Çdo personi tjetër do t'i bëhen dy pyetjet e mëposhtme
MOS I SHKRUANI PËRGJIGJET TUAJA NË KËTË UDHËZUES

Shënoni
„„ Jo

op
y

A jeton ose a qëndron ky person zakonisht diku
tjetër?
të gjitha që zbatohen.

„„ Po, për universitet

„„ Po, me një prind ose të
afërm tjetër
„„ Po, në një banesë
sezonale ose të dytë

C

„„ Po, për caktim ushtarak
„„ Po, për punë ose
biznes

io
na
l

„„ Po, në shtëpi pleqsh

„„ Po, në burg
„„ Po, për një arsye tjetër

Çfarë lidhjeje ka ky person me personin 1?
NJË kuti.

In
fo
rm

at

Shënoni

„„ Bashkëshort/bashkëshorte e seksit tjetër
„„ Partner i pamartuar i seksit tjetër
„„ Bashkëshort/bashkëshorte e të njëjtit seks
„„ Partner i pamartuar i të njëjtit seks
„„ Djalë ose vajzë biologjike
„„ Djalë ose vajzë e adoptuar
„„ Thjeshtër
„„ Vëlla ose motër
„„ Baba ose nënë
„„ Nip ose mbesë
„„ Vjehërr
„„ Nuse ose dhëndër
„„ Një i afërm tjetër
„„ Shoku ose shoqja e dhomës ose banesës
„„ Fëmijë nën kujdestarinë e shtetit (foster)
„„ Tjetër jo i afërm

Byroja Amerikane e Censusit	7

Plotësoni faqen 8 nëse keni llogaritur më
shumë se gjashtë njerëz
MOS I SHKRUANI PËRGJIGJET TUAJA NË KËTË UDHËZUES

Mosha, në
vjeç, më
1 prill 2020

Muaji

Dita

op
y

Femër

Mbiemri(at)
(last name[s])

Viti i
lindjes

Lidhje me personin 1?
„„ Po

„„ Jo

io
na
l

Mashkull

Emri i mesmë
(middle initial)

C

Emri
(first name)

Ju lutem postojeni pyetësorin e plotësuar në anglisht në zarfin me pullë të paguar që keni marrë.

at

Censusi 2020 është më
i lehtë se kurrë.

In
fo
rm

A e dinit se mund të
përgjigjeni online?

Nëse jeni në gjendje ta plotësoni
Censusin 2020 online, shkoni në URL-në
e shtypur në pyetësor.

Udhëzimet me video për
plotësimin e Censusit 2020 online gjenden në
2020census.gov/languages
D-G (sqi) Albanian

8	

Byroja Amerikane e Censusit

OMB ቁጥር 0607-1006: ፈቃዱ የሚያበቃው በ11/30/2021

op
y

የ 2020 ህዝብ ቆጠራ የእርሶ መጠቀሚያ መመሪያ

In
fo
rm

at

io
na
l

C

ለ 2020 ህዝብ ቆጠራ ወረቀት ላይ ላለ መጠይቅ እንዴት ምላሽ ይሰጣሉ

ወደ 2020 ህዝብ ቆጠራ እንኳን በደህና መጡ
ሁሉም ሰው ይቆጠራል።

op
y

የዚህ ህዝብ ቆጠራ ግብ በ አሜሪካን ሀገር ውስጥ የሚኖሩትን ሁሉንም ሰዎች
አንድ ጊዜ ብቻ እና አንድ ጊዜ ብቻ በትክክለኛው ስፍራ መቁጠር ነው። በእርሶ
ማህበረሰብ ውስጥ ያሉት ሰዎች ሁሉ እንደተቆጠሩ ለማረጋገጥ የእርሶ እርዳታ
ያስፈልገናል።

C

የሕዝብ ቆጠራ ዳታዎች ወሳኝ ናቸው።

io
na
l

የአሜሪካ ህገ-መንግስት የሕዝብ ቆጠራ በየ 10 አመት ጊዜ ውስጥ እንዲደረግ
ያስገድዳል። ውጤቶቹ እያንዳንዱ ክልል በኮንግረስ ውስጥ ምን ያህል
መቀመጫ እንደሚኖረው፥ ለምርጫ ዲስትሪክቶች ድንበር ለማበጀት እና
በእያንዳንዱ አመት ከ $675 ቢሊዮን በላይ ፌደራል ፈንዲንግ ማህበረሰቦች
ላይ እንዴት እንደሚፈስ ለመወሰን ጥቅም ላይ ይውላል።

ተሳትፎ ማድረግ ማህበራዊ ሀላፊነትዎ ነው።

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የ ሕዝብ ቆጠራውን ማጠናቀቅ ያስፈልጋል፤ በዲሞክራሲያችን ውስጥ ተሳትፎ
የማድረግ አንድ መንገድ እና “እኔ ዋጋ አለኝ!” የማለት አንድ መንገድ ነው።

መረጃዎ ሚስጥራዊ ነው።
የፌደራል ህግ ለምላሾችዎ ጥበቃ ያደርጋል። ምላሾችዎ ስታትስቲክስ ለመፍጠር
ብቻ ጥቅም ላይ የሚውሉ ሲሆን በማንኛውም የመንግስት ወኪል በእርሶ ላይ
ተጽዕኖ ለማሳደር ጥቅም ላይ አይውሉም።

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

የ 2020 ሕዝብ ቆጠራ ወረቀት ላይ ያለ መጠይቅን
ለማጠናቀቅ ይህንን መመሪያ ጥቅም ላይ ያውሉ።

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .

የ 2020 ሕዝብ ቆጠራ ወረቀት ላይ ያለ መጠይቅ በፖስታ ሳጥን ወይም
በደጃፎ ላይ እንዲደርሶ በመላው ሀገር የሚበተን ይሆናል።

Telephone Number
How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

Number o f people =

2	

የአሜሪካ ህዝብ ቆጠራ ቢሮ

ከመጀመርዎ በፊት
1.	 መጠይቅዎን ያግኙ እና በመጀመሪያው ገጽ ላይ ይክፈቱት።

op
y

2.	 በዚህ መመርያ ላይ ያለውን መረጃ በአማርኛ በመጠቀም ምላሽዎን በእንግሊዝኛ ወረቀቱ ላይ የሚገኘውን
መጠየቅ ላይ ምልክት ለማድረግ ይጠቀሙ፡፡ ምላሾችዎን በዚህ መመሪያ ላይ እንዳይጽፉ።

io
na
l

ማን መቆጠር አለበት

C

3.	 ለመጀመሪያው ጥያቄ ምላሽ ከመስጠትዎ በፊት፥ በዚህ ቤት፥ አፓርትመንት፥ ወይም ተንቀሳቃሽ ቤት
ውስጥ ስንት ሰዎች እንደሚኖሩ ከዚህ በታች ያለውን መመሪያ ጥቅም ላይ በማዋል ይቁጠሩ።

በዚህ ቤት፥ አፓርትመንት፥ ወይም ተንቀሳቃሽ
ቤት ውስጠ የሚኖሩትን ሰዎች ይቁጠሩ፡

at

•	 ሁሉንም ሰዎች፥ ማለትም አብዛኛውን ጊዜ እዚህ
የሚያድሩትን እና የሚኖሩትን ህጻናትንም ሳይቀር
ጨምረው ይቁጠሩ።

In
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•	 በዚህ አድራሻ አብዛኛውን ጊዜ የሚኖር እና
የሚተኛ ሰው ከሌለ በድረገጽ ኦንላይን ምላሽ
የሚያድር።

ይህ የሕዝብ ቆጠራ ቋሚ የሆነ መኖሪያ ስፍራ
የሌላቸውንም ሰዎች ሊያካትት ያስፈልጋል፡

ህዝብ ቆጠራ ቢሮ በተጨማሪም በ ተቋማት
እና ሌሎች ቦታዎች ውስጥም ቆጠራ
ያደርጋል፡
•	 ለአረጋውያን እንክብካቤ ማድረጊያ ቤት፥
እስርቤት፥ የእስር ማዕከል፥ ወዘተ ውስጥ
ኤፕሪል 1፣ 2020 ላይ ያለ ማንኛውንም ሰው
አይቁጠሩ።
•	 እነዚህ ሰዎች ከኮሌጅ፥ ለአረጋውያን እንክብካቤ
ከሚደረግበት ቦታ፣ ጦር ሜዳ፣ እስር ቤት
ወዘተ ከወጡ በኋላም ወዲዘህ የሚመለሱ
ቢሆንም በመጠይቅዎ ውስጥ አያካቷቸው።
አለበለዚያ ሁለት ጊዜ ሊቆጠሩ ይችላሉ።

•	 ቋሚ የሆነ የመኖሪያ ስፍራ የሌለው ሰው
ኤፕሪል 1፣ 2020 ላይ እዚህ ከሆነ ይህም ሰው
እንዲቆጠር ያስፈልጋል።

ጥያቄዎቹን እና መመሪያዎቹን በሚቀጥለው ገጽ ላይ ያንብቡ።
ምላሾችዎን በዚህ መመሪያ ላይ እንዳይጽፉ።
የአሜሪካ ህዝብ ቆጠራ ቢሮ	3

በፊት ገጽ ላይ ያሉትን ጥያቄዎች ያጠናቁ
ምላሾችዎን በዚህ መመሪያ ላይ እንዳይጽፉ

op
y

በዚህ ቤት፥ አፓርትመንት፥ ወይም ተንቀሳቃሽ ቤት ውስጥ አፕሪል
1፣ 2020 ላይ ስንት ሰዎች አሉ?

የሰዎች ቁጥር

በጥያቄ 1 ላይ ያላካተቱት ምንም አይነት ተጨማሪ ሰዎች አፕሪል
1፣ 2020 ላይ እዚህ ነበሩ?
ያድርጉ።

C

ተገቢነት ባለው ላይ ሁሉ ምልክት

io
na
l

„„ ልጆች፣ ዘመድ የሆኑም ያልሆኑም ማለትም አዲስ የተወለዱ፥ የልጅ ልጆች
ወይም ማደጎ ልጆች
„„ ዘመዶች ማለትም እንደ አዋቂ ልጆች፥ የአክስት ወይም አጎት ልጆች ወይም
የሚስት ወይም ባል ዘመዶች

„„ ሌሎች ዘመድ ያልሆኑ፥ ማለትም እንደ አብሮ ተከራይ ወይም ቤት ውስጥ
የሚኖሩ የህጻናት ተንከባካቢዎች

„„ በጊዜያዊነት እዚህ የሚቆዩ ሰዎች

at

„„ ሌላ ተጨማሪ ሰው የለም

ይህ ቤት፥ አፓርትመንት ወይም ተንቀሳቃሽ ቤት ነውን ­—

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አንድ ሳጥን ላይ

ምልክት ያድርጉ።

„„ በእርሶ ወይም እዚህ ቤት ውስጥ ባለ አንድ ሰው ባለቤትነት ስር በሞርጌጅ
ወይም ብድር ስር ያለ ነው? ቤትን ማስያዣ አድርጎ የሚሰጥ ብድርን
ይጨምሩ።
„„ በእርሶ ወይም ቤት ውስጥ ባለ አንድ ሰው ከብድር ነጻ ሆኖ ያለ (የቤት
ብድር ወይም ሌላ ብድር)?
„„ ኪራይ?
„„ ያለ ክፍያ ወይም ኪራይ የተያዘ?
የስልክ ቁጥርዎ ስንት ነው?
የምንደውልልዎ ለ ህዝብ ቆጠራ ቢሮ ጉዳይ የሚያስፈልጉ ከሆነ ብቻ ነው።

የስልክ ቁጥር

4	

የአሜሪካ ህዝብ ቆጠራ ቢሮ

በ ገጽ 2 ግራ ጎን ላይ ያለውን ጥያቄ ያጠናቁ
ምላሾችዎን በዚህ መመሪያ ላይ እንዳይጽፉ

op
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እዚህ ስለሚኖር እያንዳንዱ ሰው እባክዎን መረጃ ይስጡ። ኪራይ የሚከፍል
ወይም የቤቱ ባለቤት የሆነ ሰው እዚህ ያለ እንደሆነ፥ ይህንን ሰው አንደ ግለሰብ
1 ይመዝግቡ። ግለሰቡ ወይም ኪራይ የሚከፍለው ሰው እዚህ የማይኖር
ከሆነ፥ እዚህ የሚኖር ማንኛውንም አዋቂ ሰው እንደ ግለሰብ 1 ይመዝግቡ።
የግለሰብ 1 ስም ማን ነው?

የ አያትዎ ስም(ሞች)
(last name[s])

የአባትዎ ስም የመጀመሪያ ፊደል
(middle initial)

io
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የእርሶ ስም
(first name)

C

የግለሰብ 1 ን ስም በእንግሊዝኛ ፊደላት እባክዎ ይጻፉ።

የግለሰብ 1 ጾታ ምንድን ነው?
አንድ ሳጥን ላይ

„„ ወንድ

ምልክት ያድርጉ፡፡
„„ ሴት

የግለሰብ 1 እድሜ እና የግለሰብ 1 የልደት ቀን መቼ ነው?

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ከ 1 አመት በታች ለሆኑ ህጻናት እድሜያቸውን በወራት አያስቀምጡ።
0 ን እንደ እድሜ ይጻፉ።

እድሜ፥ በ
አመት፥ በ
አፕሪል 1፥
2020

ወር

ቀን

የትውልድ ዘመን

ግለሰብ 1 ሂስፓኒክ፣ላቲኖ ወይም የስፔይን ትውልድ ያለው ነው?
„„ አይደለም፥ ሂስፓኒክ፣ላቲኖ ወይም የስፔይን ትውልድ ያለው አይደለም
„„ አዎ፣ የሜክሲኮ፥የሜክሲኮአሜሪካ፥ ቺቺኒያዊ
„„ አዎ፣ የፖርቶሪኮ
„„ አዎ፣ የኩባ
„„ አዎ፥ ሌላ ሂስፓኒክ፣ላቲኖ ወይም የስፔይን ትውልድ ያለው — ይጻፉ፣
ለምሣሌ ሳልቫዶራዊ፥ ዶሚኒካዊ፥ ኮሎምቢያዊ፥ ጉዋቲማላዊ፥ ትውልደ
ስፔናዊ፥ ኢኩዋዶራዊ፣ ወዘተ።

የአሜሪካ ህዝብ ቆጠራ ቢሮ	5

በገጽ 2 ቀኝ ላይ ያለውን ጥያቄ ያጠናቁ
ምላሾችዎን በዚህ መመሪያ ላይ እንዳይጽፉ

የግለሰብ 1 ዘር ምንድን ነው?
ያድርጉ እና የዘር መነሻ

op
y

አንድ ወይም ከዚያ በላይ ሳጥኖች ላይ ምልክት
ምንጮችን ያስቀምጡ።

„„ ነጭ — ይጻፉ፣ ለምሣሌ የጀርመን፣ የአየርላንድ፣ የእንግሊዝ፣ የጣሊያን፣
የሊባኖስ፣ ግብጻዊ፣ ወዘተ።

C

„„ ጥቁር ወይም አፍሮ አሜርካዊ — ይጻፉ፣ ለምሣሌ አፍሮ አሜሪካዊ፣
የጃማይካ፣ ሄቲያዊ፣ የናይጄሪያ፣ ኢትዮጵያዊ፣ ሶማሊያ፣ ወዘተ።

io
na
l

„„ የአሜሪካ ህንዳዊ ወይም የአላስካ ተወላጅ — ቅበላ ያገኘ ወይም ዋና
ጎሣ(ዎች) ይጻፉ፣ ለምሣሌ Navajo Nation፣ Blackfeet
Tribe፣ የማያ፣ አዜቲኮች፣ Native Village of Barrow
Inupiat Traditional Government፣ Nome Eskimo
Community፣ ወዘተ።

„„ ቻይናዊ

„„ የሀዋዪ ተወላጅ

„„ ፊሊፒኒያዊ

„„ የኮርያ

„„ የሳሞን

„„ እስያዊ ህንድ

„„ የጃፓን

„„ ኮሞሮያዊ

„„ ሌላ እስያዊ —
ይጻፉ፣ ለምሣሌ
የፓኪስታናዊ፥
ካምቦዲያዊ፥
የሆሞንግ፣ ወዘተ።
„„ ሌላ ዘር — ይጻፉ ዘር ወይም መነሻ።

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„„ የቬትናም

„„ ሌላ የፓስፊክ ደሴት —
ይጻፉ፣ ለምሣሌ የቶጋን፥
የፊጂ፥ የማርሻል፣
ወዘተ።

የአሜሪካ ህዝብ ቆጠራ ቢሮ

ለእያንዳንዱ ተጨማሪ ግለሰብ ጥያቄዎቹን አጠናቅቅ
እያንዳንዱ ተጨማሪ ግለሰብ ከታች ሁለቱን ጥያቄዎችን ይጠየቃል
ምላሾችዎን በዚህ መመሪያ ላይ እንዳይጽፉ

op
y

ይህ ግለሰብ አብዛኛውን ጊዜ የሚኖረው ወይም የሚቆየው ሌላ ቦታ
ነው?
ተገቢነት ባለው ላይ ሁሉ ምልክት
„„ አይደለም
„„ አዎ፥ ለ ኮሌጅ

ያድርጉ።

„„ አዎ፥ ለ ውትድርና ግዳጅ

„„ አዎ፥ ከ ወላጅ ወይም ሌሎች
ዘመዶች

„„ አዎ፥ በ ጊዜያዊ ጥቅም

„„ አዎ፥ ለአረጋውያን እንክብካቤ
ማድረጊያ ቤት

„„ አዎ፥ በ እስርቤት

C

„„ አዎ፥ ለስራ ወይም ንግድ

io
na
l

„„ አዎ፥ በሌላ ምክንያት

ይህ ሰው ከ ግለሰብ 1 ጋር ያለው ዝምድና ምንድን ነው?
አንድ ሳጥን ላይ

ምልክት ያድርጉ።

ተቃራኒ ጾታ ባል/ሚስት/የትዳርአጋር
ተቃራኒ ጾታ ያልተጋቡ አጋሮች
አንድ አይነት ጾታ ያለው ባል/ሚስት/የትዳርአጋር
አንድ አይነት ፆታ ያልተጋቡ
የራስ ወንድ ወይም ሴት ልጅ
የማደጎ ወንድ ልጅ ወይም ሴት ልጅ
የእንጀራ ወንድ ልጅ ወይም ሴት ልጅ
ወንድም ወይም እህት

„„
„„
„„
„„
„„
„„
„„
„„

አባት ወይም እናት
የልጅልጅ
የባል ወይም ሚስት ወላጅ
የሴት ልጅ ባል ወይም የወንድ ልጅ ሚስት
ሌሎች ዘመዶች
አብሮ ተከራይ ወይም አብሮ ነዋሪ (roommate or housemate)
የማደጎ ልጅ
ሌሎች ዘመድ ያልሆኑ

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„„
„„
„„
„„
„„
„„
„„
„„

የአሜሪካ ህዝብ ቆጠራ ቢሮ	7

ገጽ 8ን ከ ስድስት በላይ ሰዎችን ቆጥረው ከሆነ ያጠናቁ
ምላሾችዎን በዚህ መመሪያ ላይ እንዳይጽፉ
የአባትዎ ስም የመጀመሪያ ፊደል
(middle initial)

የ አያትዎ ስም(ሞች)
(last name[s])

ሴት

እድሜ፥ በ
አመት፥ በ
አፕሪል 1፥
2020

ወር

ቀን

የትውልድ ዘመን

ከግለሰብ  1 ጋር ዝምድና
ያለው?
„„ አዎ

„„ አይደለም

io
na
l

ወንድ

C

op
y

የእርሶ ስም
(first name)

እባክዎ የተሞላውን የእንግሊዝኛ መጠይቅ ክፍያ የተደረገበት ፖስታ ዉስጥ በማሸግ ይላኩ።

at

የ 2020 ህዝብ ቆጠራ
ከመቼውም ይልቅ ቀላል ነው።

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ምላሾን በድረገጽ መስጠት እንደሚችሉ
ያውቁ ኖሯል?
የ 2020 ህዝብ ቆጠራ ኦንላይን ማጠናቀቅ የሚችሉ
ከሆነ፥ በ መጠይቅ ላይ ወዳለው ዩአርኤል (URL) ይሂዱ።

የ 2020 ህዝብ ቆጠራን ኦንላይን ለማጠናቀቅ የሚያስችል
የቪዲዮ መመሪያ በ
2020census.gov/languages ላይ ይገኛል።
D-G (amh) Amharic

8	

የአሜሪካ ህዝብ ቆጠራ ቢሮ

OMB համար 0607-1006: Հաստատման ժամկետի ավարտ` 11/30/2021

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2020 թվականի Մարդահամարի քո ուղեցույցը

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io
na
l

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Ինչպե՞ս պատասխանել 2020 թվականի
Մարդահամարի հարցաթերթիկին

Բարի գալուստ 2020 թվականի Մարդահամար
Կարևոր է յուրաքանչյուր մարդ:

op
y

Այս մարդահամարի նպատակն է հաշվառել ԱՄՆում ապրող յուրաքանչյուր մարդու մեկ և միմիայն մեկ
անգամ, և բնակության իր ճիշտ վայրում: Մենք ունենք ձեր
աջակցության կարիքը համոզվելու, որ ձեր համայնքի բոլոր
բնակիչները հաշվառված են:

Մարդահամարի տվյալները կարևոր են:

io
na
l

C

ԱՄՆ Սահմանադրությամբ պահանջվում է անցկացնել
մարդահամարը ամեն 10 տարին մեկ: Մարդահամարի
արդյունքներով են որոշվում յուրաքանչյուր նահանգից
Կոնգրեսում հատկացվող տեղերի քանակը, քվեարկության
տեղամասերի սահմանները նախատեսելիս և որոշելիս, թե
որ համայնքներն են ամեն տարի ֆինանսավորվելու 675
միլիարդ ԱՄՆ դոլարը գերազանցող ֆեդերալ միջոցներից:

Քո քաղաքացիական պարտքն է
մասնակցել մարդահամարին:

at

Մարդահամարի հարցաթերթիկի լրացումը պարտադիր է.
դա մեր ժողովրդավարությանը մասնակցելու մի միջոց է,
ասելով՝ «Ես հաշվառված եմ»:

In
fo
rm

Ձեր տեղեկությունների գաղտնիությունը
երաշխավորված է:
Ձեր կողմից տրամադրված պատասխանները
պաշտպանված են ֆեդերալ օրենքներով: Ձեր կողմից
տրամադրված պատասխանները կարող են օգտագործվել
միայն վիճակագրական նպատակներով և չեն կարող
որևէ կառավարական մարմնի կամ դատարանի կողմից
օգտագործվել ձեր դեմ:

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

4.

What is your telephone number?

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

Օգտվելով այս ուղեցույցից, լրացրեք
2020 թվականի Մարդահամարի
հարցաթերթիկի թղթային տարբերակը:

–

–

2020 թվականի Մարդահամարի հարցաթերթիկի թղթային
տարբերակը կուղարկվի երկրի բոլոր քաղաքացիներին
փոստով կամ առձեռն հանձնման միջոցով:
ԱՄՆ Մարդահամարի բյուրո

Մինչ սկսելը
1.	 Վերցրեք հարցաթերթիկի ձեր օրինակը և բացեք նրա առաջին էջը:
2.	 Օգտվելով այս հայալեզու ուղեցույցից, նշեք ձեր պատասխանները

op
y

հարցաթերթիկի անգլերեն տարբերակում: ՄԻ ՆՇԵՔ ՁԵՐ ՊԱՏԱՍԽԱՆՆԵՐԸ
ԱՅՍ ՈՒՂԵՑՈՒՅՑԻ ՎՐԱ։

3.	 Մինչ առաջին հարցին պատասխանելը՝ օգտվելով ստորև ներկայացված

io
na
l

Ում կարելի է հաշվել

C

ուղեցույցներից, հաշվեք տվյալ տանը, բնակարանում կամ շարժական
տնակում ապրող մարդկանց քանակը:

Հաշվեք այս տանը, բնակարանում
կամ շարժական տնակում ապրող
մարդկանց.

at

•	 Հաշվեք բոլոր այն անձանց, այդ
թվում մանկահասակներին, ովքեր
մեծ մասամբ ապրում և գիշերում են
այստեղ:

In
fo
rm

•	 Եթե մեծամասամբ ոչ ոք չի ապրում
կամ գիշերում տվյալ հասցեում,
ապա պատասխանեք առցանց
եղանակով:

Մարդահամարին պետք է
մասնակցեն նաև առանց մշտական
բնակության վայր ունեցող անձինք.

Մարդահամարի բյուրոն
հաշվառումներ է իրականացնում
նաև գերատեսչություններում և այլ
վայրերում.
•	 Մի հաշվի առեք այն անձանց,
որոնք 2020 թվականի ապրիլի
մեկի դրությամբ գտնվելու են
ծերանոցներում, բանտում կամ
ազատազրկման վայրերում:

•	 Պետք չէ ներառել այդ անձանց ձեր
հարցաթերթիկում, նույնիսկ եթե
նրանք վերադառնալու են ապրելու
այստեղ ուսումը ավարտելուց,
ծերանոցից, զինծառայությունից,
բանտից հետո: Այլապես, նրանք
կկրկնահաշվառվեն:

•	 Եթե, 2020 թվականի ապրիլի
մեկի դրությամբ, այդ հասցեում
պետք է գտնվի որևէ մեկը, ով չունի
մշտական բնակության վայր, հաշվի
առեք այդ անձին:
Հարցերի և հրահանգների հետ ծանոթացեք հաջորդ էջում:
Մի նշեք ձեր պատասխանները այս ուղեցույցի վրա:

ԱՄՆ մարդահամարի բյուրո	

3

Պատասխանեք առաջին էջին ներկայացված
հարցերին
ՄԻ ՆՇԵՔ ՁԵՐ ՊԱՏԱՍԽԱՆՆԵՐԸ ԱՅՍ ՈՒՂԵՑՈՒՅՑԻ ՎՐԱ

op
y

Քանի՞ անձ է 2020 թվականի ապրիլի մեկի
դրությամբ ապրել կամ մնացել այս տանը,
բնակարանում կամ շարժական տնակում:
Մարդկանց քանակը

Արդյո՞ք 2020 թվականի ապրիլի մեկի դրությամբ
այստեղ մնացել է որևէ ավել մարդ, ում դուք չեք
նշել Հարց 1-ում:
բոլոր կիրառելի պատասխանները:

C

Նշեք

„„ Հարազատ/ների կամ այլոց երեխաները, օրինակ`
նորածիններ, թոռներ կամ որդեգրած երեխաներ

io
na
l

„„ Հարազատներ, օրինակ` չափահաս զավակներ,
մորաքրոջ/հորաքրոջ/քեռու/հորեղբոր տղա կամ
աղջիկ կամ ամուսնու/կնոջ բարեկամներ

„„ Բարեկամ չհանդիսացող անձինք, օրինակ`
սենյակակիցները կամ գիշերակացով աշխատող
դայակները

„„ Այստեղ ժամանակավոր ապրող մարդիկ

at

„„ Ոչ մի ավել մարդ

Արդյո՞ք դա տուն, բնակարան թե շարժական

In
fo
rm

տնակ է —
Նշեք

ՄԵԿ վանդակ:

„„ Պատկանում է ձեզ թե՞ այս ընտանիքի մեկ այլ
անդամի հիփոթեքով կամ վարկի միջոցով:
Ներառյալ անշարժ գույքի կապիտալի վարկը:
„„ Պատկանում է ձեզ թե՞ ձեռք է բերվել/բերվում տան
մեկ այլ անդամի կողմից հիփոթեքով կամ վարկի
միջոցով:
„„ Վարձակալվո՞ւմ է:
„„ Օգտագործվո՞ւմ է առանց վարձ վճարելու:
Նշեք ձեր հեռախոսահամարը:
Մենք կկապնվենք ձեզ հետ միայն Մարդահամարի
բյուրոյի համար պաշտոնական պարզաբանումներ
ստանալու նպատակով:

Հեռախոսահամարը

4	

ԱՄՆ Մարդահամարի բյուրո

Պատասխանեք 2-րդ էջի ձախ կողմում նշված
հարցերին
ՄԻ ՆՇԵՔ ՁԵՐ ՊԱՏԱՍԽԱՆՆԵՐԸ ԱՅՍ ՈՒՂԵՑՈՒՅՑԻ ՎՐԱ

op
y

Խնդրում ենք տեղեկություններ տրամադրել այստեղ
ապրող յուրաքանչյուրի մասին: Եթե այստեղ ապրում
է անձ, ով վճարում է վարձակալության վճարը կամ
ում պատկանում է տվյալ անշարժ գույքը, ապա
խնդրում ենք նշել նրան որպես Անձ 1: Եթե այս գույքի
վարձավճարը վճարող կամ այն անձը, ում պատկանում
է այս գույքը այստեղ չի ապրում, ապա նշեք այստեղ
ապրող այլ հասուն անձի որպես Անձ 1:

C

Ի՞նչ է Անձ 1-ի անունը:

Ներկայացրեք Անձ 1-ի անունը անգլերեն տառերով:
Ազգանուն(ներ)
(last name[s])

Միջին անվան սկզբնատառ
(middle initial)

io
na
l

Անուն
(first name)

Նշեք Անձ 1-ի սեռը: Նշեք

„„ Արական

ՄԵԿ վանդակ:

„„ Իգական

Նշեք Անձ 1-ի տարիքը և ծննդյան թիվը

Ամիս

In
fo
rm

Տարիքը, տարիներով,
2020 թվականի
ապրիլի 1-ի դրությամբ

at

Մեկ տարեկանից փոքր երեխաների դեպքում, պետք
չէ երեխայի տարիքը նշել ամիսներով: Տարիքը նշեք 0:

Օր

Ծննդյան
տարին

Արդյո՞ք Անձ 1-ը ունի հիսպանիկ, լատինո կամ
իսպանական ծագում:
„„ Ոչ, նա չունի հիսպանիկ, լատինո կամ իսպանական
ծագում 
„„ Այո, նա մեքսիկացի է, մեքսիկացի ամերիկացի է,
չիկանո է
„„ Այո, պուերտոռիկացի
„„ Այո, կուբացի
„„ Այո, այլ հիսպանիկ, լատինո կամ իսպանական
ծագում — Տպատառ նշեք, օրինակ, սալվադորցի,
դոմինիկացի, կոլումբիացի, գվատեմալացի,
իսպանացի, էկվադորցի, և այլն:

ԱՄՆ մարդահամարի բյուրո	

5

Լրացրեք հարցերը 2-րդ էջի աջ կողմում
ՄԻ ՆՇԵՔ ՁԵՐ ՊԱՏԱՍԽԱՆՆԵՐԸ ԱՅՍ ՈՒՂԵՑՈՒՅՑԻ ՎՐԱ
Ո՞րն է Անձ 1-ի ռասան:

op
y

Ընտրեք մեկ կամ մի քանի վանդակ ԵՎ տպատառերով
նշեք ծագումը:
„„ Սպիտակամորթ — տպատառերով նշեք, օրինակ,
գերմանացի, իռլանդացի, անգլիացի, իտալացի,
լիբանանցի, եգիպտացի և այլն:

C

„„ Սևամորթ կամ աֆրոամերիկացի — տպատառերով
նշեք, օրինակ, աֆրոամերիկացի, ջամայկացի,
հայիթցի, նիգերացի, եթովպացի, սոմալեցի և այլն:

io
na
l

„„ Ամերիկացի հնդկացի կամ Ալյասկայի բնիկ —
տպատառերով նշեք ներկայացված կամ գլխավոր
ցեղատեսակները, օրինակ, Navajo Nation, Blackfeet
Tribe, մայա, ացտեկ, Native Village of Barrow Inupiat
Traditional Government, Nome Eskimo Community
և այլն:
„„ վիետնամցի „„ բնիկ հավայացի

„„ ֆիլիպինցի

„„ կորեացի

at

„„ չինացի

In
fo
rm

„„ ասիացի
հնդիկ

„„ սամոացի

„„ ճապոնացի „„ չամառռո

„„ Ասիացի այլ — տպատառերով „„ Խաղաղ
օվկիանոսի
նշեք, օրինակ, պակիստանցի,
կղզիներից որևէ
կամբոջացի, հմոնգ և այլն:
մեկի բնակիչ —
տպատառերով
նշեք, օրինակ,
տոնգցի, ֆիջիցի,
Մարշալյան
կղզիների
բնիկներ և այլն:

„„ Մեկ այլ ռասա — տպատառերով նշեք ռասան կամ
ծագումը:

6	

ԱՄՆ Մարդահամարի բյուրո

Պատասխանեք յուրաքանչյուր ավել անձին
վերաբերող հարցերին
Յուրաքանչյուր ավել անձի տրվելու են ստորև նշված
երկու հարցերը:

op
y

ՄԻ ՆՇԵՔ ՁԵՐ ՊԱՏԱՍԽԱՆՆԵՐԸ ԱՅՍ ՈՒՂԵՑՈՒՅՑԻ ՎՐԱ
Արդյո՞ք տվյալ անձը սովորաբար ապրում
կամ մնում է նաև այլ վայրում:
Նշեք

բոլոր կիրառելի պատասխանները:

C

„„ Ոչ
„„ Այո, քոլեջում

„„ Այո, ռազմական
նշանակման վայրում

„„ Այո, ծնողի կամ այլ
բարեկամի հետ

io
na
l

„„ Այո, սեզոնային կամ
այլ բնակավայրում
„„ Այո, աշխատանքի կամ
բիզնեսի վայրում
„„ Այո, կալանատանը
կամ բանտում
„„ Այո, ծերանոցում
„„ Այո, այլ պատճառով

at

Նշեք այս անձի կապը Անձ 1-ի հետ:

In
fo
rm

Նշեք

ԱՄՆ մարդահամարի բյուրո	

ՄԵԿ վանդակ:

„„ Հակառակ սեռի ամուսին/կին/ամուսնական
զուգընկեր
„„ Հակառակ սեռի չամուսնացած զուգընկեր
„„ Նույնասեռ ամուսին/կին/ամուսնական զուգընկեր
„„ Նույնասեռ չամուսնացած զուգընկեր
„„ Կենսաբանական որդի կամ դուստր
„„ Որդեգրած որդի կամ դուստր
„„ Խորթ որդի կամ խորթ դուստր
„„ Քույր կամ եղբայր

„„
„„
„„
„„
„„
„„

Հայր կամ մայր
Թոռ
Ամուսնու/կնոջ ծնող
փեսա կամ հարս
Այլ բարեկամ
սենյակակից կամ տնակից (roommate or
housemate)
„„ խնամատար երեխա (foster child)
„„ Այլ, ոչ բարեկամ

7

Եթե հաշվել եք վեցից ավելի անձ, ապա
անցեք էջ 8-ի լրացմանը
ՄԻ ՆՇԵՔ ՁԵՐ ՊԱՏԱՍԽԱՆՆԵՐԸ ԱՅՍ ՈՒՂԵՑՈՒՅՑԻ ՎՐԱ
Միջին անվան սկզբնատառ
(middle initial)

Ազգանուն(ներ)
(last name[s])

Իգական

Տարիքը,
տարիներով, 2020
թվականի ապրիլի
1-ի դրությամբ

Ամիս

Օր

Ծննդյան
տարին

Նշեք կապը
Անձ 1-ի հետ
„„ Այո

„„ Ոչ

io
na
l

Արական

C

op
y

Անուն
(first name)

Խնդրում ենք ուղարկել անգլերեն լեզվով լրացված հարցաթերթը ձեզ
տրամադրված փոստային ծրարով, որի առաքման ծախսը վճարված է:

2020 Մարդահամարը

at

դյուրին է, քան երբևէ

In
fo
rm

Իսկ դուք գիտեի՞ք, որ կարող
եք պատասխանել առցանց
տարբերակով:

Եթե ի վիճակի եք պատասխանել 2020
Մարդահամարի հարցերին առցանց,
այցելեք հարցաթերթիկում նշված
էլեկտրոնային հասցեով:

Ստորև նշված հասցեում
առկա են 2020 Մարդահամարի հարցերին առցանց
պատասխանելու ուղեցույց տեսահոլովակներ
2020census.gov/languages
8	

D-G (hye) Armenian
ԱՄՆ Մարդահամարի բյուրո

OMB সংখ্যা 0607-1006: অনুম�োদনের মেয়াদ শেষ হবে 11/30/2021

op
y

2020 জনগণনার জন্য আপনার দিকনির্দে শনা

In
fo
rm

at

io
na
l

C

2020 জনগণনা কাগজকলমের প্রশ্নাবলীতে যেভাবে সাড়া দেবেন

2020 জনগণনায় স্বাগতম
প্রত্যেকেই গণ্য।

op
y

এই জনগণনার লক্ষ্য হচ্ছে যুক্তরাষ্ট্রের প্রত্যেক জীবিত ব্যক্তিকে সঠিক
‌স্থানে একবার ও কেবল একবার গণনা করা। আপনার সম্প্রদায়ের
প্রত্যেককে গণনা করা নিশ্চিত করার জন্য আমাদের আপনার
সাহায্যের প্রয়োজন।

C

জনগণনার তথ্যসমূহ গুরুত্বপূর্ণ।

io
na
l

ইউ.এস. সংবিধান অনুসারে প্রতি 10 বছরে একবার জনগণনা
পরিচালনা আবশ্যক। প্রতিটি স্টেটে কংগ্রেসের আসন সংখ্যা নির্ধারণের
জন্য, ডিস্ট্রিক্টগুল�োতে ভ�োটের সীমানা নির্ধারণের জন্য এবং প্রতি বছর
সম্প্রদায়তে ফেডারেল তহবিল থেকে কিভাবে 675 বিলিয়ন ডলারেরও
বেশি ব্যয় করা হয় তা নির্ধারণের জন্য এই ফলাফল ব্যবহার করা হয়।

অংশগ্রহণ করা আপনার নাগরিক দায়িত্ব।

at

জনগণনা সম্পন্ন করা আবশ্যক; এটি আমাদের গণতন্ত্রে অংশ নেয়ার
এবং ”আমি গণ্য!” বলার একটি উপায়।

In
fo
rm

আপনার তথ্য গ�োপনীয়।

ফেডারেল আইন আপনার প্রতিক্রিয়াকে সুরক্ষিত রাখে। আপনার
প্রতিক্রিয়াগুল�ো কেবল পরিসংখ্যান তৈরি করতে ব্যবহার করা হবে
এবং ক�োন�ো সরকারি সংস্থা বা আদালতের দ্বারা আপনার বিরুদ্ধে
ব্যবহার করা যাবে না।

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

4.

What is your telephone number?

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

2020 জনগণনা কাগজকলমের প্রশ্নাবলী পূরণ
করার জন্য এই নির্দেশিকাটি ব্যবহার করুন।

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

2020 জনগণনা কাগজকলমের প্রশ্নাবলী মেইলবক্সে এবং সারা
দেশের প্রতিটি দ্বারে দ্বারে প�ৌঁছে যাবে।

Number o f people =

2	

ইউ.এস. জনগণনা ব্যুর�ো

শুরু করার আগে
1.	 আপনার প্রশ্নাবলী দেখুন এবং এটি প্রথম পৃষ্ঠা থেকে খুলুন।

op
y

2.	 ইংরেজি প্রশ্নপত্রে আপনার প্রতিক্রিয়া চিহ্নিত করতে এই বাংলা নির্দেশিকার তথ্য ব্যবহার
করুন। এই দিকনির্দে শনার উপর আপনার প্রতিক্রিয়া লিখবেন না।

io
na
l

কাদের গণনা করতে হবে

C

3.	 আপনি প্রথম প্রশ্নটির উত্তর দেওয়ার আগে, নিচের নির্দেশনাগুল�ো ব্যবহার করে এই ঘর,
অ্যাপার্টমেন্ট বা চলনশীল বাড়িকা ব্যক্তিদের গণনা করুন।

জনগণনা ব্যুর�ো প্রতিষ্ঠান ও অন্যান্য
স্থানেও গণনা কার্যক্রম পরিচালনা করে:

•	 শিশুদেরসহ সব মানুষকে গণনা করুন,
যারা এখানে বেশিরভাগ সময় থাকে এবং
ঘুমায়।

•	 1 এপ্রিল, 2020 তারিখে নার্সিং হ�োম,
কারাগার, বন্দীশালা, অন্তরীণ ইত্যাদিতে
অব‌স্থানরত কাউকে গণনা করবেন না।

at

এই ঘর, অ্যাপার্টমেন্ট বা চলনশীল বাড়ি
বসবাসরত ব্যক্তিদের গণনা করুন:

In
fo
rm

•	 যদি কেউ এই ঠিকানায় বেশিরভাগ সময়
না থাকে বা না ঘুমায়, তাহলে অনলাইনে
প্রতিক্রিয়া জানান।

জনগণনাটি অবশ্যই বসবাসের স্থায়ী
ঠিকানাহীন মানুষদেরও অন্তর্ভুক্ত করবে:

•	 কলেজ, নার্সিং হ�োম, সামরিক বাহিনী,
কারাগার ইত্যাদি থেকে ফিরে আসার
পরে এখানে বাস করবেন এমন হলেও
আপনার প্রশ্নাবলী থেকে এইসব ল�োককে
বাদ দিন। অন্যথায়, তাদেরকে দুইবার
গণনা করা হতে পারে।

•	 যদি এমন কেউ থাকেন যার বসবাসের
স্থায়ী ঠিকানা নেই তবে 1 এপ্রিল, 2020
তারিখে এখানে অব‌স্থান করেন তাহলে
সেই ব্যক্তিকেও গণনা করুন।

পরবর্তী পৃষ্ঠার প্রশ্ন ও নির্দেশনাবলি পড়ুন।
এই দিকনির্দে শনার উপর আপনার প্রতিক্রিয়া লিখবেন না।
ইউ.এস. জনগণনা ব্যুর�ো	

3

উপরের পৃষ্ঠার প্রশ্নগুল�ো সম্পূর্ণ করুন
এই দিকনির্দেশনার উপর আপনার প্রতিক্রিয়া লিখবেন না

মানুষের সংখ্যা

op
y

1 এপ্রিল, 2020 তারিখে এই ঘর, অ্যাপার্টমেন্ট বা চলনশীল
বাড়িতে কতজন মানুষ বসবাস করতেন বা থাকতেন?

এপ্রিল 1, 2020 তারিখে ক�োন�ো অতিরিক্ত ল�োক কি এখানে
থাকতেন যাকে আপনি প্রশ্ন 1 এ অন্তর্ভুক্ত করেননি?
চিহ্ন দিন।

C

প্রয�োজ্যগুল�োতে

io
na
l

„„ শিশু, আত্মীয় বা অনাত্মীয়, যেমন নবজাতক শিশু, নাতি-নাতনী
অথবা পালিত সন্তান
„„ আত্মীয়, যেমন প্রাপ্তবয়স্ক শিশু, কাজিন অথবা শ্বশুরবাড়ির
ল�োকজন
„„ অনাত্মীয়, যেমন রুমমেট বা আপনার বাসায় থাকা বেবিসিটার
„„ যারা এখানে অস্থায়ীভাবে বসবাস করছেন

at

„„ ক�োন�ো অতিরিক্ত মানুষ অন্তর্ভু ক্ত করিনি
এই ঘর, অ্যাপার্টমেন্ট বা চলনশীল বাড়ি কী —

In
fo
rm

একটি বাক্স

চিহ্নিত করুন।

„„ আপনি অথবা এই পরিবারের কেউ বন্ধক বা ঋণের মাধ্যমে
নিয়েছেন? হ�োম ইকুইটি ঋণও এর অন্তর্ভু ক্ত।
„„ ক�োন�ো আইনি জটিলতা ছাড়াই আপনার বা এই পরিবারের অন্য
কার�ো মালিকানায় আছে (বন্ধক বা ঋণ ছাড়া)?
„„ ভাড়া করা?
„„ বিনা ভাড়ায় অধিকৃত?

আপনার টেলিফ�োন নম্বর কত?
আমরা কেবল আপনার সাথে য�োগায�োগ করব যদি জনগণনা ব্যুর�োর
অফিসিয়াল প্রয়�োজন হয়।

টেলিফ�োন নম্বর

4	

ইউ.এস. জনগণনা ব্যুর�ো

2 নং পৃষ্ঠার বাম পাশের প্রশ্নগুল�ো সম্পূর্ণ করুন
এই দিকনির্দেশনার উপর আপনার প্রতিক্রিয়া লিখবেন না

1ম ব্যক্তির নাম কী?

op
y

অনুগ্রহ করে এখানে বসবাসরত প্রত্যেক ব্যক্তির তথ্য প্রদান করুন।
এখানে বসবাসকারী কেউ যদি ভাড়া প্রদান করেন বা এই বাসস্থানের
মালিক হন তাহলে তাকে 1ম ব্যক্তি হিসেবে তালিকাভু ক্ত করুন। যদি
মালিক বা ব্যক্তি যিনি ভাড়া দেন তিনি এখানে বসবাস না করেন,
তাহলে এখানে যেক�োন�ো প্রাপ্তবয়স্ক বসবাসকারীকে 1ম ব্যক্তি হিসেবে
তালিকাভু ক্ত করুন।

নামের প্রথমাংশ
(first name)

পদবি(গুলি)
(last name[s])

নামের মধ্যাংশের প্রথম বর্ণ
(middle initial)

C

ইংরেজি অক্ষরে ব্যক্তি 1র নাম লিখুন।

io
na
l

1ম ব্যক্তির লিঙ্গ কী? একটি বাক্স
„„ পুরুষ

চিহ্নিত করুন।

„„ মহিলা

1ম ব্যক্তির বয়স এবং জন্মতারিখ কত?

মাস

দিন

জন্মের বছর

In
fo
rm

বয়স, 1
এপ্রিল,
2020
তারিখে

at

1 বছরের কম বয়সী বাচ্চাদের জন্য, বয়স মাসে লিখবেন না। বয়স 0
হিসাবে লিখবেন।

1ম ব্যক্তি কি হিস্পানিক, লাতিন বা স্পেনীয় বংশ�োদ্ভু ত?
„„ না, হিস্পানিক, লাতিন বা স্পেনীয় বংশ�োদ্ভূ ত নয়
„„ হ্ যাঁ, মেক্সিকান, মেক্সিকান আমেরিকান, চিকান�ো দেশীয়
পুরুষ বা মহিলা
„„ হ্ যাঁ, পুয়ের্তো রিকান
„„ হ্ যাঁ, কিউবান
„„ হ্ যাঁ, অন্য হিস্পানিক, লাতিন বা স্পেনীয় বংশ�োদ্ভূ ত — লিখুন,
উদাহরণস্বরূপ, সালভাদ�োরান, ড�োমিনিকান, কলম্বিয়ান,
গুয়াতেমালান, স্পেনবাসী, ইক�োয়াডরিয়ান, ইত্যাদি।

ইউ.এস. জনগণনা ব্যুর�ো	

5

2 নং পৃষ্ঠার ডান পাশের প্রশ্ন সম্পূর্ণ করুন
এই দিকনির্দেশনার উপর আপনার প্রতিক্রিয়া লিখবেন না

1ম ব্যক্তি ক�োন জাতির?
এবং জাতির নাম লিখুন।

op
y

এক বা একাধিক বাক্স

„„ শ্বেতাঙ্গ — লিখুন, উদাহরণস্বরূপ, জার্মান, আইরিশ, ইংরেজি,
ইতালীয়, লেবনীজ়, মিসরীয়, ইত্যাদি।

C

„„ কৃষ্ণাঙ্গ অথবা আফ্রিকান আমেরিকান — লিখুন, উদাহরণস্বরূপ,
আফ্রিকাবাসী মার্কি ন, জ্যামাইকান, হাইতিয়ান, নাইজেরিয়ান,
ইথিওপিওবাসী, স�োমালি, ইত্যাদি।

io
na
l

„„ আমেরিকান ভারতীয় অথবা আলাস্কা আদিবাসী — নথিভু ক্ত
অথবা প্রধান উপজাতি(গুল�ো)র নাম লিখুন, উদাহরণস্বরূপ,
Navajo Nation, Blackfeet Tribe, মায়ান, অ্যাজটেক,
Native Village of Barrow Inupiat Traditional
Government, Nome Eskimo Community ইত্যাদি।
চীনা
„„ ভিয়েতনামি
ফিলিপিন�ো
„„ ক�োরিয়ান
এশিয় ভারতীয় „„ জাপানী
অন্যান্য এশিয়ান
— লিখুন,
উদাহরণস্বরূপ,
পাকিস্তানী,
কম্বোডিয়ান,
হম�োঙ, ইত্যাদি।

In
fo
rm

at

„„
„„
„„
„„

6	

„„
„„
„„
„„

হাওয়াইয়ের আদিবাসী
সাম�োয়ান
চামের�ো
অন্যান্য প্রশান্ত
মহাসাগরীয় — লিখুন,
উদাহরণস্বরূপ,
ট�োঙ্গার অধিবাসী,
ফিজিয়ান, মার্ শালীজ,
ইত্যাদি।

„„ কিছু অন্যান্য জাতি — জাতি বা উৎপি%গত বংশের নাম লিখুন।

ইউ.এস. জনগণনা ব্যুর�ো

প্রত্যেক অতিরিক্ত ব্যক্তির জন্য প্রশ্নগুল�ো সম্পূর্ণ করুন
প্রত্যেক অতিরিক্ত ব্যক্তিকে নিচের দুইটি প্রশ্ন জিজ্ঞাসা করা হবে

op
y

এই দিকনির্দেশনার উপর আপনার প্রতিক্রিয়া লিখবেন না

সাধারণত এই ব্যক্তি অন্য ক�োথাও বসবাস করেন বা থাকেন কি?
প্রয�োজ্যগুল�োতে

চিহ্ন দিন।

„„ না

„„ হ্ যাঁ, একজন পিতা/মাতা বা
অন্য ক�োন�ো আত্মীয়ের সাথে

C

„„ হ্ যাঁ, কলেজের জন্য

„„ হ্ যাঁ, একটি সামরিক কাজের
জন্য

io
na
l

„„ হ্ যাঁ, একটি সিজনাল বা দ্বিতীয়
বসবাসের স্থানে
„„ হ্ যাঁ, একটি চাকরি বা ব্যবসার
জন্য
„„ হ্ যাঁ, একটি জেলে বা
কারাগারে
„„ হ্ যাঁ, একটি নার্সিং হ�োমের জন্য
„„ হ্ যাঁ, অন্য ক�োন�ো কারণে

at

এই ব্যক্তি 1ম ব্যক্তির সাথে কিভাবে সম্পর্কিত?

In
fo
rm

একটি বাক্স

ইউ.এস. জনগণনা ব্যুর�ো	

চিহ্নিত করুন।

„„
„„
„„
„„
„„
„„
„„
„„

বিপরীত লিঙ্গ স্বামী/স্ত্রী/স্বামী-স্ত্রী উভয়ই
বিপরীত লিঙ্গ অবিবাহিত সঙ্গী
সমলিঙ্গের স্বামী/স্ত্রী/স্বামী-স্ত্রী উভয়ই
সমলিঙ্গের অবিবাহিত সঙ্গী
জৈবিক ছেলে বা মেয়ে
দত্তক নেওয়া ছেলে বা মেয়ে
সৎ ছেলে বা সৎ মেয়ে
ভাই অথবা ব�োন

„„
„„
„„
„„
„„
„„
„„
„„

পিতা বা মাতা
নাতি বা নাতনি
শ্বশুর-শাশুড়ী
জামাই বা বউ
অন্যান্য আত্মীয়
একই ঘরের বা বাড়ির বাসিন্দা
পালিত সন্তান
অন্যান্য অনাত্মীয়

7

আপনি যদি ছয় জনের বেশি ল�োককে গণনা করেন তবে
পৃষ্ঠা 8 সম্পূর্ণ করুন
এই দিকনির্দেশনার উপর আপনার প্রতিক্রিয়া লিখবেন না
নামের মধ্যাংশের প্রথম বর্ণ
(middle initial)

পদবি(গুলি)
(last name[s])

পুরুষ

মহিলা

বয়স, 1 এপ্রিল,
2020 তারিখে

মাস

দিন

C

op
y

নামের প্রথমাংশ
(first name)

জন্মের
বছর

1ম ব্যাক্তির সাথে
সম্পর্ক যুক্ত কি?
„„ না

io
na
l

„„ হ্ যাঁ

অনুগ্রহ করে আপনি গ্রহণ করেছেন এমন ডাকমাসুল দেওয়া
খামে আপনার ইংরেজি প্রশ্নপত্র পূরণ করে পাঠান।

at

2020 জনগণনা আগের
তুলনায় সহজ।

In
fo
rm

আপনি কি জানেন আপনি
অনলাইনেও উত্তর দিতে পারবেন?

আপনি যদি 2020 জনগণনা অনলাইনে সম্পূর্ণ
করতে সক্ষম হন তাহলে প্রশ্নপত্রে মুদ্রিত URL এ
যান।

2020 জনগণনা অনলাইনে সম্পূর্ণ করার জন্য ভিডিও
নির্দে শনা পাওয়া যাবে এখানে
2020census.gov/languages
8	

D-G (ben) Bengali
ইউ.এস. জনগণনা ব্যুর�ো

OMB br. 0607-1006: Odobrenje ističe 11/30/2021

op
y

Vaš vodič za popis stanovništva 2020. godine

In
fo
rm

at

io
na
l

C

Kako odgovoriti na pitanja iz štampanog upitnika
za popis stanovništva 2020. godine

Dobro došli na popis stanovništva
2020. godine
Svaka osoba se popisuje.

op
y

Cilj ovog popisa stanovništva je da popiše svaku živu
osobu u SAD-u jednom, samo jednom i na pravom
mjestu. Potrebna nam je vaša pomoć kako bismo bili
sigurni da će sve osobe u vašoj zajednici biti popisane.

Podaci sa popisa stanovništva su važni.

io
na
l

C

Prema Američkom ustavu, popis stanovništva mora
se sprovesti svakih 10 godina. Rezultati se koriste za
određivanje broja predstavnika koje svaka država ima
u Kongresu, za određivanje granica za izborne okruge
i za određivanje načina trošenja preko 675 milijardi
dolara saveznog finansiranja u zajednici svake godine.

Učešće u popisu je vaša građanska
obaveza.

In
fo
rm

at

Popunjavanje popisa stanovništva je obavezno; to je
način da učestvujete u našoj demokratiji i kažete „moj
glas je važan!“

Vaši podaci su povjerljivi.
Savezni zakon štiti vaše odgovore. Vaši odgovori se
mogu koristiti samo radi vođenja statistike i ni jedna
vladina agencija ili sud ih ne može koristiti protiv vas.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

Koristite ovaj vodič da biste popunili
štampani upitnik za popis stanovništva
2020. godine.

–

–

Štampani upitnici za popis stanovništva 2020. godine
stići će u poštanske sandučiće i na kućne pragove
učesnika u cijeloj zemlji.
Američki biro za popis stanovništva

Prije nego što počnete
1.	 Pronađite svoj upitnik i otvorite prvu stranicu.

op
y

2.	 Koristite informacije iz ovog vodiča na bosanskom jeziku da biste
označili svoje odgovore u štampanom upitniku na engleskom jeziku.
NEMOJTE UPISIVATI SVOJE ODGOVORE U OVAJ VODIČ.

Koga treba popisati

Američki biro za popis
stanovništva sprovodi popis
i u ustanovama i na drugim
mjestima:

io
na
l

Popišite osobe koje žive u ovoj
kući, stanu ili mobilnoj kući:

C

3.	 Prije nego što odgovorite na prvo pitanje, popišite osobe koje
žive u ovoj kući, stanu ili mobilnoj kući, pridržavajući se uputstava
u nastavku.

•	 Popišite sve osobe, uključujući i
bebe, koje na ovoj adresi žive i
spavaju najveći dio vremena.

In
fo
rm

at

•	 Ako na ovoj adresi niko ne živi
niti spava najveći dio vremena,
popunite popis na mreži.

Popis stanovništva mora takođe
uključiti osobe bez stalnog mjesta
boravka:

•	 Ako neko ko nema stalno mjesto
boravka boravi na ovoj adresi
na dan 1. aprila 2020. godine,
popišite i tu osobu.

•	 Nemojte popisivati nikog ko
boravi u staračkom domu,
pritvoru, zatvoru itd. na dan
1. aprila 2020. godine.
•	 Nemojte navoditi te osobe
u vašem upitniku, čak i ako će se
vratiti da ovdje žive nakon što
završe fakultet, napuste starački
dom, vojsku, pritvor itd. U
suprotnom, mogu biti popisani
dva puta.

Pročitajte pitanja i uputstva na sljedećoj stranici.
Nemojte upisivati svoje odgovore u ovaj vodič.
Američki biro za popis stanovništva	3

Popunite pitanja na prvoj stranici
NEMOJTE UPISIVATI SVOJE ODGOVORE U OVAJ VODIČ
Koliko osoba živi ili boravi u ovoj kući, stanu ili
mobilnoj kući na dan 1. aprila 2020. godine?

op
y

Broj osoba

Ima li dodatnih osoba koje stanuju na ovoj adresi na
dan 1. aprila 2020. godine koje niste naveli u pitanju
br. 1?
sve što je primjenjivo.

C

Označite

„„ Djeca, bilo da su u srodstvu ili ne, kao što su
novorođenčad, unuci ili usvojena djeca (foster)

io
na
l

„„ Rođaci, kao što su odrasla djeca, bliži rođaci,
rodbina bračnog druga
„„ Osobe koje nisu rođaci, kao što su cimeri ili bebi
siteri koji stanuje na mjestu rada
„„ Osobe koje ovdje stanuju privremeno
„„ Nema dodatnih osoba

at

Da li je ovo kuća, stan ili mobilna kuća —

In
fo
rm

Označite

JEDAN kvadratić.

„„ U vašem vlasništvu ili vlasništvu druge osobe iz
ovog domaćinstva pod hipotekom ili kreditom?
Uključite i kredit za kuću.
„„ U vašem vlasništvu ili vlasništvu druge osobe
iz vašeg domaćinstva bez pravnih tereta (bez
hipoteke ili kredita)?
„„ Iznajmljeno?
„„ Stanovanje bez plaćanja stanarine?
Koji je vaš broj telefona?
Kontaktiraćemo vas samo ako je potrebno za
službene potrebe biroa za popis stanovništva.

Broj telefona

4	

Američki biro za popis stanovništva

Popunite pitanja na lijevoj polovini stranice br. 2
NEMOJTE UPISIVATI SVOJE ODGOVORE U OVAJ VODIČ

op
y

Navedite podatke za svaku osobu koja stanuje ovdje.
Ako ovdje živi neko ko plaća najam ili je vlasnik ovog
prebivališta, počnite tako što ćete ga navesti kao
Osobu br. 1. Ako vlasnik ili osoba koja plaća najam
ne živi ovdje, počnite tako što ćete navesti bilo koju
odraslu osobu koja živi ovdje, kao Osobu br. 1.

Ime
(first name)

Prezime(na)
(last name[s])

Inicijal srednjeg imena
(middle initial)

C

Kako se zove Osoba br. 1?

io
na
l

Kojeg pola je Osoba br. 1? 
Označite JEDAN kvadratić.
„„ Muški

„„ Ženski

Koliko je stara Osoba br. 1 i koji je datum rođenja
Osobe br. 1?

Mjesec

Dan

Godina
rođenja

In
fo
rm

Godine
starosti
na dan 1.
aprila 2020.
godine

at

Za bebe mlađe od godinu dana, nemojte upisivati
starost u mjesecima. Za starost upišite 0.

Da li je Osoba br. 1 hispano, latinoameričkog ili
španskog porijekla?
„„ Ne, nije hispano, latinoameričkog ili španskog
porijekla
„„ Da, meksikanskog, meksikansko američkog, Čikano
„„ Da, portorikanskog
„„ Da, kubanskog
„„ Da, nekog drugog hispano, latinoameričkog
ili španskog porijekla — napišite, na primjer,
salvadorsko, dominikansko, kolumbijsko,
gvatemalsko, špansko, ekvadorsko itd.

Američki biro za popis stanovništva	5

Popunite pitanje na desnoj polovini stranice br. 2
NEMOJTE UPISIVATI SVOJE ODGOVORE U OVAJ VODIČ
Koje rase je Osoba br. 1?
Označite

jedan ili više kvadratića I upišite porijeklo.

op
y

„„ Bijela — napišite, na primjer, njemačko, irsko,
englesko, italijansko, libansko, egipćansko itd.

„„ Crnačka ili afroamerička — napišite, na primjer,
afroameričko, jamajčansko, haićansko, nigerijsko,
etiopijsko, somalijsko itd.

io
na
l

C

„„ Američko indijanska ili starosjedilac Aljaske —
napišite ime registrovanog ili glavnog plemena,
na primjer, Navajo Nation, Blackfeet Tribe, majaindijansko, azteško, Native Village of Barrow
Inupiat Traditional Government, Nome Eskimo
Community itd.
„„ Vijetnamsko „„ Starosjedilac
Havaja
„„ Filipinsko
„„ Korejsko
„„ Samoansko
„„ Indusko
„„ Japansko
„„ Chamorro
„„ Drugo azijsko
„„ Drugi pacifički
porijeklo —
ostrvljanin —
napišite,
napišite,
na primjer,
na primjer,
pakistansko,
tongosko,
kambodžansfidžijsko,
ko, hmongško
maršalski
itd.
ostrvljanin itd.

In
fo
rm

at

„„ Kinesko

6	

„„ Neka druga rasa — napišite rasu ili porijeklo.

Američki biro za popis stanovništva

Popunite pitanja za svaku dodatnu osobu
Svakoj dodatnoj osobi bit će postavljena dva pitanja navedena
u nastavku

op
y

NEMOJTE UPISIVATI SVOJE ODGOVORE U OVAJ VODIČ

Da li ova osoba obično živi ili boravi na nekom
drugom mjestu?
Označite
„„ Ne

sve što je primjenjivo.

