U.S. DEPARTMENT OF COMMERCE
BUREAU OF T H E CENSUS
1980 CENSUS O F THE TRUST TERRITORY
O F THE PACIFIC ISLANDS
INDIVIDUAL CENSUS REPORT
What i s your name (Please print)
b r e you
a.
- (Mark the first box that applies)
0A person who usually lives here or who
stays here most o f the week while working?
b.
0A college student living here while
attending college?
/-
,J
d.
A resident of an institution such as
a jail?
0A person with no usual place of
res idence?
e . 0 A person for whom there i s no one
at your home address to report you
to a census taker?-Give the address
at which you usually live.
Please
cont h u e
on
Page 2
J
HOUSE NO., S T R E E T , A P T . NO., OR
LOCATION DESCRIPTION
1
VILLAGE
\
\
ISLAND
T ' E R R I T O R Y , U.S. S T A T E , O R
FOREIGN COUNTRY
ìl
TELEPHONE NUMBER
d
If none of the above, please mark this b o x a
and return the form without answering the
remaining questions.
FOR CENSUS USE ONLY
C O N T R O L NO.
FORM
D-aTT
Form Approved: O.M.B. No. 41479065
loa. Where were you born?
If born in a hospital, give residence of your mother, not location
of the hospital.
(Mark one box.)
3. Sex
0Female
0Male
4. What is your ethnicity?
I
I
I
0American Samoa
0Guam
....................................
(For example: Carolinian, Chamorro, Filipino,
Japanese, Korean, Marshallese, Palauan,
Samoan, longan, etc.)
Kosrae
0Marshall Islands
0Northern Marianas
0Palau
0Ponape
5. When were you born?
Month _ _ _ _ _ _ _ _ _ _ _ _ _
Year _ _ _ _ _ - _ _ _ _ _ _ _ _ _
6. What is your marital status?
i
cl Yap
I
0United States
0Elsewhere
I
I
1
I
0Divorced
0Separated
0Never married
6
7
0Now attending this grade (or year)
0Finished this grade (or year)
0Did not finish this grade (or year)
Pane 2
_
~
_
_
~
No, only speak English Skip to 19a.
Yes
b. What language other than English i s spoken at home?
-_________-___------------------_-(For example: Chamorro, Samoan, etc.)
c . D o you speak this language (from 18b) at home more frequently
than English?
No, different house
f
b. Where did you live five years ago (September 15, 1975)?
0American Samoa
0Guam
0Kosrae
0Marshall Islands
0Yes, more frequently than English
0Both equally often
1
0Tonga
I
Truk
@ No, less frequently than English
i 0Western Samoa
I
I
‘(t speak English
oYap
iI 0
United States
0Elsewhere
19a. When were you born?
0Born before September 15, 1965 - Skip to 20a
1
,o Born September 15, 1965 or later
T
b. Is your mother in the household?
atoll, U.S. State,
or foreign country
-
When did you come to this territory to stay?
1979 or 1980
01973 or 1974
01977 or 1978
01975 or 1976
1971 or 1972
01970
01960 to 1969
01950 to 1959
0Before 1950
13. Where was your father born?
1
1
2
American Samoa
0Guam
Kosrae
8ormore
0Marshall Islands
0Northern Marianas
~i
au
L.
i
I
I
I
I
I
i
I
0United States
i 0Elsewhere - Specify
3
Page 3
.6a. During the last 10 years did you live in the United States (including
Hawaii) at any time for 6 or more consecutive months?
No - Skip to 77
Yes
0
0
b. When did you come or return to this terrirory the last time?
01979 or 1980
01976
01975
01974
01973
01972
01970 or 1971
05 years
06 to 9 years
010 or more years
06 months up to 1 year
01 to 2 years
03 to 4 years
Page 4
oNo
0Yes
!Oa. Have you completed the requirements for a vocational training
program at a trade school, business school, hospital, or some
other kind of school for occupational training?
(Do not include academic college courses.)
0No - Skip to 27a.
trade school, or 2-year college
High school vocational program
tining program at place of work
L-l
o
o
(Middle)
I f you answered 79b, do not answer the rest of the questions.
See instructions on bottom of page 8.
0Business school,
Y es
... . .... .. .. .. o
(2) In the U.S. Armed Forces? . . . . . . . . . . . . o
(3) Attending school or college?. . . . . . . . . . .
(First)
your mother living?
b. A t what kind of school was the training received?
d. For the last six months that you lived in the U.S., were you
(1) Working at a job or business
( f u l l time or part time)?
(Last)
0No,-Is
0Yes
c. How long did you live in the United States the last time?
I
I
onape
..........................
01977
n y a p
3
____-___------_-_----------------
c]1978
0Tonga
0Truk
0Wegtern Samoa
name
___. . . . . . . . . . . . . . . . . . . . . . . . .
(2) Major island or
12. If you were born outside this territory
0_Never attended school - Skip question 9
(Mark one box.)
_
c]Yes - Give mother’s
noooclnno
9. Did you finish the highest grade (or year) attended?
3
r
v
0
0Yes, this house - Skip to 76a
(1) Village name
0Kindergarten
5
Elsewhere - Specify
c. Specify the name of the village & t h e major island or atoll,
U.S. State, or foreign country where you lived five years ago.
onnnooonoDoo
4
0United States
i
0Palau
0Ponape
e ver attended?
(Mark one box.)
If now attending school, mark grade you are now in. I f high school
was finished by equivalency test (GED), mark “12.”
3
I
I
I
~
18a. D o you speak a language other than English at home?
oYap
I
Northern Marianas
8. What is the highest grade (or year) of regular school you have
College
1 2
0Western Samoa
I
oNo
0Yes
~
15a. Did you live in this-house five years ago (September 15,1975)?
Born September 15, 1975 or later Skip to 78a
I)
0No, have not attended since September 1
0Yes, public school, public college
0Yes, private, church-related
0Yes, private, not church-related
Elementary through high school (grade or year)
1 2 3 4 5 6 7 8 9 1 0 1
I
I
OTruk
------___----__-__
7. Since September 1,1980, have you attended regular school
or college at any time?
(Mark one box.)
Count Head Start, pre-kindergarten, kindergarten, elementary
school, and schooling which leads to a high school
diploma or college degree.
0Pre-ki ndergarten
17. D o you know how to read and write in
any language?
0Tonga
I
I
I
0Palau
0Ponape
J
married
I
0American Samoa
0Guam
0Kosrae
0Marshall Islands
Northern Marianas
b. Specify the name of the major island or atoll, U.S. State, or
foreign country.
(Mark one box.)
0Now married
0Consensually
0Widowed
0Tonga
[ 0Truk
I
I 0Western Samoa
I
14. Where was your mother born?
LJther school - Specify
3
Page 5
-
2la. If you are female
How many babies have you ever had, not including stillbirths?
26-28. Current or most recent job activity.
Do not count your stepchildren or children you have adopted.
0None - Skip to 22a
0
1
0 4
0 7
m l 0
0 1 3
0 2
0 3
0
0 8
0 9
0 1 1
u 1 2
0 1 4
u6
5
26. Industry
a. For whom did you work? If now on active duty in the U.S. Armed
Forces, print “AF”
015ormore
0 4
0 2
0 3
0
0
5
6
u 7
0 8
0 9
0 1 0
0 1 1
o 1 2
u15ormore
oNo
0Yes, did subsistence activity only - Skip to 23.
0No ( F i l l this circle if you did not work or did only your own
housework or volunteer work) - Skip to 23.
b. How many hours did you work last week (at a l l jobs), excluding
subs iste nce activity?
Subtract any time off; add overtime or extra hours worked.
23. Were you temporarily absent or on layoff from a job
or business last week?
Yes, on layoff
-
c. Is this mainly (Mark one box.)
c]Retail trade
Manufacturing
I l Construction
I 7 Wholesale trade
0
Report net income after business expenses.
0Other (Agriculture,
service, etc.)
27. Occupation
a. What kind of work to earn money or subsistence activity
were you doing?
Bre your most important activities or duties?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(For example: Patient care, repairing machines in factory,
weavinu baskets)
on vacation, temporary illness, labor dispute, etc.
-
0
24a. Have you been looking for work to earn money during the last
four weeks?
NO - Skip to 25.
0
0
o
o
17
o
o
17
o
o
0
o
0No, already have a job
0No, temporarily ill
sick leave, and military service.
_____________
.[7No, other reasons ( i n school, etc.)
0Yes, could have taken a job
0
1969 or earlier
IU
l Never worked
Page 6
I
d
udip
Weeks
e. During the weeks worked in 1979, how many hours did you usually
work each week?
f.
.
.c weeks not worked, Or i n which only subsistence activity was
done i n 1979, how many weeks were you looking for work t o earn
money or on layoff from a job?
_____________
Weeks
Page 7
0Yes-
$ ___---
oNo
-----.o0
- Dollars)
b
(Annual amount
d. Interest, dividends, royalties, or
net rental income ...
Report even small amounts credited to an account.
No
c. D i d you earn any cash income from this work i n 1979?
[7 Yes
No
d. How many weeks did you work in 1979? Count paid vacation, paid
b. Could you have taken a job last week?
(Annual amount - Dollars)
0Yes _____t
29a. Last year (1979), did you work, even for a few days, at a paid job
or business or farm?
Yes - Skip to 29c
No
b. I n 1979, did you do subsistence activity such as growing/gathering
food, fishing, copra, or handicrafts not for commercial purposes?