„„ Da, s roditeljem ili
drugim rođakom

C

„„ Da, zbog fakulteta

„„ Da, zbog vojne misije

„„ Da, zbog rada ili posla

io
na
l

„„ Da, u staračkom domu

„„ Da, u sezonskom ili
drugom prebivalištu
„„ Da, u pritvoru ili
zatvoru
„„ Da, iz nekog drugog
razloga

at

U kakvom je odnosu ova osoba s Osobom br. 1?

In
fo
rm

Označite

JEDAN kvadratić.

„„ Suprug/supruga/bračni drug suprotnog pola
„„ Nevjenčani partner suprotnog pola
„„ Suprug/supruga/bračni drug istog pola
„„ Nevjenčani partner istog pola
„„ Biološki sin ili kćer
„„ Usvojen sin ili usvojena kćer
„„ Pastorak ili pastorka
„„ Brat ili sestra
„„ Otac ili majka
„„ Unuče
„„ Roditelj bračnog partnera
„„ Zet ili snaha
„„ Drugi rođak
„„ Cimer ili sustanar (roommate or housemate)
„„ Usvojeno dijete (foster)
„„ Druga osoba koja nije rođak

Američki biro za popis stanovništva	7

Popunite stranicu 8 ako ste popisali više od
šest osoba
NEMOJTE UPISIVATI SVOJE ODGOVORE U OVAJ VODIČ

Godine
starosti na
dan 1. aprila
2020. godine

Mjesec

Dan

op
y

Ženski

Prezime(na)
(last name[s])

Godina
rođenja

Je li u srodstvu
s Osobom br. 1?
„„ Da

„„ Ne

io
na
l

Muški

Inicijal srednjeg imena
(middle initial)

C

Ime
(first name)

Pošaljite poštom popunjeni upitnik na engleskom jeziku koji ste
primili u koverti s plaćenom poštarinom.

at

Popis stanovništva 2020.
godine je jednostavniji
nego ikada.

In
fo
rm

Znate li da možete
odgovarati na pitanja
na mreži?

Ako možete popuniti popis stanovništva
2020. godine na mreži, idite na internet
adresu odštampanu u upitniku.

Video vodiči za popunjavanje popisa stanovništva
2020. godine na mreži dostupni su na
2020census.gov/languages
D-G (bos) Bosnian

8	

Američki biro za popis stanovništva

OMB № 0607—1006: Одобрението изтича на 11/30/2021 г.

op
y

Вашите насоки за Преброяване
на населението 2020 г.

In
fo
rm

at

io
na
l

C

Как се отговаря на анкетната карта на хартия
на Преброяване на населението 2020 г.

Добре дошли в Преброяване на
населението 2020 г.
Всеки ще бъде преброен.

op
y

Целта на това преброяване на населението е да
се преброят всички живи хора в САЩ веднъж,
само веднъж и на точното място. Нуждаем се
от Вашата помощ, за да се уверим, че всички
в общността Ви ще бъдат преброени.

C

Данните от Преброяване на
населението са важни.

io
na
l

Конституцията на САЩ изисква да се извършва
преброяване на населението на всеки 10 години.
Резултатите се използват за определяне броя
на местата, които всеки щат има в Конгреса,
за определяне границите на избирателните
райони, както и да се определи как повече от 675
милиарда долара във федералното финансиране
се разходват в общностите всяка година.

Ваш граждански дълг е да участвате.

In
fo
rm

at

Необходимо е да попълните преброяването
на населението; това е начин да участвате
в демокрацията и да кажете „Аз се преброих!“

Вашата информация е поверителна.

Федералното право защитава отговорите
Ви. Вашите отговори могат да се използват
само за изготвяне на статистика и не могат
да бъдат използвани срещу Вас от която и да
е правителствена агенция или съд.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

4.

–

–

Използвайте тези насоки, за да
попълните анкетната карта
на хартия на Преброяване на
населението 2020 г.
Анкетната карта на хартия на Преброяване на
населението 2020 г. ще бъде изпратена до всяка
пощенска кутия и до всяка врата в цялата страна.
Бюро за преброяване на населението на САЩ

Преди да започнете
1.	 Намерете анкетната си карта и я отворете на първата
страница.

op
y

2.	 Използвайте информацията в тези насоки на български език, за
да маркирате отговорите си в анкетната карта на хартия на
английски.
НЕ ПИШЕТЕ ОТГОВОРИТЕ СИ В ТЕЗИ НАСОКИ.

Кого да преброите

Бюрото за преброяване
на населението извършва
преброявания и в
институциите и на други
места:

io
na
l

Пребройте хората,
които живеят в къщата,
апартамента или подвижното
жилище:

C

3.	 Преди да отговорите на първия въпрос, пребройте хората,
които живеят в къщата, апартамента или подвижното
жилище, с помощта на насоките по-долу.

at

•	 Пребройте всички,
включително бебетата,
които през повечето време
живеят и нощуват тук.

In
fo
rm

•	 Ако през повечето време
никой не живее или не нощува
на този адрес, отговорете
онлайн.
Преброяването на населението
трябва да включва също така
и хората без постоянно място
за живеене:

•	 Ако към 1 април 2020 г.
тук пребивава лице без
постоянно място за
живеене, включете го
в преброяването.

•	 Не включвайте в
преброяването лица, които
към 1 април 2020 г. се намират
в болнично заведение, затвор,
арест и др.
•	 Тези лица не трябва да
бъдат включени в анкетната
Ви карта, дори ако се
върнат да живеят тук след
напускане на колеж, болнично
заведение, затвор, армията
и др. В противен случай може
да бъдат преброени два пъти.

Прочетете въпросите и инструкциите на
следващата страница.
Не пишете отговорите си в тези насоки.

Бюро за преброяване на населението на САЩ	3

Попълнете въпросите на първата страница
НЕ ПИШЕТЕ ОТГОВОРИТЕ СИ В ТЕЗИ НАСОКИ
Колко лица живеят или пребивават в тази
къща, апартамент или подвижно жилище към
1 април 2020 г.?

op
y

Брой лица

Има ли други лица, които пребивават тук към
1 април 2020 г., които не сте включили във
Въпрос 1?
всички приложими.

C

Маркирайте

„„ Деца, свързани или не с тях, напр. новородени
бебета, внуци или деца в приемно семейство

io
na
l

„„ Роднини, напр. пълнолетни деца, братовчеди
или некръвни роднини
„„ Други неродствени лица, напр. съквартиранти
или детегледачки, които живеят тук
„„ Хора, които пребивават тук временно
„„ Няма други лица

at

Това е: къща, апартамент или
подвижно жилище —

In
fo
rm

Маркирайте

ЕДНО квадратче.

„„ Ваша собственост ли е или на някого в това
домакинство с ипотека или заем? Включете
жилищните кредити.
„„ Ваша собственост ли е или на някого в това
домакинство без задължения (без ипотека или
заем)?
„„ Под наем ли е?
„„ Обитава ли се без плащане на наем?
Какъв е телефонният Ви номер?
Ще се свържем с Вас само ако това е необходимо
за официалната дейност на Бюрото за
преброяване на населението.

Телефонен номер

4	

Бюро за преброяване на населението на САЩ

Попълнете въпросите на лявата страна
на страница 2
НЕ ПИШЕТЕ ОТГОВОРИТЕ СИ В ТЕЗИ НАСОКИ

op
y

Моля, дайте информация за всяко лице, което
живее тук. Ако тук живее някой, който плаща
наем или е собственик на това жилище,
започнете, като го/я посочите като Лице 1. Ако
собственикът или лицето, което плаща наем, не
живее тук, започнете, като посочите което и
да е живущо тук пълнолетно лице като Лице 1.
Как се казва Лице 1?

Фамилия(и)
(last name[s])

Инициал на презимето
(middle initial)

io
na
l

Собствено име
(first name)

C

Моля, напишете името на Лице 1 на английски
език.

От какъв пол е Лице 1? 
Маркирайте ЕДНО квадратче.
„„ Мъж

„„ Жена

at

На каква възраст е Лице 1 и коя е датата му на
раждане?

In
fo
rm

За бебета под 1 година не пишете възрастта в
месеци. За възраст напишете 0.

Възраст в
години към
1 април 2020 г.

Месец

Ден

Година на
раждане
Лице 1 с испаноамерикански, латиноамерикански
или испански произход ли е?
„„ Не, не е с испаноамерикански,
латиноамерикански или испански произход
„„ Да, мексиканец/ка, латиноамериканец/ка е
„„ Да, пуерториканец/ка е
„„ Да, кубинец/ка е
„„ Да, с друг испаноамерикански,
латиноамерикански или испански произход —
напишете, напр. салвадорец/ка, доминиканец/
ка, клумбиец/йка, гватемалец/ка, испанец/ка,
еквадорец/ка и др.

Бюро за преброяване на населението на САЩ	5

Попълнете въпроса на дясната страна на
страница 2
НЕ ПИШЕТЕ ОТГОВОРИТЕ СИ В ТЕЗИ НАСОКИ
От каква раса е Лице 1?

op
y

Маркирайте едно или повече квадратчета И
напишете произхода.

io
na
l

C

„„ От бялата раса — напишете, напр. германец/
ка, ирландец/ка, англичанин/ка, италианец/ка,
ливанец/ка, египтянин/ка и др.
„„ Чернокож/а или афроамериканец/ка —
напишете, напр. афроамериканец/ка, ямаец/
йка, хаитянин/ка, нигериец/йка, етиопец/ка,
сомалиец/йка и др.
„„ Индианец/ка в САЩ или коренен жител на
Аляска — напишете името на обединеното
или основното племе/на, напр. Navajo Nation,
Blackfeet Tribe, маи, ацтеки, Native Village of
Barrow Inupiat Traditional Government, Nome
Eskimo Community и др.
„„ Хаваец/йка
„„ Самоанец/ка

In
fo
rm

at

„„ Китаец/йка „„ Виетнамец/
ка
„„ Филипинец/ „„ Кореец/йка
ка
„„ Индиец/йка „„ Японец/ка
„„ С друг азиатски
произход—
напишете, напр.
пакистанец/ка,
камбоджанец/ка,
хмонг и др.

6	

„„ Чаморо
„„ С друг
произход от
Тихоокеанските
острови —
напишете, напр.
тонганец/ка,
фиджиец/йка,
маршалец/ка и
др.
„„ От друга раса — напишете расова
принадлежност или произход.

Бюро за преброяване на населението на САЩ

Попълнете въпросите за всяко
допълнително лице
За всяко допълнително лице ще бъдат зададени двата
въпроса по-долу

op
y

НЕ ПИШЕТЕ ОТГОВОРИТЕ СИ В ТЕЗИ НАСОКИ
Това лице обикновено тук ли живее или на
друго място?
Маркирайте
„„ Не

всички приложими.

io
na
l

C

„„ Да, учи в колеж
„„ Да, с родител или
друго родствено
„„ Да, на военна служба
лице
„„ Да, по работа или
„
„
Да, в сезонно или
бизнес
второ жилище
„„ Да, в болнично
„„ Да, в затвора
заведение
„„ Да, поради друга
причина

at

По какъв начин това лице е свързано с Лице 1?

In
fo
rm

Маркирайте

ЕДНО квадратче.

„„
„„
„„
„„
„„
„„
„„
„„

Съпруг/съпруга от противоположния пол
Несемеен партньор от противоположния пол
Съпруг/съпруга от същия пол
Небрачен партньор от същия пол
Биологичен/на син/дъщеря
Осиновен/а син/дъщеря
Доведен син или доведена дъщеря
Брат или сестра

„„
„„
„„
„„
„„
„„
„„
„„

Баща или майка
Внук/внучка
Родител на съпруг/съпруга
Зет или снаха
Друго родствено лице
Съквартирант (roommate or housemate)
Дете в приемно семейство
Друго неродствено лице

Бюро за преброяване на населението на САЩ	7

Ако сте преброили повече от 6-ма души,
попълнете страница 8
НЕ ПИШЕТЕ ОТГОВОРИТЕ СИ В ТЕЗИ НАСОКИ

Възраст в
години към
1 април
2020 г.

Месец

Ден

op
y

Жена

Фамилия(и)
(last name[s])

Година
на
раждане

Свързано ли е с Лице 1?
„„ Да

„„ Не

io
na
l

Мъж

Инициал на презимето
(middle initial)

C

Собствено име
(first name)

Моля, изпратете по пощата попълнената анкетна карта
на български в получения плик с платени пощенски разноски.

at

Преброяване на
населението 2020 г. е
по-лесно от всякога.

In
fo
rm

Знаете ли, че можете да
отговорите онлайн?

Ако можете да попълните
Преброяване на населението 2020
г. онлайн, отворете URL адреса,
отпечатан на анкетната карта.

Видео насоките за попълване на
Преброяване на населението 2020 г.
онлайн са достъпни на
2020census.gov/languages
8	

D-G (bul) Bulgarian
Бюро за преброяване на населението на САЩ

OMB နံပါတ္ 0607-1006 ။ ခြင့္ျပဳခ်က္ သက္တမ္းကုန္သည့္ရက္စြ 11/30/2021
ဲ

op
y

2020 သန္းေခါင္စာရင္းအတြက္ သင့္လမ္းညႊန္

In
fo
rm

at

io
na
l

C

2020 သန္းေခါင္စာရင္း စာရြက္ႏွင့္ ေမးခြန္းလႊာအား ေျဖဆိုပံု

2020 သန္းေခါင္စာရင္းမွ ႀကိဳဆိုပါသည္
လူတိုင္း အေရးၾကီးသည္။
ဤသန္းေခါင္စာရင္း၏ ရည္ရြယ္ခ်က္မွာ အေမရိကန္ျပည္ေထာင္စုတြင္

op
y

အသက္႐ွင္လ်က္ ေနထိုင္ေသာသူတိုင္းကုိ မွန္ကန္ေသာေနရာတြင္

တစ္ႀကိမ္တစ္ခါတည္းသာ ေရတြက္ရန္ ျဖစ္ပါသည္။ သင့္လူမႈအသိုင္းအ၀ိုင္းအတြင္းရွိ
လူတိုင္းကို ေရတြက္ခံရေၾကာင္း ေသခ်ာေစရန္ သင့္အကူအညီကို လိုအပ္ပါသည္။

အေရးႀကီးပါသည္။

C

သန္းေခါင္စာရင္း အခ်က္အလက္မ်ားသည္

အေမရိကန္ျပည္ေထာင္စု ဖြဲ႔စည္းပံုအေျခခံဥပေဒအရ သန္းေခါင္စာရင္းကို

io
na
l

10 ႏွစ္လွ်င္တစ္ႀကိမ္ ေကာက္ယူရန္ လိုအပ္ပါသည္။ ရလဒ္မ်ားကို ကြန္ဂရက္တြင္
ျပည္နယ္တစ္ခုစီ၏ ေနရာအေရအတြက္ကို ဆံုးျဖတ္ရန္၊ မဲေပးျခင္း ခ႐ိုင္မ်ားအတြက္
နယ္စည္းမ်ားကိုဆြဲရန္ႏွင့္ တစ္ႏွစ္စီအတြက္ ဗဟိုအစိုးရရန္ပံုေငြျဖစ္ေသာ

$675

ဘီလီယံေက်ာ္အား လူမႈအသိုင္းအ၀ိုင္းမ်ားတြင္ အသံုးျပဳပံုကို ဆံုးျဖတ္ရန္တို႔အတြက္
အသံုးျပဳပါသည္။

at

ပါ၀င္ေဆာင္ရြက္ရန္မွာ သင္၏ ျပည္သူ႔တာ၀န္ ျဖစ္ပါသည္။
သန္းေခါင္းစာရင္းကို ျဖည့္ရန္ လိုအပ္ပါသည္။ ၎သည္ ကၽြႏ္ုပ္တို႔၏ ဒီမိုကေရစီ
စနစ္တြင္ ပါ၀င္ျပီး “ကၽြႏ္ုပ္သည္ အေရးပါသည္”ဟု ေျပာၾကားရန္ နည္းလမ္းတစ္ခု

In
fo
rm

ျဖစ္သည္။

သင့္သတင္းအခ်က္အလက္ကို လွ်ဳိ႕၀ွက္ထားပါသည္။
သင့္အေျဖမ်ားကို ဗဟိုအစိုးရဥပေဒက ကာကြယ္ေပးပါသည္။ သင့္အေျဖမ်ားကို
ကိန္းဂဏန္းအခ်က္အလက္မ်ား ရရွိရန္အတြက္သာ အသံုးျပဳႏိုင္မည္ျဖစ္ၿပီး
မည္သည့္အစိုးရအဖြဲ႔အစည္း သို႔မဟုတ္ တရား႐ံုးကမွ် သင့္ကိုဆန္႔က်င္ရန္
အသံုးမျပဳႏိုင္ပါ။

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

2020 သန္းေခါင္စာရင္း စာရြက္ႏွင့္ ေမးခြန္းလႊာကို
ျဖည့္ရန္ ဤလမ္းညႊန္ကို အသံုးျပဳပါ။

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

2020 သန္းေခါင္စာရင္း စာရြက္ႏွင့္ ေမးခြန္းလႊာသည္ ႏိုင္ငံတ၀ွမ္းရွိ
စာတိုက္ေသတၱာမ်ားႏွင့္ အိမ္တံခါး၀မ်ားသို႔ ေရာက္ရွိမည္ ျဖစ္ပါသည္။

–

Number o f people =

2	

အေမရိကန္ျပည္ေထာင္စု သန္းေခါင္စာရင္းဌာန

သင္မစတင္မီတြင္
1.	 သင့္စစ္တမ္းေမးခြန္းလႊာကို ရွာေဖြကာ ပထမစာမ်က္ႏွာကို ဖြင့္ပါ။
2.	 အဂၤလိပ္လိုေရးထားေသာ စာရြက္ႏွင့္ ေမးခြန္းလႊာေပၚတြင္ သင့္အေျဖမ်ားကို မွတ္သားရန္အတြက္ ဤ

op
y

ျမန္မာဘာသာ လမ္းညႊန္တြင္႐ွိ အခ်က္အလက္မ်ားကုိ အသံုးျပဳပါ။ ဤလမ္းညႊန္ေပၚတြင္ သင့္အေျဖမ်ားကို
မေရးပါႏွင့္။

3.	 ပထမေမးခြန္းကို သင္မေျဖမီတြင္ ေအာက္ပါလမ္းညႊန္ခ်က္မ်ားကို အသံုးျပဳ၍ ဤအိမ္၊ တိုက္ခန္း သို႔မဟုတ္

ဤအိမ္၊ တိုက္ခန္း သို႔မဟုတ္

io
na
l

ဘယ္သူေတြကို ေရတြက္ရမလဲ

C

လူေနအိမ္အျဖစ္သံုးႏိုင္ေသာ ေနာက္တယာဥ္
ြဲ
တြင္ ေနထိုင္သူမ်ားကို ေရတြက္ပါ။

သန္းေခါင္စာရင္းဌာနသည္ အဖြဲ႔အစည္းမ်ားႏွင့္

လူေနအိမ္အျဖစ္သံုးႏိုင္ေသာ ေနာက္တြဲယာဥ္တြင္

အျခားေနရာမ်ားတြင္လည္း ေရတြက္မႈမ်ားကို

ေနထိုင္သူမ်ားကို ေရတြက္ပါ —

ျပဳလုပ္ပါသည္ —

•	 ဤေနရာတြင္ အခ်ိန္အမ်ားစု ေနထိုင္အိပ္စက္ေသာ
ေမြးကင္းစအရြယ္ကေလးမ်ား အပါအ၀င္

ဘိုးဘြားရိပ္သာ၊ ေထာင္၊ အက်ဥ္းေထာင္၊

at

လူမ်ားအားလံုးကို ေရတြက္ပါ။

•	 ဤလိပ္စာတြင္ မည္သူကမွ် အခ်ိန္အမ်ားစု

In
fo
rm

•	 2020 ခုႏွစ္၊ ဧၿပီလ 1 ရက္ေန႔တြင္

ေနထိုင္ျခင္း သို႔မဟုတ္ အိပ္စက္ျခင္းမျပဳပါက
အြန္လိုင္းတြင္ ေျဖဆိုပါ။

ရာသက္ပန္ေနရန္ေနရာတစ္ခု မရွိေသာသူမ်ားလည္း
သန္းေခါင္စာရင္းတြင္ ပါ၀င္ရပါမည္ —

တရား႐ံုးတြင္ အမႈစစ္ေဆးစီရင္ျခင္းမျပဳမီ
ထိန္းသိမ္းထားသည့္ အေဆာက္အဦ
အစရွိသည္တို႔တြင္ ရွိေနေသာ မည္သူကိုမဆို
မေရတြက္ပါႏွင့္။

•	 ယင္းတို႔အေနျဖင့္ ေကာလိပ္၊ ဘိုးဘြားရိပ္သာ၊
တပ္မေတာ္ အခ်ဳပ္ခန္း စသည္တို႔မွ ျပန္လာ၍
ဤေနရာတြင္ပင္ ေနမည္ျဖစ္ေသာ္လည္း

•	 ရာသက္ပန္ေနရန္ေနရာတစ္ခု မရွသ
ိ ူတစ္ဦးသည္
2020 ခုႏွစ္၊ ဧၿပီလ 1 ရက္ေန႔တြင္
ဤေနရာ၌ေနထိုင္ေနပါက ထိုသူကို ေရတြက္ပါ။

သင့္စစ္တမ္းေမးခြန္းလႊာတြင္ ထိုသူမ်ားကို
ခ်န္ထားခဲ့ပါ။ သို႔မဟုတ္ပါက ယင္းတို႔ကို
ႏွစ္ႀကိမ္ေရတြက္မိႏိုင္ပါသည္။

ေနာက္စာမ်က္ႏွာေပၚတြင္ ေမးခြန္းမ်ားႏွင့္ လမ္းညႊန္ခ်က္မ်ားကို ဖတ္ပါ။

ဤလမ္းညႊန္ေပၚတြင္ သင့္အေျဖမ်ားကို မေရးပါႏွင့္။
အေမရိကန္ျပည္ေထာင္စု သန္းေခါင္စာရင္းဌာန	

3

ေရွ႕ဘက္စာမ်က္ႏွာမွ ေမးခြန္းမ်ားကို ၿပီးေအာင္ေျဖပါ
ဤလမ္းညႊန္ေပၚတြင္ သင့္အေျဖမ်ားကို မေရးပါႏွင့္
2020 ခုႏွစ္၊ ဧၿပီလ 1 ရက္ေန႔တြင္ ဤအိမ္၊ တိုက္ခန္း သို႔မဟုတ္
လူေနအိမ္အျဖစ္သံုးႏိုင္ေသာ ေနာက္တြဲယာဥ္တြင္ လူဦးေရမည္မွ်
အၿမဲ သို႔မဟုတ္ ေခတၱေနထိုင္ပါသလဲ။

op
y

လူဦးေရ

ေမးခြန္း 1 တြင္ သင္ထည့္သြင္းထားျခင္း မရွိဘဲ 2020 ခုႏွစ္၊ ဧၿပီလ
1 ရက္ေန႔တြင္ ဤေနရာ၌ ေနထိုင္သည့္ အျခားသူမ်ား ရွိပါသလား။

io
na
l

C

သက္ဆိုင္သည္မ်ား အားလံုးကို ျခစ္ပါ။
„„ ေမြးကင္းစကေလးမ်ား၊ ေျမးမ်ား သို႔မဟုတ္ ေမြးစားကေလးမ်ား
ကဲ့သို႔ေသာ အမ်ဳိးေတာ္ေသာ သို႔မဟုတ္ အမ်ဳိးမေတာ္ေသာ
ကေလးမ်ား
„„ အရြယ္ေရာက္သူ ကေလးမ်ား၊ ၀မ္းကြဲမ်ား သို႔မဟုတ္
အိမ္ေထာင္ဖက္ႏွင့္ဆက္ႏႊယ္၍ ေဆြမ်ဳိးေတာ္စပ္သူမ်ား
ကဲ့သို႔ေသာ ေဆြမ်ိဳးမ်ား
„„ တစ္ခန္းတည္းေပါင္းေနသူမ်ား သို႔မဟုတ္ အိမ္တြင္ေနသည့္
ကေလးထိန္း ကဲ့သို႔ေသာ ေဆြမ်ဳိးမေတာ္ေသာအျခားသူမ်ား
„„ ဤေနရာတြင္ ယာယီေနသူမ်ား
„„ အျခားသူမ်ား မရွိပါ

at

ဤအိမ္၊ တိုက္ခန္း သို႔မဟုတ္ လူေနအိမ္အျဖစ္ သံုးႏိုင္ေသာ

In
fo
rm

ေနာက္တြဲယာဥ္သည္ —
ေလးေထာင့္ကြက္ တစ္ကြက္ကို ျခစ္ပါ။
„„ သင္ သို႔မဟုတ္ ဤအိမ္ေထာင္စုမွ တစ္စုံတစ္ဦးက
အေပါင္စာခ်ဳပ္ သို႔မဟုတ္ ေခ်းေငြျဖင့္ ပိုင္ဆိုင္ပါသလား။
အိမ္တန္ဖိုးအရေခ်းေငြမ်ားကုိ ထည့္သြင္းပါ။
„„ သင္ သို႔မဟုတ္ ဤအိမ္ေထာင္စုမွ တေယာက္ေယာက္က
(အေပါင္စာခ်ဳပ္ သို႔မဟုတ္ ေခ်းေငြျဖင့္ မဟုတ္ဘဲ) ကင္းကင္း
ရွင္းရွင္းပိုင္ဆိုင္ျခင္း ျဖစ္ပါသလား။
„„ ငွားထားတာလား။
„„ အိမ္ငွားခမေပးဘဲ ေနထိုင္ေနပါသလား။
သင့္တယ္လီဖုန္းနံပါတ္ ဘယ္ေလာက္လဲ။
သန္းေခါင္စာရင္းဌာန၏ တရား၀င္ လုပ္ငန္းကိစၥအတြက္ လိုအပ္မွသာ
သင့္ကိုကၽြႏ္ုပ္တို႔ ဆက္သြယ္ပါမည္။

တယ္လီဖုန္းနံပါတ္

4	

အေမရိကန္ျပည္ေထာင္စု သန္းေခါင္စာရင္းဌာန

စာမ်က္ႏွာ 2 ၏ ဘယ္ဘက္ျခမ္းရွိ ေမးခြန္းမ်ားကို
ၿပီးေအာင္ျဖည့္ပါ။
ဤလမ္းညႊန္ေပၚတြင္ သင့္အေျဖမ်ားကို မေရးပါႏွင့္

op
y

ဤေနရာတြငေ
္ နသူ တစ္ဥးီ စီအတြက္ အခ်က္အလက္မ်ားကို ျဖည္ေ
့ ပးပါ။
အိမင
္ ာွ းခေပးသူ သိမ
႔ု ဟုတ္ ဤေနထိင
ု ရ
္ ာကို ပိင
ု ဆ
္ င
ုိ သ
္ တ
ူ ဦးဦးသည္
ဤေနရာတြင္ ေနပါက ယင္းကို ပုဂဳိၢ လ္ 1 အျဖစ္မတ
ွ သ
္ ားကာ စတင္ပါ။
ပိင
ု ရ
္ င
ွ ္ သိမ
႔ု ဟုတ္ အိမင
္ ာွ းခေပးသူသည္ ဤေနရာတြင္ မေနထိင
ု ပ
္ ါက
ဤေနရာတြင္ ေနထိင
ု ေ
္ သာ မည္သည္အ
့ ရြယေ
္ ရာက္သက
ူ မ
ုိ ဆို ပုဂဳိၢ လ္ 1
အျဖစ္မ
္ တ
ွ သ
္ ားကာ စတင္ပါ။

C

ပုဂၢိဳလ္ 1 နာမည္ ဘယ္လိုေခၚသလဲ။

လူပုဂၢိ ဳလ္ 1 ၏ နာမည္ကို အဂၤလိပ္လို ေရးပါ။
နာမည္ေနာက္ဆံုးစကားလံုး အလယ္စာလံုးအတိုေကာက္
(last name[s])
(middle initial)

io
na
l

နာမည္ပထမစကားလံုး
(first name)

ပုဂၢိဳလ္ 1 ၏ လိင္က ဘာလဲ။

ေလးေထာင့္ကြက္ တစ္ကြက္ကို
„„ က်ား

ျခစ္ပါ။

„„ မ

at

ပုဂၢိဳလ္ 1 က အသက္ဘယ္ေလာက္႐ွိျပီလဲ။ ပုဂၢိဳလ္ 1 ၏
ေမြးေန႔သကၠရာဇ္က ဘာလဲ။

In
fo
rm

အသက္ 1 ႏွစေ
္ အာက္ျဖစ္ေသာ ေမြးကင္းစအရြယ္ ကေလးမ်ားအတြက္
အသက္ကုိ လျဖင့္ မေရးပါႏွင။့္ အသက္ကုိ ၀ ဟုေရးပါ။

2020 ခုႏွစ္၊ ဧၿပီလ
1 ရက္ေန႔တြင္
ရွိသည့္အသက္ (ႏွစ္ျဖင့္)

လ

ရက္

ေမြးသည့္ႏွစ္

ပုဂၢိဳလ္္ 1 သည္ ဟစၥပဲနစ္၊ လာတီးႏိုး သို႔မဟုတ္ စပိန္ဇာစ္ျမစ္
ျဖစ္ပါသလား။
„„ မဟုတ္ပါ၊ ဟစၥပဲနစ္၊ လာတီးႏိုး သို႔မဟုတ္ စပိန္ဇာစ္ျမစ္ မဟုတ္ပါ
„„ ဟုတ္ပါသည္၊ မကၠဆီကန္လူမ်ိဳး၊ မကၠဆီကန္ အေမရိကန္၊
ခ်ီကာႏို ျဖစ္ပါသည္
„„ ဟုတ္ပါသည္၊ ေပၚတိုရီကန္ ျဖစ္ပါသည္
„„ ဟုတ္ပါသည္၊ က်ဴးဘန္း ျဖစ္ပါသည္
„„ ဟုတ္ပါသည္၊ အျခား ဟစၥပဲနစ္၊ လာတီးႏိုး သို႔မဟုတ္
စပိန္ဇာစ္ျမစ္ — ဥပမာ ဆာလ္ဗာေဒါရန္း၊ ဒိုမီနီကန္၊ ကိုလံဘီယန္၊
ဂြာတီမာလန္၊ စပိန္၊ အီေကြေဒါရီးယန္း စသျဖင့္ ေရးသားပါ။

အေမရိကန္ျပည္ေထာင္စု သန္းေခါင္စာရင္းဌာန	

5

စာမ်က္ႏွာ 2 ၏ ညာဘက္႐ွိ ေမးခြန္းကုိ ေျဖဆိုပါ
ဤလမ္းညႊန္ေပၚတြင္ သင့္အေျဖမ်ားကို မေရးပါႏွင့္
ပုဂၢိဳလ္ 1 ၏ လူမ်ိဳးက ဘာလဲ။
ဇာစ္ျမစ္မ်ားကုိ ေရးသားပါ။

op
y

အကြက္တစ္ခုႏွင့္အထက္ကို ျခစ္ၿပီး

„„ လူျဖဴ — ဥပမာ ဂ်ာမန္၊ အိုင္းရစ္႐ွ္၊ အဂၤလိပ္၊ အီတာလ်ံ၊
လက္ဘနိစ္၊ အီဂ်စ္ စသျဖင့္ ေရးသားပါ။

C

„„ လူမည္း သို႔မဟုတ္ အာဖရိကန္အေမရိကန္္ — ဥပမာ
အာဖရိကန္အေမရိကန္၊ ဂ်ေမကန္၊ ေဟတီ၊ ႏိုက္ဂ်ီးရီးယန္း၊
အီသီယိုးပီးယန္း၊ ဆိုမာလီ စသျဖွင့္ ေရးသားပါ။

io
na
l

„„ အေမရိကန္အင္ဒီးယန္း သို႔မဟုတ္ အလာစကာေဒသခံ
— စာရင္းသြင္းထားေသာ သို႔မဟုတ္ အဓိက
မ်ဳိးႏြယ္စု(မ်ား)၏အမည္ကို ေရးသားပါ၊ ဥပမာ Navajo Nation၊
Blackfeet Tribe၊ မာယန္၊ အက္ဇတက္၊ Native Village
of Barrow Inupiat Traditional Government၊ Nome
Eskimo Community စသျဖင့္။
„„ ဗီယက္နမ္

„„ ဟာ၀ိုင္ယန္ဌာေနသား

„„ ဖိလစ္ပိုင္

„„ ကိုးရီးယန္း

„„ စာမိုအန္း

„„ ဂ်ပန္

„„ ခ်ေမာ႐ို

at

„„ တ႐ုတ္

In
fo
rm

„„ အာ႐ွ အိႏၵိယ

6	

„„ အျခားအာရွသား
— ဥပမာ
ပါကစၥတန္၊
ကေမၻာဒီးယန္း၊
မႈန္ စသျဖင့္
ေရးသားပါ။

„„ အျခားပစိဖိတ္ကၽြန္းသား
— ဥပမာ တြန္ဂန္၊
ဖီဂ်ီယန္း၊ မာ႐ွယ္လိစ္
စသျဖင့္ ေရးသားပါ။

„„ အျခားလူမ်ိဳးတစ္ခုခု — လူမ်ိဳး သို႔မဟုတ္ ဇာစ္ျမစ္ကို ပံုႏွိပ္ပါ။

အေမရိကန္ျပည္ေထာင္စု သန္းေခါင္စာရင္းဌာန

ေနာက္ထပ္ လူတစ္ဦးခ်င္းစီအတြက္ ေမးခြန္းမ်ားကို ျဖည့္ပါ
ေနာက္ထပ္လူတစ္ဦးခ်င္းစီကို ေအာက္ပါေမးခြန္းႏွစ္ခု ေမးပါမည္
ဤလမ္းညႊန္ေပၚတြင္ သင့္အေျဖမ်ားကို မေရးပါႏွင့္

op
y

ဤသူသည္ အျခားေနရာတခုခုတြင္ အၿမဲ သို႔မဟုတ္
ေခတၱေနထိုင္ေလ့ရွိပါသလား။
သက္ဆိုင္သည္မ်ား အားလံုးကို
„„ မဟုတ္ပါ

ျခစ္ပါ။

„„ ဟုတပ
္ ါသည္၊ ေကာလိပအ
္ တြက္ „„ ဟုတ္ပါသည္၊ မိဘ သို႔မဟုတ္
အျခား ေဆြမ်ိဳးမ်ားႏွင့္
„„ ဟုတ္ပါသည္၊ တပ္မေတာ္မွ
„„ ဟုတ္ပါသည္၊
ရာသီအလိုက္ သို႔မဟုတ္
ဒုတိယေနထိုင္ရာတြင္

C

ေပးအပ္ထားေသာ
တာဝန္အတြက္

io
na
l

„„ ဟုတ္ပါသည္၊
အလုပ္တစ္ခု သို႔မဟုတ္
လုပ္ငန္းတစ္ခုအတြက္
„„ ဟုတ္ပါသည္၊
ဘိုးဘြားရိပ္သာတြင္

„„ ဟုတပ
္ ါသည္၊ အခ်ဳပ္ခန္း
သိမ
႔ု ဟုတ္ အက်ဥ္းေထာင္တင
ြ ္
„„ ဟုတ္ပါသည္၊
အျခားအေၾကာင္းရင္းအတြက္

ဤလူသည္ ပုဂၢိဳလ္ 1 ႏွင့္ မည္သို႔ေတာ္စပ္ပါသလဲ။

In
fo
rm

at

ေလးေထာင့္ကြက္ တစ္ကြက္ကို

အေမရိကန္ျပည္ေထာင္စု သန္းေခါင္စာရင္းဌာန	

ျခစ္ပါ။

„„ ဆန္႔က်င္ဘက္လိင္ ခင္ပြန္း/ဇနီး/အိမ္ေထာင္ဖက္
„„ ဆန္႔က်င္ဘက္လိင္ အိမ္ေထာင္ဖက္မဟုတ္သူ ၾကင္ေဖာ္
„„ လိင္တူ ခင္ပြန္း/ဇနီး/အိမ္ေထာင္ဖက္
„„ အိမ္ေထာင္ဖက္မဟုတ္သည့္ လိင္တူ ၾကင္ေဖာ္
„„ သားအရင္း သို႔မဟုတ္ သမီးအရင္း
„„ ေမြးစားသား သို႔မဟုတ္ ေမြးစားသမီး
„„ လင္ပါ၊ မယားပါ သား သို႔မဟုတ္ သမီး
„„ ညီအစ္ကို သို႔မဟုတ္ ညီအစ္မ
„„ ဖခင္ သို႔မဟုတ္ မိခင္
„„ ေျမး
„„ ေယာကၡမ
„„ သားမက္ သို႔မဟုတ္ ေခၽြးမ
„„ အျခား ေဆြမ်ိဳး
„„ တစ္ခန္းတည္းေပါင္းေနသူ သို႔မဟုတ္ တစ္အိမ္တည္းေပါင္းေနသူ
(roommate or housemate)
„„ ေမြးစားကေလး (foster)
„„ ေဆြမ်ိဳးမေတာ္ေသာအျခားသူ

7

လူေျခာက္ဦးထက္ပို၍ ေရတြက္ရန္ လိုအပ္ပါက စာမ်က္ႏွာ
8 ကို ျဖည့္ပါ
ဤလမ္းညႊန္ေပၚတြင္ သင့္အေျဖမ်ားကို မေရးပါႏွင့္
အလယ္စာလံုးအတိုေကာက္
(middle initial)

နာမည္ေနာက္ဆံုးစကားလံုး
(last name[s])

မ

လ

2020 ခုႏွစ္၊ ဧၿပီလ
1 ရက္ေန႔တြင္
ရွိသည့္အသက္ (ႏွစ္ျဖင့္)

ရက္

ေမြးသည့္ႏွစ္

ပုဂၢိဳလ္ 1 ႏွင့္ အမ်ဳိးေတာ္စပ္ပါသလား။
„„ ဟုတ္ပါသည္

„„ မဟုတ္ပါ

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က်ား

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နာမည္ပထမစကားလံုး
(first name)

ေျဖၿပီးေသာ အဂၤလိပ္ စစ္တမ္းေမးခြန္းလႊာကို သင္လက္ခံရရွိေသာ စာပို႔ခေပးၿပီးေသာစာအိတ္တြင္ထည့္ကာ
စာတိုက္မွပို႔ေပးပါ။

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2020 သန္းေခါင္စာရင္းသည္
ယခင္အႀကိမ္မ်ားထက္
ပိုမိုလြယ္ကူပါသည္။
အြန္လိုင္းတြင္ ေျဖဆိုႏိုင္သည္ကို
သင္သိပါသလား။

2020 သန္းေခါင္စာရင္းကို အြန္လိုင္းတြင္
သင္ျဖည့္ႏိုင္ပါက စစ္တမ္းေမးခြန္းလႊာေပၚတြင္
ပံုႏွိပ္ထားေသာ URL သို႔ သြားပါ။

2020 သန္းေခါင္စာရင္းကို အြန္လိုင္းတြင္ ေျဖျခင္းအတြက္
ဗြီဒီယိုလမ္းညႊန္မ်ားကို
2020census.gov/languages တြင္ ရရွိႏိုင္ပါသည္။
8	

D-G (mya) Burmese
အေမရိကန္ျပည္ေထာင္စု သန္းေခါင္စာရင္းဌာန

管理與預算辦公室 (OMB) 批准文號 0607-1006: 有效期至 11/30/2021

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2020年人口普查指南

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如何回答2020年人口普查紙質問卷

歡迎參加2020年人口普查
每個人都應該被統計上。

C

人口普查資料很重要。

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本次人口普查的目標是統計住在美國的每一個人，而且每個人都
在正確的地方只被算上一次。我們需要您的幫助，以便確保算上
您所在社區的每一個人。

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美國憲法要求每十年開展一次人口普查。普查結果會被用於確定
每個州在美國眾議院中的席位、劃分投票區界限和確定逾 6,750
億美元的聯邦資金每年如何在社區分配使用。

參加人口普查是您的居民責任。

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您必須填寫人口普查問卷。這是您參與民主並表達“算上我！”
的一種方式。

您的資訊會得到保密。
聯邦法律為您在普查問卷上的回答保密。您的回答只能被用於生
成統計資料，政府機構或法院不得根據您的回答作出對您不利的
裁決。

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

請使用本指南填寫2020年人口普查紙質問卷。
2020年人口普查紙質問卷將寄到或送到全美各地的信箱和家中。

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.
Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

3.

• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Is this house, apartment, or mobile home — Mark ONE box.
Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

Number o f people =

2	

美國人口普查局

開始填寫之前
1.	 找到您的問卷，翻到問卷的第一頁。

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2.	 使用本中文版指南中的資訊在英文版紙質問卷中標出您的答案。
請勿在本指南中填寫您的回答。

C

3.	 在您回答第一個問題之前，請根據以下指南統計住在這個房子、
公寓或移動式房屋中的人數。

算上誰

人口普查局還在機構和其他地點統計
人數：

•	 請算上大多數時間在此處居住和留宿
的所有的人，包括嬰兒。

•	 請不要算上2020年4月1日在安養中
心/養老院、牢房、監獄、拘留所等
地的任何人。

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請算上住在這個房子、公寓或移動式房
屋中的人：

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•	 如果大多數時間沒有人在這個地址居
住或留宿，請在網上回答普查問卷。

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人口普查還必須包括沒有固定住址的人：

•	 如果沒有固定住址的人2020年
4月1日在此處暫住，請算上這個人。

•	 請不要在問卷中填寫這些人，即使他
們在離開大學、安養中心/養老院、
軍隊、牢房等地後將回到此處居住，
也請不要填寫這些人。否則，他們可
能會被統計兩次。

請閱讀下一頁中的問題和說明。
請勿在本指南中填寫您的回答。
美國人口普查局	

3

請填寫首頁的問題
請勿在本指南中填寫您的回答
在2020年4月1日那天，有幾個人在這所房子、公寓或移動
式房屋里居住或暫住?

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人數

除了在第1題中已包括的人以外，是否還有人在2020年
4月1日那天住在這個地址？
來選擇所有適用的選項。

C

請用

„„ 兒童（有或沒有親屬關係），例如新生兒、 (外)孫子孫女
或政府寄養兒童

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„„ 親屬，例如成年子女、堂/表兄弟姐妹或姻親
„„ 非親屬，例如室友或住家保姆
„„ 暫住在這個地址的人
„„ 沒有其他人

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這個房子、公寓或移動房屋是 —

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請用

來選擇一個適用的選項。

„„ 屬於您或此地址住戶的某個人，有房貸（mortgage）或
房屋淨值貸款（home equity loan）
„„ 屬於您或此地址住戶的某個人， 沒有任何債務（無房貸或
房屋淨值貸款）
„„ 租用
„„ 免租金住用

您的電話號碼是什麼？
我們只有在人口普查局工作需要時，才會與您聯繫。

電話號碼

4	

美國人口普查局

請填寫第2頁左面的問題
請勿在本指南中填寫您的回答
請提供有關居住在此處的每個人的資訊。如果屋主或租房人
住在這裡，請將此人填寫為第一個人。如果屋主或租房人不
住在這裡，請將任何一位居住在這個地址的成年人填寫為第
一個人。

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第一個人的姓名是什麼？

請用英文填寫第一個人的姓名。

中間名縮寫
(MI)

C

姓
(Last Name)

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名
(First Name)

第一個人的性別是什麼？ 
請用 來選擇一個適用的選項。
„„ 男性

„„ 女性

第一個人的年齡及出生年月日是什麼?

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如果嬰兒不滿周歲，請填 0 歲。

2020年4月1日
的年齡

月

日

出生年份

第一個人是西班牙裔、拉美裔或西班牙後裔嗎？
„„ 否，不是西班牙裔、拉美裔或西班牙後裔
„„ 是，墨西哥人、墨西哥裔美國人、奇卡諾人
„„ 是，波多黎各人
„„ 是，古巴人
„„ 是，其他西班牙裔、拉美裔或西班牙後裔 — 請在格子裡
工整填寫，例如，薩爾瓦多人、多明尼加人、哥倫比亞
人、瓜地馬拉人、西班牙人、厄瓜多爾人等。

美國人口普查局	

5

請填寫第2頁右面的問題
請勿在本指南中填寫您的回答

第一個人的種族是什麼？
來選擇所有適用的選項，並在格子裡工整填寫後裔。

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請用

„„ 白人 — 請工整填寫，例如，德國人、愛爾蘭人、英格蘭
人、義大利人、黎巴嫩人、埃及人等。

C

„„ 黑人或非洲裔美國人 — 請工整填寫，例如，非裔美國
人、牙買加人、海地人、奈及利亞人、衣索匹亞人、索馬
里人等。

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„„ 美洲印第安人或阿拉斯加原住民 — 請工整填寫登記或主
要部落名稱。例如，納瓦霍族、黑腳部族、瑪雅人、阿茲
特克人、貝羅因努派克傳統政府原住民村落、諾姆愛斯基
摩人社區等。
華人
菲律賓人
印度人
其他亞裔 —
請工整填寫，
例如，巴基斯
坦人、柬埔寨
人、苗族人
等。

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„„
„„
„„
„„

6	

„„ 越南人
„„ 韓國人
„„ 日本人

„„
„„
„„
„„

夏威夷原住民
薩摩亞人
夏莫洛人
其他太平洋島民 —
請工整填寫，例
如，東加人、斐濟
人、馬紹爾人等。

„„ 其他種族 — 請工整填寫種族或後裔。

美國人口普查局

請為此住戶的其他每個人填寫問題
針對此住戶的其他每個人，我們會多問以下兩個問題：
請勿在本指南中填寫您的回答

請用

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這個人是否通常居住或暫住在其他地方？
來選擇所有適用的選項。

„„ 否
„„ 是，為了上大學

„„ 是，與父母或其他親屬在
一起
„„ 是，在季節性住所或第二
套住所

C

„„ 是，為了執行軍事任務
„„ 是，為了工作或業務

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„„ 是，在安養中心/養老院

„„ 是，在牢房或監獄
„„ 是，其他原因

這個人與第一個人是什麼關係？
請用

來選擇一個適用的選項。

異性丈夫/妻子/配偶
異性未婚伴侶
同性丈夫/妻子/配偶
同性未婚伴侶
親生兒子或女兒
養子或養女
繼子或繼女
兄弟或姐妹

„„
„„
„„
„„
„„
„„
„„
„„

父親或母親
(外)孫子孫女
公婆（岳父母）
女婿或兒媳
其他親屬
室友或房友
政府寄養兒童
其他非親屬

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„„
„„
„„
„„
„„
„„
„„
„„

美國人口普查局	

7

如果您算上的人數超過六人，請填寫第8頁
請勿在本指南中填寫您的回答

2020年4月1日
的年齡

月

日

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女性

姓
(Last Name)

出生年份

是否和第一個人有親屬關係?
„„ 是
„„ 否

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男性

中間名縮寫
(MI)

C

名
(First Name)

請使用您收到的已付郵資信封郵寄完成的英文問卷。

at

2020年人口普查比以往更
簡單。

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您知道可以在網上回答嗎？

如果您能夠在網上填寫2020年人口普查問
卷，請前往問卷中列印的網址。

您可在下面的這個網站觀看怎樣
在網上填寫2020年人口普查的
視頻指南：
2020census.gov/languages
D-G (zht) Chinese (trad.)

8	

美國人口普查局

OMB br. 0607-1006: Odobrenje ističe 11/30/2021

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Vaš vodič za popis stanovništva 2020. godine

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Kako odgovoriti na pitanja iz tiskanog upitnika
za popis stanovništva 2020. godine

Vaš vodič za popis stanovništva 2020.
godine
Svaka osoba se popisuje.

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Cilj ovog popisa stanovništva je popisati svaku živu
osobu u SAD-u jednom, samo jedanput i na pravom
mjestu. Potrebna nam je vaša pomoć kako bismo bili
sigurni da će sve osobe u vašoj zajednici biti popisane.

Podaci popisa stanovništva su važni.

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Prema Američkom ustavu, popis stanovništva mora
se provesti svakih 10 godina. Rezultati se koriste
za određivanje broja zastupnika svake države u
Kongresu, za određivanje granica izbornih okruga i za
određivanje načina trošenja više od 675 milijardi dolara
saveznog financiranja u zajednici svake godine.

Sudjelovanje u popisu je vaša
građanska obveza.

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Popunjavanje popisa stanovništva je obvezno; to je
način kako sudjelovati u našoj demokraciji i reći „moj
glas je važan!“

Vaši podaci su povjerljivi.
Savezni zakon štiti vaše odgovore. Vaši odgovori mogu
se upotrebljavati samo radi vođenja statistike i niti
jedna vladina agencija niti sud ne mogu ih upotrijebiti
protiv vas.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

4.

What is your telephone number?

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

Telephone Number
How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

We will only contact you if needed for official Census Bureau
business .

–

–

Služite se ovim vodičem kako biste
popunili tiskani upitnik za popis
stanovništva 2020. godine.
Tiskani upitnici za popis stanovništva 2020. godine
stići će u poštanske sandučiće i na kućne pragove
širom zemlje.
Američki Ured za popis stanovništva

Prije nego li počnete
1.	 Pronađite svoj upitnik i otvorite prvu stranicu.

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2.	 Koristite se informacijama iz ovog vodiča na hrvatskom jeziku kako
biste označili svoje odgovore u tiskanom upitniku na engleskom jeziku.
NEMOJTE UNOSITI SVOJE ODGOVORE U OVAJ VODIČ.

Koga treba popisati

Ured za popis stanovništva
provodi popis i u ustanovama i na
drugim mjestima:

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Popišite osobe koje stanuju u ovoj
kući, stanu ili mobilnoj kući:

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3.	 Prije nego što odgovorite na prvo pitanje, popišite osobe koje stanuju u
ovoj kući, stanu ili mobilnoj kući, pridržavajući se uputa u nastavku.

•	 Popišite sve osobe, uključujući i
bebe, koje na ovoj adresi stanuju
i spavaju većinu vremena.

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•	 Ako na ovoj adresi nitko ne
stanuje niti spava većinu
vremena, popunite odgovore na
mreži.
Popis stanovništva mora
uključivati i osobe bez stalnog
mjesta stanovanja:

•	 Nemojte popisivati nikoga tko
1. travnja 2020. boravi u domu
za starije osobe, pritvoru,
zatvoru, itd.
•	 Nemojte navoditi te osobe u
vašem upitniku, čak ni ako će se
vratiti na ovu adresu nakon što
završe fakultet, napuste dom
za starije osobe, vojsku, pritvor,
itd. U suprotnom, mogu biti
popisani dva puta.

•	 Ako netko tko nema stalno
mjesto stanovanja boravi na ovoj
adresi 1. travnja 2020. godine,
popišite i tu osobu.
Pročitajte pitanja i upute na sljedećoj stranici.
Nemojte unositi svoje odgovore u ovaj vodič.

Američki Ured za popis stanovništva	3

Odgovorite na pitanja na prvoj stranici
NEMOJTE UNOSITI SVOJE ODGOVORE U OVAJ VODIČ
Koliko osoba stanuje ili boravi u ovoj kući, stanu ili
mobilnoj kući na dan 1. travnja 2020. godine?

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Broj osoba

Ima li dodatnih osoba koje stanuju na ovoj adresi
na dan 1. travnja 2020. godine koje niste naveli u
pitanju br. 1?
sve što je primjenjivo.

C

Označite

„„ Djeca, bilo da su u srodstvu ili ne, kao što su
novorođenčad, unuci ili udomljena djeca

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„„ Rođaci, kao što su odrasla djeca, bratići/sestrične
ili rodbina supružnika
„„ Osobe koje nisu rođaci, kao što su sustanari ili
osobe koje čuvaju djecu i stanuju u istoj kući
„„ Osobe koje ovdje borave privremeno
„„ Nema dodatnih osoba

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Je li ova kuća, stan ili mobilna kuća —

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Označite

JEDAN okvir.

„„ U vašem vlasništvu ili vlasništvu druge osobe iz
vašeg kućanstva pod hipotekom ili kreditom?
Uključite kredit osiguran hipotekom na nekretnini
na kojoj već postoji hipoteka.
„„ U vašem vlasništvu ili vlasništvu druge osobe iz
vašeg kućanstva bez pravnih tereta (bez hipoteke
ili kredita)?
„„ Iznajmljena?
„„ Korištena za stanovanje bez plaćanja najamnine?
Koji je vaš telefonski broj?
Kontaktirat ćemo vas samo u slučaju službene
potrebe Ureda za popis stanovništva.

Telefonski broj

4	

Američki Ured za popis stanovništva

Odgovorite na pitanja na lijevoj strani stranice
br. 2
NEMOJTE UNOSITI SVOJE ODGOVORE U OVAJ VODIČ

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Navedite podatke za svaku osobu koja stanuje na
ovoj adresi. Ako netko tko plaća najamninu ili je
vlasnik prebivališta stanuje na ovoj adresi, počnite
tako što ćete ga navesti kao Osobu br. 1. Ako vlasnik
ili osoba koja plaća najamninu ne stanuje na ovoj
adresi, počnite tako što ćete navesti bilo koju odraslu
osobu koja stanuje na ovoj adresi kao Osobu br. 1.

Ime
(first name)

Prezime(na)
(last name[s])

C

Kako se zove Osoba br. 1?
Inicijal srednjeg imena
(middle initial)

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Kojeg je spola Osoba br. 1? Označite
„„ Muški

JEDAN okvir.

„„ Ženski

Navedite dob i datum rođenja Osobe br. 1?

Mjesec

Dan

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Dob, u
godinama, na
dan 1. travnja
2020

at

Za bebe mlađe od jedne godine nemojte pisati dob
u mjesecima. Za dob unesite 0.

Godina
rođenja

Je li Osoba br. 1 hispanoameričkog, latinoameričkog
ili španjolskog podrijetla?
„„ Ne, nije hispanoameričkog, latinoameričkog ili
španjolskog podrijetla
„„ Da, meksikanskog, meksikansko-američkog,
čikanskog
„„ Da, portorikanskog
„„ Da, kubanskog
„„ Da, nekog drugog hispanoameričkog,
latinoameričkog ili španjolskog podrijetla —
napišite, na primjer, salvadorskog, dominikanskog,
kolumbijskog, gvatemalskog, španjolskog,
ekvadorskog itd.

Američki Ured za popis stanovništva	5

Odgovorite na pitanje na desnoj strani stranice
br. 2
NEMOJTE UNOSITI SVOJE ODGOVORE U OVAJ VODIČ
Koje je rase Osoba br. 1?
Označite

jedan ili više okvira I napišite podrijetlo.

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„„ Bijele — napišite, na primjer, njemačkog, irskog,
engleskog, talijanskog, libanonskog, egipatskog
itd. podrijetla
„„ Crne ili afroameričke — napišite, na primjer,
afroameričkog, jamajačkog, haićanskog,
nigerijskog, etiopskog, somalijskog itd. podrijetla

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„„ Indijanac ili starosjedilac Aljaske — napišite ime
registriranog ili glavnog plemena, na primjer,
Navajo Nation, Blackfeet Tribe, majanskog
podrijetla, aztečkog podrijetla, Native Village of
Barrow Inupiat Traditional Government, Nome
Eskimo Community itd.

In
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„„ Kineskog
„„ Vijetnamskog „„ Starosjedilac
podrijetla
podrijetla
Havaja
„„ Filipinskog
„„ Korejskog
„„ Samoanskog
podrijetla
podrijetla
podrijetla
„„ Indijskog
„„ Japanskog
„„ Čamorskog
podrijetla
podrijetla
podrijetla
„„ Drugog azijskog
„„ Drugi pacifički
podrijetla —
otočanin —
napišite,
napišite,
na primjer,
na primjer,
pakistanskog,
tongansko,
kambodžanskog,
fidžijsko,
hmonškog itd.
podrijetlo s
Maršalovih
Otoka itd.

6	

„„ Neke druge rase — napišite rasu ili podrijetlo.

Američki Ured za popis stanovništva

Popunite pitanja za svaku dodatnu osobu
Svakoj dodatnoj osobi bit će postavljena dva pitanja navedena
u nastavku

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NEMOJTE UNOSITI SVOJE ODGOVORE U OVAJ VODIČ
Da li ova osoba obično živi ili boravi na nekom
drugom mjestu?
Označite

sve što je primjenjivo.

„„ Ne

„„ Da, s roditeljem ili
drugim rođakom

C

„„ Da, na fakultetu

„„ Da, na vojnoj misiji

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„„ Da, sezonsko ili drugo
„„ Da, zbog radnog
prebivalište
mjesta ili poduzetništva
„
„
Da, u pritvoru ili
„„ Da, u domu za starije
zatvoru
osobe
„„ Da, iz nekog drugog
razloga

at

U kakvom je odnosu ta osoba s Osobom br. 1?

In
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Označite

JEDAN okvir.

„„ Suprug/supruga/supružnik suprotnog spola
„„ Nevjenčani partner suprotnog spola
„„ Suprug/supruga/supružnik istog spola
„„ Nevjenčani partner istog spola
„„ Biološki sin ili kći
„„ Posvojeni sin ili kći
„„ Posinak ili pokćerka
„„ Brat ili sestra
„„ Otac ili majka
„„ Unuk/unuka
„„ Roditelj bračnog partnera
„„ Zet ili snaha
„„ Drugi rođak
„„ Sustanar
„„ Udomljeno dijete
„„ Druga osoba koja nije rođak

Američki Ured za popis stanovništva	7

Popunite stranicu 8 ako ste popisali više od
šest osoba
NEMOJTE UNOSITI SVOJE ODGOVORE U OVAJ VODIČ

Dob, u
godinama,
na dan
1. travnja 2020.

Mjesec

Dan

op
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Ženski

Prezime(na)
(last name[s])

Godina
rođenja

Je li u srodstvu s
Osobom br. 1?
„„ Da

„„ Ne

io
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Muški

Inicijal srednjeg imena
(middle initial)

C

Ime
(first name)

Pošaljite poštom popunjeni upitnik na engleskom jeziku u poštanskoj omotnici s plaćenom
poštarinom koju ste primili.

at

Popis stanovništva 2020.
godine je jednostavniji
nego ikada.

In
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Znate li da možete
odgovarati na pitanja na
mreži?

Ako možete popuniti popis stanovništva
2020. godine na mreži, idite na
internetsku adresu otisnutu na upitniku.

Video vodiči za popunjavanje popisa
stanovništva 2020. godine na mreži dostupni
su na
2020census.gov/languages
8	

D-G (hrv) Croatian
Američki Ured za popis stanovništva

OMB č. 0607-1006: Schválení platné do 11/30/2021

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Vaše příručka ke Sčítání lidu 2020

In
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Jak vyplnit dotazník Sčítání lidu 2020 v papírové podobě

Vítejte u Sčítání lidu 2020
Každý se počítá.

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Cílem tohoto sčítání je spočítat všechny žijící osoby v USA, započítat
je pouze jedenkrát a na správném místě. Potřebujeme Vaši pomoc,
abychom se ujistili, že každý ve Vaší komunitě bude započítán.

Data sčítání lidu jsou důležitá.

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Ústava Spojených států amerických vyžaduje provést sčítání lidu
každých 10 let. Výsledky budou použity k určení počtu míst, které
budou každému státu přiřazeny v Kongresu, k načrtnutí hranic
volebních okrsků a k určení toho, jak bude každý rok využito více
než 675 miliard dolarů federálních finančních zdrojů v komunitách.

Účast je Vaší občanskou povinností.

at

Provést sčítání je nutnost; je to způsob, jak se zapojit do naší
demokracie a říct: „Já se také počítám!”

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Vaše informace jsou důvěrné.
Vaše odpovědi jsou chráněny federálním právem. Vaše odpovědi
mohou být použity pouze k vytvoření statistiky, nemohou být
použity vládními agenturami nebo soudy proti Vám.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.

Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws

Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

Použijte tuto příručku k vyplnění dotazníku
Sčítání lidu 2020 v papírové podobě.
Dotazník Sčítání lidu 2020 v papírové podobě bude doručen do
Vaší poštovní schránky nebo k Vašim dveřím po celé zemi.

–

Number o f people =

2	

Americký úřad pro sčítání lidu

Než začnete
1.	 Vezměte Váš dotazník a otevřete jej na první straně.

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2.	 Použijte informace v této české příručce k označení Vašich odpovědí v anglické verzi
dotazníku v papírové podobě. NEPIŠTE VAŠE ODPOVĚDI DO TÉTO PŘÍRUČKY.
3.	 Než odpovíte na první otázku, podle níže uvedených instrukcí spočítejte osoby žijící
v tomto domě, bytě nebo mobilním domě.

C

Koho počítat

Americký úřad pro sčítání lidu provádí
sčítání také v ústavech a na jiných místech:

•	 Spočítejte všechny osoby, včetně
nemluvňat, které zde po většinu času
bydlí a spí.

•	 Nepočítejte nikoho, kdo se k 1.
dubnu 2020 nachází v pečovatelském
domě, ve vazební věznici, vězení,
záchytném ústavu atd.

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Spočítejte osoby žijící v tomto domě, bytě
nebo mobilním domě:

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•	 Pokud na této adrese po většinu času
nikdo nebydlí nebo nespí, odpovězte
online.
Do sčítání musí být zahrnuti lidé bez
trvalého místa pobytu:

•	 Pokud zde k datu 1. dubna 2020
přebývá někdo bez trvalého místa
pobytu, pak tuto osobu započítejte.

•	 Vynechte tyto osoby z Vašeho
dotazníku, i když se sem vrátí
bydlet po vysoké škole, po pobytu v
pečovatelském domě, po vojenské
službě, po pobytu ve vazební věznici
atd. Jinak by mohlo dojít k tomu, že
budou započítány dvakrát.

Přečtěte si otázky a instrukce na následující straně.
Nepište vaše odpovědi do této příručky.
Americký úřad pro sčítání lidu	

3

Odpovězte na otázky uvedené na titulní straně
NEPIŠTE VAŠE ODPOVĚDI DO TÉTO PŘÍRUČKY
Kolik osob bydlelo nebo přebývalo v tomto domě, bytě nebo
mobilním domě k 1. dubnu 2020?

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Počet osob

Přebývaly zde k 1. dubnu 2020 nějaké další osoby, které jste
nezapočítali v otázce č. 1?
všechny relevantní odpovědi.

C

Označte

„„ Děti v příbuzenském vztahu nebo bez příbuzenského vztahu,
např. novorozenci, vnoučata nebo děti v pěstounské péči
(foster)

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„„ Příbuzní, například dospělé děti, bratranci a sestřenice nebo
příbuzní z manželčiny/manželovy strany
„„ Jiná osoba bez příbuzenského vztahu, např. spolubydlící nebo
chůva bydlící v místě zaměstnání
„„ Osoby, které zde žijí dočasně

at

„„ Žádné další osoby

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Je tento dům, byt nebo mobilní dům —
Označte JEDNU kolonku.
„„ Vlastněn Vámi nebo někým v této domácnosti, kdo si vzal
hypotéku nebo půjčku? Vztahuje se i na americké hypotéky.
„„ Vlastněn Vámi nebo v plném vlastnictví někoho v domácnosti
bez věcných břemen (hypotéky nebo půjčky)?
„„ V pronájmu?
„„ Obýván bez placení nájmu?

Jaké je Vaše telefonní číslo?
V případě potřeby Vás budeme kontaktovat ohledně oficiálních
záležitostí souvisejících s Americkým úřadem pro sčítání lidu.

Telefonní číslo

4	

Americký úřad pro sčítání lidu

Odpovězte na otázky vlevo na straně 2
NEPIŠTE VAŠE ODPOVĚDI DO TÉTO PŘÍRUČKY

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Sdělte prosím informace o každé osobě, která zde žije. Pokud
zde žije někdo, kdo platí nájem nebo vlastní toto bydliště, zapište
nejprve tuto osobu jako osobu 1. Pokud zde vlastník nebo osoba
platící nájem nebydlí, zapište jako osobu 1 jakoukoliv dospělou
osobu, která zde žije.

Křestní jméno
(first name)

Iniciála druhého jména
před příjmením
(middle initial)

Příjmení
(last name[s])

C

Jak se jmenuje osoba 1?

JEDNU kolonku.

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Jaké je pohlaví osoby 1? Označte
„„ Muž

„„ Žena

Jaký je věk osoby 1 a jaké je její datum narození?

Měsíc

Den

Rok
narození

In
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rm

Věk, v letech,
k 1. dubnu
2020.

at

U nemluvňat do 1 roku nepište věk v měsících. Zapište věk 0.

Je osoba 1 hispánského, latinskoamerického nebo španělského
původu?
„„ Ne, není hispánského, latinskoamerického ani španělského
původu
„„ Ano, Mexičan/Mexičanka, Američan/Američanka mexického
původu, Chicano/Chicana
„„ Ano, Portoričan/Portoričanka
„„ Ano, Kubánec/Kubánka
„„ Ano, jiného hispánského, latinskoamerického nebo španělského
původu — vepište např. Salvadorec/Salvadorka, Dominikánec/
Dominikánka, Kolumbijec/Kolumbijka, Guatemalec/
Guatemalka, Španěl/Španělka, Ekvádorec/Ekvádorka atd.

Americký úřad pro sčítání lidu	

5

Odpovězte na otázku vpravo na straně 2
NEPIŠTE VAŠE ODPOVĚDI DO TÉTO PŘÍRUČKY
Jaké rasy je osoba 1?
Označte

jednu nebo více kolonek A uveďte původ.

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„„ Osoba bílé pleti — vepište např. Němec/Němka, Ir/Irka,
Angličan/Angličanka, Ital/Italka, Libanonec/Libanonka,
Egypťan/Egypťanka atd.

C

„„ Osoba tmavé pleti nebo Afroameričan/Afroameričanka —
vepište např. Afroameričan/Afroameričanka, Jamajčan/
Jamajčanka, Haiťan/Haiťanka, Nigérijec/Nigérijka, Etiopijec/
Etiopanka, Somálec/Somálka atd.

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„„ Americký indián/Americká indiánka nebo aljašský původní
obyvatel/aljašská původní obyvatelka — vepište název
registrovaného či hlavního kmene/kmenů, např. Navajo
Nation, Blackfeet Tribe, příslušník/příslušnice Mayů, Azték/
Aztéčanka, Native Village of Barrow Inupiat Traditional
Government, Nome Eskimo Community atd.
„„ Číňan/Číňanka

In
fo
rm

at

„„ Filipínec/
Filipínka
„„ Ind/Indka
původu
„„ Osoba jiného
asijského
původu —
vepište např.
Pakistánec/
Pákistánka,
Kambodžan/
Kambodžanka,
Hmong/
Hmongka, atd.

6	

„„ Vietnamec/
„„ Původní Havajan/
Vietnamka
Havajanka
„„ Korejec/Korejka „„ Samoan/Samoanka
„„ Japonec/
Japonka

„„ Čamor/Čamorka
„„ Osoba z jiných
tichomořských
ostrovů — vepište
např. Tongánec/
Tongánka, Fidžan/
Fidžanka, osoba
z Marshallových
ostrovů, atd.

„„ Jiná rasa — vepište rasu nebo původ.

Americký úřad pro sčítání lidu

Odpovězte na otázky týkající se každé další osoby
Každá další osoba bude odpovídat na dvě níže uvedené otázky
NEPIŠTE VAŠE ODPOVĚDI DO TÉTO PŘÍRUČKY
Bydlí nebo přebývá tato osoba většinou někde jinde?
„„ Ne

všechny relevantní odpovědi.

op
y

Označte

„„ Ano, u rodiče nebo jiného
příbuzného

„„ Ano, za účelem vojenské
služby

„„ Ano, v sezonním nebo
druhém bydlišti

C

„„ Ano, za účelem studia
vysoké školy

„„ Ano, za účelem práce nebo
podnikání

„„ Ano, ve vazební věznici nebo
vězení

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„„ Ano, v pečovatelském domě „„ Ano, z jiných důvodů

Jaký má tato osoba vztah k osobě 1? Označte

JEDNU kolonku.

Manžel/manželka/choť opačného pohlaví
Partner opačného pohlaví v nemanželském vztahu
Manžel/manželka/choť stejného pohlaví
Partner stejného pohlaví v nemanželském vztahu
Biologický syn nebo dcera
Osvojený syn nebo dcera
Nevlastní syn nebo nevlastní dcera
Bratr nebo sestra

„„
„„
„„
„„
„„
„„
„„
„„

Otec nebo matka
Vnouče
Tchán/tchýně
Zeť nebo snacha
Jiný příbuzný
Spolubydlící (roommate or housemate)
Dítě v pěstounské péči (foster)
Jiná osoba bez příbuzenského vztahu

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„„
„„
„„
„„
„„
„„
„„
„„

Americký úřad pro sčítání lidu	

7

Vyplňte stránku 8, pokud jste napočítali více než
šest osob
NEPIŠTE VAŠE ODPOVĚDI DO TÉTO PŘÍRUČKY
Iniciála druhého jména
před příjmením
(middle initial)

Příjmení
(last name[s])

Žena

Věk, v letech,
k 1. dubnu
2020.

Měsíc

Den

Rok
narození

Příbuzný s osobou 1?
„„ Ano

„„ Ne

io
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Muž

C

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Křestní jméno
(first name)

Prosíme o zaslání vyplněného dotazníku v angličtině v předplacené obálce, kterou jste obdrželi.

at

Sčítání lidu 2020 je snazší
než kdy jindy.

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Věděli jste, že můžete dotazník
vyplnit online?

Pokud máte možnost vyplnit dotazník Sčítání lidu
2020 online, navštivte internetovou stránku
uvedenou v dotazníku.

Video příručky pro vyplnění dotazníku Sčítání lidu
2020 online jsou dostupné na
2020census.gov/languages
D-G (ces) Czech

8	

Americký úřad pro sčítání lidu

OMB-nr. 0607-1006: goedkeuring verloopt op 11/30/2021

op
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Uw handleiding voor de 2020 census

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Hoe u de papieren vragenlijst voor
de 2020 census beantwoordt

Welkom bij de 2020 census
Iedereen telt mee.

op
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Het doel van deze census is het tellen van elke
levende persoon die in de VS woont en dat één keer,
slechts één keer en op de juiste plaats. Wij hebben
uw hulp nodig om te garanderen dat iedereen in uw
gemeenschap wordt geteld.

C

Censusgegevens zijn belangrijk.

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De Grondwet van de VS eist dat elke 10 jaar een census
wordt gehouden. De resultaten worden gebruikt om
het aantal zetels te bepalen dat elke staat (state) in het
Congres heeft, om stemdistricten af te bakenen en om
te bepalen hoe elk jaar meer dan USD 675 miljard wordt
besteed aan federale fondsgelden in gemeenschappen.

Deelname is uw burgerlijke plicht.

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Beantwoording van de censusvragenlijst is verplicht;
het is een manier om aan onze democratie deel te
nemen en te zeggen “Ik tel mee!”.

Uw informatie is vertrouwelijk.
De federale wetgeving beschermt uw antwoorden. Uw
antwoorden kunnen alleen worden gebruikt voor het
opstellen van statistieken en kunnen niet tegen u worden
gebruikt door een overheidsinstantie of rechtbank.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

Gebruik deze handleiding voor het
invullen van de papieren vragenlijst
voor de 2020 census.

–

–

Mensen in de hele VS ontvangen de papieren
vragenlijsten voor de 2020 census in hun brievenbus
en aan de voordeur.
Censusbureau van de VS

Voordat u begint
1.	 Pak uw vragenlijst en open deze op de eerste pagina.

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2.	 Gebruik de informatie in deze Nederlandse handleiding om uw
antwoorden aan te geven op de Engelstalige papieren vragenlijst.
NOTEER UW ANTWOORDEN NIET OP DEZE HANDLEIDING.

Wie moet worden geteld

C

3.	 Voordat u de eerste vraag beantwoordt, telt u de personen die in dit
huis, appartement of in deze woonwagen wonen met behulp van de
onderstaande richtlijnen.

Het Censusbureau telt ook mensen
in instellingen en op andere
plaatsen:

•	 Tel alle mensen, inclusief baby's
die hier de meeste tijd wonen en
slapen.

•	 Tel geen mensen die op 1
april 2020 in een verpleegtehuis,
huis van bewaring, gevangenis,
detentiecentrum etc. wonen.

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Tel de personen die in dit
huis, appartement of in deze
woonwagen wonen:

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•	 Als niemand de meeste tijd op
dit adres woont of slaapt, moet
u de online vragenlijst invullen.

In de census moeten ook personen
zonder permanente verblijfplaats
worden opgenomen:

•	 Als iemand hier op 1 april 2020
verblijft geen permanente
verblijfplaats heeft, moet u die
persoon tellen.

•	 Noteer deze mensen niet op
uw vragenlijst, zelfs als zij
terugkeren van de universiteit/
hogeschool en/of het
verpleegtehuis, de militaire
dienst, het huis van bewaring
etc. hebben verlaten. Anders
worden ze dubbel geteld.

Lees de vragen en instructies op de volgende pagina.
Noteer uw antwoorden niet op deze handleiding.
Censusbureau van de VS	3

Vul de vragen op de voorpagina in
NOTEER UW ANTWOORDEN NIET OP DEZE HANDLEIDING
Hoeveel mensen wonen of verblijven in dit huis,
appartement of in deze woonwagen op 1 april
2020?

op
y

Aantal mensen

Verbleven hier eventueel aanvullende mensen op 1
april 2020 die u niet hebt meegeteld bij vraag 1?
alles aan wat van toepassing is.

C

Kruis

„„ Kinderen − al dan niet tot de familie behorend −
zoals pasgeboren baby's, kleinkinderen of
pleegkinderen

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„„ Familieleden zoals volwassen kinderen,
neven/nichten of aangetrouwde familieleden
„„ Niet-familieleden zoals kamergenoten of
inwonende babysitters
„„ Personen die hier tijdelijk verblijven

at

„„ Geen aanvullende personen

Is dit huis, appartement of deze woonwagen —

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Kruis

ÉÉN vakje aan.

„„ Eigendom van u of iemand in dit huishouden met
een hypotheek of lening? Tel ook hypothecaire
leningen mee.
„„ Volledig eigendom van u of iemand in dit
huishouden, vrij en onbezwaard?
„„ Gehuurd?
„„ Bewoond zonder huurbetaling?
Wat is uw telefoonnummer?
Als Censusbureau nemen wij alleen contact met u op
voor officiële zaken.

Telefoonnummer

4	

Censusbureau van de VS

Vul de vragen aan de linkerkant op pagina 2 in
NOTEER UW ANTWOORDEN NIET OP DEZE HANDLEIDING

op
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Geef informatie over elke persoon die hier woont. Als
hier iemand woont die de huur betaalt of eigenaar
van deze woning is, noteert u hem of haar als
Persoon 1. Als de eigenaar of degene die de huur
betaalt, niet hier woont, noteert u een volwassene die
hier woont als Persoon 1.
Wat is de naam van Persoon 1?

Achternaam (-namen)
(last name[s])

Middelste initiaal
(middle initial)

C

Voornaam
(first name)

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Wat is het geslacht van Persoon 1? 
Kruis ÉÉN vakje aan.
„„ Mannelijk

„„ Vrouwelijk

Wat is de leeftijd van Persoon 1 en wat is de
geboortedatum van Persoon 1?

Maand

Dag

Geboortejaar

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Leeftijd, in
jaren, op 1
april 2020

at

Noteer bij baby's jonger dan 1 jaar de leeftijd niet in
maanden. Noteer dan 0 als de leeftijd.

Is Persoon 1 hispanic, Latijns-Amerikaan(se) of van
Spaanse origine?
„„ Nee, niet hispanic, Latijns-Amerikaan(se) of van
Spaanse origine
„„ Ja, Mexicaan(se), Mexicaans-Amerikaan(se),
Chicano
„„ Ja, Porto Ricaan(se)
„„ Ja, Cubaan(se)
„„ Ja, andere hispanic, Latijns-Amerikaan(se) of
van Spaanse origine — Noteer bijvoorbeeld
Salvadoraan(se), Dominicaan(se), Colombiaan(se),
Guatemalaan(se), Spanjaard/Spaanse,
Ecuadoraan(se) etc.

Censusbureau van de VS	5

Vul de vraag aan de rechterkant op pagina 2 in
NOTEER UW ANTWOORDEN NIET OP DEZE HANDLEIDING
Wat is het ras van Persoon 1?
Kruis één of meer vakjes aan EN noteer de
afkomst.

op
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„„ Blanke — Noteer bijvoorbeeld Duitse(r), Ier(se),
Engelsman/Engelse, Italiaan(se), Libanees/
Libanese, Egyptenaar/Egyptische etc.

C

„„ Zwarte of Afrikaans-Amerikaan(se) — Noteer
bijvoorbeeld Afrikaans-Amerikaan(se),
Jamaicaan(se), Haïtiaan(se), Nigeriaan(se),
Ethiopiër/Ethiopische, Somaliër/Somalische etc.

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„„ Amerikaanse indiaan(se) of inwoner/inwoonster
van Alaska — Noteer de naam van de
geregistreerde of hoofdstam(men), bijvoorbeeld
Navajo Nation, Blackfeet Tribe, Maya, Azteek(se),
Native Village of Barrow Inupiat Traditional
Government, Nome Eskimo Community etc.

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„„ Chinees/
„„ Vietnamees/ „„ Hawaïaan(se)
Chinese
Vietnamese
„„ Filipijn(se)
„„ Koreaan(se) „„ Samoaan(se)
„„ Aziatische
„„ Japanner/
„„ Chamorro
indiaan(se)
Japanse
„„ Overige
„„ Overige
Aziaten
Pacifische
— Noteer
eilandbewoners
bijvoorbeeld
— Noteer
Pakistaan(se),
bijvoorbeeld
Cambodjaan
Ton­gaan(se),
(se), Hmong
Fijiër/Fijische,
etc.
Marshallees/
Mar­shallese etc.

6	

„„ Een ander ras — Noteer ras of afkomst.

Censusbureau van de VS

Vul de vragen voor elke aanvullende persoon in
Voor elke aanvullende persoon moeten de onderstaande twee
vragen worden beantwoord
NOTEER UW ANTWOORDEN NIET OP DEZE HANDLEIDING

Kruis

op
y

Woont of verblijft deze persoon meestal ergens
anders?
alles aan wat van toepassing is.

„„ Nee

„„ Ja, met een ouder of
ander familielid

„„ Ja, voor een militaire
opdracht

„„ Ja, als een
seizoensgebonden of
tweede woning

C

„„ Ja, voor universiteit/
hogeschool

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„„ Ja, voor een baan of
werk
„„ Ja, in een
verpleegtehuis

„„ Ja, in een huis
van bewaring of
gevangenis
„„ Ja, om een andere
reden

Wat is de relatie van deze persoon tot Persoon 1?

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Kruis

ÉÉN vakje aan.

„„ Man/vrouw/echtgeno(o)t(e) van verschillend
geslacht
„„ Ongehuwde partner van verschillend geslacht
„„ Man/vrouw/echtgeno(o)t(e) van hetzelfde
geslacht
„„ Ongehuwde partner van hetzelfde geslacht
„„ Biologische zoon of dochter
„„ Geadopteerde zoon of dochter
„„ Stiefzoon of stiefdochter
„„ Broer of zus
„„ Vader of moeder
„„ Kleinkind
„„ Schoonouder
„„ Schoonzoon of schoondochter
„„ Ander familielid
„„ Kamergenoot of huisgenoot
„„ Pleegkind
„„ Ander niet-familielid

Censusbureau van de VS	7

Vul pagina 8 in als u meer dan zes personen
hebt geteld
NOTEER UW ANTWOORDEN NIET OP DEZE HANDLEIDING

Leeftijd, in
jaren, op 1
april 2020

Maand

Dag

op
y

Vrouwelijk

Achternaam (-namen)
(last name[s])

Geboortejaar

Familie van Persoon 1?
„„ Ja

„„ Nee

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Mannelijk

Middelste initiaal
(middle initial)

C

Voornaam
(first name)

Verstuur de ingevulde Engelstalige vragenlijst in de reeds
gefrankeerde envelop die u hebt ontvangen.

at

De 2020 census was
nog nooit zo eenvoudig.

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Wist u dat u de vragenlijst
online kunt beantwoorden?

Als u de vragenlijst voor de 2020 census
online kunt invullen, gebruik dan de
URL-link in de vragenlijst.

Videohandleidingen voor het invullen van de online
vragenlijst voor de 2020 census zijn beschikbaar op
2020census.gov/languages
D-G (nld) Dutch

8	

Censusbureau van de VS

‫‪ OMB‬ﺷﻤﺎره ‪ :0607-1006‬اﻧﻘﻀﺎی ﺗﺄﯾﯿﺪﯾﮫ در ‪11/30/2021‬‬

‫راهنمای شما برای سرشماری ‪2020‬‬

‫‪op‬‬
‫‪y‬‬

‫چگونگی پاسخ دادن به پرسشنامه کاغذی سرشماری ‪2020‬‬

‫‪C‬‬
‫‪io‬‬
‫‪na‬‬
‫‪l‬‬
‫‪at‬‬
‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫ خوش آمدید‬2020 ‫به سرشماری‬
.‫همه سرشماری می شوند‬

op
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‫هدف از این سرشماری شمارش هر فرد در قید حیات در ایاالت متحده‬
‫ ما نیاز داریم که شما اطمینان‬.‫ یکبار و فقط یکبار و در محل درست‬،‫است‬
.‫حاصل نمایید همه در اجتماع تان سرشماری می شوند‬

.‫اطالعات سرشماری دارای اهمیت می باشند‬

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‫ سال یک بار‬10 ‫قانون اساسی ایاالت متحده ایجاب می نماید هر‬
‫ نتایج جهت تعیین تعداد کرسی های هر ایالت در‬.‫سرشماری صورت گیرد‬
‫ رسم مرزهای مربوط به مناطق رای گیری و مشخص نمودن نحوه‬،‫کنگره‬
‫ میلیارد دالر در بودجه فدرال در اجتماع در هر‬$675 ‫صرف بیش از‬
.‫سال مورد استفاده قرار می گیرد‬

.‫شرکت در این امر وظیفه شهروندی شما می باشد‬

.‫اطالعات شما محرمانه است‬

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‫تکمیل سرشماری ضروری می باشد؛ این راهی است برای مشارکت در‬
"!‫دموکراسی مان و گفتن اینکه "من به حساب می آیم‬

‫ پاسخ های شما تنها می‬.‫قانون فدرال از پاسخ های شما حفاظت می نماید‬
‫توانند در تولید آمار مورد استفاده قرار گیرند و نمی توانند علیه شما در هر‬
.‫آژانس نهاد دولتی یا دادگاه استفاده شوند‬

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

4.

What is your telephone number?

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.

Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws

Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:

• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

‫ از‬2020 ‫برای تکمیل پرسشنامه کاغذی سرشماری‬
.‫این راهنما استفاده کنید‬

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

Number o f people =

‫اداره سرشماری ایاالت متحده‬

‫ در سراسر کشور در صندوق پست‬2020 ‫پرسشنامه کاغذی سرشماری‬
.‫و مقابل درب منازل دریافت می شود‬

	2

‫پیش از اینکه شروع کنید‬
‫‪ 	.1‬پرسشنامه خود را برداشته و اولین صفحه آن را کنید‪.‬‬
‫‪	.2‬برای عالمت گذاری پاسخ ها روی پرسشنامه کاغذی انگلیسی از اطالعات در این راهنمای‬
‫فارسی استفاده کنید‪ .‬پاسخ های خود را در این راهنما ننویسید‪.‬‬

‫‪op‬‬
‫‪y‬‬

‫‪	.3‬پیش از اینکه اولین سوال را پاسخ دهید‪ ،‬افرادی که در این خانه‪ ،‬آپارتمان‪ ،‬یا خانه سیار‬
‫زندگی می کنند را با استفاده از راهنمای پایین شمارش نمایید‪.‬‬

‫‪C‬‬

‫چه کسانی را شمارش کنید‬

‫	•تمام افراد‪ ،‬از جمله بچه ها‪ ،‬که بیشتر‬
‫اوقات در اینجا زندگی می کنند و می‬
‫خوابند را شمارش کنید‪.‬‬

‫	•کسانی را که تا تاریخ ‪ 1‬آوریل ‪2020‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫افرادی که در خانه‪ ،‬آپارتمان‪ ،‬یا خانه سیار‬
‫زندگی می کنند را شمارش نمایید‪:‬‬

‫اداره سرشماری ایاالت متحده در موسسات و‬
‫سایر مکانها نیز سر شماری می نماید‪:‬‬

‫	•اگر کسی مکان دائمی برای زندگی‬
‫ندارد و در ‪ 1‬آوریل ‪ 2020‬در اینجا‬
‫اقامت دارد‪ ،‬او را شمارش کنید‪.‬‬

‫‪at‬‬

‫سرشماری باید شامل افرادی که مکان دائمی‬
‫برای زندگی ندارند نیز بشود‪:‬‬

‫	•این افراد را خارج از پرسشنامه خود‬
‫قرار دهید‪ ،‬حتی اگر بعد از ترک کالج‪،‬‬
‫خانه سالمندان‪ ،‬نظامی ارتش‪ ،‬زندان و‬
‫غیره بازگشته و در اینجا زندگی خواهند‬
‫کرد‪ .‬در غیر این صورت ممکن است‬
‫دو بار شمارش شوند‪.‬‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫	•اگر در بیشتر اوقات کسی در این ادرس‬
‫زندگی نمی کند و نمی خوابد‪ ،‬آنالین‬
‫پاسخ دهید‪.‬‬

‫در خانه سالمندان‪ ،‬حبس‪ ،‬زندان و‬
‫بازداشت هستند‪ ،‬سرشماری نکنید‪.‬‬

‫سواالت و دستورالعمل ها را در صفحه بعدی بخوانید‪.‬‬
‫پاسخ های خود را در این راهنما ننویسید‪.‬‬
‫اداره سرشماری ایاالت متحده	‬

‫‪3‬‬

‫سواالت روی صفحه را تکمیل نمایید‬
‫پاسخ های خود را در این راهنما ننویسید‬
‫در ‪ 1‬آوریل ‪ 2020‬چند نفر در این خانه‪ ،‬آپارتمان‪ ،‬یا خانه سیار زندگی‬
‫می کردند و یا اقامت داشته اند؟‬

‫‪op‬‬
‫‪y‬‬

‫تعداد افراد‬

‫آیا در ‪ 1‬اوريل ‪ 2020‬در اینجا فرد اضافه ای اقامت داشتند که شما در‬
‫سوال ‪ 1‬درج نکرده اید؟‬

‫‪C‬‬

‫با‬

‫تمام گزینه های درست را عالمت بزنید‪.‬‬

‫„ „بچه‪ ،‬نسبی یا سببی‪ ،‬مانند نوزاد تازه متولد شده‪ ،‬نوه‪ ،‬یا فرزند‬
‫خوانده‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫„ „خویشاوندان‪ ،‬مانند فرزندان بزرگسال‪ ،‬فرزند عمو‪ ،‬عمه‪ ،‬دایی و‬
‫خاله‪ ،‬یا خویشاوند سببی‬
‫„ „افراد غیر خویشاوند‪ ،‬مانند هم اطاقی یا پرستار مستقر در محل‬
‫کار بچه ها‬
‫ً‬
‫„ „افرادی که موقتا در اینجا اقامت دارند‬
‫„ „فرد اضافه ای نیست‬

‫„ „با استفاده از وام مسکن یا وام متعلق به شما یا کسی در این‬
‫خانوار می باشد؟ شامل قرضه های مسکن‪.‬‬
‫„ „تحت مالکیت آزاد و شفاف متعلق به شما یا کسی در این خانوار‬
‫می باشد (بدون وام مسکن یا وام)؟‬
‫„ „کرايه شده؟‬
‫„ „سکونت داشتن بدون پرداخت کرایه؟‬
‫شماره تلفن شما چیست؟‬
‫ما تنها در صورتی با شما تماس می گيريم که رسما ً مورد نیاز اداره‬
‫سرشماری ایاالت متحده باشد‪.‬‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫‪at‬‬

‫آیا این خانه‪ ،‬آپارتمان‪ ،‬یا خانه سیار —‬
‫با یک کادر را عالمت بزنید‪.‬‬

‫شماره تلفن‬

‫‪	4‬‬

‫اداره سرشماری ایاالت متحده‬

‫سواالت سمت چپ صفحه ‪ 2‬را تکمیل نمایید‬
‫پاسخ های خود را در این راهنما ننویسید‬

‫‪op‬‬
‫‪y‬‬

‫لطفا ً اطالعات هر فردی که اینجا زندگی می کند را ارائه کنید‪ .‬اگر فردی‬
‫دراینجا زندگی می کند که کرايه محل را می پردازد یا مالک محل می‬
‫باشد‪ ،‬مشخصات او را بعنوان فرد ‪ 1‬ثبت نمایید‪ .‬اگر مالک یا فردی که‬
‫کرایه محل را می پردازد در اینجا زندگی نمی کند‪ ،‬مشخصات هر فرد‬
‫بزرگ‪‎‬سالی که در اینجا زندگی می کند را بعنوان فرد ‪ 1‬ثبت نمایید‪.‬‬
‫نام فرد ‪ 1‬چیست؟‬

‫نام فرد ‪ 1‬را به حروف انگلیسی بنویسید‪.‬‬

‫‪C‬‬

‫)‪(middle initial‬‬

‫یک کادر را عالمت بزنید‪.‬‬

‫مونث )‪„„ (Female‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫جنسیت فرد ‪ 1‬چیست؟‪ ‬با‬

‫اولین حرف نام میانی‬

‫نام خانوادگی‬

‫)]‪(last name[s‬‬

‫نام کوچک‬

‫(‪)first name‬‬

‫مذکر )‪„„ (Male‬‬

‫سن فرد ‪ 1‬چند سال است و تاریخ تولد فرد ‪ 1‬چیست؟‬

‫‪at‬‬

‫برای بچه های کمتر از ‪ 1‬سال‪ ،‬سن را به ماه ننویسید‪ .‬بعنوان سن‬
‫بنویسید ‪.0‬‬

‫آیا فرد ‪ 1‬از نژاد هیسپانیک‪ ،‬التین یا اسپانیایی تبار است؟‬
‫„ „خیر‪ ،‬هیسپانیک‪ ،‬التین یا اسپانیایی تبار نیست‪.‬‬
‫„ „بله‪ ،‬مکزیکی‪ ،‬مکزیکی آمریکایی‪ ،‬چیکانو‬
‫„ „بله‪ ،‬پورتوریکویی‬
‫„ „بله‪ ،‬کوبایی‬
‫„ „بله‪ ،‬سایر هیسپانیک‪ ،‬التین یا اسپانیایی تبار — وارد نماید‪ ،‬برای‬
‫مثال‪ ،‬سالوادوری‪ ،‬دومینیکایی‪ ،‬کلمبیایی‪ ،‬گواتماالیی‪ ،‬اسپانیایی‪،‬‬
‫اکوادوری‪ ,‬و غیره‪.‬‬

‫اداره سرشماری ایاالت متحده	‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫سال تولد‬

‫روز‬

‫ماه‬

‫سن‪ ،‬به سال‪ ،‬در‬
‫‪ 1‬آوریل ‪2020‬‬

‫‪5‬‬

‫سوال سمت راست صفحه ‪ 2‬را تکمیل نمایید‬
‫پاسخ های خود را در این راهنما ننویسید‬
‫نژاد فرد ‪ 1‬چیست؟‬

‫‪op‬‬
‫‪y‬‬

‫با‬

‫یک یا چند کادر را عالمت بزنید و خاستگاه ها را وارد کنید‪.‬‬

‫„ „سفید — وارد نمایید‪ ،‬برای مثال‪ ،‬آلمانی‪ ،‬ایرلندی‪ ،‬انگلیسی‪،‬‬
‫ایتالیایی‪ ،‬لبنانی‪ ،‬مصری‪ ,‬و غیره‪.‬‬

‫‪C‬‬

‫„ „سیاه یا آفریقایی آمریکایی — وارد نمایید‪ ،‬برای مثال‪ ،‬آفریقایی‬
‫آمریکایی‪ ،‬جامائیکایی‪ ،‬هیتی‪ ،‬نیجریایی‪ ،‬اتیوپیایی‪ ،‬سومالی‪ ،‬و‬
‫غیره‪.‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫„ „سرخ‌پوست آمریکایی یا بومی آالسکا — نام نویسی‬
‫شده یا قبیله اصلی را وارد نمایید‪ ،‬برای مثال‪،‬‬
‫‪ ،Blackfeet Tribe ،Navajo Nation‬مایایی‪ ،‬آزتک‪،‬‬

‫‪Native Village of Barrow Inupiat Traditional‬‬

‫‪ ،Nome Eskimo Community ،Government‬و غیره‪.‬‬

‫‪	6‬‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫‪at‬‬

‫„ „چینی‬
‫„ „ویتنامی‬
‫„ „فرد بومی هاوایی‬
‫„ „فیلیپینی‬
‫„ „کره‌ای‬
‫„ „ساموآیی‬
‫„ „آسیایی هندی‬
‫„ „ژاپنی‬
‫„ „چامورو‬
‫„ „آسیایی سایر‬
‫„ „سایر ساکنان جزایر‬
‫موارد —‬
‫اقیانوس آرام —‬
‫وارد نمایید‪،‬‬
‫وارد نمایید‪ ،‬برای‬
‫برای مثال‪،‬‬
‫مثال‪ ،‬تونگایی‪،‬‬
‫پاکستانی‪،‬‬
‫فیجیایی‪ ،‬مارشالی‪,‬‬
‫کامبوجی‪،‬‬
‫و غیره‪.‬‬
‫همونگی‪ ,‬و‬
‫غیره‪.‬‬
‫„ „چند نژاد دیگر — نژاد یا خاستگاه را وارد نمایید‪.‬‬

‫اداره سرشماری ایاالت متحده‬

‫سواالت را جهت هر فرد اضافه تکمیل نمایید‬
‫از هر فرد اضافه دو سوال زیر پرسیده می شود‬
‫پاسخ های خود را در این راهنما ننویسید‬

‫‪op‬‬
‫‪y‬‬

‫آیا این فرد معموالً در جای دیگری زندگی می کند یا اقامت دارد؟‬

‫‪C‬‬

‫با تمام گزینه های درست را عالمت بزنید‪.‬‬
‫„ „خیر‬
‫„ „بله‪ ،‬برای کالج‬
‫„ „بله‪ ,‬با یک والد یا سایر‬
‫خویشاوندان‬
‫„ „بله‪ ,‬برای وظیفه نظامی‬
‫„ „بله‪ ،‬اقامت فصلی یا اقامت‬
‫„ „بله‪ ،‬برای یک شغل یا کسب‬
‫ثانویه‬
‫و کار‬
‫یا‬
‫زندان‬
‫یک‬
‫در‬
‫„ „بله‪،‬‬
‫„ „بله‪ ،‬در یک خانه سالمندان‬
‫ندامتگاه‬
‫„ „بله‪ ،‬به سایر دالیل‬

‫„ „پدر یا مادر‬
‫„ „نوه‬
‫„ „والد سببی‬
‫„ „داماد یا عروس‬
‫„ „سایر خویشاوندان‬
‫„ „هم‌اتاقی یا هم‌خانه‬
‫„ „فرزند خوانده‬
‫„ „سایر افراد غیر خویشاوند‬

‫اداره سرشماری ایاالت متحده	‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫„ „شوهر‪/‬زن‪/‬همسر از جنس مخالف‬
‫„ „شریک زندگی از جنس مخالف و بدون ازدواج‬
‫„ „شوهر‪/‬زن‪/‬همسر از جنس موافق‬
‫„ „شریک زندگی از جنس موافق بدون ازدواج‬
‫„ „فرزند پسر یا دختر بیولوژیک‬
‫„ „پسر یا دختر به فرزندی پذیرفته شده‬
‫„ „پسر خوانده یا دختر خوانده‬
‫„ „برادر یا خواهر‬

‫‪at‬‬

‫با‬

‫یک کادر را عالمت بزنید‪.‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫این فرد با فرد ‪ 1‬چه نسبتی دارد؟‬

‫‪7‬‬

‫اگر بیش از شش نفر را شمارش کرده اید صفحه ‪ 8‬را تکمیل‬
‫نمایید‬
‫پاسخ های خود را در این راهنما ننویسید‬
‫نام خانوادگی‬

‫)]‪(last name[s‬‬

‫اولین حرف نام میانی‬
‫)‪(middle initial‬‬

‫نام کوچک‬

‫(‪)first name‬‬

‫‪op‬‬
‫‪y‬‬
‫‪C‬‬

‫با فرد ‪ 1‬نسبت دارد؟‬
‫� خیر (‪)No‬‬

‫� بله (‪)Yes‬‬

‫سال تولد‬

‫روز‬

‫ماه‬

‫سن‪ ،‬به سال‪ ،‬در‬
‫‪ 1‬آوریل ‪2020‬‬

‫مونث‬

‫(‪)Female‬‬

‫مذکر‬

‫(‪)Male‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫لطفا ً پرسشنامه انگلیسی تکمیل شده را با پاکت نامه از پیش پرداخت شده پست کنید‪.‬‬

‫سرشماری ‪ 2020‬از همیشه‬
‫آسانتر است‪.‬‬

‫‪at‬‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫آیا می دانستید که می توانید آنالین‬
‫پاسخ دهید؟‬

‫اگر قادر هستید سرشماری ‪ 2020‬را به صورت‬
‫آنالین تکمیل نمایید‪ ،‬به آدرس وارد شده در‬
‫پرسشنامه مراجعه فرمایید‪.‬‬

‫راهنمای ویدئویی جهت تکمیل آنالین سرشماری ‪ 2020‬در‬
‫آدرس زیر در دسترس می باشد‬
‫‪2020census.gov/languages‬‬

‫‪D-G (fas) Farsi‬‬

‫‪	8‬‬

‫اداره سرشماری ایاالت متحده‬

OMB-Nr. 0607-1006: Genehmigung läuft am 11/30/2021 ab

op
y

Ihr Leitfaden für die Volkszählung 2020

In
fo
rm

at

io
na
l

C

Anleitung zum Ausfüllen des Papierfragebogens
zur Volkszählung 2020

Willkommen bei der Volkszählung 2020
Jeder zählt.

op
y

Das Ziel der Volkszählung ist es, jede lebende Person
in den USA einmal, nur einmal, und am richtigen Ort zu
zählen. Wir brauchen Ihre Hilfe, um sicherzustellen, dass
jeder in Ihrer Gemeinschaft gezählt wird.

Volkszählungsdaten sind wichtig.

io
na
l

C

Die Verfassung der Vereinigten Staaten schreibt alle
10 Jahre eine Volkszählung vor. Die Ergebnisse werden
verwendet, um die Anzahl der Sitze jedes Bundesstaates
im Kongress zu bestimmen, Grenzen für Wahldistrikte zu
ziehen und festzustellen, wie mehr als 675 Milliarden Dollar
an finanzieller Förderung mit Bundesmitteln jedes Jahr in
Gemeinschaften ausgegeben werden.

Die Teilnahme ist Ihre Bürgerpflicht.

In
fo
rm

at

Die Teilnahme an der Volkszählung ist verpflichtend; es ist
eine Möglichkeit, an unserer Demokratie teilzunehmen und
zu sagen: „Ich zähle!“

Ihre Daten werden vertraulich behandelt.
Das Bundesgesetz schützt Ihre Antworten. Ihre Antworten
können nur zur Erstellung von Statistiken verwendet
werden und können nicht von einer Regierungsbehörde
oder einem Gericht gegen Sie verwendet werden.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

Verwenden Sie diesen Leitfaden, um den
Papierfragebogen zur Volkszählung 2020
auszufüllen.

–

–

Die Papierfragebögen für die Volkszählung 2020 werden
landesweit in Briefkästen und vor der Haustür ankommen.
US-amerikanische Statistikbehörde

Bevor Sie beginnen
1.	 Öffnen Sie Ihren Fragebogen auf der ersten Seite.

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2.	 Verwenden Sie die Informationen in diesem deutschen Leitfaden, um
Ihre Antworten auf dem englischen Papierfragebogen anzukreuzen.
SCHREIBEN SIE IHRE ANTWORTEN NICHT AUF DIESEN LEITFADEN.

Wer wird gezählt?

Die US-amerikanische
Statistikbehörde führt auch in
Institutionen und an anderen
Orten Zählungen durch:

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Zählen Sie die Personen, die in
diesem Haus, dieser Wohnung
oder diesem Wohnwagen wohnen:

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3.	 Bevor Sie die erste Frage beantworten, zählen Sie die Personen, die in
diesem Haus, dieser Wohnung oder diesem Wohnwagen wohnen, nach
den folgenden Richtlinien.

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•	 Zählen Sie alle Menschen, auch
Babys, die hier die meiste Zeit
leben und schlafen.

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•	 Wenn an dieser Adresse die
meiste Zeit niemand lebt oder
schläft, antworten Sie online.
Die Volkszählung muss auch
Menschen ohne dauerhafte
Unterkunft umfassen:

•	 Wenn jemand, der keine
dauerhafte Unterkunft hat, am
1. April 2020 hier wohnt, zählt
diese Person.

•	 Zählen Sie keine Personen, die
sich am 1. April 2020 in einem
Pflegeheim, einem Gefängnis,
einer Justizvollzugsanstalt usw.
befinden.
•	 Lassen Sie diese Menschen
auf Ihrem Fragebogen aus,
auch wenn sie nach dem
Verlassen der Hochschule,
des Pflegeheims, des Militärs,
des Gefängnisses usw. wieder
hier leben werden. Andernfalls
können sie doppelt gezählt
werden.

Lesen Sie die Fragen und Anweisungen auf der nächsten Seite.
Schreiben Sie Ihre Antworten nicht auf diesen Leitfaden.
US-amerikanische Statistikbehörde	

3

Beantworten Sie die Fragen auf der Titelseite
SCHREIBEN SIE IHRE ANTWORTEN NICHT AUF DIESEN LEITFADEN
Wie viele Personen lebten oder wohnten am 1. April
2020 in diesem Haus, dieser Wohnung oder diesem
Wohnwagen?

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Anzahl der Personen

Wohnten am 1. April 2020 noch weitere Personen
hier, die Sie in Frage 1 nicht berücksichtigt haben?
Kreuzen Sie

alles Zutreffende an.

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„„ Kinder, verwandte oder nicht verwandte, wie
Neugeborene, Enkelkinder oder Pflegekinder

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„„ Verwandte, wie erwachsene Kinder, Cousin/
Cousine, oder angeheiratete Verwandte
„„ Andere Nichtverwandte, wie Mitbewohner oder
Babysitter, die im Haus leben
„„ Personen, die sich vorübergehend hier aufhalten
„„ Keine zusätzlichen Personen

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Ist dieses Haus, diese Wohnung oder dieser
Wohnwagen —

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Kreuzen Sie

EIN Kästchen an.

„„ Im Besitz von Ihnen oder jemandem in
diesem Haushalt mit einer Hypothek oder
Pfandverschreibung? Einschließlich Hypothek (auf
bestehendes Wohneigentum).
„„ In Ihrem oder dem eines anderen Haushaltsmitglieds
freien und uneingeschränkten Eigentum stehend
(ohne Hypotheken oder Verpflichtungen)?
„„ Gemietet?
„„ Ohne Bezahlung einer Miete bewohnt?
Wie lautet Ihre Telefonnummer?
Wir werden Sie nur dann kontaktieren, wenn dies
für offizielle Angelegenheiten der US-amerikanische
Statistikbehörde erforderlich ist.

Telefonnummer

4	

US-amerikanische Statistikbehörde

Füllen Sie die Fragen auf der linken Seite
von Seite 2 aus
SCHREIBEN SIE IHRE ANTWORTEN NICHT AUF DIESEN LEITFADEN

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Bitte geben Sie die Daten für jede Person an, die
hier lebt. Wenn hier jemand wohnt, der die Miete
zahlt oder diesen Wohnsitz besitzt, listen Sie ihn
zunächst als Person 1 auf. Wenn der Eigentümer
oder die Person, die die Miete zahlt, nicht hier wohnt,
beginnen Sie die Liste mit einer volljährigen Person,
die hier wohnt, als Person 1.

Vorname
(first name)

Nachname(n)
(last name[s])

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Wie lautet der Name von Person 1?
Initiale des zweiten Vornamens
(middle initial)

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Was ist das Geschlecht von Person 1?
Kreuzen Sie EIN Kästchen an.
„„ Männlich

„„ Weiblich

Wie alt ist Person 1 und wie lautet das
Geburtsdatum von Person 1?

Monat

Tag

Geburtsjahr

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Alter, in
Jahren,
am 1. April
2020

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Geben Sie bei Babys unter 1 Jahr das Alter nicht in
Monaten an. Schreiben Sie 0 als Alter.

Ist Person 1 hispanischer, lateinamerikanischer oder
spanischer Herkunft?
„„ Nein, nicht hispanischer, lateinamerikanischer oder
spanischer Herkunft
„„ Ja, mexikanisch, mexikanisch amerikanisch,
Chicano
„„ Ja, puerto-ricanisch
„„ Ja, kubanisch

US-amerikanische Statistikbehörde	

„„ Ja, eine andere hispanische, lateinamerikanische
oder spanische Herkunft — in Druckschrift, z. B.
salvadorianisch, dominikanisch, kolumbianisch,
guatemaltekisch, ecuadorianisch usw.

5

Beantworten Sie die Frage rechts auf Seite 2 aus
SCHREIBEN SIE IHRE ANTWORTEN NICHT AUF DIESEN LEITFADEN
Was ist die Rasse von Person 1?

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Kreuzen Sie ein oder mehrere Kästchen an UND
schreiben Sie die Herkunft in Druckschrift.

„„ Weiß — in Druckschrift, z. B. deutsch, englisch, irisch,
italienisch, libanesisch, ägyptisch usw.

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„„ Schwarz oder afroamerikanisch — in Druckschrift,
z. B. afroamerikanisch, jamaikanisch, haitianisch,
nigerianisch, äthiopisch, somalisch usw.

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„„ Indigen US-indianisch oder alaskisch — in Druckschrift
Name des eingetragenen bzw. Hauptstamms, z.
B. Navajo Nation, Blackfeet Tribe, mayanesisch,
aztekisch, Native Village of Barrow Inupiat Traditional
Government, Nome Eskimo Community usw.
„„ chinesisch

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„„ philippinisch
„„ indisch

6	

„„ vietnamesisch
„„ koreanisch
„„ japanisch

„„ Andere asiatische Rasse — in
Druckschrift z. B. pakistanisch,
kambodschanisch, hmongisch
usw.

„„ indigen hawaiianisch
„„ samoanisch
„„ chamorro-austronesisch
„„ Andere pazifikinsulanische Rasse
— in Druckschrift
z. B. tongaisch,
fidschianisch,
marshallisch usw.

„„ Eine andere Rasse — schreiben Sie Rasse oder
Herkunft in Druckschrift.

US-amerikanische Statistikbehörde

Füllen Sie die Fragen für jede weitere Person aus
Jeder weiteren Person werden die beiden folgenden Fragen gestellt
SCHREIBEN SIE IHRE ANTWORTEN NICHT AUF DIESEN LEITFADEN

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Lebt oder wohnt diese Person normalerweise
woanders?
Kreuzen Sie

alles Zutreffende an.

„„ Nein

„„ Ja, für die Hochschule

„„ Ja, mit einem Elternteil
oder einem anderen
Verwandten

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„„ Ja, für einen
militärischen Einsatz

„„ Ja, für eine
Arbeitsstelle oder ein
Unternehmen

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„„ Ja, in einem
Pflegeheim

„„ Ja, in einem saisonalen
oder zweiten Wohnsitz
„„ Ja, in einem
Gefängnis oder einer
Justizvollzugsanstalt
„„ Ja, aus einem anderen
Grund

Verwandtschaftsverhältnis steht diese Person zu
Person 1?
EIN Kästchen an.

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Kreuzen Sie

US-amerikanische Statistikbehörde	

„„ Ehepartner oder Lebenspartner des anderen
Geschlechts
„„ Lediger Lebenspartner des anderen Geschlechts
„„ Gleichgeschlechtlicher Ehepartner oder
Lebenspartner
„„ Gleichgeschlechtlicher lediger Lebenspartner
„„ Leiblicher Sohn oder leibliche Tochter
„„ Adoptivsohn oder Adoptivtochter
„„ Stiefsohn oder Stieftochter
„„ Bruder oder Schwester
„„ Vater oder Mutter
„„ Enkelkind
„„ Schwiegerelternteil
„„ Schwiegersohn oder Schwiegertochter
„„ Sonstiger Verwandter
„„ Zimmer- oder Hausgenosse (roommate or
housemate)
„„ Pflegekind
„„ andere Nichtverwandte

7

Füllen Sie Seite 8 aus, wenn Sie mehr als
sechs Personen gezählt haben
SCHREIBEN SIE IHRE ANTWORTEN NICHT AUF DIESEN LEITFADEN
Initiale des zweiten Vornamens
(middle initial)

Nachname(n)
(last name[s])

Weiblich

Alter, in Jahren,
am 1. April 2020

Monat

Tag

Geburtsjahr

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Männlich

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Vorname
(first name)

Verwandt mit
Person 1?
„„ Ja

„„ Nein

Bitte senden Sie den ausgefüllten englischen Fragebogen in dem erhaltenen frankierten
Umschlag zurück.

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Die Volkszählung 2020
ist einfacher denn je.

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Wussten Sie, dass Sie online
antworten können?

Wenn Sie die Volkszählung 2020 online
ausfüllen können, gehen Sie zu der URL,
die auf dem Fragebogen angegeben ist.

Videoleitfäden zum Ausfüllen
der Volkszählung 2020 sind online
verfügbar unter
2020census.gov/languages
8	

D-G (deu) German
US-amerikanische Statistikbehörde

Αρ. OMB 0607-1006: Η έγκριση λήγει στις 11/30/2021

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Ο Οδηγός σας για την Απογραφή
Πληθυσμού 2020

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Πώς να απαντήσετε στο Έντυπο Ερωτηματολόγιο
για την Απογραφή Πληθυσμού 2020

Καλώς ήρθατε στην Απογραφή
Πληθυσμού 2020
Όλοι καταμετρούνται.

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Ο στόχος αυτής της απογραφής πληθυσμού είναι
να καταμετρηθεί κάθε άτομο που ζει στις ΗΠΑ
μία φορά, μόνο μία φορά, και στον σωστό τόπο.
Χρειαζόμαστε τη βοήθειά σας για να βεβαιωθούμε
ότι κάθε μέλος της κοινότητάς σας θα καταμετρηθεί.

Τα δεδομένα της απογραφής είναι
πολύ σημαντικά.

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Το Σύνταγμα των ΗΠΑ ορίζει ότι πρέπει να
διεξάγεται απογραφή πληθυσμού κάθε 10 έτη.
Τα αποτελέσματα χρησιμοποιούνται για τον
καθορισμό του αριθμού των εδρών κάθε πολιτείας
στο Κογκρέσο, τον προσδιορισμό των ορίων των
εκλογικών περιφερειών, καθώς και τον καθορισμό
του τρόπου με τον οποίο δαπανώνται περισσότερα
από 675 δισεκατομμύρια δολάρια ομοσπονδιακών
χορηγήσεων στις κοινότητες κάθε έτος.

Ως πολίτες, έχετε καθήκον να
συμμετάσχετε.

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Η συμπλήρωση του εντύπου της απογραφής είναι
υποχρεωτική. Είναι ένας τρόπος να συμμετάσχετε
στη δημοκρατία μας, να δηλώσετε «παρών!» και να
καταμετρηθείτε.

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Οι πληροφορίες σας είναι
εμπιστευτικές.

Οι απαντήσεις σας προστατεύονται από την
ομοσπονδιακή νομοθεσία. Οι απαντήσεις σας
μπορούν να χρησιμοποιηθούν μόνο για τη δημιουργία
στατιστικών και δεν μπορούν να χρησιμοποιηθούν
εναντίον σας από οποιαδήποτε κυβερνητική
υπηρεσία ή δικαστήριο.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Occupied without payment of rent?

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?

4.

–

–

Χρησιμοποιήστε αυτόν τον οδηγό
για να συμπληρώσετε το έντυπο
ερωτηματολόγιο της Απογραφής
Πληθυσμού 2020.

Τα έντυπα ερωτηματολόγια της Απογραφής Πληθυσμού
2020 θα φτάσουν στα γραμματοκιβώτια και στις πόρτες
όλου του έθνους.
Γραφείο Απογραφής Πληθυσμού των ΗΠΑ

Πριν ξεκινήσετε
1.	 Βρείτε το ερωτηματολόγιό σας και ανοίξτε το στην πρώτη σελίδα.
2.	 Χρησιμοποιήστε τις πληροφορίες αυτού του οδηγού στα ελληνικά
για να καταγράψετε τις απαντήσεις σας στο έντυπο ερωτηματολόγιο
στα αγγλικά. ΜΗΝ ΓΡΑΦΕΤΕ ΤΙΣ ΑΠΑΝΤΗΣΕΙΣ ΣΑΣ ΣΕ ΑΥΤΟΝ ΤΟΝ
ΟΔΗΓΟ.

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3.	 Πριν απαντήσετε την πρώτη ερώτηση, καταμετρήστε τα άτομα
που διαμένουν σε αυτό το σπίτι, διαμέρισμα ή τροχόσπιτο
χρησιμοποιώντας τις παρακάτω οδηγίες.

Το Γραφείο Απογραφής
Πληθυσμού διεξάγει επίσης
καταμετρήσεις σε ιδρύματα και
άλλα μέρη:

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Καταμετρήστε τα άτομα τα
οποία διαμένουν σε αυτό το
σπίτι, διαμέρισμα ή τροχόσπιτο:

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Ποια άτομα πρέπει να καταμετρήσετε

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•	 Καταμετρήστε όλα τα άτομα,
συμπεριλαμβανομένων των
βρεφών, που διαμένουν
και κοιμούνται εδώ τον
περισσότερο χρόνο.

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•	 Εάν κανείς δεν διαμένει ή
κοιμάται σε αυτήν τη διεύθυνση
τον περισσότερο χρόνο,
απαντήστε μέσω διαδικτύου.
Η απογραφή πληθυσμού πρέπει
να περιλαμβάνει επίσης άτομα
χωρίς μόνιμη κατοικία:

•	 Εάν κάποιο άτομο που δεν
διαθέτει μόνιμη κατοικία
διαμένει προσωρινά εδώ την 1η
Απριλίου 2020, καταμετρήστε
αυτό το άτομο.

•	 Μην καταμετρήσετε
οποιονδήποτε διαμένει
σε γηροκομείο, φυλακή,
σωφρονιστικό ίδρυμα κ.λπ. την
1η Απριλίου 2020.
•	 Μην συμπεριλάβετε αυτά τα
άτομα στο ερωτηματολόγιό
σας, ακόμη και αν πρόκειται να
επιστρέψουν για να διαμείνουν
εδώ αφού εξέλθουν από
το κολέγιο, το γηροκομείο,
τον στρατό, τη φυλακή κ.λπ.
Διαφορετικά, μπορεί να
καταμετρηθούν δύο φορές.

Διαβάστε τις ερωτήσεις και τις οδηγίες στην επόμενη σελίδα.
Μην γράφετε τις απαντήσεις σας σε αυτόν τον οδηγό.
Γραφείο Απογραφής Πληθυσμού των ΗΠΑ	

3

Συμπληρώστε τις ερωτήσεις στην μπροστινή
σελίδα
ΜΗΝ ΓΡΑΦΕΤΕ ΤΙΣ ΑΠΑΝΤΗΣΕΙΣ ΣΑΣ ΣΕ ΑΥΤΟΝ ΤΟΝ ΟΔΗΓΟ

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Πόσα άτομα διαμένουν μόνιμα ή προσωρινά σε
αυτό το σπίτι, διαμέρισμα ή τροχόσπιτο την 1η
Απριλίου 2020;
Αριθμός ατόμων

Σημειώστε

C

Υπήρχαν επιπλέον άτομα που διέμεναν
προσωρινά εδώ την 1η Απριλίου 2020, τα οποία
δεν συμπεριλάβατε στην Ερώτηση 1;
όλα όσα ισχύουν.

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„„ Παιδιά, τα οποία είναι ή δεν είναι συγγενείς, όπως
νεογέννητα βρέφη, εγγόνια, ή ανάδοχα τέκνα
„„ Συγγενείς, όπως ενήλικα παιδιά, ξαδέλφια ή
συγγενείς εξ αγχιστείας
„„ Μη συγγενείς, όπως συγκάτοικοι ή άτομα που
φροντίζουν τα παιδιά και διαμένουν στο σπίτι
„„ Άτομα που διαμένουν εδώ προσωρινά
„„ Δεν υπάρχουν επιπλεόν άτομα

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Αυτό το σπίτι, διαμέρισμα, ή τροχόσπιτο —

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Επιλέξτε

ΕΝΑ πλαίσιο.

„„ Ανήκει σε εσάς ή σε κάποιο άλλο μέλος του
νοικοκυριού με στεγαστικό ή άλλο δάνειο;
Συμπεριλάβετε δάνεια με υποθήκη την αγοραία
αξία πρώτης κατοικίας.
„„ Ανήκει σε εσάς ή σε κάποιο άλλο μέλος του
νοικοκυριού ελεύθερο και απαλλαγμένο από
βάρη (χωρίς στεγαστικό ή άλλο δάνειο);
„„ Είναι ενοικιαζόμενο;
„„ Κατοικείται χωρίς πληρωμή ενοικίου;
Ποιος είναι ο αριθμός τηλεφώνου σας;
Θα επικοινωνήσουμε μαζί σας μόνο αν χρειαστεί
για επίσημα θέματα του Γραφείου Απογραφής
Πληθυσμού.

Αριθμός τηλεφώνου

4	

Γραφείο Απογραφής Πληθυσμού των ΗΠΑ

Συμπληρώστε τις ερωτήσεις στην αριστερή
πλευρά της σελίδας 2
ΜΗΝ ΓΡΑΦΕΤΕ ΤΙΣ ΑΠΑΝΤΗΣΕΙΣ ΣΑΣ ΣΕ ΑΥΤΟΝ ΤΟΝ ΟΔΗΓΟ

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Παρακαλούμε να παράσχετε πληροφορίες για κάθε
άτομο που διαμένει εδώ. Εάν υπάρχει κάποιο άτομο
που διαμένει εδώ και πληρώνει το ενοίκιο ή του ανήκει
η κατοικία, ξεκινήστε αναφέροντας αυτό το άτομο ως
Άτομο 1. Εάν ο ιδιοκτήτης ή το άτομο που πληρώνει
το ενοίκιο δεν διαμένει εδώ, ξεκινήστε αναφέροντας
οποιονδήποτε ενήλικα που διαμένει εδώ ως Άτομο 1.
Ποιο είναι το όνομα του Ατόμου 1;

Επώνυμο(-α)
(last name[s])

Αρχικό μεσαίου ονόματος
(middle initial)

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Όνομα
(first name)

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Γράψτε το όνομα του Ατόμου 1 με αγγλικούς
χαρακτήρες.

Ποιο είναι το φύλο του Ατόμου 1; 
Επιλέξτε ΕΝΑ πλαίσιο.
„„ Άρρεν

„„ Θήλυ

Ποια είναι η ηλικία του Ατόμου 1 και ποια είναι η
ημερομηνία γέννησης του Ατόμου 1;

Μήνας

Ημέρα

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Ηλικία, σε έτη,
την 1η Απριλίου
2020

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Για βρέφη ηλικίας μικρότερης του ενός έτους, μην
αναγράψετε την ηλικία σε μήνες. Γράψτε τον αριθμό
0 ως ηλικία.

Γραφείο Απογραφής Πληθυσμού των ΗΠΑ	

Έτος γέννησης

Είναι το Άτομο 1 Ισπανόφωνο, από χώρα της
Λατινικής Αμερικής ή Ισπανικής καταγωγής;
„„ Όχι, δεν είναι Ισπανόφωνος, από χώρα της
Λατινικής Αμερικής ή Ισπανικής καταγωγής
„„ Ναι, Μεξικάνος/Μεξικάνα
Μεξικανοαμερικάνος/α, Τσικάνο
„„ Ναι, Πορτορικανός/Πορτορικανή
„„ Ναι, Κουβανέζος/Κουβανέζα
„„ Ναι, άλλης καταγωγής Ισπανόφωνος, από χώρα της
Λατινικής Αμερικής ή Ισπανικής καταγωγής — Γράψτε,
για παράδειγμα, Σαλβαδοριανός/Σαλβαδοριανή,
Δομινικανός/Δομινικανή, Κολομβιανός/Κολομβιανή,
Γουατεμαλανός/Γουατεμαλανή, Ισπανός/Ισπανίδα,
Εκουαδοριανός/Εκουαδοριανή κ.λπ.

5

Συμπληρώστε τις την ερώτηση στη δεξιά
πλευρά της σελίδας 2
ΜΗΝ ΓΡΑΦΕΤΕ ΤΙΣ ΑΠΑΝΤΗΣΕΙΣ ΣΑΣ ΣΕ ΑΥΤΟΝ ΤΟΝ ΟΔΗΓΟ
Σε ποια φυλή ανήκει το Άτομο 1;

op
y

Επιλέξτε ένα ή περισσότερα πλαίσια ΚΑΙ γράψτε
τις καταγωγές.
„„ Λευκός — Γράψτε, για παράδειγμα, Γερμανός/
Γερμανίδα, Ιρλανδός/Ιρλανδή, Άγγλος/Αγγλίδα,
Ιταλός/Ιταλίδα, Λιβανέζος/Λιβανέζα, Αιγύπτιος/
Αιγύπτια κ.λπ.

C

„„ Μαύρος ή Αφροαμερικανός — Γράψτε, για
παράδειγμα, Αφροαμερικανός/Αφροαμερικανίδα,
Τζαμαϊκανός/Τζαμαϊκανή, Αϊτινός/Αϊτινή,
Νιγηριανός/Νιγηριανή, Αιθίοπας/Αιθιοπιανή,
Σομαλός/Σομαλή κ.λπ.

io
na
l

„„ Ινδιάνος της Αμερικής ή Ιθαγενής της Αλάσκας —
Γράψτε το όνομα της καταγεγραμμένης ή κύριας
φυλής (φυλών), για παράδειγμα, Navajo Nation,
Blackfeet Tribe, Μάγια, Αζτέκος/Αζτέκα, Native
Village of Barrow Inupiat Traditional Government,
Nome Eskimo Community κ.λπ.

„„ Βιετναμέ„„ Ιθαγενής Χαβαζος/Βιετνανέζος/Χαβανέζα
μέζα
„„ Φιλιππινέ„„ Κορεάτης/ „„ Σαμοανός/Σαζος/ΦιλιππιΚορεάτισσα
μοανή
νέζα
„„ Ινδός/Ινδή
„„ Ιάπωνας/
„„ Τσαμόρο
Ιαπωνέζα
„„ Άλλος
„„ από άλλα νησιά
Ασιάτης —
του Ειρηνικού
Γράψτε, για
— Γράψτε, για
παράδειγμα,
παράδειγμα,
Πακιστανός/
Τονγκανός/ΤονΠακιστανή,
γκανή, ΦιτζιαΚαμποτζινός/Φιτζιανή,
ανός/Κααπό τις Νήσους
μποτζιανή,
Μάρσαλ κ.λπ.
Χμονγκ κ.λπ.