NO - Skip to 29f
Yes
oNo
oNo
Report net income after operating expenses. Include earnings
as a tenant farmer or sharecropper.
“ 3 r exanple: Registered nurse, industrial machinery mechanic,
basket weaver)
28. Were you (Mark one box.)
Employee of private company, business, or individual, for
law
a r y , m m i ssions . . . . . . . . . . . . . . . . . . . . . .
U .S. government employee . . . . . . . . . . . . . . . . . . . . . . . . .
Local government employee (territorial, etc.) . . . . . . . . . . . . .
Self-employed in own business, professional practice, or farm Own business not incorporated . . . . . . . . . . . . . . . . . . .
Own business incorporated . . . . . . . . . . . . . . . . . . . . . .
Working without pay in family business or farm- . . . . . . . . . . .
Doing subsistence activity . . . . . . . . . . . . . . . . . . . . . . . . .
0Yes A
$ _ _ _ _ _ - - ----.o0
c. Income from individual activity such as farming, fishing, etc.
--_---_--____________________________
b.
did
subsistence activity.
Yes, worked full time or part time at a job or business
and d i d subsistence activity.
0
01975 to 1977
.o0
- Dollars)
- -- - - -- --- -
...
0Yes, worked full time or part time at a job or busir
a
$
(Annual amount
b. Own nonfarm business, commercial enterprise, partnership, or
professional practice
o 1 3
0 1 4
helping without pay in a family business or farm. Also count
active duty in the U.S. Armed Forces. Subsistence activity
includes fishing, handicrafts, etc., not for commercial p’”-”ses.
01979
0Yes
0No
I ocat ion where employed.
25. When did you last work, even for a few days?
1970 to 1974
1978
1980
-
...
Report gross amount before any deductions for retirement funds, etc.
(Name of company, business, organization, or other employer)
22a. Did you work at any time last week? Count part-time work, or
0Yes,
During 1979 did you receive any income from the following sources?
to any of the sources below - How much did you receive
for the. entire year?
a. Wages, salary, commissions, bonuses, or tips from a l l jobs
and skip to question 29a.
b. What kind of business or industry was this? Describe activity at
c. Have you had any babies born alive since September 15,1979?
0Yes
Mark boxes and print dollar amounts. If net income was a loss,
print “Loss” above the dollar amount. If the exact amount is
not known, give your best estimate.
If “Yes”
--________________-__________________
b. How many of these children are s t i l l living?
None
0
1
30. Income in 1979
Describe the chief job activity, business or subsistence activity at
which you worked the most hours last week. I f you did not work
last week, describe the last job or business since 1975. If you had
more than one job or had a job to earn money and did subsistence
activity, describe the one at which you worked the most hours.
$
_ _ _ _ _ _ _ _O0_ - _ .
(Annual amount
e. Social Security or Railroad Retirement
Oyes
- Dollars1
...
$ - - - - - - - - - --.o0
oNo
(Annual amount - Dollarss)
f. Public assistance or public welfare payments
0Yes
...
$ - - - - - - - - - - - .o0
No
(Annual m o u n t
- Dollars)
g. Unemployment compensation, veterans’ payments, pensions,
alimony or child support, or any other sources of income received
regularly, including money transfers from other relatives outside
the household
...
Exclude lump sum payments such as money from an inheritance or
the sale of a home.
Oyes-
oNo
$
_ _ _ _ _ _ _ _O0_ _ _ .
- Dollars)
(Annual amount
31. What was your total income in 1979?
$
_ _ _ _ _ _ _ _ _00_ _OR
.
=None
(Annual amount - Dollars)
Add entries in questions 30a through g; subtract any losses. I f
total amount was a loss, print “Loss” above amount.
A F T E R COMPLETING THIS FORM
-
I. P l e a s e check t o be s u r e y o u have answ er c
the r e q u i r e d q u e s t i o n s c o m p l e t e l y .
2. T o
.l.
r e t u r n y o u r form, p l e a s e follow the i n s t r u c t i o n s
on the e n v e l o p e t h a t the f o r m c a m e in.
Thank YOU f o r y o u r c o o p e r a t i o n .
Page 8
t
WASHINGTON, D.C. 20233
BUREAU OF THE CENSUS
,fe
1980 Census of Population and Housing
TRUST TERRITORY
OF THE PACIFIC ISLANDS
TO THE ENUMERATOR:
1. Fill section A on this page.
2. Fill pages 1 through 5.
3. Fill a pair of facing pages for each person listed on pages 2 and 3.
4. Complete page 20.
,@=I
Section A
Your answers are confidential
Location or address
By law (title 13, U.S. Code), census employees are
subject to fine and/or imprisonment for any disclosure
of your answers. Only after 72 years does your information become available to other government agencies
or the public. The same law requires that you answer
the questions to the best of your knowledge.
A4. Block number
A6. Housing unit serial number
Please continue 9
c
Form D-80 TT
Form Approved: O.M.B. No. 41-S79065
Page 1
Question 1
List in Question 1
*Family members living here, including babies still
hospital
1. What is the name of each person who was living here on
Monday, September 15, 1980, or who was staying or
in the
visiting here and had no other home?
Relatives living here
Lodgers or boarders living here
*Other persons living here
College students who stay here while attending college,
even if their parents live elsewhere
.Persons who usually live here but are temporarily away
(including children in boarding school below the college
level)
Persons with a home elsewhere but who stay here most of
the week while working
Do Not List in Question 1
.Any person away from here in the Armed Forces
.Any college student who stays somewhere else while
attending college
.Any person who usually stays somewhere else most of the
week while working there
.Any person away from here in an institution such as a
home for the aged or mental hospital.
.Any person staying or visiting here who has a usual home
elsewhere.
Note
If everyone here is staying only temporarily and has a
usual home elsewhere, please mark this box 0.
Then please:
.ask the double underlined questions on pages 3 through
5 only,
and
eenter the address of this household's usual home on
page 20.
Please continue
2
Page 2
Here are the
QUESTIONS
-
These are the columns
forANSWERS
Please fill one column for each
person listed in Question 7,
*
P E R S O N in column 1
Middle initi;
--
P E R S O N in column 3
P E R S O N in column 2
-ast name
7rst name
ALSO ANSWER THE HOUSING QUESTIONS ON PAGE 3
Last name
.ast name
:iist name
Middle initial :iist name
-ast name
-
-
-
-
P E R S O N in column 4
Middle ini’ca :iist name
Middle initia
~~
2. How is
STAR T in this column with the
in column one)?
household member (or one of the
members) in whose name the home
is owned or rented. If there is no
such person, start in this column
with any adult household member.
Fill one circle.
If “Other relative” of person in column I ,
give exact relationship, such as wife’s mother,
grandson, etc.
~
3. Sex. Ask if not evident by name or by observation
O Male
Fill one circle.
4. What is
. . .‘s ethnicity?
rn
I
.
. . attendec
regular school or college at any time?
Fill one circle. Count Head Start, pre-kindergarten
kindergarten, elementary school, and schooling
which leads to a high school diploma or college
degree.
8. What is the highest grade ( or year) of
regular school
. . . has ever attended?
Fill one circle,
If now attending school, mark grade person is in.
If high school was finished by equivalency test
(GED), mark “12.”
9. Did
...
finish the highest grade (or year)
attended?
Fill one circle,
- - - - -- - - - - - - -
O Roomer, boarder; O Other nonrelative
O Roommate
1
O Paid employee I
_____________
O Male
O Male
O Female
1
O Father/mother
f O Other relative
I
<
-7
If r
O Roomer, boarder; O Other nonrelative
O Roommate
1
0 Paid employee 1
________-----
_____________
O Male
O Female
7
O Female
-
_______________________________
__________---------------------
_____________------____________
Japanese, Korean, Marshallese, Palauan, Samoan,
Japanese, Korean, Marshallese, Palauan, Samoan,
Japanese, Korean, Marshallese, Palauan, Samoan,
Japanese, Korean, Marshallese, Palauan, Samoan,
Tongan, etc.)
Tongan, etc.)
Tongan, etc.)
Tongan, etc.)
c. Year of birth
I I
O
O
O
O
I
1 0 1 8 0 ‘0
/9 o 1
2
3
4
5
Ja n.- Feb.-Ma r.
6
Apr.-May-June
7
8
July-Aug.-sept.
Oct.-Nov.-Dec.
9
0
0
0
0
0
0
0
0
0
0
a. Age at last
birthday
i
I
(
1
1
1
1
1
1
1
1
1
(For example: Carolinian, Chamorro, Filipino,
0
1
2
3
4
5
6
7
8
9
0
0
0
0
0
0
0
0
0
0
I
I
I
Lp--- - ---I
b. Month
of birth
I
c. Year of birth
;
I I
1-
1 O 18 O i 0 O 10 O
/ 9 o 11 o 1 1 o
I
I
I
4
5
6
7
8
9
I
l
l
--- - -7-O Jan-Feb.-Mar.’
O Apr.-May-June
O July-Aug.-sept.
O Oct.-Nov.-Dec.
’
0
0
0
0
0
0
I
1
1
1
1
1
1
c. Year of birth
a. Age at last
birthday
i
1-
(For example: Carolinian, Chamorro, Filipino,
4
5
6
7
8
9
0
0
0
0
0
0
I
I
I
I
I I
I
i
1-1-1-
1 0 1 8 0 ~
19 o Il
2
3
I
I
I
I
4
I
l
- -- - -7-5
6
O ‘Jan-Feb.-Mar.
O Apr.-May-June
7
8
O July-Aug.-sept.
O Oct.-Nov.-Dec.
9
L-_-- - ---I
b. Month
of birth
Ett
(For example: Carolinian, Chamorro, Filipino,
c. Year of birth
a. Age at last
birthday
I
l
I
I I1-
I
I
!
-I
I
1 O 18 O i 0 O i 0 O
0 0 / 0 0 L_ _ _ _ _ _ _ _I
11 o
j9 o 1 0 1 1 0
b. Month
0 1 2 0
2 o 12 o
of birth
o !3o
3 o ; 3o
I
I
I
I
4 0 1 4 0
o 140
I
I
---- -2-- 0 1 5 0
5 o ; 5o
6
7 0o 1176 o
0
0 1 6 0
O Jan.-Feb.-Mar.
O Apr.-May-June
0 1 7 0
8 0 1 8 0
0 1 8 0
O July-Aug.-sept.
O Oct.-Nov.-Dec.
9 0 1 9 0
0 1 9 0
o
i
O Now married
1 O Divorced
O Consensually married 1 O Separated
O Widowed
1 O Never marriec
O Now married
; O Divorced
O Consensually married 1 O Separated
O Widowed
1 O Never married
O Now married
1 O Divorced
O Consensually married 1 O Separated
O Widowed
I O Never marriec
O Now married
; O Divorced
O Consensually married O Separated
O Widowed
1 O Never marriec
O No, has not attended since September 1
O No, has not attended since September 1
O No, has not attended since September 1
O No, has not attended since September 1
O Yes, public school, public college
O Yes, public school, public college
O Yes, public school, public college
O Yes, public school, public college
O Yes, private, church-related
O Yes, private, church-related
O Yes, private, church-related
O Yes, private, church-related
O Yes, private, not church-related
O Yes, private, not church-related
O Yes, private, not church-related
O Yes, private, not church-related
Highest grade attended:
O Pre-kindergarten
Highest grade attended:
Highest grade attended:
O Kindergarten
Elementary through high school (grade or year
O Pre-kindergarten
O Kindergarten
Elementary through high school (grade or year)
O Pre-kindergarten
Elementary through high school (grade or year,
O Pre-kindergarten
Elementary through high school (grade or year)
101112
1 2 3 4 5 6 7 8 9
101112
1 2 3 4 5 6 7 8 9
101112
o o
000000000
o o o
0 0 0 0 0 0 0 0 0
0
o o
0 0 0 0 0 0 0 0 0
o o o
College
(academic year)
1 2 3 4 5 6 7 8 or mort
00 0 0 0 0 0 0
College
(academic year)
1 2 3 4 5 6 7 8 or more
00000000
College
w
(academicyear)
1 2 3 4 5 6 7 8 or more
0 00 0 0 00 0
College
w
(academic year)
1 2 3 4 5 6 7 8 or more
00000000
- Skip question 9
O Never attended school - Skip question 9
O Never attended school - Skip question 9
O Never attended school - Skip question 9
O Never attended school
O Now attending this grade (or year)
O Finished this grade (or year)
O Did not finish this grade (or year)
O Now attending this grade (or year)
O Finished this grade (or year)
O Did not finish this grade (or year)
O Now attending this grade (oryear)
O Finished this grade (or year)
O Did not finish this grade (or year)
O Now attending this grade (oryear)
O Finished this grade (or year)
O Did not finish this grade (oryear)
FORCENSUS
USE ONLY
A.
F
I
l
0 1 1 0 N
l
O Kindergarten
1 2 3 4 5 6 7 8 9
0
I
L
Highest grade attended:
O Kindergarten
1 2 3 4 5 6 7 8 9 101112
0 0 0 0 0 0 0 0 0
i
<
- - - - -- - - -- - - -
I
If not related to person in column 1:
O Roomer, boarder; O Other nonrelative O Roommate
1
J
0 Paid employee
1
__-__________------____________
b. Print month and fill one circle.
7. Since September 1,1980, has
I
r
If not related to person in column 1:
7
O Female
1
O Husband/wife
O Soddaughter
O Brother/sister
Ethnicity:
a. Print age at last birthday.
Fill one circle
- - - - - - - - -- - - -
O Father/mother
f O Other relative-
Ethnicity:
1-1-1
. . . (read answer categories) -
-7
1
Ethnicity:
. . .‘s age, month, and year
6. IS
1
O Husband/wife
O Son/daughter
O Brother/sister
Ethnicity:
of birth?
c. Print year in the spaces, and fill one circle
below each number.
O Father/mother
f O Other relative
If not related to person in column 1:
(For example: Carolinian, Chamorro, Filipino,
5. What is
1
O Husband/wife
O Son/daughter
O Brother/sister
If relative of person in column 1:
If relative of person in column 1:
If relative of person in column 1:
. . . related to (Insert name ofperson
O 0
I
2.
4.
O I 2 3 +
OT23’4-
S G ? S 3
O123’4-
5 G 2 8 3
5 6 1 8 3
4.
*
c
ALSO ANSWER THE HOUSING QUESTIONS ON PAGE 3
P E R S O N in column 5
Last name
Last name
Middle initial First name
Middle initial First name
P E R S O N in column 6
I
-
-
-
-
P E R S O N in column 7
FOR YOUR HOUSEHOLD
Last name
s
If relative of person in column 1:
O Husbandhife
O Father/mother
O Sonldaughter
O Other relative
O Brother/sister 1
If relative of person in column 1:
o Husband/wife O Fatherlmother
o Son/daughter
O Other relative
O Brother/sister
I
i
i
nother
lative7
I
i
--- - _ _ _ _ _ _ _ _ _
I
.- - - - - - -
I
O Roomer, boarder;
7
o
0 Paid employee
-
I
- -- - - - -
Filipino,
7, Samoan,
-1-
Roommate
l
o
o
o
o
100
11 o
120
13 o
o 140
o 150
O 16 O
o 170
O 18 O
o 19 o
O Male
I
I
-
O Other nonrelative
O Roomer, boarder; O Other nonrelative
7
o
Roommate
O Paid employee
__
I
O Female
I
t
O Male
O Female
3
Ethnicity:
___________--------------------
_____________-_________________
(For example: Carolinian, Chamorro, Filipino,
Japanese, Korean, Marshallese, Palauan, Samoan,
Tongan, etc.)
I
3
4
5
6
7
8
9
I
I
I
-----y--Jan.-Feb.-Mar.
Apr.-May-June
July-Aug.-sept.
Oct.-Nov.-Dec.
0
0
0
0
0
0
0
1
I
1
1
1
1
1
1
1
I
1
3
4
5
6
7
8
9
0
0
0
0
0
0
0
I
l
I
l
I
I
--- -
O
O
O
O
o
boarder!
O Roommate
O Paid employee
O Male
-7-- -
Jan- Feb.-Mar.
Apr.-May-June
July-Aug.-sept.
Oct.-Nov.-Dec.
11
o
11
o
'
-----_-____--
O Female
Ethnicity:
13 O ! 3 0 I
/ 4 0 ! 4 0 1
5 0 1 5 0
6 0 / 6 0
7 o 17 o
8 0 1 8 0
9 o 19 o
~
O
O
O
O
,
1
I
O Now married
1 O Divorced
O Consensually married: O Separated
I O Never marriedl
O Widowed
ptember 1
O No, has not attended since September 1
O No, has not attended since September 1
O No, has not attended since September 1
?ge
O Yes, public school, public college
O Yes, public school, public college
O Yes, public school, public college
O Yes, private, church-related
O Yes, private, church-related
O Yes, private, church-related
O Yes, private, not church-related
O Yes, private, not church-related
indergarten
irade or year)
1 12
I O
7 8 or more
3 0
p question 9
Year)
tear)
O Pre-kindergarten
O Now married
i O Divorced
O Consensually married 1 O Separated
O Widowed
i o Never married
I
I
-
O Kindergarten
Elementary through high school (grade or year)
1 2 3 4 5 6 7 8 9 101112
000000000 o o o
O Pre-kindergarten
O Pre-kindergarten
Elementary through high school (grade or year)
1 2 3 4 5 6 7 8 or more
1 2 3 4 5 6 7 8 or more College
(academic
year)
00000o 0o
(academic year) 0 0 0 0 0 0 0 o
College
O Never attended school
I
1 2 3 4 5 6 7 8 9
101112
o o o
College
- Skip question 9
'
4.
0I 2 3q-
5 G ? 8 3
0I23ck
5 6 1 8 3
0 1 2 3 %
5 6 ' 5 8 9
l-
,
L
O Electricity
O Gas
,
O Thatch
O Metal
O Other
I
I E
I
33 33 I
3 33
++q*
q - , + ; .4 +
I
Does this building have a flush toilet?
"No;' what type of toilet?
u Lonrinuarion
.
O Regular
O Usual home
I
n-_I.-
u Lonrinuarion
A
I
_I.__
\\\\\\\\\\\\\\\\\\\\
y
-
I
O Rented or sold, not occupied
O Held for occasional use
O Other vacant
Group quarters
E: 8 8 E;
O Yes, connected to public sewer
O No, connected to septic tank or cesspool
O,
- Months vacant
O Less than 1 month
O Year round use
O 1 u p t o 2 months
O Seasonal use- Skip C2, C3, O 2 up to 6 months
and
O 6 up to 12 months
Vacancy status
elsewhere
:3 E: 8
I
O Outhouseor privy
O Other or none
,
'
..
2
H16.
- Is this building connected to a public sewer?