In
fo
rm

at

„„ Κινέζος/Κινέζα

„„ Άλλη φυλή — Γράψτε φυλή ή καταγωγή.

6	

Γραφείο Απογραφής Πληθυσμού των ΗΠΑ

Συμπληρώστε τις ερωτήσεις για κάθε
επιπλέον άτομο
Κάθε επιπλέον άτομο θα ερωτηθεί τις δύο παρακάτω ερωτήσεις
ΜΗΝ ΓΡΑΦΕΤΕ ΤΙΣ ΑΠΑΝΤΗΣΕΙΣ ΣΑΣ ΣΕ ΑΥΤΟΝ ΤΟΝ ΟΔΗΓΟ

Σημειώστε
„„ Όχι

op
y

Αυτό το άτομο συνήθως διαμένει μόνιμα ή
προσωρινά κάπου αλλού;
ολα όσα ισχύουν.

„„ Ναι, με έναν γονέα ή
άλλο συγγενή
„„ Ναι, σε εξοχική ή
δεύτερη κατοικία
„„ Ναι, σε φυλακή ή
σωφρονιστικό ίδρυμα
„„ Ναι, για άλλο λόγο

io
na
l

C

„„ Ναι, για κολέγιο
„„ Ναι, για στρατιωτική
αποστολή
„„ Ναι, για εργασία ή
επιχειρήσεις
„„ Ναι, σε γηροκομείο

Πώς συνδέεται αυτό το άτομο με το Άτομο 1;
ΕΝΑ πλαίσιο.

In
fo
rm

at

Επιλέξτε

Γραφείο Απογραφής Πληθυσμού των ΗΠΑ	

„„ Σύζυγος αντίθετου φύλου
„„ Άγαμος σύντροφος αντίθετου φύλου
„„ Σύζυγος ίδιου φύλου
„„ Άγαμος σύντροφος ίδιου φύλου
„„ Βιολογικός γιoς ή κόρη
„„ Υιοθετημένος γιος ή υιοθετημένη κόρη
„„ Θετός γιος ή θετή κόρη
„„ Αδελφός ή αδελφή
„„ Πατέρας ή μητέρα
„„ Εγγόνι
„„ Πεθερός ή πεθερά
„„ Γαμπρός ή νύφη
„„ Άλλος συγγενής
„„ Συγκάτοικος (roommate or housemate)
„„ Ανάδοχο τέκνο
„„ Άλλος μη συγγενής

7

Συμπληρώστε τη σελίδα 8 αν
καταμετρήσατε περισσότερα από έξι άτομα
ΜΗΝ ΓΡΑΦΕΤΕ ΤΙΣ ΑΠΑΝΤΗΣΕΙΣ ΣΑΣ ΣΕ ΑΥΤΟΝ ΤΟΝ ΟΔΗΓΟ

Ηλικία, σε
έτη, την
1η Απριλίου
2020

Μήνας

Ημέρα

op
y

Θήλυ

Επώνυμο(-α)
(last name[s])

Έτος
γέννησης

Σχετίζεται με το
Άτομο 1;
„„ Ναι
„„ Όχι

io
na
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Άρρεν

Αρχικό μεσαίου ονόματος
(middle initial)

C

Όνομα
(first name)

Παρακαλούμε να ταχυδρομήσετε το συμπληρωμένο ερωτηματολόγιο
στα αγγλικά μέσα στον φάκελο με προπληρωμένο τέλος που παραλάβατε.

at

Η Απογραφή
Πληθυσμού 2020 είναι
πιο εύκολη από ποτέ.

In
fo
rm

Γνωρίζατε ότι μπορείτε
να απαντήσετε μέσω
διαδικτύου;

Εάν έχετε τη δυνατότητα να
συμπληρώσετε την Απογραφή
Πληθυσμού 2020 μέσω διαδικτύου,
μεταβείτε στην ηλεκτρονική διεύθυνση
που αναγράφεται στο ερωτηματολόγιο.

Τα βίντεο καθοδήγησης για τη συμπλήρωση
της Απογραφής Πληθυσμού 2020 μέσω
διαδικτύου είναι διαθέσιμα στη διεύθυνση
2020census.gov/languages
8	

D-G (ell) Greek
Γραφείο Απογραφής Πληθυσμού των ΗΠΑ

OMB નંબર 0607-1006: મંજૂરી સમાપ્ત થાય છે 11/30/2021

op
y

2020 ની જન ગણના માટે તમારી માર્ગદર્શિકા

In
fo
rm

at

io
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C

2020 ની જન ગણના કાગળ પ્રશ્નાવલીનો પ્રતિસાદ કેવી રીતે આપવો

2020 ની જનગણના આપનું સવાગત છ
દરેક લોકોની ગણતરી જરૂરી છે .

op
y

આ જનગણનાનો ધ્યેય યુ.એસ.માં દરેક જીવતા વ્યક્તિને એકવાર, એક જ વાર અને
યોગ્ય સ્થાને ગણવાનો છે . તમારા સમુદાયના દરેકની ગણતરી કરવાનું સુનિશ્ચિત
કરવા માટે અમને તમારી સહાયની જરૂર છે .

પ્રશ્નાવલીનો માહિતી મહત્વપૂર્ણ છે .

io
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C

યુ.એસ.ના બંધારણમાં દર 10 વર્ષે પ્રશ્નાવલીની જરૂર પડે છે . આ પરિણામોનો
ઉપયોગ કોંગ્રેસમાં દરેક રાજ્યની બેઠકોની સંખ્યા નક્કી કરવા, મતદાન
જિલ્લાઓ માટેની સીમાઓ દોરે છે અને દર વર્ષે સમુદાયોમાં સમવાયી ભંડોળમાં
$ 675 બિલિયનથી વધુ કેવી રીતે ખર્ચવામાં આવે છે તે નિર્ધારિત કરવા માટે
કરવામાં આવે છે .

ભાગ લેવો એ તમારી નાગરિક ફરજ છે .

at

જન ગણના. પૂર્ણ કરવાની આવશ્યકતા છે ; તે આપણા લોકશાહીમાં ભાગ લેવાનો
અને “હુ ં પણ છુ ં !” કહેવાનો માર્ગ છે .

In
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તમારી માહિતી ગોપનીય રાખવામાં આવશે.
સમવાયી કાયદો તમારા પ્રતિભાવોનું રક્ષણ કરે છે . તમારા જવાબોનો ઉપયોગ ફક્ત
આંકડાકીય માહિતી માટે થઈ શકે છે અને કોઈ પણ સરકારી એજન્સી અથવા કોર્ટ
દ્વારા તમારા વિરુદ્ધ તેનો ઉપયોગ કરી શકાતો નથી.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.

Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws

Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:

• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

2020 ની જન ગણના કાગળ પ્રશ્નાવલી પૂર્ણ કરવા માટે
આ માર્ગદર્શિકાનો ઉપયોગ કરો.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

2020 ની જન ગણના કાગળ પ્રશ્નાવલી દેશભરમાં મેઈલબોક્સ અને ટપાલ દ્વારા
આવશે.

Number o f people =

2	

યુ.એસ. જન ગણના બ્યુરો

તમે શરૂ કરો તે પહેલા
1.	 તમારી પ્રશ્નાવલી શોધો અને તેના પ્રથમ પૃષ્ઠ પર જાવ.

op
y

2.	 અંગ્રેજી કાગળ પ્રશ્નાવલી પર તમારા જવાબો ચિહ્નિત કરવા માટે આ ગુજરાતી માર્ગદર્શિકા માંની માહિતી
વાપરો. આ માર્ગદર્શિકા પર તમારા જવાબો લખશો નહીં.
3.	 પહેલા પ્રશ્નનો જવાબ આપતા પહેલા, નીચે આપેલા દિશાનિર્દેશોનો ઉપયોગ કરીને આ મકાન, એપાર્ટમેન્ટ
અથવા મોબાઇલ ઘરમાં રહેતા લોકોની ગણતરી કરો.

C

કોને ગણવાના છે

જન ગણના બ્યુરો સંસ્થાઓ અને અન્ય સ્થળોમાં પણ
ગણતરી કરે છે :

•	 મોટાભાગના સમયે જે ઓ અહી રહે છે અને ઊંઘે
છે તેવા બાળકો સહિત, બધા લોકોની ગણતરી
કરો.

•	 એપ્રિલ 1, 2020 માં નર્સિંગ હોમ, જે લ,
કારાગૃહ, અટકાયત સુવિધા, વગેરેમાં હોય તેવા
કોઈની ગણતરી ન કરો.

at

io
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આ મકાન, એપાર્ટમેન્ટ અથવા મોબાઈલ ઘરમાં રહેતા
લોકોની ગણતરી કરો:

In
fo
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•	 જો કોઈપણ આ સરનામે મોટાભાગના સમયે
રહેતા નથી કે ઊંઘતા નથી, તો ઑનલાઇન
પ્રતિસાદ આપો.

જન ગણના કાયમી સ્થળ વિના રહેતા લોકોનો પણ
સમાવેશ થવો જોઈએ:

•	 આ લોકોને તમારી પ્રશ્નાવલી માંથી બહાર રાખો,
ભલે તેઓ કોલેજ, નર્સિંગ હોમ, લશ્કર, જે લ વગેરે
છોડ્યા પછી અહીં રહેવા માટે પાછા આવશે.
અન્યથા, તેઓની બે વાર ગણતરી થઇ શકે છે .

•	 જો કોઈ વ્યક્તિ કે જે જીવવા માટે કાયમી સ્થળ ન
હોય, તે અહીં એપ્રિલ 1, 2020 થી રહે છે , તે
વ્યક્તિની ગણના કરો.

આગામી પૃષ્ઠ પર પ્રશ્નો અને સૂચનો વાંચો.
આ માર્ગદર્શિકા પર તમારા જવાબો લખશો નહીં.
યુ.એસ. જન ગણના બ્યુરો	

3

આગળના પાનાં પર આપેલા પ્રશ્નો પૂર્ણ કરો
આ માર્ગદર્શિકા પર તમારા જવાબો લખશો નહીં

લોકોની સંખ્યા

op
y

એપ્રિલ 1, 2020 ના રોજ આ મકાન, એપાર્ટમેન્ટ અથવા મોબાઇલ ઘરમાં કેટલા
લોકો રહેતા હતા અથવા રોકાયા હતા?

એપ્રિલ 1, 2020 ના રોજ અહીં કોઈ અતિરિક્ત લોકો રહેતા હતા કે જે ઓને તમે
પ્રશ્ન 1 માં શામેલ નહોતા કર્યા?
ચિહ્નિત કરો.

C

લાગુ પડતા તમામને

„„ બાળકો, સંબંધિત અથવા બિનસંબંધિત, જે મ કે નવજાત બાળકો, પૌત્રો, અથવા
પાલક બાળકો (foster)

io
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l

„„ સંબંધી, જે મ કે પુખ્ત બાળકો, સાસરિયાં
„„ બિન-સંબંધીઓ, જે મ કે સહનિવાસી અથવા બાળકોની સંભાળ રાખનાર
„„ અસ્થાયી રૂપે અહીં રહેતા લોકો

at

„„ કોઈ વધારાના લોકો નથી

In
fo
rm

આ મકાન, એપાર્ટમેન્ટ અથવા મોબાઇલ ઘર — એક બૉક્સમાં

ચિહ્નિત કરો.

„„ તમે અથવા આ ઘરનાં કોઈ વ્યક્તિ ગીરો અથવા લોન સાથે માલિકી ધરાવો
છો? ગૃહ ઈક્વિટી લોન્સ શામેલ કરો.
„„ તમે અથવા આ ઘરનાં કોઈ વ્યક્તિ મુક્ત કે સ્પષ્ટ (ગીરો અથવા લોન વગર)
સાથેની માલિકી ધરાવો છો?
„„ ભાડા પર છે ?
„„ ભાડું ચુકવણી કર્યા વગર ભોગવટો?

તમારો ટેલિફોન નંબર શું છે ?
જો જરૂરી હોય તો અમે માત્ર સત્તાવાર જન ગણના બ્યુરોના કાર્ય માટે તમારો સંપર્ક
કરીશું.

ટેલીફોન નંબર

4	

યુ.એસ. જન ગણના બ્યુરો

પૃષ્ઠ 2 ની ડાબી બાજુ એ આપેલા પ્રશ્નો પૂર્ણ કરો
આ માર્ગદર્શિકા પર તમારા જવાબો લખશો નહીં

વ્યક્તિ 1 નું નામ શું છે ?

op
y

કૃપા કરીને અહીં રહેતા દરેક વ્યક્તિની માહિતી પ્રદાન કરો. જો એવું કોઈ અહીં રહે
છે જે ભાડું ચુકવે છે અથવા આ નિવાસસ્થાનની માલિકી ધરાવે છે , તો તેને અથવા
તેણીને વ્યક્તિ 1 તરીકે સૂચિબદ્ધ કરીને શરૂ કરો. જો કોઈ માલિક અથવા એવી
વ્યક્તિ જે ભાડું ચૂકવે છે પણ અહીં રહેતા નથી, તો અહીં કોઇ પુખ્ત વયના વ્યક્તિ
1 તરીકે સૂચીબદ્ધ કરીને શરૂ કરો.

અંતિમ નામ(ઓ)
(last name[s])

મધ્ય આદ્યાક્ષર
(middle initial)

io
na
l

પ્રથમ નામ
(first name)

C

કૃપા કરીને અંગ્રેજી અક્ષરોમાં વ્યક્તિ 1 નું નામ પ્રદાન કરો.

વ્યક્તિ 1 નું લિંગ શું છે ? એક બૉક્સમાં
„„ પુરુષ

ચિહ્નિત કરો.

„„ સ્ત્રી

વ્યક્તિ 1 ની ઉંમર શું છે અને વ્યક્તિ 1 ની જન્મ તારીખ શું છે ?

In
fo
rm

at

1 વર્ષથી ઓછી ઉંમરના બાળકો માટે, ઉમર મહિનામાં ન લખો. 0 તરીકે ઉંમર
લખો.

એપ્રિલ 1,
2020 ના
રોજ ઉમર,
વર્ષોમાં

મહિનો

દિવસ

જન્મ વર્ષ

શું વ્યક્તિ 1 હિસ્પેનિક, લેટિનો, અથવા સ્પેનિશ મૂળની છે ?
„„ ના, હિસ્પેનિક, લેટિનો, અથવા સ્પેનિશ મૂળની નથી
„„ હા, મેક્સીકન, મેક્સીકન અમેરિકન, ચિકોનો
„„ હા, પ્યુર્ટો રિકન
„„ હા, ક્યુબન
„„ હા, અન્ય હિસ્પેનિક, લેટિનો અથવા સ્પેનિશ મૂળ — પ્રિન્ટ કરો, ઉદાહરણ
તરીકે, સાલ્વાડોરન, ડોમિનિકન, કોલમ્બિયન, ગ્વાટેમાલા, સ્પેનિયાર્ડ,
એક્વાડોરિયન વગેરે.

યુ.એસ. જન ગણના બ્યુરો	

5

પૃષ્ઠ 2 ની જમણી બાજુ એ આપેલા પ્રશ્ન પૂર્ણ કરો
આ માર્ગદર્શિકા પર તમારા જવાબો લખશો નહીં

વ્યક્તિ 1 ની જાતિ શું છે ?
ચિહ્નિત કરો અને મૂળ પ્રિન્ટ કરો.

op
y

એક અથવા વધુ બૉક્સમાં

„„ શ્વેત — પ્રિન્ટ કરો, ઉદાહરણ તરીકે, જર્મન, આઇરિશ, ઇંગ્લિશ, ઇટાલિયન,
લેબનીઝ, ઇજિપ્તીયન, વગેરે.
„„ અશ્વેત અથવા આફ્રિકન અમેરિકન — પ્રિન્ટ કરો, ઉદાહરણ તરીકે, આફ્રિકન
અમેરિકન, જમૈકન, હૈતીયન, નાઇજે રિયન, ઇથોપિયન, સોમાલી, વગેરે.

io
na
l

C

„„ અમેરિકન ઇન્ડિયન અથવા અલાસ્કા મૂળ નિવાસી — પ્રિન્ટ નામ નોંધાયેલ
અથવા મુખ્ય આદિજાતિનું નામ, ઉદાહરણ તરીકે, Navajo Nation,
Blackfeet Tribe, માયન, એઝટેક, Native Village of
Barrow Inupiat Traditional Government, Nome
Eskimo Community, વગેરે.
ચાઇનીઝ
„„ વિયેતનામીઝ
ફિલિપિનો
„„ કોરીયન
ભારતીય
„„ જાપાનીઝ
અન્ય એશિયન —
પ્રિન્ટ કરો, ઉદાહરણ
તરીકે, પાકિસ્તાની,
કંબોડિયન, મોન્ગ,
વગેરે.

In
fo
rm

at

„„
„„
„„
„„

6	

„„
„„
„„
„„

મૂળ હવાલિયન
સામોઅન
કેમોરો
અન્ય પેસિફિક દ્વીપ
નિવાસી — પ્રિન્ટ કરો,
ઉદાહરણ તરીકે, ટોંગાન,
ફિજિયન, માર્શલીઝ,
વગેરે.

„„ અમુક અન્ય જાતિ — જાતિ અથવા મૂળ પ્રિન્ટ કરો.

યુ.એસ. જન ગણના બ્યુરો

દરેક વધારાના વ્યક્તિ માટે પ્રશ્નો પૂર્ણ કરો
દરેક વધારાના વ્યક્તિને નીચેના બે વધુ પ્રશ્નો પૂછવામાં આવશે
આ માર્ગદર્શિકા પર તમારા જવાબો લખશો નહીં
શું આ વ્યક્તિ સામાન્ય રીતે બીજે ક્યાંય રહે છે અથવા રોકાય છે ?
ચિહ્નિત કરો.

„„ ના
„„ હા, કોલેજ માટે
„„ હા, લશ્કરી સોંપણી માટે

op
y

લાગુ પડતા તમામને

„„ હા, મોસમી અથવા દ્વિતીય
નિવાસસ્થાન પર

C

„„ હા, નોકરી અથવા વ્યવસાય માટે

„„ હા, માતાપિતા અથવા અન્ય સંબંધી
સાથે

„„ હા, નર્સિંગ હોમમાં

„„ હા, જે લ કે કારાગૃહમાં

io
na
l

„„ હા, અન્ય કારણોસર

આ વ્યક્તિ, વ્યક્તિ 1 સાથે કેવી રીતે સંકળાયેલી છે ?
એક બૉક્સમાં

ચિહ્નિત કરો.

વિજાતીય પતિ / પત્ની / જીવન સાથી
વિજાતીય અવિવાહિત સાથી
સમાન-જાતીય પતિ / પત્ની / જીવનસાથી
સમાન-જાતીય અવિવાહિત સાથી
જૈ વિક પુત્ર અથવા પુત્રી
દત્તક પુત્ર અથવા પુત્રી
સાવકો પુત્ર અથવા સાવકી પુત્રી
ભાઈ અથવા બહેન

„„
„„
„„
„„
„„
„„
„„
„„

પિતા અથવા માતા
પૌત્ર/પૌત્રી
સાસુ-સસરા
જમાઈ અથવા પુત્રવધુ
અન્ય સંબંધી
રૂમના સાથી અથવા ઘરના સાથી (roommate or housemate)
પાલક બાળક (foster)
અન્ય બિનસંબંધિત

In
fo
rm

at

„„
„„
„„
„„
„„
„„
„„
„„

યુ.એસ. જન ગણના બ્યુરો	

7

જો તમે છ કરતાં વધુ લોકોની ગણતરી કરી હોય તો પૃષ્ઠ 8 પૂર્ણ કરો
આ માર્ગદર્શિકા પર તમારા જવાબો લખશો નહીં

એપ્રિલ 1,
2020 ના રોજ
ઉંમર, વર્ષોમાં

મહિનો

દિવસ

જન્મ વર્ષ

op
y

સ્ત્રી

વ્યક્તિ 1 ને સંબંધિત છે ?
„„ હા
„„ ના

io
na
l

પુરુષ

અંતિમ નામ(ઓ)
(last name[s])

C

મધ્ય આદ્યાક્ષર
(middle initial)

પ્રથમ નામ
(first name)

કૃપા કરીને તમે પ્રાપ્ત થયેલા પોસ્ટેજ ચૂકવેલ પરબિડીયુંમાં પૂર્ણ અંગ્રેજી પ્રશ્નાવલીને મેઇલ કરો.

at

2020 ની જન ગણના પ્રમાણમાં
વધુ સરળ છે .

In
fo
rm

શું તમે જાણો છો કે તમે ઑનલાઇન
પ્રતિસાદ આપી શકો છો?

જો તમે 2020 ની જન ગણના ઓનલાઈન પૂર્ણ કરી શકો
છો તો પ્રશ્નાવલી પર પ્રિન્ટ કરેલ URL પર જાઓ.

2020 ની જન ગણના પૂર્ણ કરવા માટે
વિડિઓ માર્ગદર્શિકાઓ અહી ઉપલબ્ધ છે
2020census.gov/languages
D-G (guj) Gujarati

8	

યુ.એસ. જન ગણના બ્યુરો

‫‪ OMB‬מספר ‪ :0607-1006‬אישור תקף עד ‪11/30/2021‬‬

‫המדריך שלך למפקד האוכלוסין ‪2020‬‬

‫‪op‬‬
‫‪y‬‬

‫איך לענות על שאלון הנייר של מפקד האוכלוסין ‪2020‬‬

‫‪C‬‬
‫‪io‬‬
‫‪na‬‬
‫‪l‬‬
‫‪at‬‬
‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

2020 ‫ברוכים הבאים למפקד האוכלוסין‬

.‫כל אחד נספר ונחשב‬

op
y

,‫מטרת מפקד האוכלוסין היא לספור כל אדם שחי בארה"ב פעם אחת‬
‫ אנו זקוקים לעזרתך כדי להבטיח שכל‬.‫ ובמקום הנכון‬,‫פעם אחת בלבד‬
.‫אחד בקהילה שלך נספר‬

.‫נתוני מפקד האוכלוסין חשובים‬

io
na
l

C

‫ התוצאות‬.‫ שנים‬10 ‫חוקת ארה"ב דורשת עריכת מפקד אוכלוסין כל‬
‫משמשות לקביעת מספר המושבים שמוקצים לכל מדינה בקונגרס‬
‫ ולקבוע כיצד תקציב של‬,‫ לקביעת גבולות מחוזות ההצבעה‬,‫האמריקני‬
.‫ מיליארד דולר במימון פדרלי ישמש בקהילות כל שנה‬675-‫יותר מ‬

.‫השתתפות היא חובה אזרחית שלך‬

In
fo
rm

at

‫השלמת מפקד האוכלוסין היא חובה; זו הדרך להשתתף בדמוקרטיה‬
"!‫שלנו ולומר "אני נחשב‬

.‫המידע שלך סודי‬

‫ תשובותיך יכולות לשמש אך ורק‬.‫החוק הפדרלי מגן על תשובותיך‬
‫ליצירת נתונים סטטיסטיים ולא ניתן להשתמש בהן נגדך על ידי כל‬
.‫סוכנות ממשלתית או כל בית משפט‬

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .

‫השתמש במדריך הזה כדי להשלים את שאלון‬
.2020 ‫הנייר של מפקד האוכלוסין‬

‫ יגיעו אל תיבות הדואר ואל‬2020 ‫שאלוני הנייר של מפקד האוכלוסין‬
.‫מפתני הדלתות בכל רחבי המדינה‬

Telephone Number
How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

Number o f people =

‫לשכת מפקד האוכלוסין של ארה״ב‬

	2

‫לפני שאתה מתחיל‬
‫‪ 	.1‬מצא את השאלון שלך ופתח אותו בעמוד הראשון‪.‬‬
‫ברית כדי לסמן את תשובותיך על גבי שאלון הנייר‬
‫‪	.2‬השתמש במידע שבמדריך זה בעִ ִ‬
‫באנגלית‪ .‬אל תכתוב את התשובות שלך במדריך זה‪.‬‬

‫‪op‬‬
‫‪y‬‬

‫‪	.3‬לפני שתענה על השאלה הראשונה‪ ,‬ספור את האנשים שמתגוררים בבית זה‪ ,‬בדירה זו‪,‬‬
‫או בקרון מגורים זה‪ ,‬תוך שימוש בהנחיות הבאות‪.‬‬

‫‪C‬‬

‫את מי לספור‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫	•ספור את כל האנשים‪ ,‬כולל תינוקות‪,‬‬
‫שגרים וישנים כאן רוב הזמן‪.‬‬

‫	•אל תספור אף אחד שנמצא מוסד‬
‫סיעודי‪ ,‬בכלא‪ ,‬בבית סוהר‪ ,‬במתקן‬
‫מעצר וכו'‪ ,‬ב‪ 1-‬באפריל ‪.2020‬‬

‫	•אם אף אחד לא גר או ישן בכתובת זו‬
‫רוב הזמן‪ ,‬יש לענות באופן מקוון‪.‬‬

‫	•אם מישהו שאין לו מקום מגורים‬
‫קבוע‪ ,‬שוהה כאן ב‪ 1-‬באפריל ‪,2020‬‬
‫יש לספור את אותו אדם‪.‬‬

‫	•אל תכלול את האנשים האלה בשאלון‬
‫שלך‪ ,‬גם אם יחזרו לגור כאן לאחר‬
‫שהם יעזבו את המכללה‪ ,‬את המוסד‬
‫הסיעודי‪ ,‬את הצבא‪ ,‬את הכלא‪ ,‬וכו'‪.‬‬
‫אם לא תנהג כך‪ ,‬הם עלולים להיספר‬
‫פעמיים‪.‬‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫מפקד האוכלוסין חייב לכלול גם אנשים שאין‬
‫להם מקום מגורים קבוע‪:‬‬

‫‪at‬‬

‫ספור את האנשים שמתגוררים בבית זה‪,‬‬
‫בדירה זו‪ ,‬או בקרון מגורים זה‪:‬‬

‫לשכת מפקד האוכלוסין עורכת גם ספירה‬
‫במוסדות ובמקומות אחרים‪:‬‬

‫קרא את השאלות וההוראות בעמוד הבא‪.‬‬
‫אל תכתוב את התשובות שלך במדריך זה‪.‬‬
‫לשכת מפקד האוכלוסין של ארה״ב	‬

‫‪3‬‬

‫השלם את השאלות בעמוד השער הקדמי‬
‫אל תכתוב את התשובות שלך במדריך זה‬
‫כמה אנשים גרו או שהו בבית זה‪ ,‬בדירה זו‪ ,‬או בקרון מגורים זה‬
‫ב‪ 1-‬באפריל ‪?2020‬‬

‫‪op‬‬
‫‪y‬‬

‫מספר האנשים‬

‫האם שהו כאן אנשים נוספים ב‪ 1-‬באפריל ‪ ,2020‬אשר לא כללת‬
‫בשאלה ‪?1‬‬
‫„‬

‫‪C‬‬

‫סמן‬

‫על כל האפשרויות המתאימות‪.‬‬

‫„ילדים‪ ,‬קרובי משפחה או שאינם קרובי משפחה‪ ,‬למשל‬
‫תינוקות שזה עתה נולדו‪ ,‬נכדים או ילדי אומנה‬
‫„קרובי משפחה‪ ,‬כגון ילדים בוגרים‪ ,‬בני דודים‪/‬בנות דודות‬
‫או קרובי משפחה עקב נישואין‬
‫„אנשים אחרים שאינם קרובי משפחה‪ ,‬כגון שותפים לדירה‬
‫או עובד שגר במקום‬
‫„אנשים ששוהים כאן באופן זמני‬
‫„לא היו אנשים נוספים‬
‫‪m‬‬

‫„‬
‫„‬
‫„‬

‫האם הבית‪ ,‬הדירה או קרון המגורים — סמן בתיבה אחת‪.‬‬
‫„ „נמצא בבעלותך או בבעלות מישהו במשק בית זה‪ ,‬עם‬
‫משכנתא או הלוואה? כולל הלוואות כנגד שיעבוד הבית‪.‬‬
‫„ „נמצא בבעלותך או בבעלות מישהו במשק בית זה בבעלות‬
‫מלאה ללא חובות (חופשי ונקי מכל משכנתא או הלוואה)?‬
‫„ „מושכר‪/‬ת?‬
‫„ „התגוררות (מגורים) ללא תשלום שכר דירה?‬
‫מה מספר הטלפון שלך?‬

‫אנו ניצור איתך קשר רק אם יש צורך בכך לצרכים הרשמיים של‬
‫לשכת מפקד האוכלוסין‪.‬‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫‪at‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫„‬

‫)‪(foster‬‬

‫‪f‬‬

‫מספר הטלפון‬
‫‪	4‬‬

‫לשכת מפקד האוכלוסין של ארה״ב‬

‫השלם את השאלות בצד שמאל של עמוד ‪2‬‬
‫אל תכתוב את התשובות שלך במדריך זה‬

‫‪op‬‬
‫‪y‬‬

‫נא לספק מידע על כל אדם שמתגורר כאן‪ .‬אם יש מישהו שגר כאן‬
‫שמשלם את דמי השכירות או שמקום מגורים זה נמצא בבעלותו‪,‬‬
‫רשום אותו או אותה תחילה בתור אדם מס' ‪ .1‬אם הבעלים או‬
‫האדם שמשלם את דמי השכירות אינו מתגורר כאן‪ ,‬רשום תחילה‬
‫אדם בוגר כלשהו שמתגורר כאן כאדם מס' ‪.1‬‬
‫מהו שמו הפרטי של אדם מס' ‪?1‬‬

‫אנא רשום את שמו הפרטי של אדם מס' ‪ 1‬באנגלית‪.‬‬

‫‪C‬‬

‫אות ראשונה של שם אמצעי‬

‫„‬

‫„נקבה (‪)Female‬‬

‫([‪)last name[s‬‬

‫בתיבה אחת‪.‬‬
‫„‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫מה המין של אדם מס' ‪ ?1‬סמן‬

‫(‪)middle initial‬‬

‫שם (שמות) משפחה‬

‫שם פרטי‬

‫(‪)first name‬‬

‫„זכר (‪)Male‬‬

‫מהו הגיל של אדם מס' ‪ 1‬ומהו תאריך הלידה של אדם מס' ‪?1‬‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫‪at‬‬

‫לתינוקות מתחת לגיל שנה‪ ,‬נא לא לרשום את הגיל בחודשים‪ .‬רשום‬
‫‪ 0‬בתור הגיל‪.‬‬

‫שנת לידה‬

‫האם אדם מס' ‪ 1‬הוא ממוצא היספני‪ ,‬לטינו‪ ,‬או ספרדי?‬
‫„‬
‫„‬
‫„‬
‫„‬
‫„‬

‫„לא‪ ,‬הוא אינו ממוצא היספני‪ ,‬לטינו‪ ,‬או ספרדי‬
‫„כן‪ ,‬מקסיקני‪ ,‬מקסיקני‪-‬אמריקאי‪ ,‬צ'יקאנו‬
‫„כן‪ ,‬פוארטו ריקני‬
‫„כן‪ ,‬קובני‬
‫„כן‪ ,‬ממוצא היספני‪ ,‬לטינו‪ ,‬או ספרדי אחר — כתוב בכתב‬
‫ברור‪ ,‬למשל‪ ,‬סלבדורי‪ ,‬דומיניקני‪ ,‬קולומביאני‪ ,‬גואטמלי‪,‬‬
‫ספרדי‪ ,‬אקוודורי‪ ,‬וכו'‪.‬‬

‫לשכת מפקד האוכלוסין של ארה״ב	‬

‫יום‬

‫חודש‬

‫גיל‪ ,‬בשנים‪ ,‬ב‪1-‬‬
‫באפריל ‪2020‬‬

‫‪5‬‬

‫השלם את השאלה בצד ימין של עמוד ‪2‬‬
‫אל תכתוב את התשובות שלך במדריך זה‬
‫מהו הגזע של אדם מס' ‪?1‬‬
‫סמן בתיבה אחת או יותר ובנוסף כתוב את המוצא‪.‬‬

‫‪op‬‬
‫‪y‬‬

‫‪C‬‬

‫„ „לבן — כתוב בכתב ברור‪ ,‬למשל‪ ,‬גרמני‪ ,‬אירי‪ ,‬אנגלי‪,‬‬
‫איטלקי‪ ,‬לבנוני‪ ,‬מצרי‪ ,‬וכו'‪.‬‬
‫„ „שחור או אמריקאי אפריקני — כתוב בכתב ברור‪ ,‬למשל‪,‬‬
‫אמריקאי אפריקני‪ ,‬ג'מייקני‪ ,‬האיטי‪ ,‬ניגרי‪ ,‬אתיופי‪ ,‬סומלי‪,‬‬
‫וכו'‪.‬‬
‫„ „אינדיאני אמריקאי או יליד אלסקה — כתוב בכתב ברור‪,‬‬
‫למשל‪ ,‬את השם של השבט הרשום או העיקרי‪ ,‬לדוגמה‪,‬‬
‫‪ , Blackfeet Tribe, Navajo Nation‬מאיה‪ ,‬אצטקי‪,‬‬
‫‪a‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫‪Native Village of Barrow Inupiat Traditional‬‬
‫‪ , Nome Eskimo Community, Government‬וכו'‪.‬‬

‫„ „וייטנמי‬
‫„ „קוריאני‬
‫„ „יפני‬

‫‪at‬‬

‫‪	6‬‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫„ „יליד הוואי‬
‫„ „סמואי‬
‫„ „צ'מורו‬
‫„ „תושב איים‬
‫אחרים באוקיינוס‬
‫השקט — כתוב‬
‫בכתב ברור‪,‬‬
‫למשל‪ ,‬טונגאי‪,‬‬
‫פיג'י‪ ,‬איי מרשל‪,‬‬
‫וכו'‪.‬‬
‫„ „גזע אחר — כתוב בכתב ברור גזע או מוצא‪.‬‬

‫„‬
‫„‬
‫„‬
‫„‬

‫„סיני‬
‫„פיליפיני‬
‫„הודי‬
‫„אסייתיות‬
‫אחרות —‬
‫כתוב בכתב‬
‫ברור‪ ,‬למשל‬
‫פקיסטני‪,‬‬
‫קמבודי‪,‬‬
‫המונג‪ ,‬וכו'‪.‬‬

‫לשכת מפקד האוכלוסין של ארה״ב‬

‫השלם את השאלות לכל אדם נוסף‬
‫כל אדם נוסף יישאל את שתי השאלות הבאות‬
‫אל תכתוב את התשובות שלך במדריך זה‬

‫‪op‬‬
‫‪y‬‬

‫האם אדם זה בדרך כלל מתגורר או שוהה במקום אחר?‬
‫סמן על כל האפשרויות המתאימות‪.‬‬
‫„ „לא‬
‫„ „כן‪ ,‬עם הורה או קרוב‪/‬ת‬
‫„ „כן‪ ,‬בעת לימודים‬
‫משפחה אחר‪/‬ת‬
‫במכללה‬
‫שני‬
‫מגורים‬
‫„ „כן‪ ,‬במקום‬
‫„ „כן‪ ,‬בהצבה של הצבא‬
‫או עונתי‬
‫„ „כן‪ ,‬לעבודה או לעסקים‬
‫„ „כן‪ ,‬בכלא או בבית סוהר‬
‫„ „כן‪ ,‬במוסד סיעודי‬
‫„ „כן‪ ,‬מסיבה אחרת‬

‫‪C‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫מה הקשר בין אדם זה לאדם מס' ‪ ?1‬סמן‬

‫תיבה אחת‪.‬‬

‫לשכת מפקד האוכלוסין של ארה״ב	‬

‫‪at‬‬

‫„‬
‫„‬
‫„‬
‫„‬
‫„‬
‫„‬
‫„‬
‫„‬

‫„אב או אם‬
‫„נכד‬
‫„חותן‪/‬חותנת‬
‫„חתן או כלה‬
‫„קרוב משפחה אחר‬
‫„שותף לחדר או לדירה (‪)roommate or housemate‬‬
‫„ילד אומנה (‪)foster‬‬
‫„אחר שאינו קרוב משפחה‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫„‬
‫„‬
‫„‬
‫„‬
‫„‬
‫„‬
‫„‬
‫„‬

‫„בעל‪/‬אישה‪/‬בן או בת זוג מהמין השני‬
‫„שותף‪/‬ה לחיים לא נשוי‪/‬נשואה מהמין השני‬
‫„בעל‪/‬אישה בן או בת זוג מאותו מין‬
‫„שותף‪/‬ה לחיים לא נשוי‪/‬נשואה מאותו מין‬
‫„בן או בת ביולוגי‪/‬ת‬
‫„בן מאומץ או בת מאומצת‬
‫„בן חורג או בת חורגת‬
‫„אח או אחות‬

‫‪7‬‬

‫מלא את עמוד ‪ 8‬אם ספרת יותר משישה אנשים‬
‫אל תכתוב את התשובות שלך במדריך זה‬
‫שם (שמות) משפחה‬
‫([‪)last name[s‬‬

‫‪op‬‬
‫‪y‬‬

‫‪C‬‬

‫קרוב משפחה של אדם מס'‪?1 ‬‬
‫„ „כן (‪)Yes‬‬
‫„ „לא (‪)No‬‬

‫שנת לידה‬

‫אות ראשונה של שם אמצעי‬
‫(‪)middle initial‬‬

‫יום‬

‫חודש‬

‫שם פרטי‬

‫(‪)first name‬‬

‫נקבה‬

‫גיל‪ ,‬בשנים‪ ,‬ב‪1-‬‬
‫אפריל ‪2020‬‬

‫(‪)Female‬‬

‫זכר‬

‫(‪)Male‬‬

‫‪io‬‬
‫‪na‬‬
‫‪l‬‬

‫נא לשלוח את השאלון המלא באנגלית‪ ,‬בתוך המעטפה המבויילת מראש שקיבלת‪.‬‬

‫‪at‬‬

‫מפקד האוכלוסין ‪ 2020‬הוא‬
‫קל מאי‪-‬פעם‪.‬‬

‫‪In‬‬
‫‪fo‬‬
‫‪rm‬‬

‫האם ידעת שאתה יכול לענות לשאלון‬
‫באופן במקוון באינטרנט?‬
‫אם אתה יכול להשלים את מפקד האוכלוסין ‪2020‬‬
‫באופן מקוון‪ ,‬עבור לכתובת האינטרנט (‪)URL‬‬

‫שמודפסת על גבי השאלון‪.‬‬

‫סרטוני הדרכה להשלמת מפקד האוכלוסין ‪ 2020‬באינטרנט‪ ,‬קיימים‬
‫בכתובת‬
‫‪2020census.gov/languages‬‬
‫‪	8‬‬

‫‪D-G (heb) Hebrew‬‬

‫לשכת מפקד האוכלוסין של ארה״ב‬

OMB सं ख्या 0607-1006: अनुमोदन की समय सीमा 11/30/2021

op
y

जनगणना 2020 के लिए आपकी गाइड

In
fo
rm

at

io
na
l

C

जनगणना 2020 के कागजी प्रश्नावली पर प्रतिक्रिया कै से दें

2020 की जनगणना में आपका स्वागत है
हर एक व्यक्ति महत्वपूर्ण है।

जनगणना का डेटा महत्वपूर्ण है।

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इस जनगणना का लक्ष्य सही जगह पर यू.एस. में रहने वाले हर एक व्यक्ति की एक
बार, सिर्फ़ एक बार गणना करना है। आपके कम्युनिटी में हर एक व्यक्ति की गणना
निश्चित रूप से करने के लिए हमें आपके मदद की ज़रूरत है।

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यू.एस. सं विधान को हर 10 साल में एक बार जनगणना की आवश्यकता है। परिणामो ं
का उपयोग हर स्टेट के लिए कांग्रेस में सीटो ं की सं ख्या निर्धारित करने, मतदान करने
वाले डिस्ट्क्ट
रि की सीमाएँ खीचं ने और यह निर्धारित करने के लिए कि किस प्रकार
हर साल सं घीय वित्त पोषण में $675 बिलियन से अधिक धन कम्युनिटी में खर्च की
जाती है।

भाग लेना आपका नागरिक दायित्व है।

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जनगणना को पूरा करने की जरूरत है; यह हमारे लोकतं त्र में भाग लेकर यह कहने का
एक तरीका है कि "मेरी अहमियत है!"

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आपकी जानकारी गोपनीय है।
सं घीय कानून आपकी प्रतिक्रियाओ ं की रक्षा करता है। आपके उत्तरो ं का उपयोग सिर्फ़
सांख्यिकी तैयार करने के लिए किया जा सकता है और किसी भी सरकारी एजेंसी या
न्यायालय द्वारा आपके विरुद्ध इनका उपयोग नही ं किया जा सकता।

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.

Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws

Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:

• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

इस गाइड का उपयोग 2020 की जनगणना की कागजी
प्रश्नावली को पूरा करने के लिए करें।
2020 की जनगणना की कागजी प्रश्नावलियाँ देश भर के मेलबॉक्स में और घर के

दरवाज़ो ं तक पहुँ चाई जाएँ गी।

Number o f people =

2	

यू.एस. जनगणना ब्यूरो

शुरू करने से पहले
1.	 अपनी प्रश्नावली को खोजें और उसका पहला पृष्ठ खोलें।

ं ी गाइड में दी गई जानकारी का उपयोग करके अंग्रेजी कागजी प्रश्नावली में अपनी प्रतिक्रिया दें। इस
2.	 इस हिद

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गाइड पर अपना उत्तर नहीं लिखें।

3.	 पहले प्रश्न का उत्तर देने से पहले, नीचे दिए गए निर्देशो ं का उपयोग करके इस घर, अपार्टमेंट या मोबाइल घर में

रहने वाले लोगो ं की गणना करें।

C

किसकी गणना करनी है

जनगणना ब्यूरो सं स्थाओं और दूसरी जगहों पर भी
गणना करता है:

•	 शिशुओ ं सहित उन सभी लोगो ं की गणना करें जो
ज़्यादातर समय यहाँ सोते और रहते हैं।

•	 1 अप्रैल, 2020 को नर्सिंग होम, जेल, कै द
सुविधा, आदि में मौजूद किसी की भी गणना न
करें।

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इस घर, अपार्टमेंट या मोबाइल घर में रहने वाले लोगों
की गणना करें:

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•	 यदि इस पते पर ज़्यादातर समय कोई भी नही ं
सोता या रहता है, तो ऑनलाइन प्रतिक्रिया दें।

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जनगणना में बिना स्थायी जगह के रहने वाले लोगों
को भी शामिल करना अनिवार्य है:

•	 अपनी प्रश्नावली से इन लोगो को दूर रखें, भले ही
वे कॉलेज, नर्सिंग होम, सेना, जेल, आदि छोड़ने
के बाद यहाँ रहने के लिए वापस आएं गे। नही ं तो
उनकी गणना दोहराएँ जाने की सं भावना है।

•	 यदि बिना स्थायी जगह के कोई व्यक्ति यहाँ 1
अप्रैल, 2020 को ठहरा हुआ है तो उस व्यक्ति
की गणना करें।

अगले पृष्ठ पर प्रश्नों और निर्देशो ं को पढ़ें।
इस गाइड पर अपना उत्तर नहीं लिखें।
यू.एस. जनगणना ब्यूरो	

3

आगे के पृष्ठ पर दिए गए प्रश्नों को पूरा करें
इस गाइड पर अपना उत्तर नही ं लिखें
1 अप्रैल, 2020 को इस घर, अपार्टमेंट या मोबाइल घर में कितने लोग रह

रहे थे या ठहरे हुए थे?

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लोगों की सं ख्या

क्या 1 अप्रैल, 2020 को यहाँ कोई अतिरिक्त लोग ठहरे हुए थे जिन्हें आपने
प्रश्न 1 में शामिल नहीं किया था?

C

लागू होने वाले सभी विकल्पों पर निशान लगाएँ ।

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„„ बच्चे, सं बं धित या असं बं धित, जैसे नवजात शिशु, पोता-पोती या पोष्य शिशु
„„ रिश्तेदार, जैसे वयस्क बच्चे कज़न या ससुराल वाले
„„ गैर-रिश्तेदार, जैसे रूममेट या लिव-इन बेबीसिटर
„„ अस्थायी रूप से यहाँ रहने वाले लोग
„„ कोई अतिरिक्त लोग नहीं

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क्या इस घर, अपार्टमेंट या मोबाइल घर है —
एक बॉक्स पर निशान लगाएँ ।
„„ बं धक या ऋण के साथ इस घर में कोई या आप के स्वामित्व में? गृह इक्विटी
ऋण शामिल करें।
„„ आपके या घर में किसी के स्वामित्व में नि:शुल्क और स्पष्ट (गिरवी या ऋण के
बिना)?
„„ किराए पर लिया है?
„„ किराए के भुगतान के बिना रहना?
आपका टेलीफोन नं बर क्या है?
ऑफिशियल जनगणना ब्यूरो के कार्य हेतु ज़रूरत पड़ने पर ही हम आपसे सं पर्क
करेंगे।

टेलीफोन नं बर
4	

यू.एस. जनगणना ब्यूरो

पृष्ठ 2 की बाईं तरफ़ दिए गए प्रश्नों को पूरा करें
इस गाइड पर अपना उत्तर नही ं लिखें

व्यक्ति 1 का क्या नाम है?

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कृ पया यहाँ रहने वाले प्रत्येक व्यक्ति के लिए जानकारी प्रदान करें। यदि यहाँ ऐसा
कोई रहता है जो इस घर के लिए किराया देता है या इसका मालिक है तो उस पुरुष
या स्त्री को व्यक्ति 1 के रूप में सूचीबद्ध करते हुए शुरुआत करें। यदि मकान मालिक
या किराया देने वाला व्यक्ति यहाँ नहीं रहता है तो यहाँ रहने वाले किसी भी वयस्क
मनुष्य को व्यक्ति 1 के रूप में सूचीबद्ध करते हुए शुरुआत करें।

प्रथम नाम

(first name)

नाम का अंतिम भाग

(last name[s])

नाम के मध्य भाग के
प्रारंभिक अक्षर

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(middle initial)

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अंग्रेजी अक्षरों में व्यक्ति 1 का नाम दें।

व्यक्ति 1 का क्या लिगं है? एक बॉक्स पर
„„ पुरुष

निशान लगाएँ ।

„„ महिला

व्यक्ति 1 की आयु क्या है और व्यक्ति 1 की जन्म तिथि क्या है?

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1 साल से कम आयु के

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लिखें।

1 अप्रैल,
2020 को

महीना

दिन

शिशुओ ं के लिए आयु महीनों में नहीं लिखें। आयु के लिए 0

जन्म का साल

आयु, सालों में

यू.एस. जनगणना ब्यूरो	

क्या व्यक्ति 1 हिस्पैनिक, लैटिनो, या स्पेनिश मूल का निवासी है?
„„ नहीं, हिस्पैनिक, लैटिनो, या स्पेनिश मूल का निवासी नहीं है
„„ हाँ, मैक्सिकन, मैक्सिकन अमेरिकी, चिकानो है
„„ हाँ, प्योर्टो रिको है
„„ हाँ, क्यूबाई है
„„ हाँ, दू सरा हिस्पैनिक, लैटिनो, या स्पेनिश मूल का — प्रिंट करें, उदाहरण के
लिए, सल्वाडोर निवासी, डोमिनिकन, कोलम्बियाई, ग्वाटेमेलियन, स्पेनिश,
इक्वेडोरियन, आदि।
5

पृष्ठ 2 की दाईं तरफ दिए गए प्रश्न को पूरा करें
इस गाइड पर अपना उत्तर नही ं लिखें
व्यक्ति 1 की क्या प्रजाति है?
बॉक्स पर निशान लगाएँ और मूल स्थानों को प्रिंट करें।

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एक या अधिक

„„ श्वेत — प्रिंट करें, उदाहरण के लिए, जर्मन, आयरिश, अंग्रेज, इतालवी,
लेबनीज़, मिस्री, आदि।
„„ अश्वेत या अफ़्रीकी अमेरिकी — प्रिंट करें, उदाहरण के लिए, अफ़्रीकी
अमेरिकी, जमैकन, हाईटियन, नाइजीरियाई, इथियोपियाई, सोमाली, आदि।

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„„ इं डियन अमेरिकी या अलास्का के मूल निवासी — नामांकित या मुख्य जनजाति
का नाम प्रिंट करें, उदाहरण के लिए, Navajo Nation, Blackfeet
Tribe, मायन, अज़्टेक, Native Village of Barrow Inupiat
Traditional Government, Nome Eskimo Community,
आदि।

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„„ चीनी
„„ वियतनामी
„„ फिलिपीनो
„„ कोरियाई
„„ एशियन भारतीय „„ जापानी
„„ अन्य एशियाई —
प्रिंट करें, उदाहरण
के लिए, पाकिस्तानी,
कम्बोडियाई, ह्मोंग,
आदि।

6	

„„ हवाई द्वीप के मूल निवासी
„„ सामोअनी
„„ चमोर्रो
„„ अन्य पसिफ़िक द्वीपवासी
— प्रिंट करें, उदाहरण के
लिए, टोंगन, फ़ीजीयन,
मार्शलीज़, आदि।

„„ कोई अन्य जाति — जाति या मूल प्रिंट करें।

यू.एस. जनगणना ब्यूरो

हर एक अतिरिक्त व्यक्ति के लिए प्रश्न पूरा करें
हर एक अतिरिक्त व्यक्ति से नीचे दिए गए दो प्रश्न पूछे जाएँ गे

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इस गाइड पर अपना उत्तर नही ं लिखें

क्या यह व्यक्ति आम तौर पर कहीं और ठहरता या रहता है?
लागू होने वाले सभी विकल्पों पर निशान लगाएँ ।

„„ हाँ, माता-पिता या अन्य रिश्तेदार
के साथ
„„ हाँ, एक सामयिक या किसी दू सरे
घर पर
„„ हाँ, जेल में
„„ हाँ, किसी अन्य कारण के लिए

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„„ नहीं
„„ हाँ, कॉलेज के लिए
„„ हाँ, एक सैन्य कार्यभार के लिए
„„ हाँ, एक रोजगार या व्यवसाय के
लिए
„„ हाँ, एक नर्सिंग होम में

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इस व्यक्ति का व्यक्ति 1 के साथ क्या रिश्ता है?

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एक बॉक्स पर

यू.एस. जनगणना ब्यूरो	

निशान लगाएँ ।

„„ विपरीत लिगं पति / पत्नी / पति या पत्नी
„„ विपरीत लिगं अविवाहित साथी
„„ समान लिगं पति / पत्नी / पति या पत्नी
„„ समान लिगं अविवाहित साथी
„„ जैविक पुत्र या पुत्री
„„ गोद लिया गया पुत्र या पुत्री
„„ सौतेला बेटा या सौतेली बेटी
„„ भाई या बहन
„„ पिता या मां
„„ पोता या पोती
„„ सास-ससुर
„„ दामाद या बहू
„„ अन्य रिश्तेदार
„„ रूममेट या हाउसमेट (roommate or housemate)
„„ पोष्य शिशु
„„ अन्य गैर-रिश्तेदार
7

अगर आपने छः से ज़्यादा लोगों की गणना की है, तो पृष्ठ 8 को पूरा करें
इस गाइड पर अपना उत्तर नही ं लिखें

पुरुष

महिला

(middle initial)

1 अप्रैल,
2020 को

महीना

दिन

जन्म का साल

व्यक्ति 1 के साथ रिश्ता है?
„„ हाँ
„„ नहीं

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आयु, सालों में

नाम का अंतिम भाग

(last name[s])

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(first name)

नाम के मध्य भाग के
प्रारंभिक अक्षर

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प्रथम नाम

आपके द्वारा प्राप्त डाक-भुगतान किए गए लिफाफे में पूर्ण किए गए अंग्रेजी प्रश्नावली को डाक द्वारा भेजें।

at

जनगणना 2020 इतना आसान
पहले कभी नही ं था।

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क्या आप जानते थे कि आप ऑनलाइन
प्रतिक्रिया दे सकते हैं?

अगर आप जनगणना 2020 को ऑनलाइन पूरा कर सकने में
सक्षम हैं, तो प्रश्नावली पर प्रिंट किए हुए URL पर जाएँ ।

जनगणना 2020 को ऑनलाइन पूरा करने
के लिए वीडियो गाइड
2020census.gov/languages पर उपलब्ध हैं।
D-G (hin) Hindi

8	

यू.एस. जनगणना ब्यूरो

OMB Zauv 0607-1006: Kev Pom Zoo Yuav Xaus thaum 11/30/2021

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Koj Phau Lus Coj Qhia rau 2020
Kev Suav Pej Xeem

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Kev Teb Cov Lus Nug Hauv Ntawv rau 2020
Kev Suav Pej Xeem

2020 Kev Suav Pej Xeem Zoo Siab Txais Tos
Suav txhua leej txhua tus.

op
y

Lub hom phiaj ntawm txoj kev suav pej xeem no yog yuav
suav txhua leej txhua tus neeg ciaj sia nyob rau hauv Teb
Chaws Asmeskas ib zaug, tsuas suav ib zaug xwb, thiab
nyob rau ntawm qhov chaw yog. Peb xav tau koj txoj kev
pab kom suav tau txhua leej txhua tus nyob rau hauv koj
lub zej zog.

C

Ntaub ntawv suav pej xeem tseem ceeb.

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Teb Chaws Asmeskas Tus Txhooj Lij Choj txwv kom muaj
kev suav pej xeem 10 xyoo twg. Yuav siv cov suav tau los
ntsuas cov rooj zaum khiav ua nom ua tswv hauv lub xeev
thiab hauv Fab Nom Tswv Congress, kos ciaj ciam kev xaiv
tsa rau cov cheeb tsam, thiab ntsuas kev siv ntau tshaj
$675 sawm tsoom fwv teb chaws nyiaj txiag rau cov zej
zog neeg ib xyoos twg.

Kev koom tes yog koj tes dej num tam ib
tug pej xeem.

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Yuav tsum suav pej xeem kom tiav; nws yog ib txoj kev
koom tes nrog peb txoj kev ua nom ua tswv thiab hais tau
tias, “Suav kuv!”

Yuav ceev tsis pub leej twg paub cov
ncauj lus txog koj.
Tsoom fwv teb chaws txoj cai tiv thaiv koj cov lus teb.
Tsuas siv koj cov lus teb los tsim cov zauv teeb tshawb
thiab yuav muab siv tsis tau foob koj hauv nom tswv tej
koom haum los yog tsev hais plaub.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

4.

–

–

Siv phau lus coj qhia no los teb kom tiav
2020 Kev Suav Pej Xeem cov lus nug
hauv ntawv.
Cov lus nug hauv ntawv rau 2020 Kev Suav Pej Xeem
yuav tuaj raws kev xa ntawv rau hauv cov thawv thiab rau
ntawm qhov rooj thoob plaws hauv lub teb chaws.
Teb Chaws Asmeskas Koom Haum Suav Pej Xeem

Ua Ntej Koj Pib
1.	 Nrhiav koj cov lus nug hauv ntawv thiab qhib mus rau thawj nplooj.

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2.	 Siv cov ntaub ntawv hauv phau lus coj qhia Lus Hmoob los kos koj cov
lus teb rau ntawm cov lus nug ua Lus Askiv. TSIS TXHOB SAU KOJ COV
LUS TEB RAU PHAU LUS COJ QHIA NO.

Yuav Suav Leej Twg

Lub Koom Haum Suav Pej Xeem
puav leej suav cov neeg hauv cov
tsev kho neeg thiab lwm cov chaw
thiab:

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Suav cov tib neeg nyob rau hauv
lub tsev, chav tsev los yog lub tsev
txav tau no:

C

3.	 Ua ntej koj teb thawj nqe lus nug, siv cov lus coj qhia nram no los suav
cov neeg nyob rau hauv lub tsev, chav tsev, lub tsev txav tau no.

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•	 Suav tag nrho cov tib neeg,
nrog rau cov me nyuam ab, uas
nyob thiab pw feem ntau dua
hauv no.

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•	 Yog tias tsis muaj leej twg nyob
los yog pw ntawm qhov chaw
nyob no feem ntau, teb rau
saum huab cua.

Kev suav pej xeem yuav tsum puav
leej xam cov tib neeg uas tsis muaj
chaw nyob ruaj:

•	 Yog tias ib tug neeg tsis muaj
chaw nyob ruaj, yeej nyob
ntawm no thaum Plaub Hlis
Hnub Tim 1, 2020, suav tus neeg
ntawd.

•	 Tsis txhob suav cov neeg hauv
tsev tu neeg laus, chaw kaw
neeg, chaw rau txim, tsev
qhuab txim, thiab tej chaw li
ntawd thaum Plaub Hlis Hnub
Tim 1, 2020.
•	 Txhob xam cov tib neeg no rau
koj cov lus nug, txawm tias lawv
rov los nyob ntawm no tom qab
lawv tawm tsev kawm ntawv qib
siab, tsev tu neeg laus, kev ua
tub rog, chaw kaw neeg, thiab
tej yam li ntawd. Tsis li ntawd
ces tej zaum yuav suav tau lawv
ob zaug.

Nyeem cov nqe lus nug thiab cov lus qhia teb ntawm nplooj
ntawv tom ntej.
Tsis txhob sau koj cov lus teb rau phau lus coj qhia no.
Teb Chaws Asmeskas Koom Haum Suav Pej Xeem	3

Teb kom tiav cov nqe lus nug ntawm thawj
nplooj npog
TSIS TXHOB SAU KOJ COV LUS TEB RAU PHAU LUS COJ QHIA NO

op
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Muaj pes tsawg leej neeg yeej nyob los yog tuaj
nyob rau hauv lub tsev, chav tsev los yog lub tsev
txav tau no thaum lub Plaub Hlis Hnub Tim 1, 2020?
Pes Tsawg Tus Tib Neeg

Puas muaj tib neeg ntxiv nyob rau hauv no thaum
lub Plaub Hlis Hnub Tim 1, 2020 uas koj tsis tau xam
nws rau Nqe Lus Nug 1?
txhua yam yog.

C

Kos

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„„ Cov me nyuam, txheeb ze los yog tsis txheeb ze, xws
li me nyuam yug tshiab, me nyuam coj los pab tu
„„ Neeg txheeb ze, xws li me nyuam muaj hnub
nyoog laus, kwv tij npawg/muam npaws, los yog
cov cuas
„„ Lwm tus neeg tsis txheeb ze, xws li tus neeg los sis
tus khub nyob hauv lub tsev nrog koj los yog cov
neeg nyob zov me nyuam hauv lub tsev
„„ Cov tib neeg nyob ntawm no ib ntus
„„ Tsis muaj lwm cov neeg ntxiv

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Lub tsev no yog tsev kheej, ib chav tsev, los yog ib
lub tsev txav tau —

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Kos

IB kem.

„„ Koj los yog ib tug neeg hauv lub tsev neeg no
muas lub tsev no muaj nqi tsev txais los yog nyiaj
txais? Xam qhov nyiaj txais ntawm lub tsev muas.
„„ Koj los yog ib tug neeg hauv lub tsev neeg no
muas lub tsev them tag thiab tsis tiv nqi lawm los
(tsis muaj nqi tsev txais los yog nyiaj txais)?
„„ Khiab nyob lawm?
„„ Nyob tsis them nqi khiab?
Koj tus xov tooj yog dab tsi?
Peb tsuas hu rau koj yog tias xav tau dab tsi rau
Koom Haum Suav Pej Xeem nkaus xwb.

Xov Tooj

4	

Teb Chaws Asmeskas Koom Haum Suav Pej Xeem

Teb kom tiav cov nqe lus nug ntawm sab laug
hauv nplooj 2
TSIS TXHOB SAU KOJ COV LUS TEB RAU PHAU LUS COJ QHIA NO

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Thov qhia txog ib tug neeg zus uas nyob hauv nov.
Yog muaj leej twg nyob hauv no uas them nqi khiab
nyob los yog muas nws qhov chaw nyob, pib sau nws
uas Tus Neeg 1. Yog tias tus tswv tsev los yog tus neeg
them nqi khiab nyob tsis nyob hauv nov, pib sau lwm
tus neeg laus nyob hauv nov uas Tus Neeg 1.

(Cov) Xeem
(last name[s])

Tsiaj Ntawv Cim
Npe Nruab Nrab
(middle initial)

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Npe
(first name)

C

Tus Neeg 1 lub npe hu li cas?

Tus Neeg 1 yog poj niam los txiv neej? Kos
„„ Txiv neej

IB kem.

„„ Poj niam

Tus Neeg 1 hnub nyoog li cas thiab Tus Neeg 1 lub
hnub yug yog thaum twg?

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Hnub nyoog,
pes tsawg
xyoo thaum lub
Plaub Hlis Hnub
Tim 1, 2020

at

Rau cov me nyuam ab yau dua 1 xyoos, tsis txhob sau
nws qhov hnub nyoog ua cov hli. Sau 0 ua qhov hnub
nyoog.

Hli

Hnub

Xyoo
yug

Tus Neeg 1 puas yog Caj Ces Neeg Mev Hispanic,
Latino los yog Spanish?
„„ Tsis yog, tsis yog Caj Ces Neeg Mev Hispanic, Latino,
los yog Spanish
„„ Yog, Neeg Mev, Neeg Mev Asmeskas, Neeg Chicano
„„ Yog, Neeg Puerto Rico
„„ Yog, Neeg Cuba
„„ Yog, lwm hom Neeg Mev Hispanic, Latino los
yog Caj Ces Neeg Spanish — Sau, piv txwv, Neeg
Salvador, Neeg Dominica, Neeg Colombia, Neeg
Quatamala, Neeg Spaniard, Neeg Ecuador, thiaj tej
neeg li ntawd

Teb Chaws Asmeskas Koom Haum Suav Pej Xeem	5

Teb kom tiav cov nqe lus nug ntawm sab xis
hauv nplooj 2
TSIS TXHOB SAU KOJ COV LUS TEB RAU PHAU LUS COJ QHIA NO
Tus Neeg 1 yog haiv neeg dab tsi?
Kos ib kem los yog ntau kem dua THIAB sau caj ces
neeg.