I-I
I
+
0
O Yes, outside this building
For Vacant Units
CA Is this unit for
I I E
7
G
5
O Solar energy
O Other fuels
O Yes, inside this building
O No --t If
O Poured concrete
CQ. Is this unit boarded up?
I-
~O
Yes
.i
0
3
8
What type of energy does your water
heater (tank type) use most?
m
4
.Is there a bathtub or shower in this building?
O Yes
O No
&5.
F;
-
-
O Thatch
O Other
O No walls
3
?
O No, only cold piped water in this building
O No piped water in this building
FOR CENSUS USE
56'283
I
E 3 . Is there hot and cold piped water in this building?
O Yes, hot and cold piped water in this building
A one-family house detached from any other house
A one-family house attached to one or more houses
A building for 2 families
A building for 3 or 4 families
A building for 5 to 9 families
A building for 10 to 19 families
A building for 20 to 49 families
A building for 50 or more families
A mobile home or trailer, tent, van, etc.
Boat
building? Read each category and fill one circle.
I
n
O
O
O
O
O
O
O
O
O
O
O Now attending this grade (oryear)
O Finished this grade (oryear)
O Did not finish this grade (or year)
,
0
A public system?
An individual well?
A catchment, tanks, or drums?
A public standpipe or street hydrant?
Some other source (spring, river, creek, etc.)?
H8.
- What is the main type Of material used for the roof Of this
I
O 7 rooms
O 8rooms
O 9or more rooms
used mainly for sleeping even if used also for other
purposes.
O Wood
1 2 3 4 5 6 7 8 or more
0I23rt.
0I 2 3+
O 4 rooms
O 5rooms
O 6 rooms
w.
-How many bedrooms do you have? Count rooms
O
O
O
O
O
(Include all apartments, flats, etc., even if vacant).
O Never attended school - Skip question 9
9.
Do not count bathrooms, porches, balconies, or halls.
O 1 room
O 2rooms
O 3 rooms
H S . Do you get water from
,
O Poured concrete
O Concrete blocks
O Metal
O Kindergarten
0 0 0 0 0 0 0 0 0
auarters?
O 1950 to 1959
O 1949 or earlier
O Lived here since birth
H7.
is the main type of material used for the outside
-What
walls of this building? Read each category and fill o x circle.
Elementary through high school (grade or year)
O Now attending this grade (oryear)
O Finished this grade (or year)
O Did not finish this grade (or year)
O Now attending this grade (oryear)
O Finished this grade (or year)
O Did not finish this grade (orvear)
II
O Yes. Drivate. not church-related
O Kindergarten
1 2 3 4 5 6 7 8 9 101112
000000000 o o o
O Never attended school - Skip question 9
-
,
H10.How many rooms do you have in your living
-
H A Which best describes this building?
Highest grade attended:
Highest grade attended:
-
O
to 1969
1974
O 1970
1960 to
I
O 1950to 1959
O 1940 to 1949
O 1939 or earlier
O Directly from the outside or through a common or public hall?
O Through someone else's living quarters?
O 1970to 1974
O 1960to 1969
Jan.-Feb.-Mar.
Apr.-May-June
July-Aug.-sept.
Oct.-Nov.-Dec.
O Now married
1 O Divorced
O Consensually married O Separated
1 o Never marriec
O Widowed
Highest grade attended:
H A Do you enter your living quarters
1
I
H5. When did . . . (Insert name of person in column one) move into
this house (or apartment)?
3 0 1 3 0
4 o 14 o
5 0 ! 5 0
vorced
?parated
wer marrie
d
O Yes - Determine whether to add person.
O NÒ
O 1979or 1980
O 1975 to 1978
I
I
'
H3. Is anyone visiting here who is not already listed?
-
c. Year of birth
b. Month
of birth
I
-
O Yes -Determine whether person should remain listed.
O No
. .
I
I
I
W
,
1979or 1980
O 1975 to 1978
H2. Did you list anyone in the list of persons living here who is
away from home now
for examde, on a vacation or in a hosoital?
1
II
a. Age at last
birthday
o
,
I
Other nonrelative S
O
O Yes -Determine whether to add person.
O No
c
If not related to person in column 1:
1 0 1 8 0 1 0 0 \ 0 0
o
7
- - - - - - - - - _ ---
(For example: Carolinian, Chamorro, Filipino,
Japanese, Korean, Marshallese, Palauan, Samoan,
Tongan, etc.)
I
j9
i
_______-_______----____________
3
L- - - - - - - b. Month
of birth
O Other relative
I
(For example: Carolinian, Chamorro, Filipino,
I
I
1
Mark when the building was first constructed, not
when it was remodeled, added to, or converted.
for example, a new baby still in the hospital, a lodger who also
has
another
has no
otherhome,
home?or a person who stays here once in a while and
I
0
-I
L-- - - - - -.- l
b. Month
of birth
O
O
O
O
8
c. Year of birth
a. Age at last
birthday
I
I
7
-_
-
Ethnicity:
I
I
t
7
---___-_____
-
-
relative of person in column 1:
O Husbandlwife
O Father/mother
O Soddaughter
O Brother/sister
- About when was this building originally built?
H9.
H1. Did you leave anyone out of the list of persons living here
because you were not sure if the person should be listed
Middle initial
First name
If not related to person in column 1:
If not related to person in column 1:
nreiative
Middle initial
Page 3
NOW PLEASEANSWER QUESTIONS H l - H 3 7
O No
-persons
Total
I
I i
I
I
000
5 5 5
O O Pop./F
I
G
? ?GI ?G
8 8 :3
O 0
I
e4
~~
~~~
&7.
-
Are your main cooking facilities inside or outside this building?
O Inside this building
0 Outside this building
ANSWER fi ESE QUES
CENSUS
What is the monthly rent? If rent is not paid by the month, see the
USE
w.
- Ask of persons who rent their living quarters -
Questionnaire Reference Book on how to figure a monthly rent.
What type of cooking
facilities are
~
J
O Electric stove
O Gasstove
O Kerosene stove
O Other (fireplace, hotplate, etc.)
O No cooking facilities
H18. Is there a refrigerator in your living quarters?
O Mechanical
O Ice
O No refrigerator
HL9. Does your living quarters have electric power?
w.
-
O No
O Yes + Is the electricity supplied by
O A public utility?
O A private generator? -t What is the source of energy?
O Diesel oil
O Solar
O Other
H20. What are the costs of utilities and fuels for your living quarters?
a. Electricity
8
.O0
__________-----_
OR
A verage monthly cost
O Included in rent or no charge
O Electricity not used
b. Water
3 _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ .O0
OR
O Included in rent or no charge
A verage monthly cost
c. Oil, gas, kerosene, wood, etc.
9,
___________-____
.O0
OR
Yearly cost
O Included in rent or no charge
O These fuels not used
H21. Do you have a telephone in your living quarters?
O Yes
O No
H22. Do you have a radio?
O Yes
O No
H23. Do you have a television set?
O Yes
O No
H&4.
- Do you have air-conditioning?
O Yes, a central air-conditioning system
O Yes, 1 individual room unit
o
Yes, 2 or more individual room units
O No
H25. How many automobiles, vans or light trucks are kept at home for use by
members of your household? (Include company-owned vehicles kept at home.)
O
O
O
O
None
1 automobile or truck or van, etc.
2 automobiles or trucks or vans, etc.
3 or more automobiles or trucks or vans, etc.
-
H26. Are your living quarters
O Owned or being bought by you or by someone else in this household?
O Rented for cash rent?
O Occupied without payment of cash rent?
O
O
O
O
O
O
Less than $50
$50 to359
$60 to369
$70to$79
$80 to389
$90 to399
O
O
0
O
0
O
O
O
O
O
O
O
$100to$109
$110to$119
8120to$129
$130to$139
$140to$149
$150to$159
O
O
O
O
3160to3169
3170to3179
3180to3189
$190to$199
3200to3224
$225 to3249
$250to$274
$275to$299
$300to$349
$350 to3399
o $400to$499
O $500 or more
If this is a one-family house -
Is any part of the property used
as a commercial establishment or medical office?
o
Yes
O No
ASK H290 I N AMERICAN SAMOA, COMMONWEALTH OF THE
NORTHERN MARIANA ISLANDS, AND THE TRUST TERRITORY
OF THE PACIFIC ISLANDS ONL Y.
Hma. If this is a one-famlly house (or condominium unit) which Is owned or
is being bought
-
What is the value of this house, that is, how much do you think it
would sell for if it were for sale? Do not include the wlue of the.land.
Do not as& this question i f this is a house with a commercial establishment
or medical office on the property.
O Less than $1,000
O $1,000 to $1,999
O $2,000 to $2,999
o
$3,000 to $3,999
O $4,000 to $4,999
O $5,000 to $5,999
O
O
O
O
O
O
$6,000 to $7,499
$7,500 to $9,999
$10,000 to $12,499
$12,500 to $14,999
$15,000 to $17,499
$17,500 to $19,999
O
O
O
O
O
O
$20,000 to $22,499
$22,500 to $24,999
$25,000 to $27,499
$27,500 to $29,999
$30,000 to $32,499
$32,500 to $34,999
O
O
O
O
O
O
$35,000 to $37,499
$37,500 to $39,999
$40,000 to 842,499
$42,500 to $44,999
$45,000 to $49,999
$50,000 or more
H20a.
O
0
0
T I E
2
2
2
3 3 3
q4 q-, +
5
5
s
G
G
G
?
:3
?
?
:3
3 3 3
H20b.
0 0 0
T
I
T
2
2
2
3 3 3
q- q- q4
s
5
5
G
G
G
?
?
?
8 :3 :3
3 3 3
H20c.
-0
O O 0
I T E I
2222
3333
q-
$-
q- q-
s s s s
G G G G
? ? ? ?
8 8 8 8
3333
U.
0 0 0
I
I
I
2 2 2
3 3 3
q4
q-
q-
s 5 s
ASK H29b IN GUAM ONLY
H29b. I f this is a one-family house (or condominium unit) which is owned
or being bought
-
What is the value of this property, that is, how much do you think
this property (house and lot or condominium unit) would sell for if it
were for sale?
Do not ask this question if this is a house with a commercial establishment
or medical office on the property
O Less than $10,000
o
o
$10,00Oto$14,999
$15,00Ot0$17,499
O $17,50Ot0$19,999
O $20,000 to $22,499
O $22,500 to $24,999
O, $25,000 to $27,499
O $27,500 to $29,999
O $30,000 to $34,999
O $35,000 to $39,999
o
$40,000 to $44,999
O $45,000 to $49,999
O $50,000to $54,999
O $55,000to $59,999
O $60,000 to $64,999
O $65,000 to $69,999
O $70,000 to $74,999
O $75,000 to $79,999
O
O
O
O
O
O
$80,000 to $89,999
$90,000 to $99,999
$100,000 to $124,999
$125,000 to $149,999
$150,000 to $199,999
$200,000 or more
G
G
G
?
8
?
?
3 3 3
X.
Q O @
T
E
E
2 2 2
3 3 3
q- q- q5
5
G G
' 7 '7
5
G
:3
E;
?
E:
3 3 3
_____----
Y-@@
o
E
2
3
q-
E
2
3
q-
I
2
3
q-
s 5 5
G G G
? ? ?
:3 :3 E;
3 3 3
- - -
FOR YOUR HOUSEHOLD
ASK H30 THROUGH H35 IN GUAM AND COMMONWEALTH
OF THE NORTHERN MARIANA ISLANDS ONLY
Please ask H30 - H35 if this is a one family house
which is owned or is being bought, unless this is A mobile home or trailer..
A condominium unit
0
for real estate taxes on &
t
property?
rn
O No, taxes paid separately or taxesmot required.
H35. Does your regular monthly payment include payments (amount entered in H33)
for fire and hazard insurance on this property?
O Yes, insurance included in payment
If any of these, or i f you rent
. . . . . . . . . . . . . . . . . . . , your unit or this is
-
5
O Yes, taxes included in payment
. ... . . . . .. . . . .
A house with a commercial establishment
or medical office on the property . . . . .
Pal
H34. Does your regular monthly payment (amount entered in H33) include payments
O No, insurance paid separately or no insurance
a multi-family structure,
Skip H30 to H35 and
turn to page 6.
ASK H36 AND H37 IN THE TRUST TERRITORY
OF THE PACIFIC ISLANDS ONLY
-
H36. Does any member of the household own a boat of Iess than 25 feet in length?
H30. What were the real estate taxes on t 5 property last year?
$
________________
.O0
OR
None
.
H31. What is the annual premium for fire and hazard insurance on thJ
$
___-_-----______
.O0
O
O Yes
OR
property?
None
H33. How much is your total regular monthly payment to the lender?
.
i31.
i30.
’9.
H33.
0000
000
I I
I L I I
I I I
I I I T
2 2
3 3
q- +
2 2 2 %
3333
q- q4
22%
333
q- L1, q-
2 2 2 2
3333
@-
5
5
5 5 5 5
5 5 5
5 5 5 5
G
G
G G G G
G G G
G G G G
?
8
?
8
? ? ? ?
8 5 8 8
? ? ?
8 p) 8
? ? ? ?
3 3
3333
333
888E:
3 3 3 3
Q
+
q-, q- q-
5
+
3
O None
0
T
o1
O 2 or more
*
0
3
Turn to page 6.
E:
I
?
G
a
0000
0 0
for use by members of your household?
G
Please turn to page 6
O No regular payment required OR
?
H37. How many motorcycles, mopeds, or motor scooters are kept at home
Also include payments to lenders holding second or junior mortgages on this property.
.o0
E:
O No
H32. Is there a mortgage on h&
t property?
O Yes
O No - Turn to page 6.
.$
3
q3
rn
2
T
I
4
ANS WER THESE QUESTION
First name
Last name
Middle initial
O
O
O
O
O
O
n
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere
O Yes
1979or 1980
1977or 1978
1975or 1976
1973or 1974
1971 or 1972
13. Where was
O
O
O
O
O
O
O
O
O
O
O
d. For the last 6 months that.
was.. .
. . lived in the U.S.,
(Full time or part time)?. . . . . . . .
1970
1960 to 1969
1950to 1959
Before 1950
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify
Ponape
O
O
O
O
(2) In the U.S. Armed Forces?.. . . . 0
(3) Attending school or college? . . . O
17. Does . . . know how to read and write (in any
language)?
O Yes
O
O
O
O
O
O
Y e s -No
(1) Working at a job or business
. . .'s father born?
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
O 1973
O 1972
O 1970or1971
O 5 years
O 6 t o 9 years
O 10 or more years
12. I f . . . was born outside this territory When did . . . come to this territory to stay?
O
O
O
O
O
O
O
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify
-7
-
Yes, more frequently than English
Both equally often
No, less frequently than English
Doesn't speak English
O Born September 15, 1975 or later-Skip to 780
O Yes, this house -Skip to 760
O No,different house
n
7b. Where did . . . .live five years ago (Sept.l5,1975)?
O
O
O
O
O
O
O
American Samoa
Guam
Kosrae
Marshall Islands
NorthernMarianas
Palau
Ponape
0 Tonga
O Truk
O Western Samoa
0 Yap
O United States
O Elsewhere
Person lob.
No.
000
E
2
3
qd
hw
13.
4
6
7
8
9
1
o
O None - Skipto22a
b. How many of
thesechildren
are still living?
O
O
O
O
O more
None 1 2 3 4 5 6 7 8 9 10
0 00000 00000
11 12 13 14 15 or more
O No
Count part-time work, or helping without pay in a family
business or farm. Also count active duty in the U.S. Armed
Forces. Subsistence activity includes fishing,
handicrafts, etc. not for commercial purposes.
or business; did no subsistence activity.
O Yes, worked full time or part time at a job
or business and did subsistence activity.
O Yes, did subsistence activity only.-Skip to 2 3
Subtract any time o f t add overtime or extra hours worked
to 796
_ _ _ _ _ _ _ _ _ Hours -
Skip to 26
FOR CENSUS-
Z.
14.
000
O 0 0
000
E L I
I I I
E I E
I E T
222
333
2 2 2
333
2 2 2
333
2 2 2
333
o.
, o-,
qI
l
.
0,. o-,
qI
Li-,
Li1I
@-,
I
4-. c;- oI
S
5 s s
s s 5
s s s
S S S
G G G
G G G
G G G
G G G
z
? ? ?
<3 8 :
3
? ? ?
8 p) 8
zí??
.í??z
333
333
:3 :3
333
8 :3 8
3 3 3
I-,
0
Donotcountherstepchildren
o o o o
or children she has adopted
11 12 13 14 15 or
G
o
5
b. How many hours did . . . work last week
(at all jobs),excluding subsistence activity?
.
s
s
3
only own housework, or volunteer work.)- Skip
to 23
O Born before September 15,1965 -Skip to 200
Ma. Did . . . live in this house five years ago
(September 15,1975)?
2
O No (Fill this circle i f this person did not work or did
19a. When was. . born?
O Born September 15,1965 or later -Go
1
o o o o o
O Yes, worked full time or part time at a job
c. Does. . . speak this language (from 78b)at home
more frequently than English?
O
O
O
O
21a. I f this person is a female How many babies hasshe
ever had, not including
u
stillbirths?
22a. Did . . . work at any time last week?
O No, only speaks English -Skip to 790
_____---------________---
. . . 's mother born?
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
_ -\
______________________
O Yes
(For example - Chamorro, Samoan, etc.)
14. Where was
Business school, trade school, or 2-year college
High school vocational program
Training program at place of work
Other school - Specify
c. Has . . . had any babies born alive since
September 15, 1979?
O No
b. What language other than English is spoken
at home?
7
O
O
O
O
0 0 0 0 0
18a. Does . . . speak a language other than English
at home?
O Yes
O NO - Skipto27a
b. At what kind of school was the training received?
O 6 months up to 1year
O 1 to2years
O 3 to 4 years
-
O No
(Do not include academic college courses.)
O Yes
c. How long did . . . live in the United States
the last time?
... a
Naturalized U.S. citizen
Permanent U.S. alien (visa)
Temporary U.S. alien (work permit)
Other U.S. citizen
O 1976
O 1975
O 1974
. . . 's mother living?
I f 796 is answered, turn to next page for next person.
n
O No-Skipto 77
O 1979 or 1980
O 1978
O 1977
02
for persons born outside Guam or the United States
O
O
O
O
O
Ask: IS
Zoa. Has . . . completed the requirements for a
vocational training program at a trade school,
business school, hospital or some other kind of
school for occupational training?
b. When did . . . come or return to this territory
the last time?
11. ASK 7 7 IN GUAM ONLY
O
O
O
O
O No+
O Yes
16a. During the last 10years did . . . live in the
United States (including Hawaii) at any time
for 6 or more consecutive months?