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„„ Neeg Dawb — Sau, piv txwv, Neeg Germany, Neeg
Ireland, Neeg Askiv, Neeg Italy, Neeg Lebanon, Neeg
Egypt, thiab tej neeg li ntawd

C

„„ Neeg Dub los yog Neeg Asmeskas Africa — Sau, piv
txwv, Neeg Asmeskas Africa, Neeg Jamaica, Neeg
Haiti, Neeg Nigeria, Neeg Ethiopia, Neeg Somali,
thiab tej neeg li ntawd

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„„ Neeg Qhab Asmeskas los yog Neeg Xeeb Txawm
Alaska — Sau cov muaj npe los yog (cov) pawg
tseem, piv txwv, Navajo Nation, Blackfeet Tribe,
Neeg Maya, Neeg Aztec, Native Village of Barrow
Inupiat Traditional Government, Nome Eskimo
Community, thiab tej neeg li ntawd
„„ Neeg Suav

„„ Neeg Filipin

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„„ Neeg Khej
Esxias
„„ Lwm Cov
Neeg Esxias —
Sau, piv txwv,
Neeg Khej
Pakistan, Neeg
Cambodia,
Neeg Hmoob,
thiab tej neeg
li ntawd

6	

„„ Neeg Nyab „„ Neeg Xeeb
Laj
Txawm Hawaii
„„ Neeg
„„ Neeg Samoan
Kauslim
„„ Neeg Yijpooj „„ Neeg Chamorro
„„ Lwm Cov Neeg
Pov Txwv
Pacific — Sau,
piv txwv, Neeg
Tonga, Neeg
Fiji, Neeg
Marshall Islands,
thiab tej neeg li
ntawd

„„ Lwm haiv neeg — Sau haiv neeg los yog caj ces
neeg.

Teb Chaws Asmeskas Koom Haum Suav Pej Xeem

Teb kom tiav cov nqe lus nug rau ib tug neeg
ntxiv twg
Yuav nug ob nqe lus nram no txog ib tug neeg ntxiv twg
TSIS TXHOB SAU KOJ COV LUS TEB RAU PHAU LUS COJ QHIA NO

Kos

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Feem ntau, tus neeg no puas nyob los yog mus
nyob rau lwm qhov chaw?
txhua yam yog.

„„ Tsis nyob

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C

„„ Nyob, rau kev kawm
„„ Nyob, nrog niam txiv
ntawv qib siab
los yog lwm tus neeg
txheeb ze
„„ Nyob, rau kev mus ua
tes luag num tub rog
„„ Nyob, rau chaw nyob
raws caij ntuj los yog
„„ Nyob, rau txoj hauj lwm
qhov chaw nyob thib ob
los yog lag luam
„
„
Nyob, hauv chaw kaw
„„ Nyob, rau tsev tu neeg
neeg los yog chaw rau
laus
txim
„„ Nyob, rau lwm qhov laj
thawj

at

Tus neeg no txheeb ze li cas rau Tus Neeg 1?

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Kos

IB kem.

„„ Zeej xeeb txawv-tus txiv/poj niam/txij nkawm
„„ Zeej xeeb txawv-tus khub tsis sib yuav
„„ Zeej xeeb sib xws tus txiv/poj niam/txij nkawm
„„ Zeej xeeb sib xws khub tsis sib yuav
„„ Tub los yog ntxhais yug
„„ Tub los yog ntxhais saws
„„ Tub los yog ntxhais tshiab
„„ Kwv tij/nus los yog viv ncaus/muam
„„ Leej txiv los yog leej niam
„„ Xeeb ntxwv
„„ Niam txiv cuas
„„ Vauv los yog nyab
„„ Lwm tus neeg txheeb ze
„„ Tus neeg los sis tus khub nyob hauv lub tsev nrog koj
(roommate or housemate)
„„ Me nyuam txais los tu (foster)
„„ Lwm tus neeg tsis txheeb ze

Teb Chaws Asmeskas Koom Haum Suav Pej Xeem	7

Teb kom tiav nplooj 8 yog tias koj suav muaj
ntau tshaj rau tus tib neeg
TSIS TXHOB SAU KOJ COV LUS TEB RAU PHAU LUS COJ QHIA NO
Tsiaj Ntawv Cim
Npe Nruab Nrab
(middle initial)

(Cov) Xeem
(last name[s])

Poj niam

Hnub nyoog,
pes tsawg
xyoo thaum lub
Plaub Hlis Hnub
Tim 1, 2020

Hli

Hnub

Xyoo Yug

Puas txheeb rau Tus
Neeg 1?
„„ Txheeb „„ Tsis txheeb

io
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Txiv neej

C

op
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Npe
(first name)

Thov muab cov lus nug ua Lus Askiv teb tiav ntim rau lub hnab ntawv them
nqi xa uas koj tau txais xa.

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2020 Kev Suav Pej
Xeem yooj yim tshaj
dhau los.

Koj puas paub tias koj teb
tau saum huab cua?
Yog koj teb tau 2020 Kev Suav Pej Xeem
saum huab cua, txuas mus rau qhov URL
uas sau rau ntawm cov lus nug.

Muaj duab yeeb yaj kiab saib
coj qhia teb 2020 Kev Suav Pej Xeem saum
huab cua ntawm
2020census.gov/languages
8	

D-G (hmn) Hmong
Teb Chaws Asmeskas Koom Haum Suav Pej Xeem

OMB szám 0607-1006: Jóváhagyás lejárata 11/30/2021

op
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Útmutató a 2020-as népszámláláshoz

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Hogyan válaszoljon a 2020-as
népszámlálás nyomtatott kérdőívére

Üdvözöljük a 2020-as népszámláláson
Mindenki számít.

op
y

A népszámlálás célja, hogy minden, az Egyesült
Államokban élő személyt számba vegyünk, kizárólag
egyszer és azt a megfelelő helyen. Szükségünk van
a segítségére, hogy megbizonyosodjunk arról, hogy
mindenki az Ön közösségéből számlálásra került.

A népszámlálási adatok fontosak.

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C

Az Egyesült Államok Alkotmánya megköveteli,
hogy népszámlálást tartsunk minden 10. évben.
Az eredmény határozza meg az egyes államok
kongresszusi helyeinek a számát, határvonalat húz
a szavazási körzetek között és meghatározza, hogy
a közösségek hogyan használják fel a több mint 675
billió dolláros szövetségi támogatású alapot éves
szinten.

A részvétel állampolgári kötelesség.

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A népszámlálásban való részvétel kötelező: így
vállalunk részt a demokráciában és tudatjuk, hogy
„számítunk!”.

Információit bizalmas jelleggel kezeljük.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Children, related or unrelated, such as newborn babies,
grandchildren, or foster children
Relatives, such as adult children, cousins, or in-laws

Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

3.

• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

Is this house, apartment, or mobile home — Mark ONE box.
Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:

1.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?
Mark all that apply.

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

The census must also include people without a permanent
place to live, so:

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

–

–

A szövetségi törvény védi az Ön válaszait. Válaszait
csak statisztikai adatok létrehozására használhatjuk,
és adatait nem használhatjuk fel Ön ellen semmilyen
kormányhivatal vagy törvényszék által.

Használja ezt az útmutatót a 2020-as
népszámlálás nyomtatott kérdőívének
a kitöltéséhez.
A 2020-as népszámlálás nyomtatott kérdőívei az
ország teljes területén a postaládákba és az ajtók elé
érkeznek.

2	

Egyesült Államok Népszámlálási Hivatala

Mielőtt hozzákezd
1.	 Keresse meg a kérdőívet és nyissa ki az első oldalon.

op
y

2.	 Használja a magyar útmutatót, és jelölje be válaszait az angol
nyomtatott kérdőíven. NE JEGYEZZE LE VÁLASZAIT ERRE AZ
ÚTMUTATÓRA.

Kit számoljunk bele

A Népszámlálási Hivatal
számlálásokat folytat
intézményekben és egyéb
helyeken is:

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Számolja össze a házban, a
lakásban vagy a lakómobilban élő
személyeket:

C

3.	 Mielőtt válaszol az első kérdésre, számolja össze a házban, a lakásban
vagy a lakómobilban élő személyeket a lenti utasítások alapján.

at

•	 Számoljon bele mindenkit,
beleértve azokat a
kisgyermekeket is, akik általában
itt élnek és alszanak.

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rm

•	 Ha általában senki nem él vagy
alszik ezen a címen, válaszoljon
online.
A népszámlálásba bele kell
venni az állandó lakóhely nélküli
személyeket is:
•	 Azt a személyt, akinek nincs
állandó lakóhelye, de 2020.
április 1-én itt tartózkodik,
számításba kell venni.

•	 Ne számoljon bele senkit,
aki gondozó otthonban
fegyházban, börtönben,
fogolytáborban stb. tartózkodik
2020. április 1-én.
•	 Hagyja ki a kérdőívből ezeket a
személyeket, még akkor is, ha
vissza fognak ide térni, hogy
itt éljenek, miután elhagyták a
főiskolát, a gondozó otthont
a katonaságot, a fegyházat stb.
Különben előfordulhat, hogy
kétszer lesznek számolva.

Olvassa át a kérdéseket és az utasításokat a következő oldalon.
Ne jegyezze le válaszait erre az útmutatóra.
Egyesült Államok Népszámlálási Hivatala	3

Válaszoljon a kérdésekre az első oldalon
NE JEGYEZZE LE VÁLASZAIT ERRE AZ ÚTMUTATÓRA
Hány személy élt vagy tartózkodott ebben
a házban, lakásban vagy lakómobilban
2020. április 1-én?

op
y

Személyek száma

Tartózkodott-e más személy is itt 2020. április 1-én,
akit nem adott hozzá az 1. kérdéshez?
Jelölje be

az összes idevonatkozó választ.

C

„„ Gyermekek, rokonok vagy nem rokonok, mint
amilyenek az újszülött kisgyermekek, az unokák
vagy nevelt gyermekek

io
na
l

„„ Egyéb hozzátartozók, mint amilyenek a felnőtt
gyermekek, az unokatestvérek vagy a házastárs
családja

„„ Egyéb nem hozzátartozók, mint amilyenek a
szobatársak vagy bentlakásos gyermekfelügyelők

„„ Átmenetileg itt tartózkodó személyek

„„ Nincs további személy

at

Ez a ház, lakás vagy lakómobil —

In
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rm

Jelöljön be

EGY négyzetet.

„„ Az Ön vagy a háztartásban élők közül az egyik
személy tulajdonában áll jelzálog vagy kölcsön
által? Vegye bele a szabad felhasználású
jelzáloghitelt is.

„„ Az Ön vagy a háztartásban élők közül az egyik
személy tulajdonában áll szabadon és tisztán
(jelzálog vagy kölcsön nélkül)?
„„ Bérlemény?
„„ Bérleti díj fizetése nélkül lakott?
Mi az Ön telefonszáma?
A Népszámlálási Hivatal csak hivatalos ügyekben
fogja Önnel felvenni a kapcsolatot.

Telefonszám

4	

Egyesült Államok Népszámlálási Hivatala

Válaszoljon a 2. oldal bal felén lévő kérdésekre
NE JEGYEZZE LE VÁLASZAIT ERRE AZ ÚTMUTATÓRA

op
y

Kérjük, adjon információt minden egyes személyről,
aki itt él. Ha egyikük közülük lakbért fizet vagy a
lakhely tulajdonosa, kezdje a felsorolást vele és jelölje
be mint 1-es számú személy. Ha a tulajdonos vagy a
lakbért fizető személy nem itt él, kezdje a felsorolást
az egyik itt élő felnőtt személlyel, és jelölje be mint
1-es számú személy.
Mi az 1-es számú személy neve?
Vezetéknév(ek)
(last name[s])

Középső név kezdőbetűje
(middle initial)

C

Keresztnév
(first name)

io
na
l

Mi az 1-es számú személy neme? 
Jelöljön be EGY négyzetet.
„„ Férfi

„„ Nő

Milyen korú az 1-es számú személy és mi az 1-es
számú személy születési ideje?

Hónap

Nap

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Kor években
meghatározva
2020. április
1-én

at

Egy évnél fiatalabb kisgyermekek esetén ne írja be a
kort hónapokban. Korként a 0-t jelölje be.

Születési év

Az 1-es számú személy hispán, latin-amerikai vagy
spanyol eredetű?
„„ Nem, nem hispán, latin-amerikai vagy spanyol
eredetű
„„ Igen, mexikói, mexikói amerikai, csikánó
„„ Igen, Puerto Ricó-i
„„ Igen, kubai
„„ Igen, egyéb hispán, latin-amerikai vagy spanyol
eredetű — írja be például, hogy salvadori,
dominikai köztársasági, kolumbiai, guatemalai,
spanyol, ecuadori stb.

Egyesült Államok Népszámlálási Hivatala	5

Válaszoljon a 2. oldal jobb felén lévő kérdésre
NE JEGYEZZE LE VÁLASZAIT ERRE AZ ÚTMUTATÓRA
Milyen fajból való az 1-es számú személy?
egy vagy több négyzetet ÉS írja be az

op
y

Jelöljön be
eredetet.

„„ Fehér — Írja be például, hogy német, ír, angol,
olasz, libanoni, egyiptomi stb.

C

„„ Fekete vagy afroamerikai — Írja be például, hogy
afroamerikai, jamaikai, haiti, nigériai, etiópiai,
szomáliai stb.

io
na
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„„ Amerikai őslakos vagy alaszkai őslakos — Írja be a
jegyzékbe vett vagy a vezető törzs nevét, például,
Navajo Nation, Blackfeet Tribe, maja, azték, Native
Village of Barrow Inupiat Traditional Government,
Nome Eskimo Community stb.

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at

„„ Kínai
„„ Vietnámi
„„ Fülöp„„ Koreai
szigeteki
„„ Ázsiai
„„ Japán
őslakos
„„ Egyéb
ázsiai — Írja
be például,
hogy
pakisztáni,
kambodzsai,
hmong stb.

6	

„„ Őshonos hawaii
„„ Szamoai
„„ Chamorro
„„ Egyéb óceániai
lakos — Írja be
például, tongai,
fidzsi, Marshallszigeteki stb.

„„ Más egyéb faj — Írja be a fajt vagy az eredetet.

Egyesült Államok Népszámlálási Hivatala

Válaszoljon minden további kérdésre
Minden további személynek válaszolnia kell a lenti két kérdésre
NE JEGYEZZE LE VÁLASZAIT ERRE AZ ÚTMUTATÓRA

Jelölje be
„„ Nem

op
y

Ez a személy általában máshol él vagy tartózkodik?
az összes idevonatkozó választ.

io
na
l

C

„„ Igen, szüleivel
„„ Igen, főiskolás
vagy egyéb
„„ Igen, katonai
hozzátartozójával él
szolgálatban van
„
„
Igen,
idényszerű vagy
„„ Igen, munkája vagy az
másodlagos
lakhelyén
üzlete miatt
van
„„ Igen, gondozó
„„ Igen, fegyházban vagy
otthonban van
börtönben van
„„ Igen, más egyéb ok
miatt
Milyen kapcsolatban áll ez a személy az 1-es számú
személlyel?

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at

Jelöljön be

EGY négyzetet.

„„ Ellenkező nemű férj/feleség/házastárs
„„ Ellenkező nemű élettárs
„„ Azonos nemű férj/feleség/házastárs
„„ Azonos nemű élettárs
„„ Vér szerinti fiú- vagy lánygyermek
„„ Örökbefogadott fiú- vagy lánygyermek
„„ Mostohafiú vagy mostohalány
„„ Fiú- vagy lánytestvér

„„ Apa vagy anya
„„ Unoka
„„ Házastárs szülei
„„ Vej vagy meny
„„ Egyéb hozzátartozó
„„ Szobatárs vagy lakótárs (roommate or housemate)
„„ Nevelt gyermek (foster)
„„ Egyéb nem hozzátartozó

Egyesült Államok Népszámlálási Hivatala	7

Töltse ki a 8. oldalt, ha több mint hat
személyt számolt össze
NE JEGYEZZE LE VÁLASZAIT ERRE AZ ÚTMUTATÓRA

Kor években
meghatározva
2020. április
1-én

Hónap

Nap

op
y

Nő

Vezetéknév(ek)
(last name[s])

Születési év

Az 1-es számú személy
hozzátartozója -e?
„„ Igen

„„ Nem

io
na
l

Férfi

Középső név kezdőbetűje
(middle initial)

C

Keresztnév
(first name)

Kérjük, a kitöltött angol kérdőívet küldje el postán a felbélyegzett válaszborítékban.

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at

A 2020-as
népszámlálás
egyszerűbb, mint
valaha.

Tudta, hogy válaszait online
is megadhatja?
Ha van online hozzáférése, látogassa
meg a kérdőívben megadott 2020-as
népszámlálás URL-címét.

A 2020-as népszámlálás
online változatának kitöltéséhez a következő
oldalon áll rendelkezésre videó útmutató:
2020census.gov/languages
8	

D-G (hun) Hungarian
Egyesült Államok Népszámlálási Hivatala

OMB ọnụọgụgụ 0607-1006: Nnwapụta ga-emebi 11/30/2021

op
y

Ntụziaka gị maka Ọnụọgụgụ ndị mmadụ n'afọ 2020

In
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at

io
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C

Etu esi aza Ọnụọgụgụ ndị mmadụ na afọ 2020
akwụkwọ ajụjụ nchọpụta

Nnọọ na Ọnụgụgụ ndị mmadụ na afọ 2020
Ọnye ọbụla igụ ọnụ.

op
y

Ebumnuche ọnụọgụgụ ndị mmadu nke a bụ iji gụọ ọnụ mmadụ
niile dị ndụ na U.S. otu ugboro, naanị otu ugboro, na n'ebe kwesiri
ekwesi. Anyị chọrọ enyemaka gị, iji hụ na gụọ ọnụ onye ọbụla nọ
n'obodo gị.

C

Data Ọnụọgụgụ ndị mmadụ dị mkpa.

io
na
l

Akwụkwọ Iwu nke U.S. na-achọ ọnụọgụgụ ndị mmadụ kwa afọ 10
ọbụla. Mpụtara ya ka eji ama oche ole steeti ọbụla nwere na nzukọ
ndị ome iwu, kepụta ókè maka ntuli aka distrikt, ma chọpụta etu esi
agbali ihe karịrị $675 billion nke ego gọọmenti etiti nwepụtara na
obodo kwa afọ ọbụla.

Isonye bụ ọrụ dịịrị gị dịka nwa amaala.

at

Imejupụta ọnụọgụgụ ndị mmadụ bụ ihe kwesịrị ekwesị; ọ bụkwa
ụzọ esi esonye na ọchịchị onye kwuo uche ya ma sị, "mụ igụ ọnụ!"

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Ihe ogwugwa gị abụghị nke ọha.
Iwu gọọmenti etiti na-echekwa azịza gị. Azịza gị ga abụ naanị maka
iji mepụta ọnụọgụgụ ma ụlọ ọrụ gọọmenti ma ọbụ ụlọ ikpe ọbụla
agaghị eji ya wee megide gị.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

Jiri ntụziaka a were mejupụta akwụkwọ ajụjụ
nchọpụta maka ọnụọgụgụ ndị mmadụ na afọ
2020.

–

–

Akwụkwọ ajụjụ nchọpụta maka ọnụọgụgụ ndị mmadụ n'afọ 2020
ga-abịarụ na igbe nzipụ ozi na ọnụ-ụzọ ndị mmadụ mba niile.
Ngalaba Gọọmenti U.S. maka Ọnụọgụgụ ndị mmadụ

Tupu Ị Malite
1.	 Chọọ ajụjụ nchọpụta gị ma meghee ibe akwụkwọ nke mbụ.

op
y

2.	 Jiri ozi dị na ntụziaka Igbo ntụziaka nke a iji tinye akara na azịza gị na akwụkwọ ajụjụ
nchọpụta nke Bekee. EDENYELA AZỊZA GỊ NA NTỤZIAKA A.

Ndị ekwesiri igụ ọnụ

C

3.	 Tupu ị zaa ajụjụ nke mbụ, gụọ ọnụ ndị mmadụ bị n'ụlọ a, ụlọ nwere ebe obibi dị iche
iche a, maọbu ụlọ mkpanaka a site n'iji ntụziaka ndị a dị na okpuru.

Ngalaba Gọọmenti maka Ọnụọgụgụ ndị
mmadụ na-ahazikwa igụ ọnụ n'ụlọ ọrụ na
ebe ndị ọzọ:

•	 Gụọ ọnụ mmadụ niile, tinyere
nwatakịrị, ndị bi ma na-arahụ n'ebe a
ọtụtụ oge.

•	 A gụọ ọnụ onye ọbụla nọ n'ụlọ nlekọta
ahụike, ụlọ mkpọrọ, ụlọ nga, ụlọ njide,
wee dịrị gaba, na Epurel 1, 2020.

•	 Ọ bụrụ na ọ nweghị onye ọbụla bi ma ọ
bụ na-arahụ na adreesị a ọtụtụ oge, zaa
n'Intaneèt.

•	 Wepụ ndị mmadụ a na akwụkwọ
ajụjụ nchọpụta gị, ọ bụrụgodị na ha
ga-alaghachi ibi n'ebe a ma ha hapụ
mahadum, ụlọ nlekọta ahụike, ndị agha,
ụlọ mkpọrọ, wee dịrị gaba. Ma ọ bụghị
ya, enwere ike igụ ọnụ ugboro abụọ.

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Gụọ ọnụ ndị mmadụ bị n'ụlọ a, ụlọ nwere
ebe obibi dị iche iche a, maọbu ụlọ
mkpanaka a:

Ọnụọgụgụ ndị mmadụ ahụ ga-agụnyerịrị
ndị mmadụ ndị na-enweghị ebe obibi na
adịgide:
•	 Ọ bụrụ na onye na-enweghị ebe obibi
na adigide bi ebe a na Epurel 1, 2020,
gụọ ọnụ onye ahụ.

Gụọ ajụjụ na ntụziaka dị n'ibe akwụkwọ na eso.
Edenyela azịza gị na ntụziaka a.
Ngalaba Gọọmenti U.S. maka Ọnụọgụgụ ndị mmadụ	3

Dejupụta ajụjụ ndị dị n'ihu akwụkwọ
EDENYELA AZỊZA GỊ NA NTỤZIAKA A
Mmadụ ole bi maọbụ na-anọ n'ụlọ a, ụlọ nwere ebe obibi dị
iche iche a, maọbụ ụlọ mkpanaka a na Epurel 1, 2020?

op
y

Ọnụọgụgụ ndị Mmadụ

E nwere mgbakwunye ndị mmadụ ọbụla na-anọ ebe a na
Epurel 1, 2020 nke ị na-agụnyeghị n'ajụjụ nke mbụ?
Kanye akara

na ndị niile dabara.

C

„„ Ụmụaka, ndị metụtara maọbụ ndị na-emetụtaghị, dị ka ụmụ
amụru ọhụrụ nwatakịrị, ụmụ-ụmụ, maọbụ ụmụaka nke a naakwụ mmadụ ụgwọ ịzụlite

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„„ Ndị ikwu, dị ka ndị okenye, ụmụaka, nwa nwanne nna maọbụ
nne, maọbụ onye ikwu site na alụmdi na nwunye

„„ Ndị abụghị ikwu, dị ka ndị bi n'otu ọnụ ụlọ, maọbu ndị na-eku
nwa binyere n'ụlọ

„„ Ndị mmadụ bi ebe a nwa oge

„„ Agbakwunyela ndị mmadụ

at

Ihe a abụ ụlọ, ụlọ nwere ebe obibi dị iche iche, maọbu ụlọ
mkpanaka —

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Kanye akara

N'OTU igbe.

„„ Ngị nwe ka ọ bụ onye nọ na ezinụlọ a ji mbinye ego maka ụlọ
maọbụ ego agbazinyere? Tinyere ego ụlọ agbazinyere site n'iji
ụlọ ahụ dịka ihe nnochianya.

„„ Ngị nwe ka ọ bụ onye nọ na ezinụlọ a nke nweere onwe ya
ma dokwaa anya (na-ejighị mbinye ego maka ụlọ maọbụ ego
agbazinyere)?
„„ Inara ụgwọ ụlọ?
„„ Biri na akwụghị ụgwọ ụlọ?
Kedu nọmba ekwentị gị?
Anyị ga-akpọtụrụ gị naanị ma ọ bụrụ na ọ dị mkpa maka ihe
gbasara Ngalaba Gọọmenti maka Ọnụọgụgụ ndị mmadụ.

Nọmba ekwentị

4	

Ngalaba Gọọmenti U.S. maka Ọnụọgụgụ ndị mmadụ

Depụta ajụjụ ndị dị n'akaekpe nke ibe akwụkwọ nke 2
EDENYELA AZỊZA GỊ NA NTỤZIAKA A

Aha ịkpeazụ (gasi)
(last name[s])

Ndebiri aha etiti
(middle initial)

io
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Aha mbụ
(first name)

C

Gịnị bụ aha Onye 1?

op
y

Biko nye ihe ọmụma banyere onye ọbụla bị n'ebe a. Ọ bụrụ na
enwere otu onye bi n'ebe inara ụgwọ ụlọ ma ọ bụ nwee ebe obibi
nke aka ya, malite site na idepụta ya dịka Onye 1. Ọ bụrụ na onye
nwe ya maọbụ onye ịnara ụgwọ ụlọ ebighị n'ebe a, malite site na
ịdepụta okenye ọbụla nke bi n'ebe a dịka Onye 1.

Onye 1, Ọ bụ nwoke ka ọ bụ nwanyị? Kanye akara

„„ Nwoke

N'OTU igbe.

„„ Nwanyị

Kedụ afọ Onye 1 ma kedụ ụbọchị ọmụmụ nke Onye 1?

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Maka nwatakịrị na-erubeghị otu afọ, edekwala afọ ha n'ọnwa.
Dee 0 dịka afọ ole ọ dị.

Afọ, n'afọ,
na Epurel 1,
2020

Ọnwa

Ụbọchị

Afọ
ọmụmụ

Onye 1 o si na Hispanic, Latino maọbụ si na Spen were pụta?
„„ Mba, o siteghị na Hispanic, Latino maọbụ si na Spen were
pụta
„„ Ee, Onye Mexico, Onye Mexico nke Amerịka, Chicano
„„ Ee, Onye Puerto Rico
„„ Ee, Onye Cuba
„„ Ee, Onye ọzọ sitere na Hispanic, Latino maọbụ si na Spen —
Bipụta, iji maa atụ, Onye El Salvador, Onye Dominika, Onye
Kolombia, Onye Guatemala, Onye Spaniad, Onye Ecuador, wee
dịrị gaba.

Ngalaba Gọọmenti U.S. maka Ọnụọgụgụ ndị mmadụ	5

Depụta ajụjụ ndị dị n'akanri nke ibe akwụkwọ nke 2
EDENYELA AZỊZA GỊ NA NTỤZIAKA NKE A

Kedu agbụrụ Onye 1 si?
na otu ma ọ bụ ọtụtụ igbe MA bipụta ndị mbụ.

op
y

Kanye akara

„„ Ọcha — Bipụta, iji maa atụ, Onye Germany, Onye Ireland,
Onye Bekee, Onye Italy, Onye Lebanon, Onye Ijipti, wee dịrị
gaba.

C

„„ Onye ojii maọbụ Onye Afrika nke Amerika — Bipụta, iji maa
atụ, Onye Afrika nke Amerika, Onye Jamaika, Onye Haiti, Onye
Naịjịrịa, Onye Ethiopia, Onye Somali, wee dịrị gaba.

io
na
l

„„ Onye Amerika nke India maọbụ Nwafọ Alaska — Bipụta
aha nke e debanyere ma ọ bụ agbụrụ nke onye, iji maa atụ,
Navajo Nation, Blackfeet Tribe, Onye Mayan, Onye
Aztec, Native Village of Barrow Inupiat Traditional
Government, Nome Eskimo Community, wee dịrị
gaba.

In
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rm

at

„„ Onye China
„„ Onye Vietnam
„„ Onye Filipine
„„ Onye Koria
„„ Onye India nke „„ Onye Japan
Asia
„„ Onye Asia ndị
ọzọ — Bipụta, iji
maa atụ, Onye
Pakistan, Onye
Kambodia, Onye
Hmong, wee dịrị
gaba.

6	

„„ Nwáfọ Hawai
„„ Onye Samoa
„„ Onye Chamorro
„„ Pacifik Islander ndị
ọzọ — Bipụta, iji maa
atụ, onye Tonga,
Onye Fiji, Onye
Marshall Islands,
wee dịrị gaba.

„„ Ụfọdụ agbụrụ ndị ọzọ. — Bipụta agbụru ma ọ bụ ebe o si.

Ngalaba Gọọmenti U.S. maka Ọnụọgụgụ ndị mmadụ

Mejupụta ajụjụ ndị a maka onye ọ bụla agbakwụnyere
agbakwụnye
A ga-ajụ onye ọ bula a gbakwụnyere agbakwụnye ajụjụ abụọ ndị dị n'okpuru

op
y

EDENYELA AZỊZA GỊ NA NTỤZIAKA A
Onye nke a o bi ka ọ nọ n'ebe ọzọ?
Kanye akara

na ndị niile dabara.

„„ Mba
„„ Ee, maka mahadum

C

„„ Ee, maka ọrụ ndị agha

„„ Ee, ya na nne ma ọ bụ nna
maọbụ ndị ikwu ndị ọzọ

„„ Ee, maka ọrụ maọbụ
azụmahịa

io
na
l

„„ Ee, n'ụlọ nlekọta ahụike

„„ Ee, n'ebe obibi nwa oge
maọbụ nke abụọ

„„ Ee, n'ụlọ mkpọrọ maọbụ
ụlọ nga
„„ Ee, maka ihe ọzọ merenụ

Kedu ka onye a siri metụta Onye 1?
N'OTU igbe.

In
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at

Kanye akara

„„
„„
„„
„„
„„
„„
„„
„„

Di okike ọzọ/nwunye/di maọbụ nwunye
Onye okike ọzọ na-alụbeghị di maọbụ nwunye
Dị otu okike/nwunye/dị maọbụ nwunye
Onye otu okike na-alubeghị di maọbụ nwunye
Nwa nwoke maọbụ nwanyị ịmụrụ amụ
Nwa nwoke maọbụ nwa nwanyị e kuchiri
Nwa di maọbụ nwunye nwoke maọbụ nwanyị
Nwanne nwoke maọbụ nwanyị

„„
„„
„„
„„
„„
„„

Nna ma ọ bụ nne
Nwa nwa
Nne na nna di maọbụ nwunye
Nwanne di maọbụ nwunye nwoke maọbụ nwanyị
Ndị ọzọ bụ ikwu na ibe
Onye mbikọta imeụlọ maọbụ onye mbikọta ụlọ
(roommate or housemate)
„„ Nwata nke a na-akwụ onye ụgwọ ịzulite
„„ Ndị ọzọ na abụghị ikwu na ibe

Ngalaba Gọọmenti U.S. maka Ọnụọgụgụ ndị mmadụ	7

Mejupụta ibe akwụkwọ nke 8 ma ọ bụrụ na igụ ọnụ
karịa mmadụ isii
EDENYELA AZỊZA GỊ NA NTỤZIAKA A

Afọ, n'afọ,
na Epurel 1,
2020

Ọnwa

Ụbọchị

op
y

Nwanyị

Aha ịkpeazụ (gasi)
(last name[s])

Afọ Ọmụmụ

Gị na Onye 1 ometụtara?
„„ Ee

„„ Mba

io
na
l

Nwoke

Ndebiri aha etiti
(middle initial)

C

Aha mbụ
(first name)

Biko ziga akwụkwọ ajụjụ nchọpụta nke asụsụ Bekee n'ime envelopụ nziga akwụkwọ ozi akwụrụ ụgwọ ya nke ị natara.

at

Ọnụọgụgụ ndị mmadụ na afọ
2020 kachasị dị mfe.

In
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Ị maara na ị nwere ike ịzaghachi
site n'Intaneèt?

Ọ bụrụ na ị nwere ike idejupụta ọnụọgụgụ ndị
mmadụ na afọ n'Intaneèt 2020, gaa na URL
ebipụtara na ajụjụ nchọpụta.

Ntụziaka nke ihe onyonyo maka ndejupụta ọnụọgụgụ
ndị mmadụ na afọ 2020 n'Intaneèt dị na
2020census.gov/languages
D-G (ibo) Igbo

8	

Ngalaba Gọọmenti U.S. maka Ọnụọgụgụ ndị mmadụ

OMB No. 0607-1006: Panaggibus ti Panagabrobar 11/30/2021

op
y

Ti Pagsurotan para ti Census 2020

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at

io
na
l

C

Kasatnu a Sumungbat ayan ti Census 2020
a Papel ti Saludsod

Dumanonka ayan ti Census 2020
Ti tunggal maysa ket ma-ibilang.

op
y

Ti gandat ti daytoy a census ket bilangen ti tunggal
sibibiag a tao ti U.S. a maminsan, maminsan laeng, ken iti
umno a disso. Kasapulanmi ti tulongmo tapno siguradoen
a ti tunggal maysa ayan ti komunidad mo ket mai-bilang.

Dagiti datos ti census ket napateg.

io
na
l

C

Ti Konstitusion ti U.S. kasapulanna ti census tunggal
10 nga tawen. Dagiti resulta ket mausar tapno
maammoan ti bilang ti tugaw tunggal estado nga addaan
ayan ti Kongreso, agikabil dagiti pagbeddengan para
kadagiti distrito ti panagbotos, ken ammoen nu kasatno
a ti surok $675 bilyon ti pederal a panangpundo ket
mabusbos kadagiti komunidad tunggal tawen.

Ti pannakipaset ket sibil nga akemmo.

In
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Ti panagkompleto ti census ket masapul; daytoy ket
wagas tapno pakipaset ti demokrasiya ken ibaga nga
“Mai-bilangak!”

Iti impormasionmo ket nalimed.
Ti pederal a linteg salaknibanna dagiti sungbat mo.
Dagiti sungbat mo ket mausar laeng tapno agaramid ti
istatistika ken saan a mausar kontra kenyam ti aniaman
nga ahensiya ti gobierno wenno korte.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

4.

What is your telephone number?

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

Usaren daytoy a pagsurotan tapno
kompletoen ti Census 2020 a papel ti
saludsod.

–

–

Ti Census 2020 a papel ti saludsod ket sumangpet ayan
ti mailbox ken ti pagtaengan iti intero a pagilian.
U.S. Census Bureau

Sakbayka Nga Agrugi
1.	 Sapulem ti saludsod ken lukatan daytoy ayan ti umuna a panid.

op
y

2.	 Usaren iti impormasion ayan ti daytoy nga Ilocano a pagsurotan
tapno markaan dagiti sungbat mo ayan ti Ingles a papel ti saludsod.
DIMO ISURAT DAGITI SUNGBAT MO AYAN TI DAYTOY A PAGSUROTAN.

Siasino ti Bilangen

Ti Census Bureau ket
mangisayangkat met ti panagbilang dagiti institusion ken sabali
pay a lugar:

io
na
l

Bilangen dagiti tao nga agnanaed
iti daytoy a balay, apartment,
wenno mobil a pagtaengan:

C

3.	 Sakbaymo a sungbatan ti umuna a saludsod, bilangen dagiti tao nga
agnanaed iti daytoy a balay, apartment, wenno mobil a pagtaengan
usar dagiti gida ti ibbaba.

at

•	 Bilangen amin a tao, karaman
dagiti maladaga, nga agnanaed
ken matmaturog ditoy iti
kaadduan nga oras.

In
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•	 Nu awan ti agnanaed wenno
matmaturog iti daytoy nga
address iti kaadduan nga oras,
sumungbat online.

Ti census nasken na met nga
iraman dagiti tao nga awanan
ti permanente a lugar nga
pagtaengan:
•	 Nu adda iti awanan ti permanente
a lugar nga pagtaengan ti
agnanaed ditoy iti Abril 1, 2020,
bilangen dayta a tao.

•	 Saanmo nga bilangen ti
siasinoman nga adda iti nursing
home, pagbaludan, balud,
detention facility, etc., iti Abril 1,
2020.
•	 Saan nga ibilang dagitoy a
tattao ayan ti saludsod, uray
nu agsubblida tapno agnaed
ditoy kalpasan a malpasda ti
colehio, nursing home, ti military,
pagbaludan, etc. Nu saan, nalabit
a mai-bilangda a mamindua.

Basaen dagiti saludsod ken instruksion ayan ti sumaruno a panid.
Dimo isurat dagiti sungbat mo ayan ti daytoy a pagsurotan.
U.S. Census Bureau	3

Kompletoen dagiti saludsod ayan ti akinsango
a panid
DIMO ISURAT DAGITI SUNGBAT MO AYAN TI DAYTOY A PAGSUROTAN

op
y

Manu ti tao nga agnanaed wenno makidagdagos
iti daytoy a balay, apartment, wenno mobil a
pagtaegan iti Abril 1, 2020?
Bilang ti Tattao

Markaan

C

Adda kadi ti aniaman a kanayunan a tao a
makidagdagos ditoy iti Abril 1, 2020 a dimo
inraman iti Saludsod 1?
amin a maipakat.

io
na
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„„ Ubbing, kabagyan wenno saan, kas ti kaiyanak a
maladaga, apo, wenno tagibi nga ubbing
„„ Kabagian, kas ti nataengan nga ubbing, kasinsin,
wenno dagiti kabagian babaen ti kasar
„„ Saan a kabagian, kas ti kaddua ti kuarto wenno
tagaaw-awir
„„ Tattao a saan a permanente nga agdagdagos ditoy
„„ Awan ti kanayunan a tao

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Daytoy kadi a balay, apartment, wenno mobil a
pagtaegan —
Markaan ti

MAYSA a kahon.

„„ Bagim wenno ti sabali nga agnanaed iti daytoy a
kaamaan a naka salda wenno utang? Iraman dagiti
equity nga utang para ti pagtaengan.
„„ Kukuam wenno maysa iti pagtaengan a nawaya
ken klaro (saan a naka salda wenno utang)?
„„ Up-upaan?
„„ Panangokupar nga awan bayad ti renta?
Ania ti numero ti teleponom?
Awagandaka laeng nu kasapulan para ti opisyal a
gandat ti Census Bureau.

Numero ti Telepono

4	

U.S. Census Bureau

Kompletoen dagiti saludsod ayan ti
akinkannigid a paset ti panid 2
DIMO ISURAT DAGITI SUNGBAT MO AYAN TI DAYTOY A PAGSUROTAN

op
y

Maidawat nga ipaay iti impormasion ti tunggal maysa
a tao nga agnanaed ditoy. Nu adda ti siasinoman
nga agnanaed ditoy nga agbaybayad ti renta
wenno akinbagi ti daytoy a residensia, irugi babaen
ti panagilista kenyana kas Tao 1. Nu ti agtagikua
wenno ti tao nga agbaybayad ti renta ket saan nga
agnanaed ditoy, irugi babaen ti panagilista ti aniaman
a nataengan nga agnanaed ditoy kas Tao 1.

Akintingga nga Inisiyal
(middle initial)

Apelyido
(dagiti)
(last name[s])

io
na
l

Umuna a Nagan
(first name)

C

Ania ti nagan ti Tao 1?

Lalaki wenno babai kadi ti Tao 1? 
Markaan ti MAYSA a kahon.

„„ Lalaki

„„ Babai

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Ania ti edad ti Tao 1 ken ania petsa ti pannakaiyanak
ni Tao 1?

Edad, usar
ti tawen,
iti Abril 1,
2020

Bulan

Aldaw

Para kadagiti maladaga nga agtawen ababba ngem
1, saanmo nga isurat ti edad iti bulan. Isurat ti 0 kas
edad.

Tawen ti
pannakaiyanak

Ti Tao 1 kadi ket agtaud ti Hispanic, Latino, wenno
Espaniol a nagtaudan?
„„ Saan, saan nga agtaud ti Hispanic, Latino wenno
Espaniol a nagtaudan
„„ Wen, Mexikan, Mexikan Amerikan, Chicano
„„ Wen, Puerto Rican
„„ Wen, Cuban
„„ Wen, sabali nga Hispanic, Latino wenno Espaniol
a nagtaudan — Iyimprenta, kas pagarigan,
Salvadoran, Dominican, Colombian, Guatemalan,
Espaniol, Ecuadorian, etc.

U.S. Census Bureau	5

Kompletoen ti saludsod ayan ti akinkanniwan a
paset ti panid 2
DIMO ISURAT DAGITI SUNGBAT MO AYAN TI DAYTOY A PAGSUROTAN
Ania ti puli ni Tao 1?

op
y

Markaan ti maysa wenno ad-adu a kahon KEN
iyimprenta ti nagtaudan.

„„ White — Iyimprenta, kas pagarigan, Aleman, Irish,
Ingles, Italian, Lebanese, Egyptian, etc.

C

„„ Black wenno African American — Iyimprenta, kas
pagarigan, African American, Jamaican, Haitian,
Nigerian, Ethiopian, Somali, etc.

io
na
l

„„ American Indian wenno Alaska Native —
Iyimprenta ti nagan ti nailista wenno (dagiti)
kangrunaan a tribo, kas pagarigan, Navajo Nation,
Blackfeet Tribe, Mayan, Aztec, Native Village of
Barrow Inupiat Traditional Government, Nome
Eskimo Community, etc.

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„„ Intsik
„„ Vietnamese
„„ Filipino
„„ Korean
„„ Asian Indian „„ Hapon
„„ Sabali nga Asian —
Iyimprenta, kas
pagarigan, Pakistani,
Cambodian, Hmong,
etc.

6	

„„ Nagtaud ti Hawaii
„„ Samoan
„„ Chamorro
„„ Sabali nga
Pacific Islander —
Iyimprenta,
kas pagarigan,
Tongan, Fijian,
Marshallese, etc.

„„ Sabali pay a puli — Iyimprenta ti puli wenno
nagtaudan.

U.S. Census Bureau

Kompletoen dagiti saludsod para ti tungal
kanayunan a tao
Ti tunggal kanayunan a tao ket masaludsod ti dua sa saludsod
iti ibbaba

op
y

DIMO ISURAT DAGITI SUNGBAT MO AYAN TI DAYTOY A PAGSUROTAN
Daytoy kadi a tao ket kadaywan nga agnanaed
wenno agdagdagos ti sabali a lugar?
Markaan
„„ Saan

amin a maipakat.

„„ Wen, kaddua ti nagannak
wenno sabali a kabagian

C

„„ Wen, para ti colehio

„„ Wen, para ti military
a destino

„„ Wen, ayan ti
panapanawen wenno
maikaddua a residensia

io
na
l

„„ Wen, para ti trabaho
wenno negosio

„„ Wen, ayan ti nursing
home

„„ Wen, ayan ti pagbaludan
wenno balud

„„ Wen, para ti sabali a
rason

at

Kapin-ano daytoy a tao ni Tao 1?

In
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Markaan ti

MAYSA a kahon.

„„ Kasupadi nga asawa a lalaki/asawa a babai/asawa
„„ Kasupadi a di-inkasar a partner
„„ Agpada a sex nga asawa a lalaki/asawa
a babai/asawa
„„ Agpada a sex a di-inkasar a partner
„„ Biological nga anak a lalaki wenno babai
„„ Inampon kas anak nga lalaki wenno babai
„„ Siuman a lalaki wenno siuman a babai
„„ Kabsat a lalaki wenno kabsat a babai

„„ Ama wenno ina
„„ Apo
„„ Katugangan
„„ Manugang
„„ Sabali a kabagian
„„ Kakuarto wenno kabbalay (roommate or
housemate)
„„ Tagibi nga ubing
„„ Sabali a di-kabagian

U.S. Census Bureau	7

Kompletoen ti panid 8 nu nai-bilang mo ti
surok innem a tao
DIMO ISURAT DAGITI SUNGBAT MO AYAN TI DAYTOY A PAGSUROTAN

Edad, usar
ti tawen,
iti Abril 1,
2020

Bulan

Aldaw

op
y

Babai

Apelyido (dagiti)
(last name[s])

Tawen ti
pannakaiyanak

Kabaggian ti Tao 1?
„„ Wen

„„ Saan

io
na
l

Lalaki

Akintingga nga Inisiyal
(middle initial)

C

Umuna a Nagan
(first name)

Maidawat nga ibuson ti nakompleto nga Ingles a saludsod ayan ti nabayadan
ti pagibuson a sobre nga inka naawat.

at

Ti Census 2020 is
nalaklaka ngem idi.

In
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Ammom kadi a mabalinmo
a sumungbat online?

Nu kinompletom ti Census 2020 online,
apan iti URL a naiyimprenta ayan ti
saludsod.

Ti video a pagsurotan para ti panagkompleto
ti Census 2020 online ket sidadaan ayan ti
2020census.gov/languages
D-G (ilo) Ilocano

8	

U.S. Census Bureau

OMB No. 0607-1006: Persetujuan Berakhir 11/30/2021

op
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Panduan Sensus 2020

In
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Cara Menjawab Kuesioner Kertas Sensus 2020

Selamat datang di Sensus 2020
Semua orang berarti.

op
y

Tujuan sensus ini adalah menghitung semua orang
yang tinggal di A.S. sekali, hanya sekali, dan di tempat
yang tepat. Kami membutuhkan bantuan Anda untuk
memastikan semua orang dalam masyarakat dihitung.

Data sensus sangat penting.

io
na
l

C

Konstitusi A.S. mewajibkan sensus setiap 10 tahun.
Hasilnya digunakan untuk menentukan jumlah kursi
negara bagian di Kongres, menarik batas distrik
pemungutan suara, dan mengetahui bagaimana
anggaran lebih dari $675 miliar dalam pendanaan
federal digunakan dalam masyarakat setiap tahun.

Anda punya kewajiban sipil untuk
ambil bagian.

In
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Sensus ini harus dijawab. Ini adalah cara untuk
berpartisipasi dalam demokrasi dan mengatakan “Saya
berarti!”

Informasi Anda rahasia.
Hukum federal melindungi respons Anda. Jawaban
Anda hanya boleh digunakan untuk membuat statistik
dan tidak dapat digunakan melawan Anda oleh
lembaga pemerintah atau pengadilan.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .

Gunakan panduan ini untuk mengisi
kuesioner kertas Sensus 2020.
Kuesioner kertas Sensus 2020 akan tiba dalam kotak
surat dan di depan pintu seluruh negeri.

Telephone Number
How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

Number o f people =

2	

Biro Sensus A.S.

Sebelum Mulai
1.	 Ambil kuesioner dan buka halaman pertama.

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2.	 Gunakan informasi dalam panduan Bahasa Indonesia ini untuk
menandai respons Anda pada kuesioner kertas Bahasa Inggris.
JANGAN MENULIS JAWABAN PADA PANDUAN INI.

Siapa yang Dihitung

C

3.	 Sebelum Anda menjawab pertanyaan pertama, hitung jumlah
orang yang tinggal di rumah, apartemen, atau rumah bergerak ini
menggunakan panduan berikut.

Biro Sensus juga melakukan
perhitungan di institusi dan
tempat lain:

•	 Hitung semua orang, termasuk
bayi, yang lebih sering tinggal
dan tidur di sini.

•	 Jangan hitung orang yang
berada di panti wreda, lembaga
pemasyarakatan, rumah
tahanan, fasilitas penahanan,
dsb., pada 1 April 2020.

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Hitung orang yang tinggal di
rumah, apartemen, atau rumah
bergerak ini:

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•	 Jika tidak ada yang lebih sering
tinggal atau tidur di alamat ini,
jawab secara daring.
Sensus juga harus memasukkan
orang tanpa tempat tinggal
permanen:

•	 Jika orang yang tidak punya
tempat tinggal permanen
menginap di sini pada tanggal
1 April 2020, hitung orang
tersebut.

•	 Jangan sertakan orang-orang
tersebut di kuesioner Anda,
walaupun mereka akan tinggal
di sini lagi setelah meninggalkan
kuliah, panti wreda, militer,
lembaga pemasyarakatan,
dsb. Kalau tidak, mereka akan
dihitung dua kali.

Baca pertanyaan dan instruksi di halaman berikutnya.
Jangan menulis jawaban pada panduan ini.
Biro Sensus A.S.	3

Jawab pertanyaan di halaman depan
JANGAN MENULIS JAWABAN PADA PANDUAN INI
Berapa banyak orang yang tinggal atau menginap
di rumah, apartemen, atau rumah bergerak ini pada
tanggal 1 April 2020?

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Jumlah Orang

Apakah ada orang tambahan yang menginap di
sini pada tanggal 1 April 2020 yang tidak Anda
masukkan dalam Pertanyaan 1?
semua yang sesuai.

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Tandai

„„ Anak-anak, berkerabat atau tidak, seperti bayi
baru lahir, cucu, atau anak asuh (foster)

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„„ Kerabat, seperti anak yang sudah dewasa, sepupu,
atau mereka yang terhubung dari pernikahan
„„ Bukan kerabat lainnya, seperti teman serumah atau
pengasuh bayi yang tidur dalam
„„ Orang yang tinggal di sini sementara
„„ Tidak ada orang tambahan

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Apakah rumah, apartemen, atau rumah bergerak ini —

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Tandai

SATU kotak.

„„ Dimiliki oleh Anda atau orang dalam rumah tangga
ini dengan hipotek atau pinjaman? Termasuk
pinjaman ekuitas rumah.
„„ Dimiliki oleh Anda atau orang dalam rumah tangga
ini dengan bebas dan jelas (tanpa hipotek atau
pinjaman)?
„„ Sewaan?
„„ Dihuni tanpa pembayaran sewa?
Berapa nomor telepon Anda?
Kami hanya akan menghubungi Anda jika dibutuhkan
untuk urusan Biro Sensus resmi.

Nomor Telepon

4	

Biro Sensus A.S.

Jawab pertanyaan di sisi kiri halaman 2
JANGAN MENULIS JAWABAN PADA PANDUAN INI

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Harap sediakan informasi untuk tiap orang yang
tinggal di sini. Jika orang yang membayar sewa atau
memiliki residensi ini tinggal di sini, mulailah dengan
mencantumkan dia sebagai Orang 1. Jika pemilik
atau orang yang membayar sewa tidak tinggal di sini,
mulailah dengan mencantumkan salah satu orang
dewasa sebagai Orang 1.

Nama Depan
(first name)

Nama Belakang
(last name[s])

Inisial Nama Tengah
(middle initial)

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Siapa nama Orang 1?

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Apa jenis kelamin Orang 1? Tandai
„„ Laki-Laki

SATU kotak.

„„ Perempuan

Berapa umur Orang 1 dan berapa tanggal lahir
Orang 1?

Bulan

Hari

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Umur, dalam
tahun, pada
tanggal
1 April 2020

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Untuk bayi kurang dari 1 tahun, jangan menulis
umurnya dalam bulan. Tulis 0 sebagai umur.

Tahun
lahir

Apakah Orang 1 keturunan Hispanik, Latin, atau
Spanyol?
„„ Tidak, bukan keturunan Hispanik, Latin, atau
Spanyol
„„ Ya, orang Meksiko, Meksiko Amerika, Chicano
„„ Ya, orang Puerto Riko
„„ Ya, orang Kuba
„„ Ya, keturunan Hispanik, Latin, atau Spanyol lain —
Cetak, misalnya, orang Salvador, Dominika, Kolombia,
Guatemala, Spanyol, Ekuador, dsb.

Biro Sensus A.S.	5

Jawab pertanyaan di sisi kanan halaman 2
JANGAN MENULIS JAWABAN PADA PANDUAN INI
Apa ras Orang 1?
Tandai

satu atau lebih kotak DAN cetak keturunan.

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„„ Kulit putih — Cetak, misalnya, orang Jerman,
Irlandia, Inggris, Italia, Lebanon, Mesir, dsb.

„„ Kuli Hitam atau Afrika Amerika — Cetak, misalnya,
orang Afrika Amerika, Jamaika, Haiti, Nigeria,
Etiopia, Somalia, dsb.

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„„ Orang Indian Amerika atau Asli Alaska — Cetak
nama suku terdaftar atau utama, misalnya, Navajo
Nation, Blackfeet Tribe, orang Maya, orang Aztek,
Native Village of Barrow Inupiat Traditional
Government, Nome Eskimo Community, dsb.

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„„ Orang
„„ Orang
Tionghoa
Vietnam
„„ Orang
„„ Orang Korea
Filipina
„„ Orang India „„ Orang
Asia
Jepang
„„ Orang Asia
lain — Cetak,
misalnya,
orang
Pakistan,
Kamboja,
Hmong, dsb.

6	

„„ Penduduk Asli
Hawaii
„„ Orang Samoa
„„ Orang Chamorro
„„ Penduduk Asli
Kepulauan
Pasifik Lainnya —
Cetak, misalnya,
orang Tonga,
Fiji, Kepulauan
Marshall, dsb.

„„ Ras lain — Cetak ras atau keturunan.

Biro Sensus A.S.

Jawab pertanyaan untuk tiap orang tambahan
Tiap orang tambahan akan ditanyai dua pertanyaan di bawah ini
JANGAN MENULIS JAWABAN PADA PANDUAN INI

Tandai

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Apakah orang ini biasa tinggal atau menginap di
tempat lain?
semua yang sesuai.

„„ Tidak
„„ Ya, untuk kuliah

„„ Ya, dengan orang tua
atau kerabat lain
„„ Ya, di residensi kedua
atau musiman

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„„ Ya, untuk dinas militer
„„ Ya, untuk pekerjaan
atau bisnis

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„„ Ya, di panti wreda

„„ Ya, di lembaga
pemasyarakatan atau
rumah tahanan
„„ Ya, untuk alasan lain

Bagaimana hubungan orang ini dengan Orang 1?
Tandai

SATU kotak.

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„„ Suami/istri/pasangan lawan jenis
„„ Pasangan di luar nikah lawan jenis
„„ Suami/istri/pasangan sejenis
„„ Pasangan di luar nikah sejenis
„„ Anak kandung laki-laki atau perempuan
„„ Anak angkat laki-laki atau perempuan
„„ Anak tiri laki-laki atau perempuan
„„ Saudara laki-laki atau perempuan
„„ Ayah atau ibu
„„ Cucu
„„ Mertua
„„ Menantu laki-laki atau perempuan
„„ Kerabat lain
„„ Teman sekamar atau serumah (roommate or
housemate)
„„ Anak asuh (foster)
„„ Bukan kerabat lainnya

Biro Sensus A.S.	7

Isi halaman 8 jika Anda menghitung lebih dari
enam orang
JANGAN MENULIS JAWABAN PADA PANDUAN INI

Umur, dalam
tahun, pada
tanggal
1 April 2020

Bulan

Hari

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Perempuan

Nama Belakang
(last name[s])

Tahun
Lahir

Berkerabat dengan
Orang 1?
„„ Ya

„„ Tidak

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Laki-Laki

Inisial Nama Tengah
(middle initial)

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Nama Depan
(first name)

Harap kirimkan kuesioner bahasa Inggris yang telah dilengkapi
dalam amplop berprangko yang Anda terima.

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Sensus 2020
lebih mudah dari
sebelumnya.

Tahukah bahwa Anda dapat
menjawab daring?
Jika Anda dapat mengisi Sensus 2020
daring, masuk ke URL yang dicetak
pada kuesioner.

Panduan video untuk mengisi Sensus 2020
daring tersedia di
2020census.gov/languages
D-G (ind) Indonesian

8	

Biro Sensus A.S.

OMB N. 0607-1006: Scadenza approvazione 11/30/2021

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La tua guida al Censimento 2020

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Come rispondere al questionario cartaceo
del Censimento 2020

Benvenuti al Censimento 2020
Ogni persona conta.

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L'obiettivo di questo censimento è il conteggio di tutte
le persone che vivono negli Stati Uniti, una volta sola
e nel luogo giusto. Abbiamo bisogno del tuo aiuto
per assicurarci che tutti nella tua comunità vengano
contati.

I dati del censimento sono importanti.

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La Costituzione degli Stati Uniti prevede un
censimento ogni 10 anni. I risultati sono utilizzati per
determinare il numero di seggi che ogni stato possiede
nel Congresso, delimitare le circoscrizioni elettorali e
stabilire come vengono spesi nelle comunità ogni anno
oltre 675 miliardi di dollari di sovvenzioni federali.

Partecipare è un tuo dovere civico.

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Completare il censimento è obbligatorio; è un modo
per partecipare alla nostra democrazia e dire "Io
conto!".

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I tuoi dati sono riservati.
La legge federale protegge le tue risposte. Queste
possono essere usate solo per produrre statistiche e
non possono essere usate contro di te da nessun ente
pubblico o organo giurisdizionale.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

4.

What is your telephone number?

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

Usa questa guida per completare
il questionario cartaceo del
Censimento 2020.

–

–

Il questionario cartaceo del Censimento 2020 verrà
consegnato nella buca delle lettere e porta a porta in
tutta la nazione.
Ufficio Censimento degli Stati Uniti

Prima di iniziare
1.	 Prendi il tuo questionario e aprilo alla prima pagina.

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2.	 Usa le informazioni in questa guida in italiano per segnare le tue
risposte sul questionario cartaceo in inglese. NON SCRIVERE LE TUE
RISPOSTE SU QUESTA GUIDA.

3.	 Prima di rispondere alla prima domanda, conta le persone che vivono
in questa casa, appartamento o casa mobile usando le linee guida di
seguito.

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Chi contare

L'Ufficio Censimento conta anche
istituzioni e altri luoghi:

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Conta le persone che vivono in
questa casa, appartamento o casa
mobile:

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•	 Conta tutte le persone, bambini
piccoli inclusi, che vivono e
dormono qui la maggior parte
del tempo.

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•	 Se nessuno vive o dorme a
questo indirizzo la maggior
parte del tempo, rispondi online.
Il censimento deve includere
anche le persone senza un luogo
stabile in cui stabilirsi:

•	 Non bisogna contare le persone
che si trovano in casa di riposo,
cella, prigione, istituto di
detenzione, etc in data 1° aprile
2020.
•	 Non includere queste persone
nel tuo questionario, anche se
torneranno a vivere qui quando
lasceranno l'università, la casa
di riposo, il servizio militare,
la cella, etc. In caso contrario,
verranno contati due volte.

•	 Se qualcuno che non ha
un'abitazione in cui stabilirsi si
trova qui in data 1° aprile 2020,
conta quella persona.
Leggi le domande e le istruzioni nella pagina successiva.
Non scrivere le tue risposte su questa guida.

Ufficio Censimento degli Stati Uniti	

3

Completa le domande sulla prima pagina
NON SCRIVERE LE TUE RISPOSTE SU QUESTA GUIDA

Numero di persone

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Quante persone vivevano o soggiornavano in
questa casa, appartamento o casa mobile in
data 1° aprile 2020?

Erano presenti altre persone in data 1° aprile 2020
che non sono state incluse nella Domanda 1?
Seleziona

tutte le risposte pertinenti.

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„„ Bambini, imparentati o meno, come neonati, nipoti
o bambini dati in affidamento

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„„ Parenti, come figli adulti, cugini o parenti acquisiti
attraverso il matrimonio
„„ Non parenti, come coinquilini o ragazzi alla pari
„„ Persone che soggiornano qui in modo temporaneo
„„ Nessun altra persona

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Questa casa, appartamento o casa mobile —

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Seleziona

UN riquadro.

„„ È di tua proprietà o di qualcuno del nucleo
domestico con un mutuo o un prestito? Include
prestito ipotecario per i consumi.
„„ È di tua proprietà o di qualcuno del nucleo
domestico libera ed esente (senza un mutuo o un
prestito)?
„„ In affitto?
„„ Occupato senza pagamento di affitto?
Qual è il tuo numero di telefono?
Verrai contattato solo se necessario per questioni
ufficiali dell'Ufficio Censimento.

Numero di telefono

4	

Ufficio Censimento degli Stati Uniti

Completa le domande sul lato sinistro
della pagina 2
NON SCRIVERE LE TUE RISPOSTE SU QUESTA GUIDA

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Fornisci informazioni su ogni persona che vive qui. Se
una persona che vive qui paga l'affitto o è proprietaria
di questa residenza, inizia a inserire lui o lei come
Persona 1. Se il proprietario o la persona che paga
l'affitto non vive qui, elenca un qualunque adulto che
vive qui come Persona 1.

Cognome/i
(last name[s])

Iniziale del secondo
nome (middle initial)

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Nome
(first name)

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Qual è il nome della Persona 1?

Qual è il sesso della Persona 1? Seleziona
„„ Uomo

UN riquadro.

„„ Donna

Qual è l'età e la data di nascita della Persona 1?

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Per bambini piccoli con meno di un anno, non scrivere
l'età in mesi. Scrivere 0 per l'età.

Età, in anni,
in data 1°
aprile 2020

Mese

Giorno

Anno di
nascita

La Persona 1 è ispanico, latino o di origine spagnola?
„„ No, non è ispanico, latino o di origine spagnola
„„ Sì, messicano, di origine messicano-statunitense o
chicana
„„ Sì, portoricano
„„ Sì, cubano
„„ Sì, altre origini ispanico, latino o di origine spagnola
— Scrivi in stampatello, per esempio, salvadoregno,
dominicano, colombiano, guatemalteco, spagnolo,
ecuadoriano, etc.

Ufficio Censimento degli Stati Uniti	

5

Completa la domanda sul lato destro
della pagina 2
NON SCRIVERE LE TUE RISPOSTE SU QUESTA GUIDA
Qual è la razza della Persona 1?
una o più riquadri E scrivi in stampatello

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Seleziona
le origini.

„„ Bianco — Scrivi in stampatello, per esempio,
tedesco, irlandese, inglese, italiano, libanese,
egiziano, etc.

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„„ Nero o afroamericano — Scrivi in stampatello, per
esempio, afroamericano, giamaicano, haitiano,
nigeriano, etiope, somalo, etc.