-7
Is
mother from page 2 or 3 _ _ _ _ _ _ _ _ _ _
foreign country _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
b. Specify the name of the major island or atoll,
U. S. State or foreign country.
Ask
. . . 's mother in the householfl
YesPerson no. of . . .'s
(2) the major island or atoll, U.S. State, or
not location of the hospital. Fill one circle.
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
O
(1) the village name _ _ _ _ _ _ _ _ _ _ _ _ - - _ _ _ _ _
Loa. Where was. . . born?
If born in a hospital, give residence of the mother,
O
O
O
O
O
O
O
19b. Is
15c. Specify the name of the village and the major
island or atoll, U.S. State or foreign country
where. . . lived five years ago.
Name of
Person 1
on page 2
- - -~
PERSON 7 ON PAGE 2
~~
23. Was ... temporarily absent or on layofffrom a job or business
last week?
J IC
00
I I
2 %
3 3
O Yes, on layoff
O Yes, on vacation, temporary illness, labor dispute, etc.
:a. Has ... been looking for work to earn money
during the last 4 weeks?
x
q-, q4
O NO -Skip to 25
s s
b. Could ... have taken a job last week?
8 E:
33
O 1978
O 1975 to 1977
O 1970to1974
O 1969orearlier
O Never worked
26-28. Current or most recent job activity.
I
..
26. Industry
a. For whom did ... work? If now on active duty
in the U.S. Armed Forces, print “AF” and skip to question 290.
26.
A B C
O 0 0
O 0 0
G H J
O 0 0
(Name of company, business, organization, or other employer)
b. What kind of business or industry was this?
rn
Describe activity at location where employed.
____________________---_----_----(For example: Hospital, fish cannery, basket weaving)
- (Fill one circle)
O Construction
O Other - (agriculture,
service, etc.)
27. Occupation
a. What kind of work to earn money or subsistence activity
was ... doing?
____________________-------------_------
(For example: Registered nurse, industrial machinery mechanic,
basket weaver)
b. What were
... ’s most important activities or duties?
__________________------------_---(For example: Patient care, repair machines in factory,
weave baskets)
28. Was., . .
- (Fill one circle)
Self-employed in own business,
professional practice, or farm Own business not incorporated ............. O
Own business incorporated . . . . . . . . . . . . . . . . O
Working without pay in family business or farm.. .. O
Doing subsistence activity .......................
O
29a. Last year (1979), did ... work, even for a few days, at a paid
job or in a businessor farm?
O Yes-Skipto29c
000
I I I
2 2 2
3 3
Li,
q4
s s
G G
’1’2
8 8
33
AF O
NW O
27.
N P Q
O 0 0
R S T
-boo
u v w
Employee of private company, business or
individual for wages, salary, or commissions. . . . . O
U.S.
government employee. ......................
O
Local government employee (Territorial, etc.). ..... O
li
O 0 0
O No-Goto29b.
O 0 0
X Y Z
O 0 0
00
I I
2 2
3 3 3
q-#q-, q-
s 5 s
G G G
’1’2’2
:3
333
I T I I l I I I I
2 2 2 2 ;2 2 2 2
3 3 3 3 ;3 3 3 3
q - q + q - , q * ‘ q+q+q-q4
ss55
-
Fill circles and print dollar amounts. If net income was a loss,
print “Loss”above the dollar amount. If exact amount is not
known, ask for best estimate.
... receive any income from the
During 1979 did
following sources?
;
...
rn
a. Wages, salary, commissions, bonuses, or tips
from all jobs
Report gross amount before any deductions
-
-t
No
$
_--------______
.o0
(Annual amount-Dollars)
b. Own nonfarm business,commercial enterprise,
partnership,or professional practice Report net income
-
afterbusinessexpenses. 0 yes + $
o
_ _ _ _ _ - _ _ - - _ - _ _ _.o0
No
0
3
8
s s s s
‘2
G G G G
G
‘1‘17‘1 ; ? I ? ? ?
S
88881 8 8 8 8
3 3 3 3 ;3 3 3 3
A O 1 0 A O
q3
30c.
If “Yes” to any of the sources below - How much did
receive for the entire year?
Yes
‘1
I30b.
G G G G
o
o
G
0000I O 0 0 0
I30d.
o
I
I
0 0 0 0 I0000
I I I I ; I I I I
2 2 2 2 ;2 2 2 2
3333 I3333
q-q-q-q-;
.q-q-q-q-
5 5 s 5
I s s 5 s
G G G G
G G G G
‘ 1 ‘ 1 7 7 ; 1‘1‘1‘1
8888 I 8 8 8 8
0
3
,-,
‘7
o
G
3333 I 3 3 3 3
A O 1 0 A O
5
I
.- - - - - - - qi--------306.
I30f.
3
O
2
(Annual amount-Dollars)
I
c. Income from individual activity such as
farming, fishing, etc. Report netincome after operating
expenses. Include earnings as a tenant farmer or sharecropper.
O Yes
- - _ _ _ _ _ _ _ _ _ - - - - .o0
+ $
o No
(Annual amount-Dollars)
~~
d. Interest, dividends, royalties, or
rental income
-
Report even small amounts credited to an account.
O Yes
o
$- - - - - - - _ _ _ _ _ _ _ _
-t
No
e. Social Security or Railroad Retirement
O Yes
o No
-
+$
__-------______
O Yes
.o0
(Annual amount-Dollars)
f. Public assistance or public welfare payments
o No
.o0
(Annual amount-Dol/ars)
-
* $_ _ _ _ _ _ _ _ _ - - - - - - .o0
(Annual amount-Dollars)
g. Unemployment compensation, veterans’ payments,
pensions, alimony or child support, or any other sources
of income received regularly, including money transfers
from other relatives outside the household Exclude lump
-
-
sum payments such as money from an inheritance or the sale
o f a home.
O Yes
$
o
No
_______________
.o0
fAnnual amount-Dollars)
q-, q+
31. What was. .. ’s total income in 1979?
Add entries in questions300 through g;
subtract losses. If total amount was a
loss,_mint
“Loss” above amount.
.
I
I T
2 2
33
s s
’--
G G
nn
.vu
- - - - -- - - - - -
‘2’2
(Annual amount-Dollars)
8 8
OR O None
33
I
-
;
30a.
Hours
for retirement funds, etc.
K L M
s s ; s s
8
3 / 3 9 ; 3
Weeks
D E F
--__________________-------_-----------
O Manufacturing
O Wholesale trade
O Retail trade
Weeks
e. During the weeks worked in 1979, how many hours
did ... usually work each week?
30. Income in 1979
;
G I G G ;
‘1;‘1‘1;
8 + 8 ;
Count paid vacation, paid sick leave, and military service.
~~
00
I I ;I I
2 2 ; 2 2 ;2 2
3 3 ; 3 3 ;3 3
q- q+ I q- qq- q-
s s
d. How many weeks did ... work in 1979?
______________
;29f.
I
I I
N
0 No
Skip
to29f
...
c. Is this mainly
O Yes
I
129e.
0 0 100
f. Of the weeks not worked or in which only subsistence
activity was done in 1979, how many weeks
was . . . looking for work to earn money or on layoff
Describe the chief job activity, business or subsistence activity
worked the most hours last week ( I f . did not work
at which
last week, describe the last job or business since 7975).I f . . . had more
than one job or had a job to earn money and did subsistence activity,
worked the most hours.
describe the one at which
...
29d.
c. Did ... earn any cash income from this work in 1979?
____________-_
25. When did ... last work, even for a few days?
7
CENSUS USE ONLY
O NO -Skip to 29f
O Yes
7’2
No, already has a job
No, temporarily ill
No, other reasons (in school, etc.)
Yes, could have taken a job
O 1980
O 1979
29b. In 1979, did ... do subsistence activity such as
growinugatheringfood,fishing, copra, or handicrafts
not for commercial purposes?
G G
O Yes
O
O
O
O
Par
~~
CENSUS
USE
Please turn to the next page and answer the quesl
l
Page 8
r
Last name
loa. Where was
First name
Middle initial
. . . born?
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere
... a
Naturalized U.S. citizen
Permanent U.S. alien (visa)
Temporary U.S. alien (work permit)
Other U.S. citizen
13. Where was
O
O
O
O
O
O
O
O
O
O
O
O No-skip to 77
. . . live in the United States
O 6 months up to 1 year
O 1 to2years
O 3 to 4 years
U
O 5 years
O 6 t o 9 years
O 10 or more years
. . . lived in the U.S.,
Yes
-
No
(Full time or part time)?. . . . . . . . O
(2) In the U.S. Armed Forces?.. . . . O
(3) Attending school or college? . . . O
O
O
O
17. Does . . . know how to read and write (in any
language)?
O No
18a. Does . . . speak a language other than English
at home?
Tb. What language other than English is spoken
O Yes
O No, only speaks English -Skip to 190
at home?
-7
-___----------__________-
___________-_----14. Where was. . . 's mother born?
I
. . . 's mother living?
O Yes
O No
I
I f 196 is answered, turn to next page for next person.
O NO - Skipto27a
b. At what kind of school was the training received?
O 1973
O 1972
O 1970or1971
(1) Working at a job or business
1970
1960 to 1969
1950 to 1959
Before 1950
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify
Ask: Is
O Yes
c. How long did
the last time?
O Yes
O
O
O
O
O
O
O 1976
O 1975
O 1974
-
. . .'s father born?
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
O Yes
d. For the last 6 months that
was.. .
12. I f . . . was born outside this territory When did . . . come to this territory to stay?
1979or 1980
1977or 1978
1975 or 1976
1973 or 1974
1971 or 1972
.
16a. During the last 10years did . . live in the
United States (including Hawaii) at any time
for 6 or more consecutive months?
O 1979 or1980
O 1978
O 1977
11. ASK 7 7 IN GUAM ONLY
Ask o
for persons born outside Guam or the United States.
O
O
O
O
O
O No-
20a. Has . . . completed the requirements for a
vocational training program at a trade school,
business school, hospital or some other kind of
school for occupational training?
(Do not include academic college courses.)
b. When did . . . come or return to this territory
the last time?
7
O
O
O
O
mother from page 2 or 3 _ _ _ _ _ _ _ _ _ _
(1) the village name _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _
foreign country _ _ _ - - - _ _ _ _ - _ _ _ _ _ _ _ _ _
b. Specify the name of the major island or atoll,
U. S. State or foreign country.
Is
O
FOR
. . . 's mother in the household?
Yes +Person no. of . . .'s
(2) the major island or atoll, U.S. State, or
I f born in a hospital, give residence of the mother,
not location of the hospital. Fill one circle.
O
O
O
O
O
O
O
19b. Is
15c. Specify the name of the village and the major
island or atoll, U.S. State or foreign country
where. . . lived five years ago.
Name of
Person 2
on page 2
(For example - Chamorro, Samoan, etc.)
c. Does . . . speak this language (from 78b)at home
O
O
O
O
Business school, trade school, or 2-year college
High school vocational program
Training program at place of work
Other school - Specify
\
21a. If this person is a female How many babies hasshe
ever had, not including m
stillbirths?
1
2
3
4
6
7
8
9
o o
1
b. Howmany of
these children
are still living?
O O
O
0
o o
Donotcountherstepchildren
o
or children she has adopted
1 1 12 13 14 15
O None - S k i ~ t o 2 2 a
5
0 0 0 0 0
or
O O more
None 1 2 3 4 5 6 7 8 9 10
o oo o o o 0o o o0
11 12 13 14 15 ormore
0
0
0
0
0
3
0
,->
'Y,
c. Has. . . had any babies born alive since
September 15, 1979?
O Yes
O No
Z a . Did . . . work at any time last week?
Count part-time work,or helping without pay in a family
business or farm. Also count active duty in the U.S. Armed
Forces. Subsistence activity includes fishing,
handicrafts, etc. not for commercial purposes.
O Yes, worked full time or part time at a job
or business; did no subsistence activity.
O Yes, worked full time or part time at a job
~
o3
2
I
-\I
- - -
DERSOM 2 OM PAGE 2
23. Was ... temporarily absent or on layoff from a job or business
last week?
Pat
CENSUS
USE
J IC
00
O Yes, on layoff
O Yes, on vacation, temporary illness, labor dispute, etc.
...
ci Did ... earn any cash income from this work in 19791
I I
5 5
b. Could ... have taken a job last week?
G G
7?
F
O Yes
U
Count paid vacation, paid sick leave, and military service.
O 1978
e. During the weeks worked in 1979, how many hours
did ... usually work each week?
33
f. Of the weeks not worked or in which only subsistence
activity was done in 1979, how many weeks
was
looking for work to earn money or on layoff
from a job?
Weeks
__--__________
...
30.Income in 1979
..
..
...
26.
A B C
O 0 0
O 0 0
rn
____________________--------------
U
...
rn
-
K L M
O Yes t $
O 0 0
o No
0
3
O Construction
O Other - (agriculture,
service, etc.)
Q
o
q+
G G
O Yes
o
U
No
o No
X Y Z
29a. Last year (1979), did ... work, even for a few days, at a paid
job or in a businessor farm?
G G G
-
7 7 7
$_ _ _ _ _ _ _ _ _ _ _ _ _ _.o0
_
(Annual amount-Dollars)
888
333
.o0
_______________
(Annual amount-Dollars)
.o0
(Annual amount-Dollars)
g. Unemployment compensation, veterans’ payments,
pensions, alimony or child support, or any other sources
of income received regularly, including money transfers
from other relatives outside the household Exclude lump
000
-
00
I I
;ög:-
rn
0000
O Yes + $_ _ _ _ _ _ _ - - - - - - - -
O 0 0
Working without pay in family business or farm.. . . O
Doing subsistence activity .......................
O
o
q-
(Annual:amount-Dollars)
-+
I+
5 5 5
f. Public assistance or public welfare payments
u v w
professional practice, or farm Own business not incorporated ............. O
Own business incorporated . . . . . . . . . . . . . . . . O
No
O Yes
O 0 0
rn
q-
.o0
e. Social Security or Railroad Retirement
R S T
... - (Fill one circle)
No
O Yes
o
O 0 0
(For example: Patient care, repair machines in factory,
weave baskets)
I I I
3
2
1
222
333
Report even small amounts credited to an account.
27.
N P Q
___________________________________
0000
_______________
-+
d. Interest, dividends, royalties, or @ rental income
NW O
b. What were ... ‘s most important activities or duties?
.o0
(Annual amount-Dollars)
expenses. Include earnings as a tenant farmer or sharecropper.
AF O
(For example: Registered nurse, industrial machinery mechanic,
basket weaver)
_-______--_--_-
No
5
0-
c. Income from individual activity such as
farming, fishing, etc. Report net income after operating
s 5
88
33
________________________________________
,-,
<y>
e
G
-
7 7
27. Occupation
a. What kind of work to earn money or subsistence activity
was ... doing?
_ _ - _ _ _ _ - - _ _ _ _ - - .o0
(Annual amount-Dollars)
b. Own nonfarm business,commercial enterprise,
partnership, or professional practice Report Et income
afterbusinessexpenses. 0 yes + $
000
2 2 2
33
- (Fill one circle)
O No-Goto29b.
2
I
receive for the entire year?
I I I
(For example: Hospital, fish cannery, basket weaving)
O Yes-Skipto29c
e
for retirement funds, etc.
b. What kind of business or industry was this?
Self-employed in own business,
q-
a. Wages, salary, commissions, bonuses, or tips
from all jobs
Report gross amount before any deductions
O 0 0
Employee of private company, business or
individual for wages, salary, or commissions . . . . . O
U.S. government employee. ......................
O
Local government employee (Territorial, etc.) ...... O
-
If “Yes” to any of the sources below - How much did
(Name of company, business, organization, or other employer)
28. Was
7
G
5
... receive any income from the
G H J
Describe activity at location where employed.
<y>
During 1979 did
following sources?
D E F
____________________-------------------
,->
Fill circles and print dollar amounts. If net income was a loss,
print “Loss”above the dollar amount. If exact amount is not
known, ask for best estimate,
~~
26. Industry
a. For whom did ... work? If now on active duty
in the U.S. Armed Forces, print “A F” and skip to question 290.
O Manufacturing
O Wholesale trade
O Retail trade
0
3
...
O 1970to1974
Describe the chief job activitv,business or subsistence activity
worked the most hours last week ( I f . did not work
at which
last week, describe the last job or business since 1975).I f . had more
than one job or had a job to earn money and did subsistence activity,
worked the most hours.
describe the one at which
c. Is this mainly
Hours
--________----
26-28. Current or most recent job activity.
~~
Weeks
______________
25. When did ... last work, even for a few days?
O 1980
O 1979
O No
O Yes
d. How many weeks did ... work in 1979?
8 8
No, already has a job
No, temporarily ill
No, other reasons (in school, etc.)
Yes, could have taken a job
O
O
O
O
rn
q* q-
O NO -Skip to 25
O NO -Skip to 29f
O Yes
2 2
33
da. Has ... been looking for work to earn money
during the last 4 weeks?
9
CENSUS USE ONLY
29b. In 1979, did
do subsistence activity such as
growindgatheringfood,fishing, copra, or handicrafts
not for commercial purposes?
I I I I
2 2 2 2
3333
q4 q- q-, q5 5 s s
G G G G
7 7 7 7
8 8
<3
‘-1
3333
rn
sum payments such as money from an inheritance or the sale
2 2
333
q- q- q-
o f a home.
O Yes
o
s s s
31. What was
G G G
No
+
$
_ _ _ _ _ _ - _ _ - _ - _ - - .o0
(Annual amount-Dollars)
... ‘s total income in 19793
Add entries in questions300 through g;
nn
.vu
- - - - - -- - - - - - subtract losses. lf total amount was a
(Annual amount-Dollars)
loss, print “Loss” above amount.
OR O None
’-
? 7 7
?i ,
:3
333
I
F
Please turn to the next page and answer the quesi
se 2
Page 10
Name of
Person 3
on page 2
Last name
loa. Where was
First name
Middle initial
. . . born?
I
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere
7
Is
03
for persons born outside Guam or the United States
O 6 months up to 1 year
O 1 to2years
O 3 to 4 years
... a
O
O
O
O
Naturalized U.S. citizen
Permanent U.S. alien (visa)
Temporary U.S. alien (work permit)
Other U.S. citizen
i 9 7 7 o r 1978
O 1975or 1976
O 1973or 1974
O 1971 or 1972
13. Where was
O
O
O
O
O
O
O
O 1970
o
i 9 6 0 to 1969
O 1950to 1959
O Before 1950
O Yes
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify
Ponape
O None - Skipto22a
b. How many of
these children
are still living?
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify
O No
O Yes
O No, only speaks English -Skip to 79a
O Yes, this house -Sk@ to 760
YO
No,different house
O
O
O
O
O
O
O
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
b. Where did .