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„„ Persona amerindia o nativo d'Alaska — Scrivi
in stampatello il nome della/e tribù registrate o
principali, per esempio, Navajo Nation, Blackfeet
Tribe, Maia, Aztechi, Native Village of Barrow
Inupiat Traditional Government, Nome Eskimo
Community, etc.

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„„ Cinese
„„ Vietnamita
„„ Filippino
„„ Coreano
„„ Indiano
„„ Giapponese
„„ Altre origini
asiatiche — Scrivi
in stampatello, per
esempio, pakistano,
cambogiano,
hmong, etc.

6	

„„ Hawaiano
„„ Samoano
„„ Chamorro
„„ Altre origini,
isole del Pacifico
— Scrivi in
stampatello,
per esempio,
tongano, figiano,
marshallese, etc.

„„ Altra appartenenza etnica — Scrivi in stampatello
razza o origini.

Ufficio Censimento degli Stati Uniti

Completa le domande per ogni
persona aggiuntiva
Per ogni persona aggiuntiva bisogna rispondere alle due
domande riportate di seguito

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NON SCRIVERE LE TUE RISPOSTE SU QUESTA GUIDA
Questa persona solitamente vive o soggiorna in un
altro luogo?
„„ No

tutte le risposte pertinenti.

C

Seleziona

„„ Sì, per l'università

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„„ Sì, per l'assegnazione
militare
„„ Sì, per lavoro o per
affari

„„ Sì, con un genitore o
un altro parente
„„ Sì, in una residenza
stagionale o seconda
casa

„„ Sì, in una casa di riposo „„ Sì, in una cella o in
prigione
„„ Sì, per altre ragioni

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Che relazione ha questa persona con la Persona 1?

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Seleziona

Ufficio Censimento degli Stati Uniti	

UN riquadro.

„„ Marito/moglie/coniuge del sesso opposto
„„ Compagno non sposato del sesso opposto
„„ Marito/moglie/coniuge dello stesso sesso
„„ Compagno non sposato dello stesso sesso
„„ Figlio o figlia biologici
„„ Figlio o figlia adottati
„„ Figliastro o figliastra
„„ Fratello o sorella
„„ Padre o madre
„„ Nipote
„„ Parente acquisito attraverso il matrimonio
„„ Genero o nuora
„„ Altro parente
„„ Coinquilino
„„ Bambino dato in affidamento
„„ Altro, non parente

7

Completa pagina 8 se hai contato
più di 6 persone
NON SCRIVERE LE TUE RISPOSTE SU QUESTA GUIDA

Età, in anni,
in data 1°
aprile 2020

Mese

Giorno

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Donna

Cognome/i
(last name[s])

Anno di
nascita

Imparentato con la
Persona 1?
„„ Sì

„„ No

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Uomo

Iniziale del secondo
nome (middle initial)

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Nome
(first name)

Si prega di spedire il questionario inglese compilato nella busta preaffrancata ricevuta.

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Il Censimento 2020 non
è mai stato così facile.

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Sapevi che puoi compilarlo
anche online?

Se scegli di completare il Censimento
2020 online, vai all'indirizzo indicato nel
questionario.

Le guide video per completare il Censimento
2020 online sono disponibili su
2020census.gov/languages
D-G (ita) Italian

8	

Ufficio Censimento degli Stati Uniti

OMB លេខ. 0607-1006: ការនុញ្ញាតឱ្យផុតកំណត់ 11/30/2021

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ឯកសារណែនាំអំពីការធ្វើជំរឿនឆ្នាំ 2020

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របៀបឆ្លើយក្រដាសកម្រងសំណួរជំរឿនឆ្នាំ 2020

សូមស្វាគមន៍ចំពោះការធ្វើជំរឿនឆ្នាំ 2020
រាប់ទាំងអស់គ្នា។

op
y

ជំរ�ឿននេះមានគោលដៅរាប់ចំនួនមនុស្សរស់ទាង
ំ អស់នៅក្នុង​
សហរដ្ឋអាមេរកតែម្ត
ងគត់ និងនៅកន្លែងត្រឹមត្រូវ។ យ�ើងត្រូវការជំនួយពី​
ិ
អ្នកដ�ើម្ធានាថា
គ្រប់គ្នានៅក្នុងសហគមន៍របស់អ្នកត្រូវបានរាប់។
បី

ទិន្នន័យជំរឿនមានសារៈសំខាន់។

io
na
l

C

រដ្ឋធម្មនុញ្ញសហរដ្ឋអាមេរកតម្រូ
វឲ្យធ្វើជំរ�ឿនជារ�ៀងរាល់ 10 ឆ្នា ំ ម្ដង។
ិ
លទ្ធផល​ត្រូវបានប្រើប្រាស់ដ�ើម្ បី កំណត់ចំនួនកៅអីដែលរដ្ឋនីមយ
ួ ៗ​មាន​
នៅ​កនុ ងសភា
្
គូសព្រំដែនសម្រាប់មណ្ឌលបោះឆ្នោ ត និងកំណត់​ពី​រ​ប�ៀប​​
ដែល​ទឹកប្រាក់ល�ើសពី 675 ប៊លា
ី នដុល្លា រនៅក្នុង​មូលនិធិ​សហព័ន​ត្ធ ្រូវ​​
បាន​ចំណាយនៅក្នុងសហគមន៍ជារ�ៀងរាល់ឆ្នា។
ំ

ការចូលរួមគឺជាកាតព្វកិច្ចរបស់អ្នកក្នុងនាមជាពលរដ្ឋ។

In
fo
rm

at

ការបំពេញជំរ�ឿនគឺជាការចាំបាច់។ វាជារប�ៀបចូលរួមនៅក្នុង​ប្រជាធិបតេយ្យ​
របស់​យ�ើង ហ�ើយនិយាយថា “ខ្ញុំរាប់!”

ព័ត៌មានរបស់អ្នកត្រូវបានរក្សាការសម្ងាត់។
ច្បាប់សហព័ន្ធការពារចម្លយ
ើ របស់អ្នក។ ចម្លយ
ើ របស់អ្នកអាចប្រើប្រាស់​
ដ�ើម្តែបង្ក
ំ នឹងអ្នកដោយទីភ្នា ក់ងារ
ើតស្ថិតិ ហ�ើយមន
បី
ិ អាចប្រើប្រាស់ប្រឆាង
រដ្ឋា ភបា
ិ ល ឬតុលាការឡ�ើយ។

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

4.

What is your telephone number?

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

Telephone Number
How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

We will only contact you if needed for official Census Bureau
business .

–

–

សូមប្រប
ើ ្រាស់ការណែនាំនេះដើម្បីបំពេញក្រដាស​
កម្រងស
​ ំណួរសម្រាប់ការធ្វើជំរឿនឆ្នាំ 2020។
ក្រដាសកម្រងសំ ណួរសម្រាប់ការធ្វជ
ើ ំរ�ឿនឆ្នា ំ 2020 នង
ឹ ទៅ​ដល់​កនុ ្ង​ប្រអប់​
សំ បុត្រ នង
ំ ប្រទេស។
ិ មាត់ទ្វា រផ្ទះ ទូទាង
ំ ឿនរបស់សហរដ្ឋអាមេរក
ការយាល័
យជរ�
ិ
ិ

មុនពេលអ្នកចាប់ផ្ដើម

1.	 សូ មស្វែងរកកម្រងសំ ណួររបស់អ្នក រួចប�ើកម�ល
ួ ។
ើ ចាប់ពីទំពរ័ ទីមយ

op
y

2.	 សូ មប្រប្រា
័ មា
៌ ននៅក្នុងឯកសារណែនាំជាភាសាខ្មែរនេះ ដ�ើម្គូ
ើ ស់ពត
បី សចម្លយ
ើ របស់អ្នកនៅ
ុំ​ រសេ
រ​ច
​ ន​ ៅ​
​ល
ឯ
ើ​ កសារ​
ល�ើក្រដាសកម្រងសំ ណួរជាភាសាអង់គ្លេស។ សូម​កស
រសេរ​
ចម្ល
ម្ើយ
លើយរ​ បស់
រ​ បស់​អ​អ្នក្នកនៅ
ល�ើ
​ឯកសារ​
ណែ
នា​នំន
េះ។
​
ណែនាំ
េះ​

C

3.	 មុនពេលអ្នកឆ្លើយសំ ណួរទីមយ
ួ សូ មរាប់ចំនួនមនុស្សដែលរស់នៅក្នុងផ្ទះ អាផាតមេន ឬផ្ទះ​
ចល័ត​នេះដោយប្រើប្រាស់ឯកសារណែនាំដូចខាងក្រោម។

អ្នកដែលត្រូវរាប់

ការិយាល័យជំរឿនក៏ធ្វើការរាប់នៅក្នុងស្ថាប័ន
និងទីកន្លែងផ្សេងៗទៀតផងដែរ៖

•	 រាប់មនុស្សទាំងអស់ រួមទាំងទារក ដែល​
រស់នៅ នង
ិ សំ រាន្តនៅទនេ
ី ះភាគច្រន
ើ ។

•	 សូ មកុំរាប់អ្នកនៅ​មណ្ឌល​ថែទាំ​មនុស្សចាស់

io
na
l

រាប់ចំនួនមនុស្សដែលរស់នៅក្នុងផ្ទះ
អាផាតមេន ឬផ្ទះចល័តនេះ៖

In
fo
rm

at

•	 ប្រសិនប�ម
ើ ន
ិ មាននរណាម្នា ក់រស់នៅ ឬ​
សំ រាន្តនៅអាសយដ្ឋា ននេះភាគច្រើន សូ ម​
ឆ្លយ
ើ ​តាមអនឡាញ។
ជំរឿនក៏ត្រូវរួមបញ្ចូលអ្នកដែលគ្មានទីកន្លែង​
អចិន្ត្រៃយ៍សម្រាប់រស់នៅផងដែរ៖

•	 ប្រសិនប�ើបុគ្គលម្នា ក់ដែលគ្មា ន​ទីកន្លែង​
រស់នៅអចនិ ្រ្តៃយ៍កំពុងស្នា ក់នៅ​ទនេ
ី ះ​

មន្រទី ឃុំឃាង
ំ កន្លែងឃុំឃាង
ំ ។ល។
នៅថ្ងៃទី 1 ខែមេសា ឆ្នា ំ 2020។

•	 មន
ិ បាច់រាប់ពួកគាត់នៅក្នុងកម្រងសំ ណួរ​
របស់អ្នកទេ ទោះបព
ី ួកគាត់នង
ឹ ត្រឡប់មក​
រស់នៅទីនេះ បន្ទា ប់ពីពួកគាត់ចាកចេញព​ី
មហាវទ្យាល័
យ មណ្ឌលថែទាំមនុស្សចាស់
ិ
យោធា មន្រទី ឃុំឃាង
ំ ។ល។ ប�ម
ើ ន
ិ ដូច្នោះ​

ទេ ពួក​គាត់​អាចនង
ឹ ត្រូវរាប់ជាន់គ្នា ពរី ដង។

នៅថ្ងៃទី 1 ខែមេសា ឆ្នា ំ 2020 សូ ម​រាប់​
បុគ្គល​នោះផងដែរ។

សូ មអានសំ ណួរ និងការណែនាំនៅល�ើទំពរ័ បន្ទា ប់។
សូមកុំស​រ​េស​ច​េម្លីយរបស់អ្នកន​ ៅេ​លី​ឯកសារ​ណែ​នាំនេះ។
ំ ឿនរបស់សហរដ្ឋអាមេរក
ការយាល័
យជរ�
ិ
ិ 	

3

សូមបំពេញសំណួរនៅទំព័រមុខ

សូ មកុំសរសេរចម្លយ
ើ របស់អ្នកនៅល�ើឯកសារណែនាំនេះ
តើមានមនុស្សចំនួនប៉ុន្មាននាក់ដែលរស់នៅ ឬស្នាក់នៅក្នុងផ្ទះ

ចំនួនមនុស្ស

op
y

អាផាតមេន ឬផ្ទះចល័តនេះ នៅថ្ងៃទី 1 ខែមេសា ឆ្នាំ 2020 ?

តើមានមនុស្សផ្សេ​ងទ​ៀ​តដែលស្នាក់នៅទីនេះ នៅថ្ងៃទី 1 ខែមេសា ឆ្នាំ
2020 ដែលអ្នកមិនបានដាក់បញ្ចូលនៅក្នុងសំណួរទី 1 ដែរឬទេ ?
ទាំងអស់ប្រសិនប�មា
ើ ន។

C

សូ មគូសសញ្ញាធក
ី

„„ កុមារ ទោះពាក់ពន
័ ្ធ ឬមន
័ ្ធ ដូចជាទារកទ�ើបក�ើត ចៅ
ិ ពាក់ពន
ឬកូនចិញ្ចឹម (foster)

io
na
l

„„ សាច់ញាតិនានា ដូចជា កុមារជំទង់ បងប្អូនជីដូនមួយ ឬសាច់ថ្លៃ
„„ បុគ្គលដែលមន
ិ មែនសាច់ញាតិ ដូចជា អ្នករស់នៅរួមបន្ទប់
ឬអ្នកថែទាំក្មេងដែលរស់នៅជាមួយ
„„ អ្នកដែលស្នា ក់នៅទីនេះបណ្ដោះអាសន្ន

at

„„ ពុំមានបុគលផ្សេ
្គ
ងទ�ៀត

In
fo
rm

តេីផ្ទះ អាផាត​មេន ឬផ្ទះចល័ត
​ ន​ េះ — សូមគូស

ប្រអប់មយ
ួ ។

„„ ស្ថិត​ក្រោមកម្មសិទ្ធិរបស់អ្នក ឬនរណាម្នា ក់​នៅក្នុង​គ្រួសារ​នេះ
ដែលមានការបញ្ចាំ ឬការខ្ចីប្រាក់ ទេ? រួមទាំងឥណទាន​
ប្រាក់កម្ទ
ចី ញ
ិ ផ្ទះ។

„„ ស្ថិត​ក្រោមកម្មសិទ្ធិរបស់អ្នក ឬនរណាម្នា ក់​នៅ​កនុ ង​គ្រួ
្
សាដោយ​គ្មា ន​
ជាប់​ប្រាក់​កម្ចី​(ដោយគ្មា នការដាក់បញ្ចាំ ឬខ្ចីប្រាក់)?

„„ ជួល?

„„ កាន់​កាប់​ដោយ​​មន
្ ?
ិ ​បង់​ប្រាក់ ឬនៃថ្លៃឈនួល
តើអ្នកប្រើទូរសព្ទលេខប៉ុន្មាន ?
េ​យីង​នឹងទាក់ទ
​ ង​ទៅអ្នក លុះត្រាតែចាំបាច់សម្រាប់កិច្ចការ
ការិយាល័យ​ជេំ​​រ​ឿនផ្លូវការ។

លេខទូរសព្ទ

4	

ំ ឿនរបស់សហរដ្ឋអាមេរក
ការយាល័
យជរ�
ិ
ិ

សូមបំពេញសំណួរនៅផ្នែកខាងឆ្វេងទំព័រទី 2
សូ មកុំសរសេរចម្លយ
ើ របស់អ្នកនៅល�ើឯកសារណែនាំនេះ

តើបគ
ុ ល
្គ ទី 1 មានឈ្មះោ អ្វ ី ?

op
y

សូ មផ្ដល់ពត
័ មា
៌ នសម្រាប់បុគលម្នា
្គ
ក់ៗដែលរស់នៅទនេ
ី ះ។ ប្រសិនប�ើ​
មាន​នរណាម្នា ក់រស់នៅទនេ
ះដែលបង់
ថ
្លៃ
ឈ
្
ឬជាម្ចា
ស់ផទះនេ
្ ះ សូ ម
ី
នួល
ចាប់ផ្ដមដ
ោយរាយឈ្
មោះគាត់
ជា
បុ
គ
្គ
ល
ទ
1។
ប្រស
ន
ប�
ម្ចា
ស់
ឬបុគ្គល
ើ
ី
ិ
ើ
ន
ដែលបង់ថ្លៃឈនួលម
្
ិ រស់នៅទីនេះទេ សូ មចាប់ផ្ដើមដោយរាយឈ្មោះ​
័
មនុស្សពេញវយ​ដែលរស់
នៅទនេ
្គ ទី 1។
ី ះជាបុគល

នាមខ្លួន
(first name)

នាម​ត្រកូល
(last name[s])

នាមកណ្ដាល
(middle initial)

C

សូ មផ្តល់ឈ្មោះបុគ្គលទី 1 ជាភាសាអង់គ្លេស។

io
na
l

​េតីបុគ្គលទី 1 ជាភេទអ្វី ? សូ មគូស
„„ ប្រុស

ប្រអប់មយ
ួ ។

„„ ស្រី

តើបុគ្គលទី 1 មានអាយុបន
៉ុ ្មាន ហើយតើបុគ្គលទី 1 កើតនៅថ្ងៃខែឆ្នាំណា ?
សម្រាប់ទារកអាយុតច
ិ ជាង 1 ឆ្នា ំ សូ មកុំសរសេរអំពអា
ី យុជាខែ។ ​សូម​សរ​

ខែ

ថ្ងៃ

ឆ្នាក
ំ ណ�
ំ ើត

In
fo
rm

អាយុជាឆ្នា ំ
គត
ិ ត្មថ
រឹ ្ងៃទី 1 ខែ​
មេសា ឆ្នា ំ 2020

at

សេរ​លេខ 0 ជាអាយុ។

តើបគ
ុ ល
្គ ទី 1 ជាអេសប
្ ញ
ា៉ ឡាតាំង ឬជនជាតិដម
ើ និយាយភាសាអេសប
្ ញ
ា៉  ?
„„ ទេ ពុមែ
ំ នជាអេស្ប៉ាញ ឡាតាំង ឬជនជាតិដ�ើមនិយាយភាសាអេស្ប៉ាញ
„„ បាទ/ចាស គឺជនជាតិម៉ច
ិ ស៊ិ ក អាមេរកម៉
ិ ច
ិ ស៊ិ ក ឈកា
ី ណូ
„„ បាទ/ចាស ព័រតូរកូ
ី
„„ បាទ/ចាស ជនជាតគ
ិ ុយបា
„„ បាទ/ចាស អេស្ប៉ាញ ឡាតាំង ឬជនជាតិដ�ើមនិយាយភាសាអេស្ប៉ាញ​
ផ្សេងទ�ៀត — សរសេរជាអក្សរពុម្ព ឧទាហរណ៍ សាលវ៉ា ដូរ ៉ង់ ដូមន
ី ីកែន

ំ ឿនរបស់សហរដ្ឋអាមេរក
ការយាល័
យជរ�
ិ
ិ 	

កូឡុំប៊ី ហ្គាតេម៉ាឡា អេស៉្បាញ អេក្វា ឌ័រ ។ល។

5

សូមបំពេញសំណួរនៅផ្នែកខាងស្ដាំនៃទំព័រទី 2
សូ មកុំសរសេរចម្លយ
ើ របស់អ្នកនៅល�ើឯកសារណែនាំនេះ

តើបុគ្គលទី 1 ជាជនជាតិអ ្វី ?
ប្រអប់ចាប់ពីមយ
ួ ឡ�ើងទៅ រួចសរសេរជនជាតិ។

op
y

សូ មគូស

„„ ស្បែកស — សរសេរជាអក្សរពុម្ព ឧទាហរណ៍ អាល្លឺម៉ង់ អ�ៀរឡង់
អង់គ្លេស អ៊តា
ី លី លីបង់ អេហ្ស៊ីប ។ល។

C

„„ ស្បែកខ្មៅ ឬអាមេរកអាហ្រ្វិក
— សរសេរជាអក្សរពុម្ព ឧទាហរណ៍
ិ
អាមេរកអាហ្វ្រិក
ចាម៉ៃកា ហៃទី នីហ្សេរយ
ិ
ី ៉ា អេត្យូពី សូ ម៉ាលី ។ល។

io
na
l

„„ ជនជាតិឥណ្ឌា អាមេរក
ិ ឬអាឡាស្កា — សរសេរឈ្មោះ
កុលសម្ពន្ធចុះឈ្មោះ ឬគោល ជាអក្សរពុម្ព ឧទាហរណ៍ Navajo
Nation, Blackfeet Tribe, ម៉ាយ៉ាន អាស្តែក Native Village
of Barrow Inupiat Traditional Government, Nome
Eskimo Community ។ល។
„„ ចិន

„„ វ�ៀតណាម

„„ អាស៊ា នឥណ្ឌា

„„ ជប៉ុន

„„ ហ្វីលីពីន

In
fo
rm

at

„„ ជនជាតិអាស៊ា ន​ផ្សេងទ�ៀត
— សរសេរជាអក្សរពុម្ព
ឧទាហរណ៍ ប៉ាគីស្ថា ន
កម្ពុជា មន ។ល។

6	

„„ កូរ៉េ

„„ ដ�ើមកំណ�ើតហាវ៉ៃ
„„ សាម៉ូន
„„ ចាម៉រូ
„„ អ្នករស់នៅតាមកោះ​
ប៉ាស៊ី ហ្វិកផ្សេងទ�ៀត

— សរសេរជាអក្សរពុម្ព

ឧទាហរណ៍ តុងហ្គា ហ្វូជី
ម៉ាស្សល ។ល។

„„ ជនជាតិផ្សេងៗទ�ៀត — សរសេរជនជាតិ ឬកំណ�ើតដ�ើម។

ំ ឿនរបស់សហរដ្ឋអាមេរក
ការយាល័
យជរ�
ិ
ិ

សូមបំពេញសំណួរសម្រាប់មនុស្សបន្ថែមម្នាក់ៗទៀត
មនុស្សបន្ថែមនីមួយៗនឹងត្រូវសួរសំណួរចំនួនពីរដូចខាងក្រោម
សូមកុំសរសេរចម្លើយរបស់អ្នកនៅល�ើឯកសារណែនាំនេះ
សូ មគូសសញ្ញាធីក
„„ ទេ

op
y

តើបុគ្គលនេះ ជាធម្មតារស់នៅ ឬស្នាក់នៅកន្លែងផ្សេងទៀត មែនទេ ?
ទាំងអស់ប្រសិនប�ើមាន។

„„ បាទ/ចាស សម្រាប់មហាវទ្យាល័
យ „„ បាទ/ចាស នៅជាមួយឪពុកឬម្ដា យ​
ិ
„„ បាទ/ចាស សម្រាប់កច
ិ ្ចការយោធា

C

„„ បាទ/ចាស សម្រាប់ការងារ ឬ
ំ ូញ
ជន

ឬសាច់ញាតិដទៃទ�ៀត

„„ បាទ/ចាស នៅផ្ទះទព
ី រី

„„ បាទ/ចាស នៅមណ្ឌលថែទាំ

io
na
l

មនុស្សចាស់

ឬផ្ទះលំហែកាយ

„„ បាទ/ចាស នៅក្នុងមន្រទី ឃុំឃាង
ំ

„„ បាទ/ចាស ដោយសារហេតុផល
ផ្សេងទ�ៀត

តើបុគ្គលនេះ មានទំនាក់ទំនងអ្វីជាមួយនឹងបុគ្គលទី 1 ?
ប្រអប់មយ
ួ ។

at

សូ មគូស

„„ ប្តី/ប្រពន្ឋ/បឬ
្តី ប្រពន្ឋភេទផ្ទុយគ្នា

In
fo
rm

„„ ដៃគូដែលមន
ិ បានរ�ៀបការភេទផ្ទុយគ្នា
„„ ប្ដី/ប្រពន្ធ/ប្តីឬប្រពន្ធភេទដូចគ្នា

„„ ដៃគូមន
ិ បានរ�ៀបការភេទដូចគ្នា
„„ កូនប្រុស/ស្រីបង្កើត

„„ កូនប្រុស/កូនស្រីចញ
ិ ្ ចឹម

„„ កូនប្រុសចុង ឬកូនស្រីចុង
„„ បងប្អូនប្រុស ឬបងប្អូនស្រី
„„ ឪពុក ឬម្ដា យ
„„ ចៅ

„„ ឪពុកឬម្ដា យក្មេក

„„ កូនប្រសាប្រុស ឬកូនប្រសាស្រី
„„ សាច់ញាតិដទៃទ�ៀត

„„ មត
ួ បន្ទប់ ឬមត
ួ ផ្ទះ (roommate or housemate)
ិ ្តរម
ិ ្តរម
„„ កូនចញ
្
(foster)
ិ ចឹម
„„ អ្នកដែលមន
ិ មែនជាសាច់ញាតិផ្សេងទ�ៀត
ំ ឿនរបស់សហរដ្ឋអាមេរក
ការយាល័
យជរ�
ិ
ិ 	

7

សូមបំពេញទំព័រទី 8 ប្រសិនបើអ្នកបានរាប់ចំនួនមនុស្សច្រើន
ជាងប្រាំមួយនាក់
សូ មកុំសរសេរចម្លយ
ើ របស់អ្នកនៅល�ើឯកសារណែនាំនេះ
នាមខ្លួន
(first name)

op
y

អាយុជាឆ្នា ំ

គត
ិ ត្រឹមថ្ងៃទី 1
ខែមេសា ឆ្នា ំ 2020

ខែ

ថ្ងៃ

C

ស្រី

នាម​ត្រកូល
(last name[s])

ឆ្នា​ក
ំ ំ​េណីត

មានទំនាក់ទំនងនង
ឹ បុគ្គលទ ី 1?

„„ បាទ/ចាស

io
na
l

ប្រុស

នាមកណ្ដាល
(middle initial)

„„ េទ

សូ មផ្ញស
ួ
ើ ំ ណួរអេឡច
ិ ត្រូនក
ិ ជាភាសាអង់គ្លេសដែលបានបំពេញ​រច
​ដោយដាក់នៅក្នុងស្រោមសំ បុត្របានបង់ប្រាក់ដែលអ្នកបានទទួល។

In
fo
rm

at

ជំរឿនឆ្នាំ 2020
ងាយស្រួលជាងមុន។

ត�ើអ្នកបានដឹងថា អ្នកអាចឆ្លើយតប​
តាម​អនឡាញ ដែរឬទេ?
ប្រសិនប�អ
ើ ្នកអាចបំពេញការធ្វជ
ើ ំរ�ឿនឆ្នា ំ
2020 តាមអនឡាញបាន សូ មចូលទៅ URL
ដែលបានសរសេរនៅល�ើកម្រងសំ ណួរ។

ការណែនាំតាមវីដេអូដ�ើម្បីបំពេញជំរ�ឿនឆ្នាំ
2020 តាមអនឡាញមាននៅ
2020census.gov/languages
8	

D-G (khm) Khmer
ំ ឿនរបស់សហរដ្ឋអាមេរក
ការយាល័
យជរ�
ិ
ិ

ເລກ​ທີ OMB 0607-1006: ການ​ອະ​ນຸ​ມັດ​ໝົດ​ກ�ຳ​ນົດ​ວັນ​ທີ 11/30/2021

op
y

ຄ�ຳແນະນ�ຳຂອງທ່ ານຕ່ໍ ການສ�ຳຫຼວດພົນລະເມືອງປີ 2020

In
fo
rm

at

io
na
l

C

ວິທີຕອບເອກະສານແບບສອບຖາມການສ�ຳຫຼວດພົນລະເມືອງປີ 2020

ຍິນດີຕ້ ອນຮັບສູ ່ ການສ�ຳຫຼວດພົນລະເມືອງປີ 2020
ການນັບເອົາທຸກຄົນ.

op
y

ເປົ້າໝາຍຂອງການສ�ຳຫຼວດພົນລະເມືອງນີ້ແມ່ ນເພ່ື ອນັບທຸ ກໆ​
ຄົນທີ່ດ�ຳລົງຊີວິດຢູ ່ ໃນສະຫະລັດເທ່ື ອດຽວ, ພຽງແຕ່ ເທ່ື ອດຽວ ແລະ
ຢູ ່ ໃນສະຖານທີ່ທີ່ຖືກຕ້ ອງ. ພວກເຮົາ ຕ້ ອງການຄວາມຊ່ ວຍເຫື ຼ ອຂອງທ່ ານ
ເພ່ື ອເຮັດໃຫ້ ແນ່ ໃຈວ່ າ ທຸ ກໆຄົນຢູ ່ ໃນຊຸມຊົນ ຂອງທ່ ານໄດ້ ຖືກນັບເອົາ.

C

ຂ້ໍ ມູ ນການສ�ຳຫຼວດພົນລະເມືອງແມ່ ນມີຄວາມສ�ຳ
ຄັນ.

io
na
l

ລັດຖະທ�ຳມະນູ ນສະຫະລັດຮຽກຮ້ ອງໃຫ້ ມີການສ�ຳຫຼວດພົນລະເມືອງທຸ ກໆ
10 ປີ. ຜົນການສ�ຳຫຼວດແມ່ ນຖືກນ�ຳໃຊ້ ເພ່ື ອກ�ຳນົດຈ�ຳນວນບ່ ອນນັ່ງທ່ີ ແຕ່
ລະລັດມີຢູ ່ ໃນລັດຖະສະພາ, ກ�ຳນົດເຂດແດນສ�ຳລັບເຂດການລົງຄະແນນສຽງ
ແລະ ກ�ຳນົດວ່ າ ເງິນຈ�ຳນວນຫຼາຍກວ່ າ 675 ຕື້ໂດລາຢູ ່ ໃນກອງທຶນຂອງລັດ​
ຖະບານກາງຖືກໃຊ້ ຈ່າຍຢູ ່ ໃນຊຸມຊົນໃນແຕ່ ລະປີແນວໃດ.

at

ການເຂ້ົ າຮ່ ວມແມ່ ນໜ້າທ່ີ ການເປັນພົນລະເມືອງ
ຂອງທ່ ານ.

In
fo
rm

ການດ�ຳເນີນການສ�ຳຫຼວດພົນລະເມືອງແມ່ ນມີຄວາມຈ�ຳເປັນ; ເຊ່ິ ງເປັນ
ວິທີໜຶ່ງທ່ີ ຈະເຂົ້າຮ່ ວມໃນປະຊາທິປະໄຕຂອງພວກເຮົາ ແລະ ເວ້ົ າໄດ້ ວ່າ
“ຂ້ ອຍມີສ່ ວນຮ່ ວມ!”

ຂ້ໍ ມູ ນຂອງທ່ ານແມ່ ນເປັນຄວາມລັບ.
ກົດໝາຍລັດຖະບານກາງປົກປ້ ອງຄ�ຳຕອບຂອງທ່ ານ.
ຄ�ຳຕອບຂອງທ່ ານສາມາດນ�ຳ ໄປໃຊ້ ພຽງແຕ່ ເພ່ື ອສ້ າງສະຖິຕິເທ່ົ ານັ້ນ ແລະ
ໜ່ ວຍງານລັດຖະບານ ຫື ຼ ສານໃດໜຶ່ງບໍ່ສາມາດໃຊ້ ໄປຕ້ ານກັບທ່ ານໄດ້ .

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

ໃຊ້ ຄ�ຳແນະນ�ຳນ້ີ ເພ່ື ອດ�ຳເນີນການຕອບ
ເອກະສານແບບສອບຖາມການສ�ຳຫຼວດພົນລະ
ເມືອງປີ 2020 ໃຫ້ ສ�ຳເລັດ.

–

–

ເອກະສານແບບສອບຖາມການສ�ຳຫຼວດພົນລະເມືອງປີ 2020
ຈະມາຮອດກ່ ອງຮັບຈົດໝາຍ ຫື ຼ ຂັ້ນໄດໜ້ າບ້ ານໃນທົ່ວປະເທດ.
ສ�ຳນັກງານສ�ຳຫຼວດພົນລະເມືອງແຫ່ ງສະຫະລັດ

ກ່ ອນທ່ ານເລີ່ມຕ້ົ ນ
1.	 ຊອກເບິ່ງແບບສອບຖາມຂອງທ່ ານ ແລະ ເປີດໄປໜ້ າທ�ຳອິດ.

op
y

2.	 ໃຊ້ ຂໍ້ມູ ນຢູ ່ ໃນຄ�ຳແນະນ�ຳພາສາລາວນີ້ ເພື່ອໝາຍຄ�ຳຕອບຂອງທ່ ານຢູ ່ ໃນເອກະສານແບບສອບຖາມ
ສະບັບພາສາອັງກິດ. ຢ່າຂຽນຄ�ຳຕອບຂອງທ່ ານໃສ່ ຄ�ຳແນະນ�ຳນ້ີ .
3.	 ກ່ ອນທ່ີ ທ່ ານຈະຕອບຄ�ຳຖາມທ�ຳອິດ, ໃຫ້ ນັບຄົນທ່ີ ອາໄສຢູ ່ ໃນເຮືອນ, ອາພາດເມັນ ຫື ຼ
ເຮືອນເຄ່ື ອນທີ່ນ້ີ ດ້ ວຍ ການນ�ຳໃຊ້ ຄ�ຳແນະນ�ຳຢູ ່ ລຸ່ມນີ້.

C

ຈະນັບໃຜແດ່

ສ�ຳນັກງານສ�ຳຫຼວດພົນລະເມືອງຍັງ
ດ�ຳເນີນການນັບຢູ ່ ໃນສະຖາບັນ ແລະ
ສະຖານທ່ີ ອ່ື ນໆນ�ຳອີກຄື:

io
na
l

ນັບຄົນຜູ້ ທີ່ອາໄສຢູ ່ ໃນເຮືອນ, ອາພາດເມັນ
ຫື ຼ ເຮືອນເຄ່ື ອນທີ່ນ້ີ ຄື:

at

•	 ນັບໝົດທຸ ກຄົນ,
ລວມທັງແອນ້ ອຍຜູ້ ທ່ີ ອາໄສຢູ ່ ແລະ
ນອນຢູ ່ ທ່ີ ນີ້ເກືອບຕະຫຼອດເວລາ.

In
fo
rm

•	 ຖ້ າບໍ່ມີຜູ້ ໃດອາໄສຢູ ່ ຫື ຼ
ນອນຢູ ່ ທ່ີ ຢູ ່ ນ້ີ ເກືອບຕະຫຼອດເວລາ,
ໃຫ້ ຕອບອອນໄລນ໌.

ການສ�ຳຫຼວດພົນລະເມືອງຍັງຕ້ ອງລວມເອົາ
ຄົນທ່ີ ບ່ໍ ມີບ່ ອນຢູ ່ ຖາວອນນ�ຳອີກຄື:
​
•	 ຖ້ າມີຄົນທີ່ບ່ໍ ມີບ່ ອນຢູ ່ ຖາວອນພັກຢູ ່ ທີ່ນ້ີ ໃນ
ວັນທີ 1 ເມສາ 2020, ໃຫ້ ນັບຄົນຜູ້ ນ້ັ ນນ�ຳ.

•	 ຢ່ ານັບຜູ້ ໃດກໍຕາມທ່ີ ຢູ ່ ໃນເຮືອນພັກຄົນສູ ງ​
ອາຍຸ , ຄຸ ກ, ສະຖານທີ່ກັກຂັງ, ອື່ນໆ, ​
ໃນວັນທີ 1 ເມສາ 2020.

​
•	 ບ່ໍ ໃຫ້ ເອົາຄົນເຫ່ົ ຼ ານີ້ເຂົ້າມາຕອບຢູ ່ ໃນແບບ
ສອບຖາມຂອງທ່ ານ, ເຖິງແມ່ ນວ່ າ ພວກເຂົາ​
​
ຈະກັບມາອາໄສຢູ ່ ທີ່ນ້ີ ຫັ ຼ ງຈາກທີ່ພວກເຂົາ
ອອກຈາກວິທະຍາໄລ, ເຮືອນພັກຄົນສູ ງອາຍຸ ,
ກອງທັບ, ຄຸ ກ, ອ່ື ນໆກ່ໍ ຕາມ. ຖ້ າບ່ໍ ດັ່ງນ້ັ ນ,
ພວກເຂົາອາດຈະຖືກນັບສອງເທື່ອ.

ໃຫ້ ອ່ານຄ�ຳຖາມ ແລະ ຄ�ຳແນະນ�ຳຢູ ່ ໜ້າຕ່ໍ ໄປ.
ຢ່າຂຽນຄ�ຳຕອບຂອງທ່ ານໃສ່ ໃນຄ�ຳແນະນ�ຳນ້ີ .
ສ�ຳນັກງານສ�ຳຫຼວດພົນລະເມືອງແຫ່ ງສະຫະລັດ	

3

ຕອບຄ�ຳຖາມຢູ ່ ໜ້າປົກໃຫ້ ຄົບຖ້ ວນ
ຢ່າຂຽນຄ�ຳຕອບຂອງທ່ ານໃສ່ ຄ�ຳແນະນ�ຳນ້ີ
ມີຈັກຄົນທີ່ໄດ້ ອາໄສຢູ ່ ຫື ຼ ກ�ຳລັງພັກຢູ ່ ໃນເຮືອນ, ອາພາດເມັນ ຫື ຼ
ເຮືອນເຄ່ື ອນທ່ີ ນ້ີ ໃນວັນທີ 1 ເມສາ 2020?

op
y

ຈ�ຳນວນຄົນ

ມີຄົນທີ່ກ�ຳລັງພັກຢູ ່ ທີ່ນ້ີ ເພີ່ມບ່ໍ ໃນວັນທີ 1 ເມສາ 2020 ທີ່ທ່ ານ
ບໍ່ໄດ້ ເອົາລວມເຂ້ົ າຢູ ່ ໃນຄ�ຳຖາມທີ 1?
ໃສ່ ທຸກຂ້ໍ ທີ່ຖືກຕ້ ອງ.

C

ໝາຍ

„„ ເດັກນ້ ອຍທ່ີ ກ່ ຽວຂ້ ອງ ຫື ຼ ບ່ໍ ກ່ ຽວຂ້ ອງເຊ່ັ ນ: ເດັກເກີດໃໝ່ , ແອນ້ ອຍ,
ຫຼານ ຫື ຼ ເດັກນ້ ອຍອຸ ປະຖ�ຳ (foster child)

io
na
l

„„ ຍາດພີ່ນ້ ອງເຊ່ັ ນ: ເດັກຜູ້ ໃຫຍ່ , ລູ ກອ້ າຍລູ ກນ້ ອງ ຫື ຼ
ຍາດພ່ີ ນ້ ອງທາງດອງ
„„ ບ່ໍ ແມ່ ນພ່ີ ນ້ ອງອື່ນໆເຊັ່ນ: ເພ່ື ອນຮ່ ວມຫ້ ອງ ຫື ຼ ແມ່ ລ້ ຽງເດັກທ່ີ ອາໄສຢູ ່ ນ�ຳ
„„ ຄົນທ່ີ ພັກຢູ ່ ທີ່ນ້ີ ຊົ່ວຄາວ

at

„„ ບ່ໍ ມີຄົນເພີ່ມ

ນ້ີ ແມ່ ນເຮືອນ, ອາພາດເມັນ ຫື ຼ ເຮືອນເຄື່ອນທີ່ —

In
fo
rm

ໝາຍ

ໃສ່ ໜຶ່ງຫ້ ອງ.

„„ ທ່ ານ ຫື ຼ ຜູ້ ໃດຜູ້ ໜ່ຶ ງຢູ ່ ໃນຄົວເຮືອນນີ້ທີ່ເປັນເຈ້ົ າຂອງ
ພ້ ອມກັບມີການຜ່ ອນ ຫື ຼ ເງິນກູ ້ ຫື ຼ ບ່ໍ ? ລວມທັງສິນເຊື່ອຈາກການຄ້� ຳປະ​
ກັນຂອງເຮືອນ.
„„ ທ່ ານ ຫື ຼ ຜູ້ ໃດຜູ້ ໜ່ຶ ງຢູ ່ ໃນຄົວເຮືອນທີ່ເປັນເຈ້ົ າຂອງ ຟ​ຣີ ແລະ ຈະ​ແຈ້ ງ
(ໂດຍບ່ໍ ມີການຜ່ ອນ ຫື ຼ ເງິນກູ ້ ) ຫື ຼ ບ່ໍ ?
„„ ໄດ້ ເຊ່ົ າບໍ?

„„ ພັກອາໃສໂດຍບ່ໍ ມີການຈ່ າຍຄ່ າເຊົ່າບໍ?
ເບີໂທລະສັບຂອງທ່ ານແມ່ ນຫຍັງ?
ພວກເຮົາຈະຕິດຕໍ່ທ່ ານ ຖ້ າມີຄວາມຈ�ຳເປັນສ�ຳລັບວຽກທາງການຂອງສ�ຳ​
ນັກງານສ�ຳຫຼວດພົນລະເມືອງ.

ເບີໂທລະສັບ

4	

ສ�ຳນັກງານສ�ຳຫຼວດພົນລະເມືອງແຫ່ ງສະຫະລັດ

ໃຫ້ ຕອບຄ�ຳຖາມຢູ ່ ດ້ ານຊ້ າຍຂອງໜ້າ 2
ຢ່າຂຽນຄ�ຳຕອບຂອງທ່ ານໃສ່ ຄ�ຳແນະນ�ຳນ້ີ

ບຸ ກຄົນທີ 1 ຊ່ື ຫຍັງ?

op
y

ກະລຸ ນາບອກຂ້ໍ ມູ ນຂອງແຕ່ ລະຄົນທ່ີ ອາໄສຢູ ່ ທີ່ນ້ີ . ຖ້ າມີຄົນອາໄສຢູ ່ ທີ່ນ້ີ
ຜູ້ ທີ່ຈ່ າຍຄ່ າເຊົ່າ ຫື ຼ ເປັນເຈ້ົ າຂອງທີ່ຢູ ່ ອາໄສນີ້, ເລ່ີ ມຕ້ົ ນໂດຍການເຮັດບັນຊີ
​
ລາຍຊ່ື ລາວ ຫື ຼ ນາງເປັນບຸ ກຄົນທີ 1. ຖ້ າເຈົ້າຂອງ ຫື ຼ ຄົນຈ່ າຍຄ່ າເຊ່ົ າບໍ່ໄດ້ ອາ​
ໄສຢູ ່ ທີ່ນີ້, ເລີ່ມຕົ້ນໂດຍການເຮັດບັນຊີລາຍຊື່ຜູ້ ໃຫຍ່ ໃດໜ່ຶ ງທ່ີ ອາໄສຢູ ່ ທີ່ນ້ີ
ເປັນບຸ ກຄົນທີ 1.

ນາມສະກຸ ນ​
(last name[s])

ຕົວອັກສອນຫຍໍ້ຊື່ກາງ​
(middle initial)

io
na
l

ຊື່​
(first name)

C

ກະລຸ ນາບອກຊ່ື ຂອງບຸ ກຄົນທີ 1 ເປັນພາສາອັງກິດ.

ເພດຂອງບຸ ກຄົນທີ 1 ແມ່ ນຫຍັງ? ໝາຍ

„„ ເພດຊາຍ

ໃສ່ ໜຶ່ງຫ້ ອງ.

„„ ເພດຍິງ

ບຸ ກຄົນທີ 1 ອາຍຸ ຈັກປີ ແລະ ວັນເດືອນປີເກີດຂອງບຸ ກຄົນທີ
1 ແມ່ ນຫຍັງ?

In
fo
rm

at

ສ�ຳລັບແອນ້ ອຍອາຍຸ ອ່ ອນກວ່ າ 1 ປີ, ຢ່ າຂຽນອາຍຸ ເປັນເດືອນ. ​
ໃຫ້ ຂຽນ 0 ເປັນອາຍຸ .

ອາຍຸ , ເປັນປີ,
ໃນວັນທີ 1
ເມສາ 2020

ເດືອນ

ວັນ

ປີເກີດ

ບຸ ກຄົນທີ 1 ເປັນເຊ້ື ອສາຍຮິສແພນິກ, ລາຕິໂນ ຫື ຼ ສະເປນບໍ?
„„ ບ່ໍ , ບໍ່ແມ່ ນເຊ້ື ອສາຍຮິສແພນິກ, ລາຕິໂນ ຫື ຼ ສະເປນ
„„ ແມ່ ນແລ້ ວ, ເມັກ​ຊິກັນ, ​ອາເມ​ຣິກັນ​​ເມັກ​ຊິ​ກັນ, ​ຊິຄາ​ໂນ
„„ ແມ່ ນແລ້ ວ, ຄົນເປີໂຕຣິກາ
„„ ແມ່ ນແລ້ ວ, ຄົນກູ ບາ
„„ ແມ່ ນແລ້ ວ, ເຊ້ື ອສາຍຮິສແພນິກ, ລາຕິໂນ ຫື ຼ ສະເປນ —
ໃຫ້ ຂຽນໃສ່ , ຕົວຢ່ າງຄື: ຄົນຊາວາດໍ, ຄົນໂດມິນິກັນ, ຄົນໂຄລົມເບຍ,
ຄົນກົວເຕມາລາ, ຄົນ​ສະ​ແປ​ນຽດ, ຄົນເອກົວດໍ, ອື່ນໆ.

ສ�ຳນັກງານສ�ຳຫຼວດພົນລະເມືອງແຫ່ ງສະຫະລັດ	

5

ໃຫ້ ຕອບຄ�ຳຖາມຢູ ່ ດ້ ານຂວາຂອງໜ້າ 2
ຢ່າຂຽນຄ�ຳຕອບຂອງທ່ ານໃສ່ ຄ�ຳແນະນ�ຳນ້ີ

ບຸ ກຄົນທີ 1 ແມ່ ນເຊ້ື ອຊາດຫຍັງ?
ໃສ່ ໜ່ຶ ງ ຫື ຼ ຫຼາຍຫ້ ອງ ແລະ ຂຽນເຊ້ື ອຊາດໃສ່ .

op
y

ໝາຍ

„„ ຄົນຜິວຂາວ — ໃຫ້ ຂຽນໃສ່ , ຕົວຢ່ າງຄື: ຄົນເຢຍລະມັນ, ຄົນໄອແລນ,
ຄົນອັງກິດ, ຄົນອີຕາລີ, ຄົນເລບານອນ, ຄົນອີຢິບ, ອ່ື ນໆ.

C

„„ ຄົນຜິວດ�ຳ ຫື ຼ ຄົນອາເມຣິກັນອາຟຣິກັນ — ໃຫ້ ຂຽນໃສ່ , ຕົວຢ່ າງຄື:
ຄົນອາເມຣິກັນອາຟຣິກັນ, ຄົນຈາໄມກາ, ຄົນໄຮຕິ, ຄົນໄນເຈເຣຍ,
ຄົນເອທິໂອເປຍ, ຄົນໂຊມາລີ, ອ່ື ນໆ.

io
na
l

„„ ຄົນອາເມຣິກັນເຊ້ື ອສາຍອິນເດຍ ຫື ຼ ຄົນພ້ື ນເມືອງອາລາສກາ — ໃຫ້ ​
ຂຽນຊ່ື ຂອງຊົນເຜ່ົ າທີ່ໄດ້ ລົງທະບຽນ ຫື ຼ ຊົນເຜ່ົ າຕົ້ນຕໍ, ຕົວຢ່ າງ:
Navajo Nation, Blackfeet Tribe, ຄົນມາຢັນ, ຄົນອິນ​ເດຍ​
ແດງ​ໃນ​ເມັກ​ຊິ​ໂກ, Native Village of Barrow Inupiat
Traditional Government, Nome Eskimo Community,
ອ່ື ນໆ.
„„ ຄົນຈີນ
„„ ຄົນຫວຽດນາມ „„ ຄົນພ້ື ນເມືອງຮາວາຍ
„„ ຄົນຟິລິບປິນ
„„ ຄົນເກົາຫີ ຼ
„„ ຄົນຊາມົວ
„„ ຄົນອິນເດຍເຊື້ອສາຍອາຊີ „„ ຄົນຍ່ີ ປຸ ່ ນ
„„ ຄົນຊາໂມໂຣ

In
fo
rm

at

„„ ຄົນອາຊີອ່ື ນໆ —
ໃຫ້ ຂຽນໃສ່, ຕົວຢ່ າງຄື:
ຄົນປາກິດສະຖານ,
ຄົນກໍາປູ ເຈຍ, ຄົນມົ້ງ,
ອ່ື ນໆ.

6	

„„ ຄົນໝູ ່ ເກາະປາຊີຟິກອື່ນໆ
— ໃຫ້ ຂຽນໃສ່, ຕົວຢ່ າງຄື:
ຄົນຕອງກາ, ຄົນຟິຈິ,
ຄົນເກາະມາແຊລ, ອື່ນໆ.

„„ ຊົນ​ເຜ່ົ າ​ອ່ື ນໆ — ຂຽນເຊ້ື ອ​ຊາດ ຫື ຼ ຊາດ​ກ�ຳ​ເນີດໃສ່ .

ສ�ຳນັກງານສ�ຳຫຼວດພົນລະເມືອງແຫ່ ງສະຫະລັດ

ຕອບຄ�ຳຖາມສ�ຳລັບຄົນເພ່ີ ມແຕ່ ລະຄົນ
ຈະມີສອງຄ�ຳຖາມທີ່ຈະຖາມຄົນເພ່ີ ມແຕ່ ລະຄົນຢູ ່ ລຸ່ມນ້ີ
ຢ່າຂຽນຄ�ຳຕອບຂອງທ່ ານໃສ່ ໃນຄ�ຳແນະນ�ຳນ້ີ
ຕາມປົກກະຕິແລ້ ວຄົນຜູ້ ນ້ີ ອາໄສຢູ ່ ຫື ຼ ພັກຢູ ່ ບ່ ອນອ່ື ນບໍ?
ໃສ່ ທຸກຂ້ໍ ທີ່ຖືກຕ້ ອງ.

„„ ບ່ໍ ແມ່ ນ

op
y

ໝາຍ

„„ ແມ່ ນແລ້ ວ, ສ�ຳລັບວິທະຍາໄລ

„„ ແມ່ ນແລ້ ວ, ກັບພໍ່ແມ່ ຫື ຼ
ພີ່ນ້ ອງອື່ນໆ

io
na
l

C

„„ ແມ່ ນແລ້ ວ,
ສ�ຳລັບການປະຕິບັດໜ້ າທ່ີ ໃນກອງທັບ „„ ແມ່ ນແລ້ ວ,
ຢູ ່ ທີ່ຢູ ່ ອາໄສຕາມລະດູ ການ
„„ ແມ່ ນແລ້ ວ, ສ�ຳລັບວຽກ ຫື ຼ ທຸ ລະກິດ
ຫື ຼ ທີ່ຢູ ່ ອາໄສທີສອງ
„„ ແມ່ ນແລ້ ວ, ຢູ ່ ໃນເຮືອນພັກຄົນສູ ງອາຍຸ
„„ ແມ່ ນແລ້ ວ, ຢູ ່ ໃນຄຸ ກ ຫື ຼ
ສະ​ຖານ​ທີ່​ກັກ​ຂັງ
„„ ແມ່ ນແລ້ ວ,
ສ�ຳລັບເຫດຜົນອ່ື ນ

ຄົນຜູ້ ນ້ີ ກ່ ຽວຂ້ ອງກັບບຸ ກຄົນທີ 1 ແນວໃດ? ໝາຍ
ຜົວ/ເມຍ/ຄູ ່ ສົມລົດທີ່ມີເພດກົງກັນຂ້ າມ
ຄູ ່ ທີ່ບໍ່ໄດ້ ແຕ່ ງງານທີ່ມີເພດກົງກັນຂ້ າມ
ຜົວ/ເມຍ/ຄູ ່ ສົມລົດທີ່ມີເພດດຽວກັນ
ຄູ ່ ທີ່ບໍ່ໄດ້ ແຕ່ ງງານທີ່ມີເພດດຽວກັນ
ລູ ກແທ້
ລູ ກຊາຍ ຫື ຼ ລູ ກສາວບຸ ນທ�ຳ
ລູ ກລ້ ຽງຊາຍ ຫື ຼ ລູ ກລ້ ຽງຍິງ
ອ້ າຍ/ນ້ ອງຊາຍ ຫື ຼ ເອ້ື ອຍ/ນ້ ອງສາວ

In
fo
rm

at

„„
„„
„„
„„
„„
„„
„„
„„

ໃສ່ ໜຶ່ງຫ້ ອງ.

ສ�ຳນັກງານສ�ຳຫຼວດພົນລະເມືອງແຫ່ ງສະຫະລັດ	

ພ່ໍ ຫື ຼ ແມ່
ຫຼານ
ພໍ່ແມ່ ດອງ
ລູ ກເຂີຍ ຫື ຼ ລູ ກໄພ້
ພີ່ນ້ ອງອື່ນໆ
ເພື່ອນຮ່ ວມຫ້ ອງ ຫື ຼ ຄົນຢູ ່ ຮ່ວມເຮືອນ ​
(roommate or housemate)
„„ ເດັກນ້ ອຍອຸ ປະຖ�ຳ (foster child)
„„ ບໍ່ແມ່ ນພີ່ນ້ ອງອື່ນໆ
„„
„„
„„
„„
„„
„„

7

ໃຫ້ ຕື່ມໃສ່ ໜ້າ 8 ຖ້ າທ່ ານໄດ້ ນັບວ່ າມີຫຼາຍກວ່ າຫົກຄົນ
ຢ່າຂຽນຄ�ຳຕອບຂອງທ່ ານໃສ່ ຄ�ຳແນະນ�ຳນ້ີ

ອາຍຸ , ເປັນປີ,
ໃນວັນທີ 1
ເມສາ 2020

ເດືອນ

ວັນ

ປີເກີດ

op
y

ເພດຍິງ

ນາມສະກຸ ນ​
(last name[s])

ກ່ ຽວຂ້ ອງກັບບຸ ກຄົນທີ 1 ບໍ?
„„ ແມ່ ນແລ້ ວ „„ ບ່ໍ ແມ່ ນ

io
na
l

ເພດຊາຍ

ຕົວອັກສອນຫຍໍ້ຊື່ກາງ​
(middle initial)

C

ຊື່ ​
(first name)

ກະລຸ ນາສ່ົ ງແບບສອບຖາມສະບັບພາສາອັງກິດທີ່ທ່ ານໄດ້ ຮັບຢູ ່ ໃນຊອງຈົດໝາຍທີ່ຈ່ າຍຄ່ າໄປສະນີແລ້ ວນັ້ນກັບຄືນໂດຍທາງໄປສະນີ.

at

ການສ�ຳຫຼວດພົນລະເມືອງປີ
2020 ງ່ າຍກວ່ າທີ່ເຄີຍມີມາ.

In
fo
rm

ທ່ ານຮູ ້ ບໍວ່ າ ທ່ ານສາມາດຕອບແບບ
ສອບຖາມທາງອອນໄລນ໌ໄດ້ ?
ຖ້ າທ່ ານສາມາດຕອບແບບສອບຖາມການສ�ຳຫຼວດ​
ພົນລະເມືອງປີ 2020 ທາງອອນໄລນ໌ໄດ້ , ກະລຸ ນາໄປທີ່
URL ທ່ີ ໄດ້ ພິມໄວ້ ຢູ ່ ໃນແບບສອບຖາມ.

ວິດີໂອໃຫ້ ຄ�ຳແນະນ�ຳສ�ຳລັບການຕອບແບບສອບຖາມ
ການສ�ຳຫຼວດພົນລະເມືອງປີ 2020 ແມ່ ນມີຢູ ່ ທີ່
2020census.gov/languages
D-G (lao) Lao

8	

ສ�ຳນັກງານສ�ຳຫຼວດພົນລະເມືອງແຫ່ ງສະຫະລັດ

OMB Nr. 0607-1006: patvirtinimas baigia galioti 11/30/2021

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Jūsų 2020 m. surašymo vadovas

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Kaip pateikti atsakymus į 2020 m. surašymo
popierinę apklausos anketą

Sveikiname dalyvaujant 2020 m. surašyme
Svarbus kiekvienas žmogus.

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Šio surašymo tikslas yra suskaičiuoti kiekvieną JAV
gyvenantį asmenį tik vieną kartą, tinkamoje vietoje.
Mums reikia jūsų pagalbos, kad suskaičiuotume
kiekvieną jūsų bendruomenės narį.

Surašymo duomenys yra svarbūs.

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Vadovaujantis JAV Konstitucija, surašymas turi būti
atliekamas kas 10 metų. Pagal surašymo rezultatus bus
nustatoma, kiek vietų kiekviena valstija turės Kongrese,
nubrėžiamos balsavimo apygardų ribos ir sprendžiama,
kaip bus paskirstytas daugiau nei 675 milijardų
dolerių dydžio federalinis finansavimas, tenkantis
bendruomenėms kiekvienais metais.

Dalyvavimas yra jūsų pilietinė pareiga.

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Užpildyti surašymo anketą yra būtina. Tai yra būdas
dalyvauti mūsų demokratijoje ir pareikšti „Aš esu
svarbus!“

Jūsų informacija yra konfidenciali.
Jūsų atsakymų duomenys saugomi pagal federalinius
įstatymus. Jūsų atsakymai gali būti naudojami tik
statistiniais tikslais, jokia valdžios institucija ar teismas
negali jų panaudoti prieš jus.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .

Užpildyti 2020 m. surašymo popierinę
apklausos anketą padės šis vadovas.
2020 m. surašymo popierinė apklausos anketa pasieks
visos šalies pašto dėžutes ir duris.

Telephone Number
How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

–

Number o f people =

2	

JAV gyventojų surašymo biuras

Prieš pradėdami
1.	 Paimkite savo apklausos anketą ir atverskite pirmąjį jos puslapį.

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2.	 Žymėkite atsakymus angliškoje popierinėje apklausos anketoje
vadovaudamiesi šiame lietuviškame vadove pateikta informacija.
NEŽYMĖKITE ATSAKYMŲ ŠIAME VADOVE.

Ką skaičiuoti

C

3.	 Prieš atsakydami į pirmąjį klausimą, suskaičiuokite šiame name,
bute ar mobiliuosiuose namuose gyvenančius žmones pagal toliau
pateiktas gaires.

Gyventojų surašymo biuras
taip pat atlieka skaičiavimą
institucijose ir kitose vietose:

•	 Suskaičiuokite visus žmones,
įskaitant kūdikius, kurie didžiąją
laiko dalį gyvena ir miega čia.

•	 Neskaičiuokite asmenų, kurie
2020 m. balandžio 1 d. yra
slaugos namuose, kalėjime,
sulaikymo įstaigoje ir t. t.

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Suskaičiuokite šiame name,
bute ar mobiliuosiuose namuose
gyvenančius žmones:

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•	 Jeigu didžiąją laiko dalį šiuo
adresu niekas negyvena ir
nemiega, pateikite atsakymus
internete.

Surašymas taip pat gali apimti
nuolatinės gyvenamosios vietos
neturinčius žmones:

•	 Neįtraukite šių asmenų į savo
apklausos anketą, net jeigu jie
grįš čia gyventi išėję iš koledžo,
slaugos namų, kariuomenės,
kalėjimo ir t. t. Priešingu atveju
jie gali būti suskaičiuoti du
kartus.

•	 Jeigu 2020 m. balandžio 1 d.
čia yra apsistojęs nuolatinės
gyvenamosios vietos neturintis
asmuo, įskaičiuokite šį asmenį.
Skaitykite klausimus ir instrukcijas kitame puslapyje.
Nežymėkite atsakymų šiame vadove.

JAV gyventojų surašymo biuras	3

Atsakykite į klausimus pirmajame puslapyje
NEŽYMĖKITE ATSAKYMŲ ŠIAME VADOVE

Asmenų skaičius

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Kiek asmenų gyveno ar buvo apsistoję šiame name,
bute ar mobiliuosiuose namuose 2020 m. balandžio
1 d.?

Ar 2020 m. balandžio 1 d. čia buvo apsistoję
papildomų asmenų, kurių neįtraukėte atsakyme
į 1 klausimą?
visus tinkamus variantus.

C

Pažymėkite

„„ Jums giminingi ar negiminingi vaikai, pvz.,
naujagimiai, vaikaičiai ar įvaikiai

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„„ Giminaičiai, pvz., suaugę vaikai, pusbroliai
(pusseserės) ar santuokinės giminystės ryšiais
susiję asmenys
„„ Giminystės ryšiais nesusiję asmenys, pvz.,
kambariokai ar kartu gyvenančios auklės
„„ Čia laikinai apsistoję asmenys

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„„ Papildomų asmenų nebuvo
Ar šis namas, butas ar mobilieji namai —

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Pažymėkite

VIENĄ langelį.

„„ Priklauso jums ar kitam šio namų ūkio asmeniui ir
yra įkeistas arba įsigytas paėmus paskolą? Įskaitant
paskolas įkeitus gyvenamąjį būstą.
„„ Priklauso jums ar kitam šio namų ūkio asmeniui
visiškai ir be įsipareigojimų (nėra įkeistas arba
įsigytas paėmus paskolą)?
„„ Yra nuomojamas?
„„ Yra gyvenamas nemokant nuomos?
Koks jūsų telefono numeris?
Susisieksime su jumis tik, jeigu to reikės oficialiais
gyventojų surašymo biuro reikalais.

Telefono numeris

4	

JAV gyventojų surašymo biuras

Atsakykite į klausimus kairėje 2 puslapio pusėje
NEŽYMĖKITE ATSAKYMŲ ŠIAME VADOVE

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Pateikite informaciją apie kiekvieną čia gyvenantį
asmenį. Jeigu čia gyvena asmuo, kuris moka nuomą
arba kuriam priklauso ši gyvenamoji vieta, pradėkite
surašymą nuo tokio asmens, pažymėdami jį 1
asmeniu. Jeigu savininkas ar nuomą mokantis asmuo
čia negyvena, pradėkite surašymą nuo bet kurio
čia gyvenančio suaugusio asmens, pažymėdami jį
1 asmeniu.

Vardas
(first name)

Pavardė (-s)
(last name[s])

Antrojo vardo pirmoji
raidė (middle initial)

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Koks yra 1 asmens vardas ir pavardė?

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Kokia yra 1 asmens lytis? 
Pažymėkite VIENĄ langelį.
„„ Vyr.

„„ Mot.

Koks yra 1 asmens amžius ir kokia yra 1 asmens
gimimo data?

Mėnuo

Diena

Gimimo
metai

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Amžius
metais
2020 m.
balandžio
1 d.

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Jeigu yra jaunesnių nei 1 metų amžiaus kūdikių,
nerašykite jų amžiaus mėnesiais. Rašykite, kad jų
amžius yra 0.

Ar 1 asmuo yra ispanų arba lotynų amerikiečių
kilmės?
„„ Ne, ne ispanų arba lotynų amerikiečių kilmės
„„ Taip, meksikiečių, meksikiečių kilmės amerikiečių,
chicano
„„ Taip, puertorikiečių
„„ Taip, kubiečių
„„ Taip, kitos ispanų arba lotynų amerikiečių
kilmės — nurodykite spausdintinėmis raidėmis,
pvz., salvadoriečių, dominikiečių, kolumbiečių,
gvatemaliečių, ispanų, ekvadoriečių ir t. t.

JAV gyventojų surašymo biuras	5

Atsakykite į klausimą dešinėje 2 puslapio pusėje
NEŽYMĖKITE ATSAKYMŲ ŠIAME VADOVE 
Kokia yra 1 asmens rasė?
Pažymėkite
kilmę.

vieną ar kelis langelius IR užrašykite

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„„ Baltųjų — nurodykite spausdintinėmis raidėmis,
pvz., vokiečių, airių, anglų, italų, libaniečių,
egiptiečių ir t. t.

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„„ Juodaodžių arba afroamerikiečių — nurodykite
spausdintinėmis raidėmis, pvz., afroamerikiečių,
jamaikiečių, haitiečių, nigeriečių, etiopų, somaliečių
ir t. t.

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„„ Amerikos indėnų arba vietinių Aliaskos gyventojų
— nurodykite spausdintinėmis raidėmis įtrauktą ar
pagrindinę gentį, pvz., Navajo Nation, Blackfeet
Tribe, majų, actekų, Native Village of Barrow
Inupiat Traditional Government, Nome Eskimo
Community ir t. t.

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„„ Kinų
„„ Vietnamiečių „„ Vietinių havajiečių
„„ Filipiniečių
„„ Korėjiečių „„ Samojiečių
„„ Indų
„„ Japonų
„„ Čamorų
„„ Kita azijiečių
„„ Kita Ramiojo
— nurodykite
vandenyno
spausdintinėmis
salų gyventojų
raidėmis, pvz.,
— nurodykite
pakistaniečių,
spausdintinėmis
kambodžiečių,
raidėmis, pvz.,
hmongų ir t. t.
tongiečių,
fidžiečių,
maršaliečių ir t. t.

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„„ Kuri nors kita rasė — nurodykite rasę ar kilmę
spausdintinėmis raidėmis.

JAV gyventojų surašymo biuras

Atsakykite į klausimus apie kiekvieną
papildomą asmenį
Kiekvienam papildomam asmeniui bus užduoti du toliau nurodyti
klausimai

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NEŽYMĖKITE ATSAKYMŲ ŠIAME VADOVE
Ar šis asmuo paprastai gyvena ar būna apsistojęs
kitoje vietoje?
Pažymėkite
„„ Ne

visus tinkamus variantus.

C

„„ Taip, išvyksta į koledžą „„ Taip, su vienu iš tėvų ar
kitu giminaičiu
„„ Taip, išvyksta į karinės
užduoties paskyrimo
vietą

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„„ Taip, sezoninėje ar
antroje gyvenamojoje
vietoje
„„ Taip, išvyksta darbo ar
verslo reikalais
„„ Taip, kalėjime
„„ Taip, slaugos namuose „„ Taip, dėl kitos
priežasties

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Kaip šis asmuo yra susijęs su 1 asmeniu?

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Pažymėkite

VIENĄ langelį.

„„ Priešingos lyties vyras / žmona / sutuoktinis
„„ Priešingos lyties nesantuokinis partneris
„„ Tos pačios lyties vyras / žmona / sutuoktinis
„„ Tos pačios lyties nesantuokinis partneris
„„ Biologinis sūnus arba dukra
„„ Įsivaikintas sūnus arba dukra
„„ Posūnis arba podukra
„„ Brolis arba sesuo
„„ Tėvas arba motina
„„ Vaikaitis
„„ Vienas iš uošvių
„„ Žentas arba marti
„„ Kitas giminaitis
„„ Kambariokas (roommate or housemate)
„„ Įvaikis
„„ Kitas giminystės ryšiu nesusijęs asmuo

JAV gyventojų surašymo biuras	7

Jeigu suskaičiavote daugiau nei šešis
asmenis, užpildykite 8 puslapį
NEŽYMĖKITE ATSAKYMŲ ŠIAME VADOVE

Amžius
metais
2020 m.
balandžio 1 d.

Mėnuo

Diena

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Mot.

Pavardė (-s)
(last name[s])

Gimimo
metai

1 asmens giminaitis?
„„ Taip

„„ Ne

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Vyr.

Antrojo vardo pirmoji
raidė (middle initial)

C

Vardas
(first name)

Prašome atsiųsti užpildytą anglišką apklausos anketą jūsų gautame voke,
kurio siuntimo išlaidos apmokėtos.

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2020 m. surašymas yra
paprastesnis nei bet
kada anksčiau.
Ar žinojote, kad galite
pateikti atsakymus
internetu?

Jeigu galite užpildyti 2020 m. surašymo
anketą internetu, eikite į tinklalapį, kurio
adresas nurodytas apklausos anketoje.

2020 m. surašymo anketos pildymo internetu
vaizdinis vadovas pateiktas
2020census.gov/languages
8	

D-G (lit) Lithuanian
JAV gyventojų surašymo biuras

OMB നമ്പർ 0607-1006: അംഗീകാരം കാലഹരണപ്പെടും 11/30/2021

2020 സെന്‍സസിലേക്കുള്ള നിങ്ങളുടെ ഗൈഡ്

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2020 സെന്‍സസ് പേപ്പര്‍ ച�ോദ്യാവലികള�ോട്

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എങ്ങനെ പ്രതികരിക്കണം

2020 സെന്‍സസിലേക്ക് സ്വാഗതം
എല്ലാവരും എണ്ണപ്പെടുന്നു.

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ഈ സെന്‍സസിന്‍റെ ലക്ഷ്യം യു.എസ് താമസിക്കുന്ന ഓര�ോ
വ്യക്തിയെയും ഒരിക്കല്‍, ഒരിക്കല്‍ മാത്രം, ശരിയായ സ്ഥലത്ത്,
എണ്ണുക എന്നുള്ളതാണ്. നിങ്ങളുടെ കമ്മ്യൂണിറ്റിയിലുള്ള
എല്ലാവരും എണ്ണപ്പെടുന്നു എന്ന് ഉറപ്പാക്കാന്‍ നിങ്ങള്‍
സഹായിക്കാന്‍ ഞങ്ങള്‍ ആഗ്രഹിക്കുന്നു.

സെന്‍സസ് ഡാറ്റ പ്രധാനമാണ്.

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ഓര�ോ 10 വര്‍ഷത്തിലും ഒരു സെന്‍സസ് വേണമെന്ന് യു.എസ്
ഭരണഘടന ആവശ്യപ്പെടുന്നു. ഫലങ്ങള്‍ ക�ോണ്‍ഗ്രസ്സില്‍ ഓര�ോ
സംസ്ഥാനത്തിനുമുള്ള സീറ്റുകളുടെ എണ്ണം നിര്‍ണയിക്കുന്നതിനും,
വ�ോട്ടിംഗ് ജില്ലകളുടെ അതിര്‍ത്തികള്‍ വരയ്ക്കുന്നതിനും,
ഓര�ോ വര്‍ഷവും കമ്മ്യൂണിറ്റികളില്‍ ഫെഡറല്‍ ഫണ്ടിംഗിലെ
675 ബില്യണിലേറെ ഡ�ോളറുകള്‍ ചെലവഴിക്കുന്നു എന്നു
നിര്‍ണയിക്കാനും ഉപയ�ോഗിക്കുന്നു.

പങ്കെടുക്കുക എന്നത് നിങ്ങളുടെ
പൗരധര്‍മ്മമാണ്.

at

സെന്‍സസ് പൂര്‍ത്തിയാക്കുന്നത് ആവശ്യമാണ്; അത് നമ്മുടെ
ജനാധിപത്യത്തില്‍ പങ്കാളിത്തം വഹിക്കുന്നതിനുള്ള ഒരു
മാര്‍ഗ്ഗമാണ്. "ഞാന്‍ എണ്ണപ്പെടുന്നു!" എന്നു പറയുക.

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നിങ്ങളുടെ വിവരങ്ങള്‍
രഹസ്യാത്മകമാണ്.
ഫെഡറല്‍ നിയമം നിങ്ങളുടെ പ്രതികരണങ്ങളെ സംരക്ഷിക്കുന്നു.
നിങ്ങളുടെ ഉത്തരങ്ങള്‍ സ്ഥിതിവിവരക്കണക്കുകൾ
ഉല്പാദിപ്പിക്കാന്‍ മാത്രമേ ഉപയ�ോഗിക്കാനാവൂ, അത്
താങ്കള്‍ക്കെതിരെ ഏതെങ്കിലും സര്‍ക്കാര്‍ ഏജന്‍സികള്‍ക്കോ
ക�ോടതിയ്ക്കോ ഉപയ�ോഗിക്കാനാവില്ല.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

4.

–

–

2020 സെന്‍സസ് പേപ്പര്‍ ച�ോദ്യാവലി
പൂര്‍ത്തിയാക്കാനായി ഈ ഗൈഡ്
ഉപയ�ോഗിക്കൂ.
2020

സെന്‍സസ് പേപ്പര്‍ ച�ോദ്യാവലികള്‍ രാഷ്ട്രത്തിലുടനീളം
മെയില്‍ബോക്സുകളിലും വീട്ടുപടിക്കലും എത്തുന്നതാണ്.
യു.എസ്. സെന്‍സസ് ബ്യൂറ�ോ

നിങ്ങള്‍ ആരംഭിക്കുന്നതിനു മുമ്പ്
നിങ്ങളുടെ ച�ോദ്യാവലി കണ്ടുപിടിക്കുകയും ആദ്യ പേജിലേക്ക് അത്
തുറക്കുകയും ചെയ്യുക.

2.	

ഇംഗ്ലീഷ് പേപ്പര്‍ച�ോദ്യാവലിയില്‍നിങ്ങളുടെ പ്രതികരണങ്ങള്‍
അടയാളപ്പെടുത്തുന്നതിന് ഈ മലയാളം ഗൈഡിലുള്ള വിവരങ്ങള്‍ഉപയ�ോഗിക്കുക.
നിങ്ങളുടെ ഉത്തരങ്ങള്‍ഈ ഗൈഡില്‍എഴുതരുത്.

3.	

ആദ്യം ച�ോദ്യത്തിന് നിങ്ങള്‍ഉത്തരം നല്കുന്നതിനു മുമ്പ്, ചുവടെ
നല്കിയിരിക്കുന്ന മാര്‍
ഗ്ഗനിര്‍ദേശങ്ങള്‍ഉപയ�ോഗിച്ച് ഈ വീട്ടില്‍
, അപാര്‍
ട്ട്മെന്‍റില്‍
അല്ലെങ്കില്‍മ�ൊബൈല്‍ഹ�ോമില്‍താമസിക്കുന്ന ആളുകളുടെ എണ്ണമെടുക്കുക.

C

op
y

1.	

ആരെ എണ്ണണം

യു.എസ്. സെന്‍സസ് ബ്യൂറ�ോ
സ്ഥാപനങ്ങളിലും മറ്റ് സ്ഥലങ്ങളിലും കൂടി
എണ്ണമെടുക്കുന്നുണ്ട്:

•	

മിക്ക സമയത്തും ഇവിടെ
താമസിക്കുകയും ഉറങ്ങുകയും
ചെയ്യുന്ന ശിശുക്കള്‍ ഉള്‍പ്പെടെ എല്ലാ
ആളുകളെയും എണ്ണുക.

•	

2020

•	

ഈ മേല്‍വിലാസത്തില്‍ മിക്ക
സമയത്തും ആരും താമസിക്കുകയ�ോ
ഉറങ്ങുകയ�ോ ചെയ്യുന്നില്ലെങ്കില്‍,
ഓണ്‍ലൈനായി പ്രതികരിക്കുക.

•	

ആ ആളുകള്‍ ക�ോളെജ്,
നേഴ്സിംഗ് ഹ�ോം, സൈന്യം,
ജയില്‍ മുതലായവ വിട്ട ശേഷം
ഇവിടെ താമസിക്കാനായി
മടങ്ങിയെത്തുമെങ്കില്‍ പ�ോലും
അവരെ നിങ്ങളുടെ ച�ോദ്യാവലിയില്‍
നിന്നും ഒഴിവാക്കുക. അല്ലെന്നു
വരികില്‍ അവരെ രണ്ടു തവണ
എണ്ണിയേക്കാവുന്നതാണ്.

In
fo
rm

at

io
na
l

ഈ വീട്ടില്‍, അപാര്‍ട്ട്മെന്‍റില്‍ അല്ലെങ്കില്‍
മ�ൊബൈല്‍ ഹ�ോമില്‍ താമസിക്കുന്ന
ആളുകളുടെ എണ്ണമെടുക്കുക:

സെന്‍സസില്‍ താമസിക്കുന്നതിന്
സ്ഥിരമായി ഒരു സ്ഥലമില്ലാത്ത ആളുകളും
ഉള്‍പ്പെടണം:
•	

ഏപ്രില്‍ 1ന് നേഴ്സിംഗ്
ഹ�ോം, ജയില്‍, ഡിറ്റന്‍ഷന്‍
ഫെസിലിറ്റി, മുതലായവയില്‍
താമസിക്കുന്ന ആരെയും എണ്ണരുത്.

താമസിക്കാന്‍ സ്ഥിരമായി ഒരു
സ്ഥലമില്ലാത്ത ആരെങ്കിലും
2020 ഏപ്രില്‍ 1ന് ഇവിടെ
താമസിക്കുന്നുണ്ടെങ്കില്‍, ആ
വ്യക്തിയെ എണ്ണുക.
അടുത്ത പേജിലുള്ള ച�ോദ്യങ്ങളും നിര്‍ദേശങ്ങളും വായിക്കുക.
നിങ്ങളുസെ ഉ‍തരങ്ങള് ഈ ഗൈഡില് എഴകുതരകുത്.

യു.എസ്. സെന്‍സസ് ബ്യൂറ�ോ	

3

ഫ്രണ്ട് പേജിലുള്ള ച�ോദ്യങ്ങള്‍ പൂര്‍ത്തിയാക്കുക
നിങ്ങളുസെ ഉ‍തരങ്ങള് ഈ ഗൈഡില് എഴകുതരകുത്

2020 ഏപ്രില്‍ 1ന് ഈ വീട്ടില്‍, അപ്പാർട്ട്മെന്‍റില്‍ അല്ലെങ്കില്‍
മ�ൊബൈല്‍ ഹ�ോമില്‍ ഏത്ര ആളുകള്‍ താമസിച്ചിരുന്നു?

op
y

ആളുകളുടെ എണ്ണം

ച�ോദ്യം 1ല്‍ നിങ്ങള്‍ ഉള്‍പ്പെടുത്താത്ത ഏതെങ്കിലും അധിക
വ്യക്തി 2020 ഏപ്രില്‍ 1ന് ഇവിടെ താമസിച്ചിരുന്നോ?
ബാധകമായതെല്ലാം അടയാളപ്പെടുത്തുക

.

C

„„ നവജാത ശിശുക്കള്‍, പേരക്കുട്ടികള്‍ അല്ലെങ്കില്‍
എടുത്തുവളര്‍ത്തുന്ന കുട്ടികള്‍ എന്നിവരെ പ�ോലെയുള്ള,
ബന്ധമുള്ളത�ോ ബന്ധമില്ലാത്തത�ോ ആയ കുട്ടികള്‍ (foster)

io
na
l

„„ മുതിര്‍ന്ന കുട്ടികള്‍, കസിന്‍സ് അല്ലെങ്കില്‍
വിവാഹത്തിലൂടെ ബന്ധുക്കൾ എന്നിവരെ പ�ോലെയുള്ള
ബന്ധുക്കള്‍
„„ റൂംമേറ്റുകള്‍ അല്ലെങ്കില്‍ ലിവ്-ഇന്‍ ബേബിസിറ്റേഴ്സിനെ
പ�ോലെയുള്ള ബന്ധുക്കളല്ലാത്തവര്‍
„„ താല്ക്കാലികമായി ഇവിടെ താമസിക്കുന്ന ആളുകള്‍
„„ അധിക ആളുകള്‍ ഇല്ല

at

ഈ വീട്ടില്‍, അപാര്‍ട്ട്മെന്‍റില്‍ അല്ലെങ്കില്‍ മ�ൊബൈല്‍ ഹ�ോമില്‍ —

In
fo
rm

ഒരു ബ�ോക്സ് അടയാളപ്പെടുത്തുക

.

„„ നിങ്ങള�ോ അല്ലെങ്കില്‍ ഈ ഭവനത്തിലുള്ള ആരെങ്കിലുമ�ോ
മ�ോര്‍ട്ട്ഗേജിലൂടെ അല്ലെങ്കില്‍ വായ്പയിലൂടെ
സ്വന്തമാക്കിയതാണ�ോ? ഹ�ോം ഇക്വിറ്റി ല�ോണുകളും
ഉള്‍പ്പെടുത്തുക.
„„ നിങ്ങള�ോ അല്ലെങ്കില്‍ ഈ ഭവനത്തിലുള്ള
ആരെങ്കിലുമ�ോ സ്വതന്ത്രമായും വ്യക്തമായും (ഒരു
മ�ോര്‍ട്ട്ഗേജ�ോ അല്ലെങ്കില്‍ വായ്പയ�ോ കൂടാതെ)
സ്വന്തമാക്കിയിട്ടുള്ളതാണ�ോ?
„„ വാടകയ്ക്ക്?
„„ വാടക നല്‍കാതെയുള്ള താമസം?
നിങ്ങളുടെ ടെലിഫ�ോണ്‍ നമ്പര്‍ ഏതാണ്?
ഔദ്യോഗിക സെന്‍സസ് ബ്യൂറ�ോ ബിസിനസ്സിനായി മാത്രമേ
ഞങ്ങള്‍ നിങ്ങളെ ബന്ധപ്പെടുകയുള്ളൂ.

ടെലിഫ�ോണ്‍ നമ്പര്‍

4	

യു.എസ്. സെന്‍സസ് ബ്യൂറ�ോ

പേജ് 2ന്‍റെ ഇടതുവശത്തുള്ള ച�ോദ്യങ്ങള്‍
പൂര്‍ത്തിയാക്കുക
നിങ്ങളുസെ ഉ‍തരങ്ങള് ഈ ഗൈഡില് എഴകുതരകുത്

op
y

ദയവായി ഇവിടെ താമസിക്കുന്ന ഓര�ോ വ്യക്തിയുടെയും
വിവരങ്ങള്‍ നല്കുക. ഈ താമസസ്ഥലത്തിന്‍റെ വാടക
നല്കുകയ�ോ അല്ലെങ്കില്‍ സ്വന്തമാക്കിയിരിക്കുകയ�ോ ചെയ്യുന്ന
ആരെങ്കിലും ഇവിടെ താമസിക്കുന്നുണ്ടെങ്കില്‍, അയാളെ
അല്ലെങ്കില്‍ അവരെ വ്യക്തി 1 ആയി ലിസ്റ്റ് ചെയ്തുക�ൊണ്ട്
ആരംഭിക്കുക. ഉടമ അല്ലെങ്കില്‍ വാടക നല്കുന്ന വ്യക്തി
ഇവിടെ താമസിക്കുന്നില്ല എങ്കില്‍, ഇവിടെ താമസിക്കുന്ന ഏത്
മുതിര്‍ന്നയാളെയും വ്യക്തി 1 ആയി ലിസ്റ്റ് ചെയ്തുക�ൊണ്ട്
ആരംഭിക്കുക.

C

എന്താണ് വ്യക്തി 1ന്‍റെ പേര്?
ദയവായി വ്യക്തി

(first name)

പേരിന്റെ
അവസാന
ഭാഗം(ങ്ങള്‍)

(last name[s])

നടുവിലുള്ള
ഇനിഷ്യല്‍

1ന്‍റെ

പേര് ഇംഗ്ലീഷ് ഭാഷയില്‍ നല്കുക.

(middle initial)

io
na
l

പേരിന്റെ
ആദ്യഭാഗം

എന്താണ് വ്യക്തി 1ന്‍റെ ലിംഗപദവി? 
ഒരു ബ�ോക്സ് അടയാളപ്പെടുത്തുക
„„ പുരുഷന്‍

.

„„ സ്ത്രീ

at

എന്താണ് വ്യക്തി 1ന്‍റെ വയസ്സ്, എന്താണ് വ്യക്തി 1ന്‍റെ
ജനനത്തീയതി?

1

In
fo
rm

വയസ്സില്‍ താഴെ പ്രായമുള്ള കുഞ്ഞുങ്ങള്‍ക്ക്, വയസ്സ്
മാസങ്ങളില്‍ എഴുതരുത്. വയസ്സ് 0 എന്ന് എഴുതുക.

ഏപ്രിൽ 1,
2020 ലെ
വയസ്സ് വര്
ങ്ങളില്‍

മാസം

ദിവസം

ജനിച്ച വര്‍ഷം

വ്യക്തി 1 ഹിസ്പാനിക്, ലാറ്റിന�ോ അല്ലെങ്കില്‍ സ്പാനിഷ് ഉത്ഭവം?
„„ അല്ല, ഹിസ്പാനിക്, ലാറ്റിന�ോ അല്ലെങ്കില് സ്പാനിഷ്
ഉത്ഭവം
„„ അതെ, മെക്സിക്കന്‍, മെക്സിക്കന്‍ അമേരിക്കന്‍, ചിക്കാന�ോ
„„ അതെ, പ�ോർട്ടോ റിക്കൻ
„„ അതെ, ക്യൂബൻ
„„ മറ്റൊരു ഹിസ്പാനിക്, ലാറ്റിന�ോ അല്ലെങ്കില്‍ സ്പാനിഷ്
ഉത്ഭവം — പ്രിന്‍റ് ചെയ്യുക, ഉദാഹരണത്തിന്,
സാൽവഡ�ോറാൻ, ഡ�ൊമിനിക്കൻ, ക�ൊളംബിയൻ,
ഗ്വാട്ടിമാലൻ, സ്പാനിയാര്‍ഡ്‌
, ഇക്വഡ�ോറിയൻ, മുതലായവ

യു.എസ്. സെന്‍സസ് ബ്യൂറ�ോ	

5

പേജ് 2ന്റെ വലതുവശത്തുള്ള ച�ോദ്യം
പൂര്‍ത്തിയാക്കുക
നിങ്ങളുസെ ഉ‍തരങ്ങള് ഈ ഗൈഡില് എഴകുതരകുത്
എന്താണ് വ്യക്തി 1ന്‍റെ വംശം?
ഒന്നോ അതില്‍ കൂടുതല�ോ ബ�ോക്സുകള്‍

„„ വൈറ്റ്

—

, കൂടാതെ ഒറിജിന്‍ പ്രിന്‍റ് ചെയ്യുക.

op
y

അടയാളപ്പെടുത്തുക

പ്രിന്‍റ് ചെയ്യുക, ഉദാഹരണത്തിന്, ജര്‍മ്മന്‍,

ഐറിഷ്, ഇംഗ്ലീഷ്, ഇറ്റാലിയന്‍, ലെബനീസ്, ഈജിപ്ഷ്യന്‍,
മുതലായവ

„„ ബ്ലാക്ക് അല്ലെങ്കില്‍ ആഫ്രിക്കന്‍ അമേരിക്കന്‍

—

പ്രിന്‍റ്

C

ചെയ്യുക, ഉദാഹരണത്തിന്, ആഫ്രിക്കന്‍ അമേരിക്കന്‍,
ജമൈക്കന്‍, ഹെയ്തിയന്‍, നൈജീരിയൻ, എത്യോപ്യന്‍,
സ�ൊമാലി, മുതലായവ

—

„„ അമേരിക്കൻ ഇന്ത്യൻ അല്ലെങ്കിൽ അലാസ്ക സ്വദേശി

io
na
l

എൻറ�ോൾ ചെയ്ത അല്ലെങ്കിൽ പ്രധാന ഗ�ോത്രം പേര്

Navajo Nation,
Blackfeet Tribe, മായൻ, ആസ്ടെക്, Native Village
of Barrow Inupiat Traditional Government, Nome
Eskimo Community, മുതലായവ
പ്രിന്‍റ് ചെയ്യുക, ഉദാഹരണത്തിന്,

„„ വിയറ്റ്നാമീസ് „„ നേറ്റീവ്

„„ ഫിലിപ്പിന�ോ

„„ ക�ൊറിയൻ

„„ സമ�ോവൻ

„„ ജാപ്പനീസ്

„„ ചമ�ോറ�ോ

at

„„ ചൈനീസ്

„„ ഏഷ്യൻ

ഹവായിയൻ

ഇന്ത്യൻ

In
fo
rm

„„ മറ്റ് ഏഷ്യൻ

6	

—

„„ മറ്റ് പസിഫിക്

—

പ്രിന്‍റ് ചെയ്യുക,

ഹൈലാൻഡർ

ഉദാഹരണം,

പ്രിന്‍റ് ചെയ്യുക,

പാകിസ്താനി,

ഉദാഹരണത്തിന്,

കമ്പോഡിയൻ,

ട�ോംഗൻ, ഫിജിൻ,

ഹമ�ോംഗ്,

മാർഷലീസ്,

മുതലായവ

മുതലായവ

„„ മറ്റ് ചില വർഗ്ഗം

—

വർഗ്ഗം അല്ലെങ്കിൽ ഉത്ഭവം പ്രിന്റ്

ചെയ്യുക.

യു.എസ്. സെന്‍സസ് ബ്യൂറ�ോ

ഓര�ോ അധിക വ്യക്തിയ്ക്കും ച�ോദ്യങ്ങള്‍
പൂര്‍ത്തിയാക്കക
ഓര�ോ അധിക വ്യക്തിയ�ോടും ചുവടെയുള്ള രണ്ട് ച�ോദ്യങ്ങള്‍
ച�ോദിക്കുന്നതാണ്

op
y

നിങ്ങളുസെ ഉ‍തരങ്ങള് ഈ ഗൈഡില് എഴകുതരകുത്
ഈ വ്യക്തി സാധാരണ ഗതിയില്‍ ഇവിടെയാണ�ോ കഴിയുന്നത്
അല്ലെങ്കില്‍ താമസിക്കുന്നത്?

ബാധകമായതെല്ലാം അടയാളപ്പെടുത്തുക
„„ ഇല്ല

.

C

„„ അതെ, ക�ോളെജിനു വേണ്ടി „„ അതെ, ഒരു

പേറന്‍റിന�ോട�ൊപ്പം

„„ അതെ, ഒരു സൈനിക

അല്ലെങ്കില്‍ മറ്റൊരു

നിയമനത്തിനു വേണ്ടി

io
na
l

„„ അതെ, ഒരു ജ�ോലി
അല്ലെങ്കില്‍ ബിസിനസ്സിനു

ബന്ധുവിന�ൊപ്പം

„„ അതെ, ഒരു സീസണല്‍
അല്ലെങ്കില്‍ രണ്ടാം

വേണ്ടി

„„ അതെ, ഒരു നേഴ്സിനംഗ്

താമസസ്ഥലത്ത്
„„ അതെ, ഒരു ജയിലില്‍
„„ അതെ, മറ്റൊരു
കാരണത്തിന്

at

ഹ�ോമില്‍

ഈ വ്യക്തി എങ്ങനെയാണ് വ്യക്തി 1ന�ോട് ബന്ധപ്പെട്ടിരിക്കുന്നത്?

In
fo
rm

ഒരു ബ�ോക്സ് അടയാളപ്പെടുത്തുക

.

„„ എതിർ-ലിംഗം ഭര്‍ത്താവ്/ഭാര്യ/ജീവിതപങ്കാളി
„„ എതിർ-ലിംഗം അവിവാഹിത പങ്കാളി
„„ സമാന ലിംഗത്തില്പ്പെട്ട ഭര്‍ത്താവ്/ഭാര്യ/ജീവിതപങ്കാളി
„„ സമാന ലിംഗത്തില്പ്പെട്ട അവിവാഹിത പങ്കാളി
„„ സ്വന്തം മകന്‍ അല്ലെങ്കില്‍ മകള്‍
„„ ദത്തെടുക്കപ്പെട്ട മകന്‍ അല്ലെങ്കില്‍ മകള്‍
„„ മുന്‍ബന്ധത്തിലെ മകന്‍ അല്ലെങ്കിൽ മുന്‍ബന്ധത്തിലെ മകള്‍
„„ സഹ�ോദരൻ അല്ലെങ്കില്‍ സഹ�ോദരി
„„ പിതാവ് അഥവാ അമ്മ
„„ പേരക്കുട്ടി
„„ അമ്മായിയമ്മ/അമ്മായിയച്ഛന്‍
„„ മരുമകന്‍ അല്ലെങ്കില്‍ മരുമകള്‍
„„ മറ്റ് ബന്ധുക്കള്
„„ സഹമുറിയന്‍ അല്ലെങ്കിൽ സഹവാസി

(roommate or housemate)
(foster)

„„ ദത്തെടുത്ത കുട്ടി

„„ മറ്റ് ബന്ധുവല്ലാത്ത വ്യക്തി
യു.എസ്. സെന്‍സസ് ബ്യൂറ�ോ	

7

നിങ്ങള്‍ അറ് ആളുകളില്‍ കൂടുതല്‍ എണ്ണിയെങ്കില്‍
പേജ് 8 പൂര്‍ത്തിയാക്കുക
നിങ്ങളുസെ ഉ‍തരങ്ങള് ഈ ഗൈഡില് എഴകുതരകുത്
പേരിന്റെ ആദ്യഭാഗം

നടുവിലുള്ള ഇനിഷ്യല്‍

(middle initial)

പേരിന്റെ അവസാന
ഭാഗം(ങ്ങള്‍)

(last name[s])

സ്ത്രീ

ഏപ്രിൽ 1,
2020 ലെ
വയസ്സ് വര്
ങ്ങളില്‍

മാസം

ദിവസം

ജനിച്ച
വര്‍ഷം

വ്യക്തി

1ന�ോട്

ബന്ധപ്പെട്ടിരിക്കുന്നു?
„„ അതെ

„„ ഇല്ല

io
na
l

പുരുഷന്‍

C

op
y

(first name)

പൂര്‍ത്തിയാക്കിയ ഇംഗ്ലീഷ് ച�ോദ്യാവലി നിങ്ങള്‍ക്ക് ലഭിച്ച പ�ോസ്റ്റേജ് പെയിഡ് എൻവലപ്പ്
ദയവായി മെയില്‍ ചെയ്യുക.

2020 സെന്‍സസ്

In
fo
rm

at

മുമ്പെന്നത്തേക്കാളും
എളുപ്പം.

നിങ്ങള്‍ക്ക് ഓണ്‍ലൈനായി
പ്രതികരിക്കാം എന്നു
നിങ്ങള്‍ക്കറിയാമ�ോ?
2020

സെന്‍സസ് നിങ്ങള്‍ക്ക് ഓണ്‍ലൈനായി
പൂര്‍ത്തീകരിക്കാനാവുമെങ്കില്‍,
ച�ോദ്യാവലിയില്‍ പ്രിന്‍റ് ചെയ്തിരിക്കുന്ന
യു.ആര്‍.എല്‍.ലേക്ക് പ�ോകുക.

2020 സെന്‍സസ് ഓണ്‍ലൈനായി

പൂര്‍ത്തീകരിക്കുന്നതിനുള്ള വീഡിയ�ോ
ഗൈഡുകള്‍ ഇതില്‍ ലഭ്യമാണ്
2020census.gov/languages
8	

D-G (mal) Malayalam
യു.എസ്. സെന്‍സസ് ബ്യൂറ�ോ

OMB सं ख्या 0607-1006: मं जुरी कालबाह्य होते 11/30/2021

2020 जनगणणेसाठी तुमचे मार्गदर्शक

In
fo
rm

at

io
na
l

C

op
y

2020 जनगणना कागदी प्रश्नावलीला उत्तरे कशी द्यायची

2020 जनगणने मध्ये तुमचे स्वागत आहे

सर्व महत्त्वाचे आहेत.

op
y

या जणगणनेचे लक्ष्य आहे यू.एस मध्ये प्रत्येक जीवित व्यक्तीला एकदा, के वळ
एकदा आणि योग्य ठिकाणी मोजले जाईल. आम्हाला तुमची मदत तुमच्या
समुदायातील प्रत्येकाला मोजले गेले आहे हे सुनिश्चित करण्यासाठी हवी आहे.

जनगणना डेटा महत्त्वाचे आहेत.

io
na
l

C

यू.एस. सं विधानाच्या अनुसार दर 10 वर्षनां ी जनगणना करणे आवश्यक आहे.
परिणामांचा वापर प्रत्येक राज्यात यू.एस. कॉंग्रेसच्या किती जागा आहेत ते
ठरवण्यास, मतदान जिल्ह्यासाठी सीमा आखण्यात, आणि प्रत्येक वर्षी फे डरल
निधीमधून समुदायांमध्ये $675 बिलियन पेक्षा अधिक कसे खर्च झाले हे
ठरवण्यासाठी के ला जाईल.

सहभागी होणे तुमचे नागरी कर्तव्य आहे.

at

जनगणना पूर्ण करणे आवश्यक आहे; हा आमच्या गणतं त्रात सहभागी होण्याचा
आणि "मी महत्त्वाचा आहे!" म्हणण्याचा एक मार्ग आहे.

In
fo
rm

तुमची माहिती गोपनीय आहे.

फे डरल कायदा तुमच्या प्रतिसादांचे सं रक्षण करतो. तुमचे प्रतिसाद के वळ
सांख्यिकी उत्पन्न करण्यासाठी के ले जातील आणि तुमच्या विरुद्ध कोणत्याही
शासकीय एजन्सी किंवा कोर्टाद्वारे वापरू शकणार नाही.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.

Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws

Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

3.

• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Is this house, apartment, or mobile home — Mark ONE box.
Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

–

–

2020 जनगणना कागदी प्रश्नावली पूर्ण करण्यासाठी या

मार्गदर्शकाचा वापर करा.

2020 जनगणना कागदी प्रश्नावली तुमच्या मेलबॉक्स मध्ये येईल आणि

देशभरात तुमच्या दरावर मिळे ल.

यू.एस. जनगणना कार्यालय

तुम्ही सुरु करण्यापूर्वी
तुमची प्रश्नावली शोधा आणि पहिल्या पणावर उघडा.

2.	

इं ग्रजी कागदी प्रश्नावली वर तुमचे प्रतिसाद अंकित करण्यासाठी या मराठी मार्गदर्शकातील माहितीचा वापर
करा. तुमचे प्रतिसाद या मार्गदर्शकावर लिहू नका.

3.	

तुम्ही पहिल्या प्रश्नाला प्रतिसाद देण्यापर्वी
ू , या घरात, सदनिके त किंवा मोबाईल घरात राहणाऱ्या लोकांना या
मार्गदर्शक तत्वांचा वापर करून मोजा.

op
y

1.	

C

कोणाला मोजायचे

जनगणना कार्यालय सं स्थाने आणि इतर ठिकाणी
सुद्धा गणना करते:

•	 सर्व लोकांना, बाळांसह, जे इथे अधिकांश वेळ
राहतात आणि झोपतात, त्यांना मोजा.

•	 एप्रिल 1, 2020 रोजी नर्सिंग होम, तुरुं ग,
डिटेंशन सुविधा, इत्यादी मध्ये कोणालाही मोजू
नका.

io
na
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या घरात, सदनिके त किंवा मोबाईल घरात
राहणाऱ्या लोकांना मोजा:

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•	 जर या पत्त्यावर अधिकांश वेळ कोणीही राहत
किंवा झोपत नसल्यास, ऑनलाईन प्रतिसाद द्या.

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जनगणनेत स्थायी निवासाचे स्थान नसले ल्या
लोकांना सुद्धा समविष्ट के ले गेले पाहिजे:

•	 तुमच्या प्रश्नावलीतून त्या लोकांना वगळा, जरी
ते महाविद्यालय, नर्सिंग होम, सैन्यात, तुरुं गातून,
इत्यादी इथे पुन्हा राहायला येणार असले तरीही.
अन्यथा, त्यांना दोन वेळा मोजले जाऊ शकते.

•	 एप्रिल 1, 2020 पासून, जर कोणी स्थायी
निवासाचे स्थान नसले ले इथे राहत असेल, तर
त्या व्यक्तीला मोजा.

पुढल्या प्रश्नावरील प्रश्न आणि सूचना वाचा.
तुमचे प्रतिसाद या मार्गदर्शकावर लिहू नका.
यू.एस. जनगणना कार्यालय	

3

मुखपृष्ठावरील प्रश्न पूर्ण करा
तुमचे प्रतिसाद या मार्गदर्शकावर लिहू नका

लोकांची सं ख्या

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एप्रिल 1, 2020 रोजी या घर, सदनिका, किंवा मोबाईल घरात किती लोकं
निवास करत होते किंवा राहत होते?

एप्रिल 1, 2020, रोजी इथे कोणी अतिरिक्त लोकं इथे राहत होती ज्यांना
तुम्ही प्रश्न 1 मध्ये समाविष्ट के ले नाहीत ?
अंकित करा.

C

लागू ते सर्व

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„„ मुले, मात्याचे किंवा गैर नात्याचे, जशी नवजात बाळे , नातवं डे, किंवा दत्तक
मुले (foster)
„„ नातेवाईक, जसे प्रौढ मुले, चुलत/आत्ते/मामे/मावस भावं ड, किंवा विवाहाने
नात्याचे
„„ गैर-नातेवाईक, जसे खोलीमित्र किंवा निवासस्थ दाई
„„ तात्पुरते इथे राहणारी लोकं
„„ कोणी अतिरिक्त लोकं नाहीत
हे घर, सदनिका, किंवा मोबाईल घर आहे का —
एका बॉक्स वर चिन्ह करा.
„„ तुमच्या मालकीचे किंवा कु टुंबातील कोणाच्या मुक्त आणि स्पष्ट मालकीचे
गहाणखतकिंवा कर्जासह? होम इक्विटी कर्ज समाविष्ट.
„„ तुमच्या मालकीचे किंवा कु टुंबातील कोणाच्या मुक्त आणि स्पष्ट मालकीचे
(कोणत्याही गहाणखतकिंवा कर्जा शिवाय)?
„„ भाड्याचे?
„„ भाडे न भरता वापरले ले?
तुमचा दू रध्वनी क्रमांक काय आहे?
आम्ही के वळ अधिकृ त जनगणना कार्यालय कामकाजासाठी आवश्यक
असल्यास सं पर्क करू.

दू रध्वनी क्रमांक
4	

यू.एस. जनगणना कार्यालय

पृष्ठ 2 वरील डाव्या बाजूच्या प्रश्नांना पूर्ण करा
तुमचे प्रतिसाद या मार्गदर्शकावर लिहू नका

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इथे असले ल्या प्रत्येक जीवित व्यक्तीसाठी कृ पया माहिती प्रदान करा. जर इथे
कोणी राहत असेल जे भाड्याने राहते किंवा या निवासाचा मालक आहे, तर
त्याला किंवा तिला पहिला व्यक्ती म्हणून सूचीबद्ध करून सुरुवात करा. जर
मालक किंवा भाडे भरणारी व्यक्ती इथे राहत नसेल, तर कोणत्याही प्रौढ जीवित
व्यक्तीला पहिली व्यक्ती म्हणून सुचीबद्ध करून सुरीवत करा.
पहिल्या व्यक्तीचे नाव काय आहे?

पहिले नाव

आडनाव(वे)

(last name[s])

मधले आद्याक्षर

(middle initial)

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(first name)

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पहिल्या व्यक्तीचे नाव इं ग्रजी मध्ये प्रविष्ठ करा.

पहिल्या व्यक्तीचे लिंग काय आहे? एक
„„ पुरुष

बॉक्स वर चिन्ह करा.

„„ स्त्री

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पहिल्या व्यक्तीचे वय काय आहे आणि पहिल्या व्यक्तीची जन्म तारीख काय
आहे?

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1 वर्षापेक्षा कमी वयाच्या बाळांसाठी वय महिन्यात लिहू नका. वय 0 म्हणून

एप्रिल 1, 2020
रोजी वय, वर्षात

महिना

यू.एस. जनगणना कार्यालय	

दिवस

लिहा.

जन्म साल
पहिली व्यक्ती हिस्पॅ निक, लॅ टिनो किंवा स्पॅ निश मूळाचा(ची) आहे का?
„„ नाही, हिस्पॅ निक, लॅटिनो किंवा स्पॅ निश मूळाचा(ची) नाही
„„ होय, मेक्सिकन, मेक्सिकन अमेरिकी, चिकानो
„„ होय, प्योर्टो रिकन
„„ होय, क्यूबन
„„ होय, अजून एक हिस्पॅ निक, लॅटिनो किंवा स्पॅ निश मूळाचा(ची) — मुद्रित
करा, उदाहणार्थ, साल्वाडोरन, डोमेनिकी, कोलं बियन, ग्वाटेमालन,
स्पेनचा(ची), इक्वाडोरियन, इत्यदी.
5

पृष्ठ 2 वरील उजव्या बाजूच्या प्रश्नां पूर्ण करा
तुमचे प्रतिसाद या मार्गदर्शकावर लिहू नका
पहिल्या व्यक्तीचा वं श काय आहे?
करा.

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एक किंवा अधिक बॉक्स अंकित करा आणि मूळ मुद्रित

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„„ श्वेत — मुद्रित करा, उदाहणार्थ, जर्मन, आयरिश, इं ग्रज, इटालियन,
ले बनीज, इजिप्शियन, इत्यादी.
„„ काळे किंवा आफ्रिकी अमेरिकी — मुद्रित करा, उदाहनार्थ, आफ्रिकी
अमेरिकी, जमैकन, हैतीयन, नायजेरियन, इथियोपियन, सोमाली, इत्यादी.
„„ अमेरिकी भारतीय किंवा मूळ अलास्काई — नोंदणीकृ त किंवा
मुख्य जमात(ती) चे छापील नाव, उदाहणार्थ, Navajo Nation,
Blackfeet Tribe, मेयन, अस्टेक, Native Village of Barrow
Inupiat Traditional Government, Nome Eskimo
Community, इत्यादी.
„„ चीनी
„„ विएतनामी
„„ मूळ हवाईयन
„„ फिलिपिनी
„„ कोरियाई
„„ सामोअन
„„ आशियाई भारतीय „„ जपानी
„„ कॅ मोरो
„„ अन्य एशियाई
„„ अन्य प्रशांत द्वीपसमूह —
— मुद्रित करा,
मुद्रित करा, उदाहरणार्थ,
उदाहणार्थ,
टोंगन, फिजी, मार्शलीज,
पाकिस्तानी,
इत्यादी.
कं बोडियन, ह्मोंग,
इत्यादी.
„„ अन्य कोणत्या वं शाचे — वं श किंवा मूळ मुद्रित करा.

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यू.एस. जनगणना कार्यालय

प्रत्येक अतिरिक्त व्यक्तीसाठी प्रश्न पूर्ण करा
प्रत्येक अतिरिक्त व्यक्तीसाठी खालील दोन प्रश्न विचारले जातील
तुमचे प्रतिसाद या मार्गदर्शकावर लिहू नका

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ही व्यक्ती सामान्यतः अन्य कु ठे राहते किंवा निवास करते का?
लागू ते सर्व अंकित करा.
„„ नाही
„„ होय, महाविद्यालयासाठी
„„ होय, पालक किंवा अन्य
नातेवाईकासह
„„ होय, लष्करी नेमणूकीसाठी
„
„
होय, एका हंगामी किंवा अन्य
„„ होय, नोकरी किंवा व्यापारासाठी
निवासात
„„ होय, नर्सिंग होममध्ये
„„ होय, एका तुरुं गात
„„ होय, अन्य कारणास्तव
पहिल्या व्यक्तीशी या व्यक्तीचे नाते काय आहे?
एका

बॉक्स वर चिन्ह करा.

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„„ वेगळ्या लिंगाचा पती/पत्नी/जोडीदार
„„ वेगळ्या लिंगाचा अविवाहित जोडीदार
„„ समलैं गिक पती/पत्नी/जोडीदार
„„ समलैं गिक अविवाहित जोडीदार
„„ जैविक पुत्र किंवा पुत्री
„„ दत्तक पुत्र किंवा पुत्री
„„ सावत्र मुलगा किंवा मुलगी
„„ भाऊ किंवा बहिण

यू.एस. जनगणना कार्यालय	

„„ वडील किंवा आई
„„ नातवं ड
„„ सासू - सासरे
„„ जावई किंवा सून
„„ अन्य नातेवाईक
„„ खोलीमित्र किंवा गृहमित्र (roommate or housemate)
„„ दत्तक मूल (foster)
„„ अन्य गैर-नातेवाईक

7

तुम्ही सहापेक्षा अधिक लोकां मोजले असल्यास पृष्ठ 8 पूर्ण करा
तुमचे प्रतिसाद या मार्गदर्शकावर लिहू नका

स्त्री

एप्रिल 1, 2020
रोजी वय, वर्षात

महिना

दिवस

जन्म साल

पहिल्या व्यक्तीचा नातेवाईक?
„„ होय „„ नाही

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पुरुष

आडनाव(वे)

(last name[s])

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मधले आद्याक्षर

(middle initial)

C

पहिले नाव

(first name)

पूर्ण के ले ली इं ग्रजी प्रश्नावली तुम्हाला मिळाले ल्या टपाल तिकीट लावले ला लिफाफा पोस्टाने पाठवा.

सोपी झाली आहे.

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2020 जनगणना पूर्वीपेक्षा खूप

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तुम्ही ऑनलाईन प्रतिसाद देऊ शकता हे
तुम्हाला माहिती आहे का?
जर तुम्ही 2020 जनगणना ऑनलाईन पुरे करू
शकलात,टार प्रश्नावली वर छापले ल्या URL वर जा.

2020 जनगणना पूर्ण करण्यासाठी

व्हीडीओ मार्गदर्शक ऑनलाईन उपलब्ध आहेत
2020census.gov/languages
D-G (mar) Marathi

8	

यू.एस. जनगणना कार्यालय

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TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

4.

What is your telephone number?

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

Telephone Number
How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

We will only contact you if needed for official Census Bureau
business .

–

–

	

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OMB सं ख्या 0607-1006: स्वीकृति समाप्त हुन्छ 11/30/2021

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2020 जनगणनाकोलागि तपाईंको निर्देशिका

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2020 जनगणनाको कागजी प्रश्नावलीको उत्तर कसरी दिने

2020 जनगणनामा स्वागत छ

हरेक व्यक्तिको महत्त्व छ।

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यस जनगणनाको लक्ष्य भनेको अमेरिकामा प्रत्येक जीवित व्यक्तिलाई एकपटक,
एकपटक मात्र, र सही स्थानमा गणना गर्ने हो। हामीलाई तपाईंको समुदायको
सबैलाई गणना भएको सुनिश्चित गर्न तपाईंको मद्दत चाहिन्छ।

जनगणना डाटाहरू महत्वपुर्ण हुन्छ।

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अमेरिकी सं विधान अनुरुप हरेक 10 वर्षमा एक जनगणना अनिवार्य गरिनु
पर्दछ। यसका परिणामहरूले प्रत्येक राज्यमा कं ग्रेसको सीटहरूको सं ख्या निर्धारण
गर्न, मतदान जिल्लाका सीमाहरू बनाउन, र समुदायहरू भित्र प्रत्येक वर्ष सं घीय
लगानीको 675 अरब अमेरिकी डलर भन्दा बढी सं घीय लगानीलाई कसरी खर्च
गरिन्छ भन्ने कुराको निर्धारण गर्न प्रयोग गरिन्छ।

यसमा भाग लिनु तपाईंको नागरिक दायित्व हो।

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जनगणना पुरा गर्नु आवश्यक छ; यो हाम्रो लोकतन्त्रमा भाग लिने एक तरिका हो र
“मेरो महत्त्व छ”! भन्रे कुरा जनाउनु हो!

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तपाईंको जानकारी गोप्य रहन्छ।
सं घीय कानूनले तपाईंको प्रतिक्रियाहरूको सुरक्षण गर्दछ। तपाईंको उत्तरहरू
तथ्याङ्कहरू उत्पादन गर्न मात्र प्रयोग गर्न सकिनेछ र तपाईंको विरुद्ध कु नै पनि
सरकारी एजेन्सी वा अदालतले प्रयोग गर्न सकिने छै न।

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.

Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws

Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:

• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Rented?
Occupied without payment of rent?

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?

4.

–

–

यो निर्देशिकालाई 2020 जनगणना कागजी प्रश्नावली
सम्पन्न गर्न प्रयोग गर्नुहोस्।
2020 जनगणना कागजी प्रश्नावलीहरू देशव्यापी रुपमा मेलबक्समा र घर-दैलोमा

आउने छन्।

अमेरिकी जनगणना ब्युरो

तपाईंले सुरु गर्नुभन्दा पहिले
1.	तपाईंको प्रश्नावली भेटाउनुहोस् र त्यसको पहिलो पृष्ठमा पल्टाउनुहोस्।

यस नेपाली भाषा निर्देशिकामा सम्मिलित जानकारीको प्रयोग गरी अंग्रेजी कागजी प्रश्नावालीमा तपाईंको
उत्तरहरूमा चिन्ह लगाउनुहोस्। यस निर्देशिकामा तपाईंको उत्तरहरू नलेखिदिनु होला।

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2.	

3.	तपाईंले पहिलो प्रश्नको उत्तर दिनुभन्दा अघि, तल दिएका दिशानिर्देशहरूको प्रयोग गरे र यस घर, अपार्टमेन्ट,

C

वा मोबाईल निवास भित्र बस्ने व्यक्तिहरूको गणना गर्नुहोस्।

कसको गणना गर्ने

जनगणना ब्युरोले सं स्थाहरू र अन्य ठाउँ हरूमा पनि
गणना गर्दछ:

•	 शिशुहरू सहित, सबै व्यक्तिहरूको गणना
गर्नुहोस्, जो धेरैजसो यही ँ बस्ने र सुत्ने गर्दछन्।

•	 एप्रिल 1, 2020 मा नर्सिङ होम, कारागार,
कारागारमा, डिटेन्सनमा भएका, आदिको गणना
नगर्नुहोस्।

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यस घर, अपार्टमेन्ट वा मोबाइल निवासमा बस्ने
व्यक्तिहरूको गणना गर्नुहोस्:

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•	 यदि यो ठे गानामा धेरैजसो कोहि पनि बस्दैनन् र
सुत्दैनन भने, अनलाइनबाट प्रतिक्रिया दिनुहोस्।

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जनगणनामा स्थायी रुपमा बस्ने ठाउँ नभएका
व्यक्तिहरूलाई पनि समावेश गर्नुपर्छ:

•	 यदि स्थायी रूपमा बस्ने ठाउँ नभएको कोही
व्यक्ति यहाँ एप्रिल 1, 2020 मा बस्छन् भने
त्यस व्यक्तिको गणना गर्नुहोस।

•	 कलेज, नर्सिङ होम, सेना,कारागार, आदिमा
रहेका व्यक्तिहरू, त्यस्ता ठाउँ छोडेर पछि यही ँ
बस्न आउन सक्ने भएपनि, त्यस्ता व्यक्तिलाई
तपाईंको प्रश्नावलीमा समावेश नगर्नुहोस्।
अन्यथा, तिनीहरूको गणना दइु पल्ट हुनसक्छ।

अर्को पृष्ठमा गएर प्रश्नहरू र निर्देशनहरू पढ्नुहोस्।
यस निर्देशिकामा तपाईंको उत्तरहरू नलेखिदिनु होला।
अमेरिकी जनगणना ब्युरो	

3

अगाडिपट्टिको पृष्ठमा दिएका प्रश्नहरू पुरा गर्नुहोस्
यस निर्देशिकामा तपाईंको उत्तरहरू नलेखिदिनु होला

मानिसहरूको सं ख्या

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एप्रिल 1, 2020 मा यस घर, अपार्टमेन्ट, वा मोबाइल निवासमा कति मानिस
स्थायी वा अस्थायी रूपमा बसेका थिए?

के यहाँ कु नै अतिरिक्त व्यक्तिहरू एप्रिल 1, 2020 मा बस्नु भएको थियो जुन
तपाईंले प्रश्न 1 मा समावेश गर्नुभएको थिएन?
लगाउनुहोस्।

C

लागू हुने सबैमा चिन्ह

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„„ बालबालिका, सम्बन्धित वा असम्बन्धित, जस्तै नवजात शिशुहरू, नाती/
नातिनी, वा पालेका छोराछोरीहरू (foster)
„„ नातेदार, जस् तैवयस्क बालकहरु, पर्ने दाई-दिदी भाइ-बहिनी, वा ससुराली
नातेदारहरू
„„ अन्य नाता नभएको, जस्तै कोठामा सं गै बस्ने साथी, वा बच्चा हेरचाहको लागि
सं गै बस्ने व्यक्ति
„„ यही ँ अस्थायी रुपमा बसेका व्यक्तिहरू
„„ कु नै अतिरिक्त व्यक्ति छै नन्
के यो घर, अपार्टमेन्ट वा मोबाइल निवास —
चिन्ह लगाउनुहोस एउटा बक्सामा।
„„ गृहस्थीमा मालिक तपाईं हुनुहुन्छ वा कसैले धितो वा ऋणमा लिएको छ? घर
शेषपुंजी कर्जा समावेश गर्नुहोस्।
„„ तपाईंको स्वामित्वमा रहेको वा गृहस्थीमा कसैको स्वामित्वमा रहेको छ (धितो
र ऋण बाट मुक्त रहेको छ)?
„„ भाडामा?
„„ भुक्तानी नगरीवा भाडा नतिरी कब्जा गरेको?
तपाईंको टेलिफोन नम्बर के हो?
आधिकारिक जनगणना ब्युरो कार्यको लागि आवश्यक भएको खण्डमा मात्र हामी
तपाईंलाई सम्पर्क गर्नेछौं।

टेलिफोन नम्बर
4	

अमेरिकी जनगणना ब्युरो

पृष्ठ 2 को बायाँपट्टि दिएका प्रश्नहरू पूरा गर्नुहोस्
यस निर्देशिकामा तपाईंको उत्तरहरू नलेखिदिनु होला

व्यक्ति 1 को नाम के हो?

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यहाँ बस्ने हरेक व्यक्तिको जानकारी प्रदान गर्नुहोस्। यदि यहाँ त्यस्तो व्यक्ति
बस्दछन् जसले घर भाडा तिर्छ वा यस निवासको मालिक हुनुहुन्छ, उहाँलाइ
व्यक्ति 1 मा राखी सूचीबद्ध सुरु गर्नुस। यदि घरधनी वा घर को भाडा तिर्ने व्यक्ति
यहाँ बस्नु हुन्न भने, व्यक्ति 1 को स्थानमा यहाँ बस्ने कु नै वयस्कलाई सूचीबद्ध गरेर
सुरू गर्नुहोस्।

अगाडिको नाम

थर(हरू)

(last name[s])

बिचको नामको पहिलो अक्षर
(middle initial)

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(first name)

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कृ पया व्यक्ति 1 को नाम अंग्रेजी भाषामा उल्लेख गर्नुहोस्।

व्यक्ति 1 को लिङ्ग के हो? चिन्ह लगाउनुहोस
„„ पुरूष

एउटा बक्सामा।

„„ महिला

व्यक्ति 1 को उमेर कति हो र व्यक्ति 1 को जन्म मिति के हो?

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1 बर्ष भन्दा कम उमेरका शिशुहरुको लागि, उमेर महिनामा नलेख्नुहोला। उमेरको
ठाउँ मा 0 लेख्नुहोस्।

उमेर, वर्षमा,
एप्रिल 1, 2020

अमेरिकी जनगणना ब्युरो	

महिना

दिन

जन्म वर्ष

के व्यक्ति 1 हिस्पेनिक, ल्याटिनो, वा स्पेनिस मूलको हुनुहुन्छ?
„„ होइन, हिस्पानिक, ल्याटिनो, वा स्पेनी मूलको हुनुहुन्न
„„ हो, मेक्सिकन, मेक्सिकन अमेरिकी, चिकानो
„„ हो, प्युर्तो रिकन
„„ हो, क्युबन
„„ हो, अन्य हिस्पेनिक, ल्याटिनो वा स्पेनिस मूलको हुनुहुन्छ — प्रिन्ट,
उदाहरणको लागि, साल्भाडोरन्, डोमिनिकन, कोलोम्बियन, ग्वाटेमेलन,
स्पानियार्ड, इक्वे डोरियन, आदि।
5

पृष्ठ 2 को बायाँपट्टि सोधिएका प्रश्न पुरा गर्नुहोस्
यस निर्देशिकामा तपाईंको उत्तरहरू नलेखिदिनु होला
व्यक्ति 1 को जात के हो?
चिन्ह लगाउनुहोस

एउटा वा धेरै बक्सामा र मूल छाप्नुहोस्।

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„„ श्वेत — प्रिन्ट, उदाहरणका लागि, जर्मन, आइरिस, अंग्रेज, इटालियन,
लेबानिज, इजिप्टियन, आदि।
„„ अश्वेत वा अफ़्रीकी अमेरिकन — प्रिन्ट, उदाहरणका लागि, अफ्रिकी
अमेरिकी, जमैकन, हैटियन, नाइजेरियाली, ईथियोपियन, सोमाली, आदि।
„„ अमेरिकी इण्डियन वा अलास्का मूल — नामांकित वा नामांकन वा मुल
आदिवासीको, उदाहरणका लागि, Navajo Nation, Blackfeet
Tribe, मायन, एज्टेक, Native Village of Barrow Inupiat
Traditional Government, Nome Eskimo Community,
आदि।
„„ चिनियाँ
„„ भियतनामिज
„„ आदिवासी हवाईयन
„„ फिलिपिनो
„„ कोरियन
„„ सामोआन
„„ एसियाली इण्डियन „„ जापानीज
„„ चमोर्रो
„„ अन्य एशियाली —
„„ अन्य प्यासिफिक
प्रिन्ट, उदाहरणका
आइल्याण्डर — प्रिन्ट,
लागि, पाकिस्तानी,
उदाहरणका लागि, टोंगन,
कम्बोडियन, हमोंग ,
फिजियन, मार्सलिज,
आदि।
आदि।

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„„ के हि अन्य जाति — प्रिन्ट जाति वा मूल।

6	

अमेरिकी जनगणना ब्युरो

हरेक अतिरिक्त व्यक्तिको लागि प्रश्नहरू पूरा गर्नुहोस्
हरेक थप व्यक्तिलाई निम्न दईु वटा अधिक प्रश्नहरू सोधिनेछ
यस निर्देशिकामा तपाईंको उत्तरहरू नलेखिदिनु होला
के यो व्यक्ति सामान्यतया: अन्य ठाउँ मा बसाई वा निवास हुन्छ?
सबैमा चिन्ह लगाउनुहोस्।

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लागू हुने

„„ हो, एक अभिभावक वा अन्य
आफन्तसँ ग
„„ हो, मौसमी वा दोस्रो निवासमा
„„ हो, कारागार वा कारागारमा
„„ हो, अर्को कारणले

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„„ होइन
„„ हो, कलेजको लागि
„„ हो, सैन्य कर्तव्यको लागि
„„ हो, नोकरी वा व्यापारको लागि
„„ हो, नर्सिङ होममा

यिनी व्यक्ति 1 सँ ग कसरी सम्बन्धित छन्?
चिन्ह लगाउनुहोस

एउटा बक्सामा।

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„„ विपरीत-लिगं को श्रीमान/श्रीमती/विवाहित जोडी
„„ विपरीत-लिगं को अविवाहित जोडी
„„ समलिगं ी श्रीमान/श्रीमती/जीवनसाथी
„„ समलिगं ी अविवाहित साथी
„„ आफ्नै पुत्र वा पुत्री
„„ धर्मपुत्र वा धर्मपुत्री
„„ सौतेनी छोरो वा सौतेनी छोरी
„„ दाजु-भा वा दिदी-बहिनी

अमेरिकी जनगणना ब्युरो	

„„ बुबा वा आमा
„„ नाती/नातिनी
„„ ससुरा/सासु
„„ छोरा वा बुहारी
„„ अन्य आफन्त
„„ सं गै बसोबास गर्ने साथी (roommate or housemate)
„„ पालक पुत्र वा पुत्री (foster child)
„„ अन्य नाता नभएको

7

यदि तपाईंले छ जना भन्दा धेरै व्यक्तिहरूको सं ख्या गणना गर्नु भयो
भने पृष्ठ 8 पुरा भर्नुहोस्
यस निर्देशिकामा तपाईंको उत्तरहरू नलेखिदिनु होला
अगाडिको नाम

बिचको नामको पहिलो अक्षर
(middle initial)

थर(हरू)

(last name[s])

महिला

उमेर, वर्षमा,
एप्रिल 1, 2020

महिना

दिन

जन्म वर्ष

व्यक्ति 1 सँ ग सम्बन्धित छन्?
„„ छन्
„„ छै नन्

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पुरूष

C

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(first name)

तपाईले पुरा गर्नु भएको अंग्रेजी प्रश्नावली डाक भुक्तानी भएको खामबाट मेल गर्नु होला।

सजिलो छ।

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2020 जनगणना यसअघि भन्दा

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के तपाईंलाई थाहा छ तपाईं अनलाइनबाट
पनि प्रतिक्रिया दिन सक्नु हुन्छ?
यदि तपाईं 2020 जनगणना अनलाइन पूरा गर्न सक्नु हुन्छ
भने, प्रश्नावलीमा प्रिन्ट भएको URL मा जानुहोस्।

2020 जनगणना अनलाइनमा पुरा

गर्नकोलागि भिडियो निर्देशिकाहरू उपलब्ध छन्
2020census.gov/languages
D-G (npi) Nepali

8	

अमेरिकी जनगणना ब्युरो

OMB ਨੰਬਰ 0607-1006: ਪ੍ਰ ਵਾਨਗੀ ਦੀ ਮਿਆਦ 11/30/2021 ਨੂੰ ਸਮਾਪਤ ਹੁ ੰ ਦੀ ਹੈ

ਪ੍ਰ ਤੀਕਿਰਿਆ ਕਿਵੇ ਂ ਕਰੀਏ

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2020 ਜਨਗਣਨਾ ਕਾਗਜ਼ੀ ਪ੍ਰ ਸ਼ਨਾਵਲੀ 'ਤੇ

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2020 ਜਨਗਣਨਾ ਲਈ ਤੁਹਾਡੀ ਗਾਈਡ

2020 ਜਨਗਣਨਾ 'ਤੇ ਤੁਹਾਡਾ ਸਵਾਗਤ ਹੈ
ਹਰ ਇੱ ਕ ਦੀ ਗਿਣਤੀ ਕੀਤੀ ਜਾਂ ਦੀ ਹੈ ।

op
y

ਜਨਗਣਨਾ ਦਾ ਉਦੇ ਸ਼ ਯੂ.ਐਸ. ਵਿੱ ਚ ਰਹਿਣ ਵਾਲੇ ਹਰ ਵਿਅਕਤੀ ਦੀ ਇੱ ਕ ਵਾਰ, ਕੇ ਵਲ
ਇੱ ਕ ਵਾਰ, ਅਤੇ ਸਹੀ ਸਥਾਨ 'ਤੇ ਗਿਣਤੀ ਕਰਨਾ ਹੈ । ਇਹ ਯਕੀਨੀ ਬਣਾਉਣ ਲਈ ਕਿ
ਤੁਹਾਡੇ ਸਮੁਦਾਇ ਵਿੱ ਚ ਹਰ ਇੱ ਕ ਦੀ ਗਿਣਤੀ ਕੀਤੀ ਜਾਏ ਸਾਨੂੰ ਤੁਹਾਡੀ ਮਦਦ ਦੀ ਲੋ ੜ ਹੈ ।

ਜਨਗਣਨਾ ਦਾ ਡਾਟਾ ਮਹੱ ਤਵਪੂਰਣ ਹੈ ।

io
na
l

C

ਯੂ.ਐਸ. ਸੰ ਵਿਧਾਨ ਨੂੰ ਹਰ 10 ਸਾਲ ਬਾਅਦ ਇੱ ਕ ਜਨਗਣਨਾ ਦੀ ਲੋ ੜ ਹੁ ੰ ਦੀ ਹੈ ।
ਨਤੀਜਿਆਂ ਦੀ ਵਰਤੋ ਂ ਹਰੇ ਕ ਰਾਜ ਵਿੱ ਚ ਕਾਂਗਰਸ ਵਿੱ ਚ ਸੀਟਾਂ ਦੀ ਗਿਣਤੀ ਨੂੰ ਸੁਨਿਸ਼ਚਿਤ
ਕਰਨ, ਵੋ ਟ ਪਾਉਣ ਵਾਲੇ ਜਿਲ੍ਹਿ ਆਂ ਲਈ ਸੀਮਾਵਾਂ ਤਿਆਰ ਕਰਨ, ਅਤੇ ਇਹ ਨਿਰਧਾਰਿਤ
ਕਰਨ ਲਈ ਕੀਤੀ ਜਾਂਦੀ ਹੈ ਕਿ ਹਰ ਸਾਲ ਸਮੁਦਾਇਆਂ ਵਿੱ ਚ ਸੰ ਘੀ ਫੰ ਡਿੰਗ ਵਿੱ ਚ $675
ਬਿਲੀਅਨ ਨਾਲੋ ਂ ਵੱ ਧ ਕਿੰ ਨੇ ਖਰਚ ਕੀਤੇ ਗਏ ਹਨ।

ਭਾਗ ਲੈ ਣਾ ਤੁਹਾਡਾ ਨਾਗਰਿਕ ਫਰਜ਼ ਹੈ ।

at

ਜਨਗਣਨਾ ਨੂੰ ਪੂਰਾ ਕਰਨਾ ਲੋ ੜੀਂਦਾ ਹੈ ; ਇਹ ਸਾਡੇ ਲੋ ਕਤੰ ਤਰ ਵਿੱ ਚ ਭਾਗ ਲੈ ਣ ਅਤੇ ਇਹ
ਕਹਿਣ "ਮੇ ਰੀ ਗਿਣਤੀ ਹੁ ੰ ਦੀ ਹੈ !" ਦੀ ਇੱ ਕ ਵਿਧੀ ਹੈ ।

In
fo
rm

ਤੁਹਾਡੀ ਜਾਣਕਾਰੀ ਗੁਪਤ ਹੈ ।
ਸੰ ਘੀ ਕਾਨੂੰਨ ਤੁਹਾਡੇ ਉੱਤਰਾਂ ਨੂੰ ਸੁਰੱ ਖਿਅਤ ਕਰਦਾ ਹੈ । ਤੁਹਾਡੇ ਉੱਤਰਾਂ ਦੀ ਵਰਤੋ ਂ ਕੇ ਵਲ
ਅੰ ਕੜੇ ਪੇ ਸ਼ ਕਰਨ ਲਈ ਕੀਤੀ ਜਾ ਸਕਦੀ ਹੈ ਅਤੇ ਤੁਹਾਡੇ ਖਿਲਾਫ਼ ਕਿਸੇ ਵੀ ਸਰਕਾਰੀ
ਏਜੰ ਸੀ ਜਾਂ ਅਦਾਲਤ ਦੁਆਰਾ ਵਰਤੋ ਂ ਨਹੀਂ ਕੀਤੀ ਜਾ ਸਕਦੀ।

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

2020 ਜਨਗਣਨਾ ਦੀ ਕਾਗਜ਼ੀ ਪ੍ਰ ਸ਼ਨਾਵਲੀ ਨੂੰ ਪੂਰਾ ਕਰਨ ਲਈ

ਇਸ ਗਾਈਡ ਦੀ ਵਰਤੋ ਂ ਕਰੋ ।

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.

Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws

Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

–

2020 ਜਨਗਣਨਾ ਦੀਆਂ

ਕਾਗਜ਼ੀ ਪ੍ਰ ਸ਼ਨਾਵਲੀਆਂ ਦੇ ਸ਼ ਭਰ ਵਿੱ ਚ ਮੇ ਲਬੌ ਕਸਾਂ ਅਤੇ ਘਰਾਂ
ਵਿੱ ਚ ਪੁਜਾਈਆਂ ਜਾਣਗੀਆਂ ।

–

Number o f people =

2	

ਯੂ.ਐਸ. ਜਨਗਣਨਾ ਬਿਊਰੋੋ

ਇਸ ਤੋ ਂ ਪਹਿਲਾਂ ਤੁਸੀਂ ਸ਼ੁਰੂ ਕਰੋ
ਕਾਗਜ਼ੀ ਪ੍ਰ ਸ਼ਨਾਵਲੀ ਲੱ ਭ�ੋ ਅਤੇ ਇਸ ਨੂੰ ਪਹਿਲੇ ਸਫੇ 'ਤੇ ਖੋ ਲ੍ਹੋ।

2.	

ਇਸ ਪੰ ਜਾਬੀ ਗਾਈਡ ਵਿੱ ਚ ਜਾਣਕਾਰੀ ਦੀ ਵਰਤੋ ਂ ਅੰ ਗਰੇ ਜੀ ਦੀ ਕਾਗਜ਼ੀ ਪ੍ਰ ਸ਼ਨਾਵਲੀ 'ਤੇ ਆਪਣੇ ਉੱਤਰਾਂ 'ਤੇ ਨਿਸ਼ਾਨ
ਲਗਾਉਣ ਲਈ ਕਰੋ । ਆਪਣੇ ਉੱਤਰਾਂ ਨੂੰ ਇਸ ਗਾਈਡ 'ਤੇ ਨਾ ਲਿਖੋ ।

3.	

ਇਸ ਤੋ ਂ ਪਹਿਲਾਂ ਤੁਸੀਂ ਪਹਿਲੇ ਪ੍ਰ ਸ਼ਨ ਦਾ ਉੱਤਰ ਦਿਉ, ਹੇ ਠਾਂ ਦਿੱ ਤ�ੇ ਗਏ ਦਿਸ਼ਾ ਨਿਰਦੇ ਸ਼ਾਂ ਦੀ ਵਰਤੋ ਂ ਕਰਦੇ ਹੋ ਏ ਇਸ
ਘਰ, ਅਪਾਰਟਮੈ ਂਟ, ਜਾਂ ਮੋ ਬਾਈਲ ਘਰ ਵਿੱ ਚ ਰਹਿੰ ਦੇ ਹੋ ਏ ਲੋ ਕਾਂ ਦੀ ਗਿਣਤੀ ਕਰੋ ।

C

op
y

1.	

ਕਿਸ ਦੀ ਗਿਣਤੀ ਕਰਨੀ ਹੈ

ਜਨਗਣਨਾ ਬਿਊਰੋ ਸੰ ਸਥਾਵਾਂ ਅਤੇ ਦੂਜੀਆਂ ਥਾਵਾਂ ਵਿੱ ਚ
ਵੀ ਗਿਣਤੀ ਕਰਦਾ ਹੈ :

•	 ਬੱ ਚਿਆਂ ਸਮੇ ਤ, ਸਾਰੇ ਲੋ ਕਾਂ ਦੀ ਗਿਣਤੀ ਕਰੋ , ਜਿਹੜੇ
ਜਿਆਦਾਤਰ ਇੱ ਥੇ ਰਹਿੰ ਦੇ ਹਨ ਅਤੇ ਸੌ ਦਂ�ੇ ਹਨ।

•	 1 ਅਪ੍ਰੈ ਲ 2020 ਨੂੰ ਨਰਸਿੰ ਗ ਹੋ ਮ, ਜੇ ਲ੍ਹ, ਕੈ ਦ,
ਹਿਰਾਸਤੀ ਸੁਵਿਧਾ ਆਦਿ ਵਿੱ ਚ ਰਹਿਣ ਵਾਲੇ ਕਿਸੇ ਵੀ
ਵਿਅਕਤੀ ਦੀ ਗਿਣਤੀ ਨਾ ਕਰੋ ।

io
na
l

ਘਰ, ਅਪਾਰਟਮੈ ਂਟ ਜਾਂ ਮੋ ਬਾਈਲ ਘਰ ਵਿੱ ਚ ਰਹਿਣ ਵਾਲੇ
ਲੋ ਕਾਂ ਦੀ ਗਿਣਤੀ ਕਰੋ :

at

•	 ਜੇ ਕਰ ਇਸ ਪਤੇ 'ਤੇ ਕੋ ਈ ਵੀ ਰਹਿੰ ਦਾ ਜਾਂ ਸੌ ਦਂ ਾ ਨਹੀਂ
ਹੈ , ਤਾਂ ਉੱਤਰ ਦਿਉ ਔਨਲਾਈਨ।

In
fo
rm

ਜਨਗਣਨਾ ਵਿੱ ਚ ਰਹਿਣ ਲਈ ਇੱ ਕ ਬਿਨਾਂ ਸਥਾਈ
ਸਥਾਨ ਵਾਲੇ ਲੋ ਕਾਂ ਨੂੰ ਸ਼ਾਮਿਲ ਕਰਨਾ ਜ਼ਰੂ ਰੀ ਹੈ :

•	 ਜੇ ਕਰ ਕੋ ਈ ਵਿਅਕਤੀ ਜਿਸ ਕੋ ਲ ਰਹਿਣ ਲਈ
ਸਥਾਈ ਨਹੀਂ ਹੁ ੰ ਦਾ ਹੈ ਉਹ 1 ਅਪ੍ਰੈ ਲ 2020 ਨੂੰ ਇੱ ਥੇ
ਰਹਿ ਰਿਹਾ ਹੈ , ਉਸ ਵਿਅਕਤੀ ਦੀ ਗਿਣਤੀ ਕਰੋ ।

•	 ਇਨ੍ਹਾਂ ਲੋ ਕਾਂ ਨੂੰ ਆਪਣੀ ਪ੍ਰ ਸ਼ਨਾਵਲੀ ਵਿੱ ਚ ਛੱ ਡ ਦਿਉ,
ਤਾਂ ਵੀ ਜੇ ਕਰ ੳਹ ਕਾਲਜ, ਨਰਸਿੰ ਗ ਹੋ ਮ, ਮਿਲਟਰੀ,
ਜੇ ਲ੍ਹ, ਆਦਿ ਨੂੰ ਛੱ ਡਣ ਤੋ ਂ ਬਾਅਦ ਰਹਿਣ ਲਈ
ਪਰਤਦੇ ਹਨ। ਨਹੀਂ ਤਾਂ, ਉਨ੍ਹਾਂ ਦੀ ਗਿਣਤੀ ਦੋ ਵਾਰ ਹੋ
ਸਕਦੀ ਹੈ ।

ਪ੍ਰ ਸ਼ਨਾਂ ਅਤੇ ਹਿਦਾਇਤਾਂ ਨੂੰ ਅਗਲੇ ਸਫੇ 'ਤੇ ਪੜ੍ਹੋ।
ਆਪਣੇ ਉੱਤਰਾਂ ਨੂੰ ਇਸ ਗਾਈਡ 'ਤੇ ਨਾ ਲਿਖੋ ।
ਯੂ.ਐਸ. ਜਨਗਣਨਾ ਬਿਊਰੋ 	

3

ਮੂਹਰਲੇ ਸਫੇ 'ਤੇ ਪ੍ਰ ਸ਼ਨਾਂ ਨੂੰ ਪੂਰਾ ਕਰੋ
ਆਪਣੇ ਉੱਤਰਾਂ ਨੂੰ ਇਸ ਗਾਈਡ 'ਤੇ ਨਾ ਲਿਖੋ
1 ਅਪ੍ਰੈ ਲ 2020 'ਤੇ ਇਸ ਘਰ, ਅਪਾਰਟਮੈ ਂਟ, ਜਾਂ ਮੋ ਬਾਈਲ ਘਰ ਵਿੱ ਚ ਰਹਿਣ
ਜਾਂ ਠਹਿਰਨ ਵਾਲੇ ਕਿੰ ਨੇ ਲੋ ਕ ਸਨ?

op
y

ਲੋ ਕਾਂ ਦੀ ਗਿਣਤੀ

C

ਕੀ 1 ਅਪ੍ਰੈ ਲ 2020 ਨੂੰ ਇੱ ਥੇ ਕੋ ਈ ਹੋ ਰ ਲੋ ਕ ਰਹਿ ਰਹੇ ਸਨ, ਜਿਨ੍ ਹਾਂ ਨੂੰ ਤੁਸੀਂ ਪ੍ਰ ਸ਼ਨ
1 ਵਿੱ ਚ ਸ਼ਾਮਿਲ ਨਹੀਂ ਕੀਤਾ ਸੀ?
ਉਸ ਸਭ 'ਤੇ ਦਾ ਨਿਸ਼ਾਨ ਲਗਾਉ ਜੋ ਲਾਗੂ ਹੁ ੰ ਦਾ ਹੈ ।

at

io
na
l

„„ ਬੱ ਚੇ, ਸੰ ਬੰਧਿਤ ਜਾਂ ਅਸੰ ਬੰਧਿਤ, ਜਿਵੇ ਂ ਕਿ ਨਵ-ਜੰ ਮੇਂ ਬੱ ਚੇ, ਪੋ ਤੇ-ਪੋ ਤੀਆਂ , ਜਾਂ
ਪਾਲਿਆ ਹੋ ਇਆ ਬੱ ਚੇ (foster)
„„ ਰਿਸ਼ਤੇ ਦਾਰ, ਜਿਵੇ ਂ ਕਿ ਬਾਲਗ ਬੱ ਚੇ, ਚਚੇ ਰੇ ਭਰਾ-ਭੈ ਣ, ਇਨ-ਲਾਅ
„„ ਜੋ ਰਿਸ਼ਤੇ ਦਾਰ ਨਾ ਹੋ ਣ, ਜਿਵੇ ਂ ਕਿ ਰੂ ਮਮੇ ਟ ਜਾਂ ਲਿਵ-ਇਨ ਦਾਈਆਂ
„„ ਅਸਥਾਈ ਰੂ ਪ ਵਿੱ ਚ ਇੱ ਥੇ ਰਹਿਣ ਵਾਲੇ ਲੋ ਕ
„„ ਕੋ ਈ ਵਾਧੂ ਲੋ ਕ ਨਹੀਂ

In
fo
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ਕੀ ਇਹ ਘਰ, ਅਪਾਰਟਮੈ ਂਟ, ਜਾਂ ਮੋ ਬਾਈਲ ਘਰ ਹੈ —
ਇੱ ਕ ਡੱ ਬੇ 'ਤੇ ਨਿਸ਼ਾਨ ਲਗਾਉ।

„„ ਕੀ ਗਿਰਵੀਨਾਮਾ ਜਾਂ ਲੋ ਨ ਨਾਲ ਤੁਹਾਡੇ ਦੁਆਰਾ ਜਾਂ ਇਸ ਪਰਿਵਾਰ ਦੇ ਕਿਸੇ
ਵਿਅਕਤੀ ਦੁਆਰਾ ਖਰੀਦਿਆ ਗਿਆ ਹੈ ? ਘਰੇ ਲੂ ਇਕਵਿਟੀ ਕਰਜੇ ਸ਼ਾਮਲ
ਕਰੋ ।
„„ ਕੀ (ਗਿਰਵੀਨਾਮਾ ਜਾਂ ਕਰਜ਼ਾ ਤੋ ਂ ਬਿਨਾਂ) ਤੁਹਾਡੇ ਦੁਆਰਾ ਜਾਂ ਇਸ ਪਰਿਵਾਰ ਦੇ
ਕਿਸੇ ਵਿਅਕਤੀ ਦੁਆਰਾ ਮੁਫ਼ਤ ਅਤੇ ਸਾਫ਼ ਖਰੀਦਿਆ ਗਿਆ ਹੈ ?
„„ ਕਿਰਾਏ 'ਤੇ ?
„„ ਕਿਰਾਏ ਦੇ ਭੁਗਤਾਨ ਦੇ ਬਿਨਾ ਕਬਜ਼ਾ?
ਤੁਹਾਡਾ ਟੈ ਲੀਫੋ ਨ ਨੰਬਰ ਕੀ ਹੈ ?
ਅਸੀਂ ਤੁਹਾਡੇ ਨਾਲ ਕੇ ਵਲ ਤਦ ਹੀ ਸੰ ਪਰਕ ਕਰਾਂਗੇ ਜੇ ਕਰ ਅਧਿਕਾਰਿਤ ਜਨਗਣਨਾ
ਬਿਊਰੋ ਦੇ ਬਿਜ਼ਨੈ ਸ ਲਈ ਲੋ ੜ ਹੋ ਵੇ।

ਟੈ ਲੀਫੋ ਨ ਨੰਬਰ
4	

ਯੂ.ਐਸ. ਜਨਗਣਨਾ ਬਿਊਰੋੋ

ਸਫਾ 2 ਦੇ ਖੱ ਬੇ ਪਾਸੇ 'ਤੇ ਪ੍ਰ ਸ਼ਨਾਂ ਨੂੰ ਪੂਰਾ ਕਰੋ
ਆਪਣੇ ਉੱਤਰਾਂ ਨੂੰ ਇਸ ਗਾਈਡ 'ਤੇ ਨਾ ਲਿਖੋ

ਪਹਿਲਾ ਨਾਮ

ਆਖਰੀ ਨਾਮ

(last name[s])

ਵਿਚਕਾਰਲੇ ਦਸਤਖ਼ਤ

(middle initial)

io
na
l

(first name)

C

op
y

ਕਿਰਪਾ ਕਰਕੇ ਇੱ ਥੇ ਰਹਿਣ ਵਾਲੇ ਹਰੇ ਕ ਵਿਅਕਤੀ ਦੀ ਜਾਣਕਾਰੀ ਪ੍ਰ ਦਾਨ ਕਰੋ । ਜੇ ਕਰ
ਕੋ ਈ ਇੱ ਥੇ ਅਜਿਹਾ ਵਿਅਕਤੀ ਰਹਿ ਰਿਹਾ ਹੈ ਜੋ ਕਿਰਾਏ ਦਾ ਭੁਗਤਾਨ ਕਰਦਾ ਹੈ ਜਾਂ
ਇਸ ਰਿਹਾਇਸ਼ ਦਾ ਮਾਲਕ ਹੈ , ਤਾਂ ਉਸ ਨੂੰ ਵਿਅਕਤੀ 1 ਵਜੋ ਂ ਸੂਚੀਬੱ ਧ ਕਰਨਾ ਸ਼ੁਰੂ
ਕਰੋ । ਜੇ ਕਰ ਮਾਲਕ ਜਾਂ ਉਹ ਵਿਅਕਤੀ ਜੋ ਕਿਰਾਏ ਦਾ ਭੁਗਤਾਨ ਕਰਦਾ ਹੈ ਇੱ ਥੇ
ਨਹੀਂ ਰਹਿੰ ਦਾ ਹੈ , ਤਾਂ ਇੱ ਥੇ ਰਹਿਣ ਵਾਲੇ ਕਿਸੇ ਵੀ ਬਾਲਗ ਨੂੰ ਵਿਅਕਤੀ ਵਜੋ ਂ ਸੂਚੀਬੱ ਧ
ਕਰਨਾ ਸ਼ੁਰੂ ਕਰੋ 1।
ਵਿਅਕਤੀ 1 ਦਾ ਨਾਮ ਕੀ ਹੈ ?
ਕਿਰਪਾ ਕਰਕੇ ਅੰ ਗਰੇ ਜ਼ੀ ਭਾਸ਼ਾ ਵਿੱ ਚ ਵਿਅਕਤੀ 1 ਦਾ ਨਾਮ ਦੱ ਸੋ ।

ਵਿਅਕਤੀ 1 ਦਾ ਲਿੰ ਗ ਕੀ ਹੈ ? ਇੱ ਕ

„„ ਪੁਰਸ਼

ਡੱ ਬੇ 'ਤੇ ਨਿਸ਼ਾਨ ਲਗਾਉ।

„„ ਮਾਦਾ

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ਵਿਅਕਤੀ 1 ਦੀ ਉਮਰ ਕਿੰ ਨੀ ਹੈ ਅਤੇ ਵਿਅਕਤੀ 1 ਦੀ ਜਨਮ ਮਿਤੀ ਕਿਹੜੀ ਹੈ ?
1 ਸਾਲ ਤੋ ਂ ਘੱ ਟ ਉਮਰ ਦੇ ਬੱ ਚਿਆਂ ਲਈ, ਉਮਰ ਨੂੰ ਮਹੀਨਿਆਂ ਵਿੱ ਚ ਨਾ ਲਿਖੋ । ਉਮਰ
ਨੂੰ 0 ਦੇ ਰੂ ਪ ਵਿੱ ਚ ਲਿਖੋ ।

1 ਅਪ੍ਰੈ ਲ
2020 ਨੂੰ

ਮਹੀਨਾ

ਦਿਨ

ਜਨਮ ਦਾ ਸਾਲ

ਉਮਰ, ਸਾਲਾਂ
ਵਿੱ ਚ

ਯੂ.ਐਸ. ਜਨਗਣਨਾ ਬਿਊਰੋ 	

ਕੀ ਵਿਅਕਤੀ 1 ਹਿਸਪੈ ਨਿਕ, ਲਾਤੀਨੋ ਜਾਂ ਸਪੈ ਨਿਸ਼ ਮੂਲ ਦਾ ਵਿਅਕਤੀ ਹੈ ?
„„ ਨਹੀਂ, ਹਿਸਪੈ ਨਿਕ, ਲਾਤੀਨੋ ਜਾਂ ਸਪੈ ਨਿਸ਼ ਮੂਲ ਦਾ ਨਹੀਂ ਹੈ
„„ ਹਾਂ, ਮੈ ਕਸੀਕਨ, ਮੈ ਕਸੀਕਨ ਐਮ., ਚਿਕਾਨੋ
„„ ਹਾਂ, ਪਿਊਰਟੋ ਰਿਕਨ
„„ ਹਾਂ, ਕਿਊਬਿਆਈ
„„ ਹਾਂ, ਕੋ ਈ ਹੋ ਰ ਹਿਸਪੈ ਨਿਕ, ਲਾਤੀਨੋ ਜਾਂ ਸਪੈ ਨਿਸ਼ ਮੂਲ — ਪ੍ਰਿੰਟ ਕਰੋ , ਉਦਾਹਰਣ
ਵਜੋ , ਸਾਲਵਾਡੋ ਰਿਆਈ, ਡੋ ਮੀਨਿਕਨ, ਕੋ ਲੰ ਬਿਆਈ, ਗੁਆਟੇ ਮਾਲਿਆਈ,
ਸਪੈ ਨਿਆਰਡ, ਇਕੂਆਡੋ ਰਿਆਈ, ਆਦਿ।

5

ਸਫਾ 2 ਦੇ ਸੱ ਜੇ ਪਾਸੇ 'ਤੇ ਪ੍ਰ ਸ਼ਨਾਂ ਨੂੰ ਪੂਰਾ ਕਰੋੋ
ਆਪਣੇ ਉੱਤਰਾਂ ਨੂੰ ਇਸ ਗਾਈਡ 'ਤੇ ਨਾ ਲਿਖੋ

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ਵਿਅਕਤੀ 1 ਦੀ ਕੀ ਜਾਤੀ ਹੈ ?
ਇੱ ਕ ਜਾਂ ਵੱ ਧ ਡੱ ਬਿਆਂ 'ਤੇ ਦਾ ਨਿਸ਼ਾਨ ਲਗਾਉ ਅਤੇ ਮੂਲਾਂ ਨੂੰ ਪ੍ਰਿੰਟ ਕਰੋ ।

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„„ ਗੋ ਰੇ — ਪ੍ਰਿੰਟ ਕਰੋ , ਉਦਾਹਰਣ ਵਜੋ , ਜਰਮਨ, ਆਇਰਿਸ਼, ਅੰ ਗਰੇ ਜ਼, ਇਤਾਲਵੀ,
ਲੇ ਬਨਾਨੀ, ਮਿਸਰੀ, ਆਦਿ।
„„ ਕਾਲੇ ਜਾਂ ਅਫ਼ਰੀਕੀ ਅਮਰੀਕਨ — ਪ੍ਰਿੰਟ ਕਰੋ , ਉਦਾਹਰਣ ਵਜੋ , ਅਫ਼ਰੀਕਨ
ਅਮਰੀਕਨ, ਜਮੈ ਕਨ, ਹੇ ਸ਼ਿਅਨ, ਨਾਈਜੀਰਿਆਈ, ਇਥੋ ਪੀਆਈ, ਸੋ ਮਾਲੀ,
ਆਦਿ।
„„ ਅਮਰੀਕੀ ਇੰ ਡੀਅਨ ਜਾਂ ਅਲਾਸਕਾ ਦੇ ਮੂਲ ਨਿਵਾਸੀ — ਨਾਮਜ਼ਦ ਜਾਂ
ਮੁੱਖ ਕਬੀਲੇ (ਕਬੀਲਿਆਂ ) ਦਾ ਨਾਮ ਪ੍ਰਿੰਟ ਕਰੋ , Navajo Nation,
Blackfeet Tribe, ਮਾਯਾਨ, ਐਜ਼ਟੈ ਕ, Native Village of
Barrow Inupiat Traditional Government, Nome
Eskimo Community, ਆਦਿ।

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„„ ਚੀਨੀ
„„ ਵੀਅਤਨਾਮੀ
„„ ਫਿਲੀਪੀਨੋ
„„ ਕੋ ਰੀਆਈ
„„ ਏਸ਼ਿਆਈ ਭਾਰਤੀ „„ ਜਾਪਾਨੀ
„„ ਕੋ ਈ ਹੋ ਰ ਏਸ਼ਿਆਈ
— ਪ੍ਰਿੰਟ ਕਰੋ ,
ਉਦਾਹਰਣ ਵਜੋ ,
ਪਾਕਿਸਤਾਨੀ,
ਕੰ ਬੋ ਡਿਆਈ, ਮੋ ਂਗ,
ਆਦਿ।

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„„ ਹਵਾਈ ਦੇ ਮੂਲ ਨਿਵਾਸੀ
„„ ਸਾਮੋ ਅਨ
„„ ਚਮੋ ਰੋ
„„ ਕੋ ਈ ਹੋ ਰ ਪੈ ਸੀਫਿਕ ਟਾਪੂ
ਵਾਸੀ — ਪ੍ਰਿੰਟ ਕਰੋ ,
ਉਦਾਹਰਣ ਵਜੋ , ਟੌ ਗਂ ਨ,
ਫ਼ਿਜੀਅਨ, ਮਾਰਸ਼ਲੀਜ਼,
ਆਦਿ।

„„ ਕੋ ਈ ਹੋ ਰ ਜਾਤੀ — ਜਾਤੀ ਜਾਂ ਮੂਲ ਨੂੰ ਪ੍ਰਿੰਟ ਕਰੋ ।

ਯੂ.ਐਸ. ਜਨਗਣਨਾ ਬਿਊਰੋੋ

ਹਰ ਵਾਧੂ ਵਿਅਕਤੀ ਲਈ ਪ੍ਰ ਸ਼ਨਾਂ ਨੂੰ ਪੂਰਾ ਕਰੋ
ਹਰੇ ਕ ਵਾਧੂ ਵਿਅਕਤੀ ਨੂੰ ਹੇ ਠਾਂ ਦਿੱ ਤ�ੇ ਦੋ ਪ੍ਰ ਸ਼ਨ ਪੁੱਛੇ ਜਾਣਗੇ

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ਆਪਣੇ ਉੱਤਰਾਂ ਨੂੰ ਇਸ ਗਾਈਡ 'ਤੇ ਨਾ ਲਿਖੋ

ਕੀ ਇਹ ਵਿਅਕਤੀ ਆਮ ਤੌ ਰ 'ਤੇ ਕਿਤੇ ਹੋ ਰ ਰਹਿੰ ਦਾ ਹੈ ਜਾਂ ਠਹਿਰਿਆ ਹੋ ਇਆ ਹੈ ?
ਉਸ ਸਭ 'ਤੇ ਦਾ ਨਿਸ਼ਾਨ ਲਗਾਉ ਜੋ ਲਾਗੂ ਹੁ ੰ ਦਾ ਹੈ ।

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„„ ਨਹੀਂ
„„ ਹਾਂ, ਕਾਲਜ ਲਈ
„„ ਹਾਂ, ਮਾਪਾ ਜਾਂ ਕੋ ਈ ਹੋ ਰ ਰਿਸ਼ਤੇ ਦਾਰ
ਨਾਲ
„„ ਹਾਂ, ਇੱ ਕ ਮਿਲਟਰੀ ਅਸਾਇਨਮੈ ਂਟ
ਲਈ
„„ ਹਾਂ, ਇੱ ਕ ਸੀਜ਼ਨਲ ਜਾਂ ਦੂਜੀ
ਰਿਹਾਇਸ਼ ਵਿੱ ਚ
„„ ਹਾਂ, ਇੱ ਕ ਜੌ ਬ ਜਾਂ ਬਿਜ਼ਨੈ ਸ ਲਈ
„
„
ਹਾਂ, ਇੱ ਕ ਜੇ ਲ੍ਹ ਜਾਂ ਕੈ ਦ ਵਿੱ ਚ
„„ ਹਾਂ, ਇੱ ਕ ਨਰਸਿੰ ਗ ਹੋ ਮ ਵਿੱ ਚ
„„ ਹਾਂ, ਕਿਸੇ ਹੋ ਰ ਕਾਰਣ ਲਈ

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ਇਸ ਵਿਅਕਤੀ ਦਾ ਵਿਅਕਤੀ 1 ਨਾਲ ਕੀ ਸੰ ਬੰ ਧ ਹੈ ?
ਇੱ ਕ ਡੱ ਬੇ 'ਤੇ ਨਿਸ਼ਾਨ ਲਗਾਉ।

„„ ਵਿਰੋ ਧੀ ਲਿੰ ਗ ਪਤੀ/ਪਤਨੀ/ਜੀਵਨਸਾਥੀ
„„ ਵਿਰੋ ਧੀ ਲਿੰ ਗ ਅਣਵਿਆਹਿਆ ਸਾਥੀ
„„ ਉਸੇ ਲਿੰ ਗ ਵਾਲਾ ਪਤੀ/ਪਤਨੀ/ਜੀਵਨਸਾਥੀ
„„ ਉਸੇ ਲਿੰ ਗ ਵਾਲਾ ਅਣਵਿਆਹਿਆ ਸਾਥੀ
„„ ਜੈ ਵਿਕ ਬੇ ਟਾ ਜਾਂ ਬੇ ਟੀ
„„ ਗੋ ਦ ਲਈ ਬੇ ਟਾ ਜਾਂ ਗੋ ਦ ਲਈ ਬੇ ਟੀ
„„ ਮਤਰੇ ਆ ਬੇ ਟਾ ਜਾਂ ਮਤਰੇ ਈ ਬੇ ਟੀ
„„ ਭਰਾ ਜਾਂ ਭੈ ਣ
„„ ਪਿਤਾ ਜਾਂ ਮਾਂ
„„ ਪੋ ਤਾ/ਪੋ ਤੀ/ਦੋ ਹਤਾ/ਦੋ ਹਤੀ
„„ ਸੱ ਸ/ਸਹੁ ਰਾ
„„ ਜਵਾਈ ਜਾਂ ਨੂੰਹ
„„ ਕੋ ਈ ਹੋ ਰ ਰਿਸ਼ਤੇ ਦਾਰ
„„ ਕਮਰੇ ਵਿੱ ਚ ਨਾਲ ਰਹਿਣ ਵਾਲਾ ਜਾਂ ਘਰ ਵਿੱ ਚ ਨਾਲ ਰਹਿਣ ਵਾਲਾ
(roommate or housemate)

ਯੂ.ਐਸ. ਜਨਗਣਨਾ ਬਿਊਰੋ 	

„„ ਪਾਲਿਆ ਹੋ ਇਆ ਬੱ ਚਾ (foster)
„„ ਕੋ ਈ ਹੋ ਰ ਗੈ ਰ-ਰਿਸ਼ਤੇ ਦਾਰ

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ਜੇ ਕਰ ਤੁਸੀਂ ਛੇ ਨਾਲੋ ਂ ਵੱ ਧ ਲੋ ਕਾਂ ਦੀ ਗਿਣਤੀ ਕੀਤੀ ਹੈ ਤਾਂ ਸਫਾ 8 ਨੂੰ ਪੂਰਾ ਕਰੋ
ਆਪਣੇ ਉੱਤਰਾਂ ਨੂੰ ਇਸ ਗਾਈਡ 'ਤੇ ਨਾ ਲਿਖੋ

ਮਾਦਾ

1 ਅਪ੍ਰੈ ਲ 2020

ਨੂੰ ਉਮਰ, ਸਾਲਾਂ
ਵਿੱ ਚ

ਮਹੀਨਾ

ਦਿਨ

ਜਨਮ ਦਾ
ਸਾਲ

ਵਿਅਕਤੀ 1 ਨਾਲ ਸੰ ਬੰਧਿਤ ਹੈ ?
„„ ਹਾਂ
„„ ਨਹੀਂ

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ਪੁਰਸ਼

ਆਖਰੀ ਨਾਮ

(last name[s])

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ਵਿਚਕਾਰਲੇ ਦਸਤਖ਼ਤ

(middle initial)

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ਪਹਿਲਾ ਨਾਮ

(first name)

ਕਿਰਪਾ ਕਰਕੇ ਡਾਕ-ਭੁਗਤਾਨ ਲਿਫ਼ਾਫ਼ਾ ਵਿੱ ਚ ਭਰੀ ਹੋ ਈ ਅੰ ਗਰੇ ਜੀ ਦੀ ਪ੍ਰ ਸ਼ਨਾਵਲੀ ਨੂੰ ਭੇ ਜੋ ਜੋ ਤੁਸੀਂ ਪ੍ਰਾਪਤ ਕੀਤੀ ਹੈ ।

ਸਰਲ ਹੈ ।

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2020 ਜਨਗਣਨਾ ਪਹਿਲਾਂ ਹਮੇ ਸ਼ਾਂ ਨਾਲੋ ਂ

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ਕੀ ਤੁਹਾਨੂੰ ਪਤਾ ਹੈ ਕਿ ਤੁਸੀਂ ਔਨਲਾਈਨ ਉੱਤਰ
ਦੇ  ਸਕਦੇ ਹੋ ?

ਜੇ ਕਰ ਤੁਸੀਂ 2020 ਜਨਗਣਨਾ ਨੂੰ ਔਨਲਾਈਨ ਪੂਰਾ ਕਰਨ ਦੇ
ਯੋ ਗ ਹੋ , ਤਾਂ ਪ੍ਰ ਸ਼ਨਾਵਲੀ 'ਤੇ ਛਪੇ ਯੂ.ਆਰ.ਐਲ 'ਤੇ  ਜਾਉ।

2020 ਜਨਗਣਨਾ ਨੂੰ ਔਨਲਾਈਨ ਕਰਨ ਲਈ

ਵੀਡਿਓ ਗਾਈਡਾਂ ਨੂੰ ਦੇ ਖੋ ਜੋ ਇੱ ਥੇ ਉਪਲਬਧ ਹਨ
2020census.gov/languages

D-G (pan) Punjabi

8	

ਯੂ.ਐਸ. ਜਨਗਣਨਾ ਬਿਊਰੋੋ

Nr. OMB 0607-1006: aprobarea expiră la 11/30/2021

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Ghidul dvs. pentru Recensământul din 2020

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Cum să răspundeți la chestionarul pe suport
de hârtie pentru Recensământul din 2020

Bine ați venit la Recensământul din 2020
Toată lumea contează.

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Scopul acestui recensământ este de a număra fiecare
persoană care trăiește în SUA o dată, o singură dată și la
locul potrivit. Avem nevoie de ajutorul dvs. pentru a ne
asigura că toată lumea din comunitatea dvs. este inclusă
în numărătoare.

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Datele recensământului sunt importante.

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Constituția SUA impune un recensământ la fiecare 10 ani.
Rezultatele sunt folosite pentru a determina numărul de
locuri pe care le are fiecare stat în Congresul SUA, pentru
a delimita districtele de vot și pentru a stabili modul în
care se cheltuiesc anual peste 675 de miliarde de dolari
din finanțări federale în comunități.

Este datoria dvs. civică să participați.

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Completarea formularului de recensământ este obligatorie;
este o modalitate de a participa la democrația noastră și de a
spune „Eu contez!”

Informațiile dvs. sunt confidențiale.
Legea federală vă protejează răspunsurile. Răspunsurile
dvs. pot fi utilizate numai pentru a genera statistici și
nu pot fi utilizate împotriva dvs. de către nicio agenție
guvernamentală sau instanță de judecată.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

4.

What is your telephone number?

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?
Number o f people =

Utilizați acest ghid pentru a completa
chestionarul pe suport de hârtie
pentru Recensământul din 2020.

–

–

Chestionarele pe suport de hârtie pentru Recensământul
din 2020 vor sosi în cutiile dvs. poștale și la ușile dvs. din
întreaga țară.
Biroul pentru recensământ al SUA

Înainte de a începe
1.	 Luați chestionarul și deschideți-l la prima pagină.

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2.	 Utilizați informațiile din acest ghid în limba română pentru a marca
răspunsurile dvs. pe chestionarul pe suport de hârtie în limba engleză.
NU SCRIEȚI RĂSPUNSURILE DVS. ÎN ACEST GHID.

Pe cine să numărați

Biroul pentru recensământ al
SUA efectuează, de asemenea,
numărători în instituții și în alte
locuri:

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Numărați persoanele care locuiesc
în această casă, apartament sau
locuință mobilă:

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3.	 Înainte de a răspunde la prima întrebare, numărați persoanele care
locuiesc în această casă, apartament sau locuință mobilă folosind
instrucțiunile de mai jos.

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•	 Numărați toate persoanele,
inclusiv bebelușii, care locuiesc
și dorm aici marea majoritate a
timpului.

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•	 Dacă nu locuiește sau nu
doarme nimeni la această
adresă marea majoritate a
timpului, răspundeți online.

Recensământul trebuie să includă
și persoanele fără o locuință
permanentă:
•	 Dacă cineva care nu are o
locuință permanentă stă aici la 1
aprilie 2020, numărați și această
persoană.

•	 Nu includeți la numărătoare pe
nimeni care se află într-un azil,
pușcărie, închisoare, unitate de
detenție etc., la data de
1 aprilie 2020.
•	 Nu includeți aceste persoane
în chestionar, chiar dacă se
vor întoarce să locuiască aici
după ce părăsesc colegiul,
azilul, armata, pușcăria etc. În
caz contrar, acestea ar putea fi
numărate de două ori.

Citiți întrebările și instrucțiunile de pe pagina următoare.
Nu scrieți răspunsurile dvs. în acest ghid.
Biroul pentru recensământ al SUA	3

Completați întrebările de pe prima pagină
NU SCRIEȚI RĂSPUNSURILE DVS. ÎN ACEST GHID
Câți oameni locuiau sau stăteau în această casă,
apartament sau locuință mobilă la 1 aprilie 2020?

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Numărul de persoane

Au existat și alte persoane care stăteau aici la 1
aprilie 2020 și pe care nu le-ați inclus la prima
întrebare?
tot ce se aplică.

C

Bifați

„„ Copii, înrudiți sau neînrudiți, cum ar fi bebeluși
nou-născuți, nepoți de bunici sau copii aflați în
plasament (foster)

io
na
l

„„ Rude, cum ar fi copii adulți, veri sau rude prin
alianță

„„ Altă persoană neînrudită, cum ar fi colegi de
cameră sau bone care locuiesc locuiesc cu familia
respectivă.

„„ Persoane care locuiesc aici temporar

at

„„ Nu există alte persoane

Este această casă, apartament sau locuință mobilă —

In
fo
rm

Bifați

O casetă.

„„ Deținută de dvs. sau de cineva din această
gospodărie pe bază de ipotecă sau credit? Includeți
creditul de nevoi personale cu garanţie imobiliară.
„„ Deținută de dvs. sau de cineva din gospodărie
în mod complet și fără obligații (fără ipotecă sau
împrumut)?
„„ Închiriată?
„„ Ocupată fără plata chiriei?
Care este numărul dvs. de telefon?
Vă vom contacta numai dacă este necesar pentru
probleme oficiale ale Biroului pentru recensământ
al SUA.

Număr de telefon

4	

Biroul pentru recensământ al SUA

Completați întrebările din partea stângă
a paginii 2
NU SCRIEȚI RĂSPUNSURILE DVS. ÎN ACEST GHID

op
y

Vă rugăm să furnizați informații pentru fiecare
persoană care locuiește aici. Dacă există cineva care
locuiește aici și care plătește chirie sau deține această
rezidență, începeți prin a o enumera ca Persoana 1.
Dacă proprietarul sau persoana care plătește chiria
nu locuiește aici, începeți prin enumerarea oricărui
adult care locuiește aici ca Persoana 1.

Nume de familie
(last name[s])

Inițială
(middle initial)

io
na
l

Prenume
(first name)

C

Care este numele Persoanei 1?

Care este sexul Persoanei 1? Bifați

„„ Masculin

O casetă.

„„ Feminin

Care este vârsta Persoanei 1 și care este data
nașterii Persoanei 1?

In
fo
rm

at

Pentru bebelușii mai mici de un an, nu scrieți vârsta în
luni. Scrieți 0 ca vârstă.

Vârsta,
în ani, la
1 aprilie
2020

Luna

Ziua

Anul nașterii

Persoana 1 este de origine hispanică, latinoamericană sau spaniolă?
„„ Nu, nu este de origine hispanică, latino-americană
sau spaniolă
„„ Da, mexican(ă), american mexican, chicano
„„ Da, portorican(ă)
„„ Da, cubanez(ă)
„„ Da, o altă origine hispanică, latino-americană sau
spaniolă — Scrieți cu litere de tipar, de exemplu,
locuitor din El Salvador, dominican(ă), columbian(ă),
guatemalez(ă), spaniol(ă), ecuadorian(ă) etc.

Biroul pentru recensământ al SUA	5

Completați întrebarea din partea dreaptă
a paginii 2
NU SCRIEȚI RĂSPUNSURILE DVS. ÎN ACEST GHID
Care este rasa Persoanei 1?

op
y

Bifați una sau mai multe casete ȘI scrieți cu litere
de tipar originile.
„„ Rasa albă — Scrieți cu litere de tipar, de exemplu,
german(ă), irlandez(ă), englez(ă), italian(ă),
libanez(ă), egiptean(ă) etc.

C

„„ Rasa neagră sau afro-americană — Scrieți cu
litere de tipar, de exemplu, afro-american(ă),
jamaican(ă), haitian(ă), nigerian(ă), etiopian(ă),
somalez(ă) etc.

io
na
l

„„ Amerindian sau nativ din Alaska — Scrieți cu litere
de tipar numele tribului(lor) principale sau de care
aparține, de exemplu: Navajo Nation, Blackfeet
Tribe, Mayaș(ă), Aztec(ă), Native Village of Barrow
Inupiat Traditional Government, Nome Eskimo
Community etc.

„„ Vietnamez(ă) „„ Locuitor nativ
din Hawaii
„„ Filipinez(ă)
„„ Coreean(ă) „„ Samoan(ă)
„„ Indian din Asia „„ Japonez(ă) „„ Chamorro
„„ Alt locuitor
„„ Altă rasă
al insulelor
asiatică —
din Pacific
Scrieți cu
— Scrieți cu
litere de tipar,
litere de tipar,
de exemplu,
de exemplu,
pakistanez(ă),
tongalez(ă),
cambodgian(ă),
fijian(ă),
hmong etc.
locuitor
din Insulele
Marshall etc.

In
fo
rm

at

„„ Chinez(ă)

6	

„„ O altă rasă — Scrieți cu litere de tipar rasa sau
originea.

Biroul pentru recensământ al SUA

Completați întrebările pentru fiecare persoană
suplimentară
Fiecare persoană suplimentară va trebui să răspundă la cele două
întrebări de mai jos

op
y

NU SCRIEȚI RĂSPUNSURILE DVS. ÎN ACEST GHID
Această persoană locuiește sau stă de obicei în altă
parte?
Bifați

tot ce se aplică.

„„ Nu

„„ Da, cu un părinte sau
altă persoană înrudită

C

„„ Da, la colegiu

„„ Da, pentru o misiune
militară

io
na
l

„„ Da, la o rezidență
sezonieră sau a doua
„„ Da, pentru un loc de
rezidență
muncă sau în interes de
afaceri
„„ Da, într-o pușcărie sau
închisoare
„„ Da, într-un azil
„„ Da, alt motiv

at

Care este legătura dintre această persoană și
Persoana 1?

In
fo
rm

Bifați

O casetă.

„„ Soț/soție de sex opus
„„ Partener necăsătorit de sex opus
„„ Soț/soție de același sex
„„ Partener necăsătorit de același sex
„„ Fiu biologic sau fiică biologică
„„ Fiu adoptat sau fiică adoptată
„„ Fiu vitreg sau fiică vitregă
„„ Frate sau soră

„„ Tată sau mamă
„„ Nepot de bunic
„„ Socru sau soacră
„„ Ginere sau noră
„„ Altă persoană înrudită
„„ Coleg de cameră sau coleg de apartament
(roommate or housemate)
„„ Copil în plasament (foster)
„„ Altă persoană neînrudită

Biroul pentru recensământ al SUA	7

Completați pagina 8 dacă ați numărat mai
mult de șase persoane
NU SCRIEȚI RĂSPUNSURILE DVS. ÎN ACEST GHID

Vârsta,
în ani, la
1 aprilie
2020

Luna

Ziua

op
y

Feminin

Nume de familie
(last name[s])

Anul nașterii

Rudă cu Persoana 1?

„„ Da

„„ Nu

io
na
l

Masculin

Inițială
(middle initial)

C

Prenume
(first name)

Vă rugăm să trimiteți prin poștă chestionarul completat
în limba engleză în plicul timbrat pe care l-ați primit.

In
fo
rm

at

Recensământul din
2020 este mai ușor de
completat ca niciodată.
Știați că puteți răspunde
online?

Dacă aveți posibilitatea să completați
Recensământul din 2020 online, accesați
adresa URL tipărită pe chestionar.

Ghiduri video pentru completarea
Recensământului din 2020 online sunt disponibile la
2020census.gov/languages
D-G (ron) Romanian

8	

Biroul pentru recensământ al SUA

OMB br. 0607-1006: Odobrenje ističe 11/30/2021

op
y

Vaš vodič za popis stanovništva 2020. godine

In
fo
rm

at

io
na
l

C

Kako odgovoriti na pitanja iz štampanog upitnika
za popis stanovništva 2020. godine

Dobro došli na popis stanovništva
2020. godine
Svaka osoba se popisuje.

op
y

Cilj popisa stanovništva je da popiše svaku živu osobu
u SAD jednom, samo jedanput i na pravom mestu.
Potrebna nam je vaša pomoć kako bismo bili sigurni da
sve osobe u vašoj zajednici budu popisane.

Podaci sa popisa stanovništva su važni.

io
na
l

C

Prema Američkom ustavu, popis stanovništva mora da
se sprovede svakih 10 godina. Rezultati se koriste da
bi se odredio broj predstavnika koje svaka država ima
u Kongresu, zacrtale granice izbornih okruga i da bi se
odredilo kako se više od 675 milijardi dolara saveznog
finansiranja troši u zajednici svake godine.

Učešće u popisu je vaša građanska
obaveza.

In
fo
rm

at

Popunjavanje popisa stanovništva je obavezno; to je
način da se učestvuje u našoj demokratiji i da se kaže
„moj glas je važan!“

Vaši podaci su poverljivi.
Savezni zakon štiti vaše odgovore. Vaši odgovori se
mogu koristiti samo radi izrade statističkih podataka
i ni jedna vladina agencija ili sud ih ne može koristiti
protiv vas.

TM

This is the official questionnaire for this address.
It is quick and easy to respond, and your answers are protected by law.

U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU

FOR
OFFICIAL
USE ONLY

Start here

OR go online to complete your 2020 Census questionnaire.

Use a blue or black pen.

2.

Were there any additional people staying here on April 1, 2020
that you did not include in Question 1?

3.

Is this house, apartment, or mobile home — Mark ONE box.

Before you answer Question 1, count the people living in this
house, apartment, or mobile home using our guidelines.

Mark all that apply.
Children, related or unrelated, such as newborn babies,
grandchildren, or foster children

• Coun t all people, including babies, who live and sleep here
most of the time.
• If no one liv es and sleeps at this address most of the time , go
online or call the number on page 8.

Relatives, such as adult children, cousins, or in-laws
Nonrelatives, such as roommates or live-in babysitters
People staying here temporarily

The census must also include people without a permanent
place to live, so:
• If someone who does no t have a permanent place to liv e is
staying here on April 1, 2020, count that person.

No additional people

Owned by you or someone in this household with a mortgage
or loan? Include home equity loans.

The Census Bureau also conducts counts in institutions and
other places, so:
• Do no t count anyone living away from here, either at college
or in the Armed Forces.
• Do no t count anyone in a nursing home, jail, prison, detention
facility, etc., on April 1, 2020.
• Leave these people off your questionnaire, even if they will
return to live here after they leave college, the nursing home ,
the military, jail, etc. Otherwise, they may be counted twice.

1.

Number o f people =

2	

Owned by you or someone in this household free and clear
(without a mortgage or loan)?
Rented?
Occupied without payment of rent?

4.

What is your telephone number?
We will only contact you if needed for official Census Bureau
business .
Telephone Number

How many people were living or staying in this house,
apartment, or mobile home on April 1, 2020?

Koristite ovaj vodič da biste popunili
štampani upitnik za popis stanovništva
2020. godine.

–

–

Štampani upitnici za popis stanovništva 2020. godine
stići će u sandučiće i na kućne pragove učesnika u
celoj zemlji.
Američki biro za popis stanovništva

Pre nego što počnete
1.	 Pronađite svoj upitnik i otvorite prvu stranu.

op
y

2.	 Koristite informacije iz ovog vodiča na srpskom jeziku da biste označili
svoje odgovore u štampanom upitniku na engleskom jeziku. NEMOJTE
UPISIVATI SVOJE ODGOVORE U OVAJ VODIČ.

Koga treba popisati

Američki biro za popis
stanovništva sprovodi popis i u
ustanovama i na drugim mestima:

io
na
l

Popišite osobe koje žive u ovoj
kući, stanu ili mobilnoj kući:

C

3.	 Pre nego što odgovorite na prvo pitanje, popišite osobe koje žive u ovoj
kući, stanu ili mobilnoj kući, pridržavajući se uputstava u nastavku.

•	 Popišite sve osobe, uključujući i
bebe, koje na ovoj adresi žive i
spavaju najveći deo vremena.

In
fo
rm

at

•	 Ako na ovoj adresi niko ne živi
niti spava najveći deo vremena,
onda popunite popis onlajn.
Popis stanovništva mora takođe
da uključi osobe bez stalnog
mesta boravka:

•	 Ako neko ko nema stalno mesto
boravka boravi na ovoj adresi
na dan 1. aprila 2020. godine,
popišite i tu osobu.

•	 Nemojte popisivati nikog ko
boravi u staračkom domu,
pritvoru, zatvoru, pritvornoj
jedinici itd. na dan 1. aprila 2020.
godine.
•	 Nemojte navoditi te osobe u
vašem upitniku, čak i ako će
se vratiti da ovde žive nakon
što završe fakultet, napuste
starački dom, vojsku, pritvor itd.
U suprotnom, mogu da budu
popisani dva puta.

Pročitajte pitanja i uputstva na sledećoj strani.
Nemojte upisivati svoje odgovore u ovaj vodič.
Američki biro za popis stanovništva	3

Popunite pitanja na prvoj strani
NEMOJTE UPISIVATI SVOJE ODGOVORE U OVAJ VODIČ
Koliko osoba živi ili boravi u ovoj kući, stanu ili
mobilnoj kući na dan 1. aprila 2020. godine?

op
y

Broj osoba

Da li ima još osoba koje stanuju na ovoj adresi na
dan 1. aprila 2020. godine koje niste obuhvatili
pitanjem br. 1?
sve što važi.

C

Označite

„„ Deca, bilo da su u srodstvu ili ne, kao što su
novorođenčad, unuci ili usvojena deca (foster)

io
na
l

„„ Rođaci, kao što su odrasla deca, bliži rođaci ili
rodbina bračnog druga
„„ Osobe koje nisu rođaci, kao što su cimeri ili bebi
siteri koji stanuju na mestu rada
„„ Osobe koje ovde borave privremeno
„„ Nema dodatnih osoba

at

Da li je ovo kuća, stan ili mo)bilna kuća —

In
fo
rm

Označite

JEDNU kućicu.

„„ U vašem vlasništvu ili vlasništvu druge osobe
iz ovog domaćinstva sa hipotekom ili zajmom?
Uključite i kredite za kuću.
„„ U vašem vlasništvu ili vlasništvu druge osobe
iz ovog domaćinstva bez pravnih tereta (bez
hipoteke ili zajma)?
„„ Iznajmljeno?
„„ Stanovanje bez plaćanja stanarine?
Koji je vaš broj telefona?
Kontaktiraćemo vas samo ako je potrebno za
službene potrebe Biroa za popis stanovništva.

Broj telefona

4	

Američki biro za popis stanovništva

Popunite pitanja na levoj polovini stranice br. 2
NEMOJTE UPISIVATI SVOJE ODGOVORE U OVAJ VODIČ

op
y

Navedite podatke za svaku osobu koja stanuje ovde.
Ako ovde živi neko ko plaća zakupninu ili je vlasnik
ovog prebivališta, počnite tako što ćete ga navesti kao
Osobu br. 1. Ako vlasnik ili osoba koja plaća zakupninu
ne živi ovde, počnite tako što ćete navesti bilo koju
odraslu osobu koja živi ovde, kao Osobu br. 1.
Kako se zove Osoba br. 1?

Prezime(na)
(last name[s])

Inicijal srednjeg imena
(middle initial)

C

Ime
(first name)

JEDNU kućicu.

io
na
l

Kojeg pola je Osoba br. 1? Označite
� Muški	

� Ženski

Koliko je stara Osoba br. 1 i koji je datum rođenja
Osobe br. 1?

Mesec

Dan

In
fo
rm

Godine starosti
na dan 1. aprila
2020. godine

at

Za bebe mlađe od godinu dana, nemojte upisivati
starost u mesecima. Za starost napišite 0.

Godina
rođenja

Da li je Osoba br. 1 hispano, latinoameričkog ili
španskog porekla?
„„ Ne, nije hispano, latinoameričkog ili španskog
porekla
„„ Da, meksikanskog, meksičko-američkog, čikano
„„ Da, portorikanskog
„„ Da, kubanskog
„„ Da, nekog drugog hispano, latinoameričkog
ili španskog porekla — Napišite, na primer,
salvadorsko, dominikansko, kolumbijsko,
gvatemalsko, špansko, ekvadorsko itd.

Američki biro za popis stanovništva	5

Popunite pitanje na desnoj polovini stranice
br. 2
NEMOJTE UPISIVATI SVOJE ODGOVORE U OVAJ VODIČ
Koje rase je Osoba br. 1?
jednu ili više kućica I upišite poreklo.

op
y

Označite

„„ Bela — Napišite, na primer, nemačko, irsko,
englesko, italijansko, libansko, egipćansko itd.

C

„„ Crnačka ili afroamerička — Napišite, na primer,
afroameričko, jamajčansko, haićansko, nigerijsko,
etiopsko, somalijsko itd.

io
na
l

„„ Američko indijanska ili starosedelac Aljaske —
Napišite ime registrovanog ili glavnog plemena,
na primer, Navajo Nation, Blackfeet Tribe, majaindijansko, acteško, Native Village of Barrow
Inupiat Traditional Government, Nome Eskimo
Community itd.
„„ Vijetnamsko „„ Starosedelac
Havaja
„„ Filipinsko
„„ Korejsko
„„ Samoansko
„„ Indusko
„„ Japansko
„„ Chamorro
„„ Drugo azijsko
„„ Drugi pacifički
poreklo —
ostrvljanin
Napišite,
— Napišite,
na primer,
na primer,
pakistansko,
tongosko,
kambodžansko,
fidžijsko,
hmongško itd.
maršalski
ostrvljanin itd.

In
fo
rm

at

„„ Kinesko

6	

„„ Neka druga rasa — Napišite rasu ili poreklo.

Američki biro za popis stanovništva

Popunite pitanja za svaku dodatnu osobu
Svakoj dodatnoj osobi biće postavljena dva pitanja navedena
u nastavku

op
y

NEMOJTE UPISIVATI SVOJE ODGOVORE U OVAJ VODIČ

Da li ova osoba obično živi ili boravi na nekom
drugom mestu?
Označite
„„ Ne

sve što važi.

„„ Da, sa roditeljem ili
drugim rođakom

C

„„ Da, zbog fakulteta

„„ Da, zbog vojne misije

„„ Da, zbog rada ili posla

io
na
l

„„ Da, u staračkom domu

„„ Da, u sezonskom ili
drugom prebivalištu
„„ Da, u pritvoru ili zatvoru
„„ Da, iz nekog drugog
razloga

at

U kakvom je odnosu ova osoba sa Osobom br. 1?

In
fo
rm

Označite

JEDNU kućicu.

„„ Muž/žena/bračni drug suprotnog pola
„„ Nevenčani partner suprotnog pola
„„ Muž/žena/bračni drug istog pola
„„ Nevenčani partner istog pola
„„ Biološki sin ili ćerka
„„ Usvojen sin ili usvojena ćerka
„„ Pastorče
„„ Brat ili sestra
„„ Otac ili majka
„„ Unuče
„„ Svekar/svekrva, tast/tašta
„„ Zet ili snaja
„„ Drugi rođak
„„ Cimer ili sustanar (roommate or housemate)
„„ Usvojeno dete (foster)
„„ Druga osoba koja nije rođak

Američki biro za popis stanovništva	7

Popunite stranu 8 ako ste popisali više
od šest osoba
NEMOJTE UPISIVATI SVOJE ODGOVORE U OVAJ VODIČ

Godine starosti
na dan 1.
aprila 2020.
godine

Mesec

Dan

op
y

Ženski

Prezime(na)
(last name[s])

Godina
rođenja

Da li je u srodstvu sa
Osobom br. 1?
„„ Da

„„ Ne

io
na
l

Muški

Inicijal srednjeg imena
(middle initial)

C

Ime
(first name)

Pošaljite poštom popunjeni upitnik na engleskom jeziku
koji ste primili u kovertu sa plaćenom poštarinom.

In
fo
rm

at

Popis stanovništva
2020. godine je
jednostavniji nego
ikada.

Da li znate da možete da
odgovorite i onlajn?
Ako ste sposobni da popis stanovništva
2020. godine popunite onlajn, idite na
internet adresu odštampanu u upitniku.

Video vodiči za popunjavanje popisa
stanovništva 2020. godine onlajn dostupni su na
2020census.gov/languages
D-G (srp) Serbian

8	

Američki biro za popis stanovništva

OMB wxl. 0607-1006( wkque;sh 11/30/2021 fjks Èk wjika fõ

op
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2020 ix.Kkh i|yd Tfí ud¾f.damfoaYlh

In
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rm

at

io
na
l

C

2020 ix.Kk m;% m%Yakdj,shg ms
File Type
application/pdf
File Title
 Self Response Operations
File Modified
2019-10-31
File Created
2019-10-09