. . .live five years ago (Sept.l5,1975)?
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere
,
None 1 2 3 4 5 6 7 8 9 10
o
ooo
ooo
0
0
0
9-
I
only own housework, or volunteer work.)- Skip
to 2 3
b. How many hours did. . . work last week
(at all jobs1 excluding subsistence activity?
to 796
I
Subtract any time off; add overtime or extra hours worked
FOR CENSUS USE ONLY
15c.
\
F
I
I18b.
_ _ _ _ _ _ _ _ _ Hours- Skipt026
\
Z.
o00
I I I
I I I
2
3
222
333
2 2 2
333
q- q-, q-,
222
333
e1- q-,
q.
s s s
5 s 5
5 5 s
G G G
G G G
G G G
? ? ?
? ? ?
:3 8
? ? ?
:3 8 8
I
3
2
O No (Fill this circle i f this person did not work or did
O 0 0
3 3 3
8
O No
I I I
I
0
3
0
I
E: 8 :3
o
11 12 13 14 15 or more
or business and did subsistence activity.
I
Person lob.
No.
000
15 or
O O O more
O Yes, did subsistence activity only.-Skip to 2 3
O Born before September 15,1965 -Skip to 200
13.
O
or business; did no subsistence activity.
19a. When was.. . born?
w
\\\h
\
0
O Yes, worked full time or part time at a job
O Yes, more frequently than English
O Both equally often
O No, less frequently than English
O Doesn't speak English
O Born Sepfember 15, 1975 or later-Skip to 78a
1
O Yes, worked full time or part time at a job
c. Does. . . speak this language (from 78b)at home
more frequently than English?
O Born September 15,1965 or later -Go
9
5
o
Count part-time work, or helping without pay in a family
business or farm. Also count active duty in the U.S. Armed
Forces. Subsistence activity includes fishing,
handicrafts, etc. not for commercial purposes.
-7
15a. Did . . . live in this house five years ago
(September 15,1975) ?
8
4
22a. Did . . . work at any time last week?
at home?
7
7
3
c. Has . . . had any babies born alive since
September 15, 1979?
______----------____-----
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
6
O
0
\b. What language other than English is spoken
. . . 's mother born?
2
0 0 0
o o o
(For example - Chamorro, Samoan, etc,)
14. Where was
1
o
Donotcountherstepchildren
o o
or children she has adopted
11 12 13 14
I
18a. Does . . . speak a language other than English
at home?
O Yes
_ _\
____-___--___--_______
21a. I f this person is a female How many babies hasshe
ever had, not including
m
stillbirths?
17. Does . . . know how to read and write (in any
language)?
. . .'s father born?
AmericanSamoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
No
(1) Working at a job or business
(Full time or part time)?. . . . . . . . O
(2) In the U.S. Armed Forces?.. . . . O
(3) Attending school or college? . . . O
.. .
o
-
Yes
-
Business school, trade school, or 2-year college
High school vocational program
Training program at place of work
Other school - Specify
O
O
O
O
O 5 years
O 6 t o 9 years
O 10 or more years
-
O No - Skip to 2 l a
b. At what kind of school was the training received?
O 1973
O 1972
O 1970or1971
d. For the last 6 months that. . . lived in the U.S.,
was.. .
12. I f . . . was born outside this territory When did
come to this territory to stay?
O 1979or 1980
O Yes
c. How long did . . . live in the United States
the last time?
11. ASK 7 I IN GUAM ONLY
Ih
(Do not include academic college courses.)
b. When did . . . come or return to this territory
the last time?
O 1976
O 1975
O 1974
. . . 's mother living?
-
O Yes
O No
If 796 is answered, turn to next page for next person.
O No-Skip to 77
O 1979 or 1980
O 1978
O 1977
Ask: Is
20a. Has . . . completed the requirements for a
vocational training program at a trade school,
business school, hospital or some other kind of
school for occupational training?
.
Yes
O No-+
I
16a. During the last 10years did . . live in the
United States (including Hawaii) at any time
for 6 or more consecutive months?
o
. . . 's mother in the household?
Yes +Person no. of . . .'s
mother from page 2 or 3 _ _ _ _ _ _ _ _ _ -
(2) the major island or atoll, U.S. State, or
b. Specify the name of the major island or atoll,
U. S. State or foreign country.
Ask
O
(1) the village name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I f born in a hospital, give residence of the mother,
not location of the hospital. Fill one circle.
O
O
O
O
O
O
O
19b. Is
15c. Specify the name of the village and the major
island or atoll, U.S. State or foreign country
where. . . lived five years ago.
O 0 0
E T 1
222
O 0 0
I I I
222
333
q- cI- e-,
I
I
PERSON3 ON PAGE 2
23. Was ... temporarily absent or on layofffrom a job or business
last week?
CENSUS
USE
I IC
O Yes, on layoff
O Yes, on vacation, temporary illness, labor dispute, etc.
I I
ra. Has ... been looking for work to earn money
ducing the last 4 weeks?
K
$-
O NO -Skip to 25
Count paid vacation, paid sick leave, and military service.
I
...
..
..
...
26. Industry
a. For whom did ... work? /f now on active duty
in the U.S. Armed Forces, print “AF” and skip to question 29a.
30. Income in 1979
A B C
b. What kind of business or industry was this?
Describe activity at location where employed.
D E F
If “Yes” to any of the sources below - How much did
O 0 0
receive for the entire year?
O Manufacturing
O Wholesale trade
O Retail trade
service, etc.)
27. Occupation
a. What kind of work to earn money or subsistence activity
was ... doing?
___________________----------_-----_---(For example: Registered nurse, industrial machinery mechanic,
basket weaver)
b. What were
... ’s most important activities or duties?
_____________----___---_----------(For example: Patient care, repair machines in factory,
weave baskets)
28. Was
... - (Fill one circle)
Self-employed in own business,
professional practice, or farm Own business not incorporated ............. O
Own business incorporated . . . . . . . . . . . . . . . . O
Working without pay in family business or farm.. .. O
Doing subsistence activity .......................
O
29a. Last year (1979),did ... work, even for a few days, at a paid
job or in a businessor farm?
O Yes-Skipto29c
o
O No -Goto29b.
3 3 3 3 ;3 3 3 3
A O 1 0 A O
+
3
2
30c.
I30d.
...
I
0
3
_ _ _ _ _ _ _ _ _ _ _ _ _.o0
__
,->
<y>
o
G
b. Own nonfarm business, commercial enterprise,
partnership,or professional practice Report F t income
o
q- q-
No
-
S
e
_ _ _ _ _ _ _ _ _ _ _ - - _.o0
_
3
2
(Annual amount-Dollars)
E
c. Income from individual activity such as
farming, fishing, etc. Report net income after operating
s s
G G
-
expenses. Include earnings as a tenant farmer or sharecropper.
? ?
8 :3
O Yes
o No
33
AF O
8_ _ _ _ _ _ _ _ _ _ _ _ _ _.o0
-
(Annual amount-Dollars)
d. Interest, dividends, royalties, or
NW O
net rental income -
8 8 %
Report even small amounts credited to an account.
27.
O Yes
o
N P Q
O 0 0
+
No
3- - - - - - - _ _ _ _ _ _ _ - .o0
(Annual amount-Dollars)
e. Social Security or Railroad Retirement
O Yes
R S T
o
O 0 0
No
-
O Yes
o No
O 0 0
* 3_ _ _ - - - - _ _ _ _ _ _ _ _ .o0
(Annual amount-Dollars)
X Y Z
-t
-
$_ - - _ _ _ _ _ _ - - - - - -
.o0
(Annual amount-Dollars)
g. Unemployment compensation, veterans’ payments,
pensions, alimony or child support, or any other sources
of income received regularly, including money transfers
from other relatives outside the household Exclude lump
O 0 0
-
00
I I
sum payments such as money from an inheritance or the sale
of a home.
O Yes * $_ _ _ _ _ _ _ _ - - - - - - - .o0
o No
[Annual amount-Dollars)
2 2
333
q- q- @$
s 5 s
G G G
31. What was.
1,212
r
3 E: 8
333
333
3ög:-
0000
f. Public assistance or public welfare payments
.. ‘s total income in 1979?
Add entries in questions300 through g;
nn
.vv
- - - - - - -- - - - - subtract losses. If total amount was a
(Annual amount- Dollars)
loss,. .print “Loss” above amount.
OR O None
*-
I I I I
2 2 2 2
3333
q- q- q- q-
s s s s
G G G G
???i3
8 8 E:
3333
-m.
I I I I E
I I I
2 2
33
q4 CI-
22
33
222
333
q- q-,
q-,
Please turn to the next page and answer the quest
0,-
o-,
S S
5 s
5 5 s
G G
G G
G G G
? ?
‘7’1
E: 8
12‘1
8
33
3 3
333
I
I
I
I
(Annual amount-Dollars)
-
S
o
$
t
No
after businessexpenses. 0 yes
u v w
Employee of private company, business or
individual for wages, salary, or commissions. . . . . O
U.S.government employee. ......................
O
Local government employee (Territorial, etc.). ..... O
*..
O Yes
O 0 0
222
33
O Construction
O Other - (agriculture,
Í?‘z??
8 8 8 : 3 ;8 8 8 8
-
I I I
- (Fill one circle)
?
G
G G G G
for retirement funds, etc.
K L M
3
8
5 5 5 5 ; 5 5 5 5
a. Wages, salary, commissions, bonuses, or tips
from all jobs
Report gross amount before any deductions
O 0 0
o
G G G G
????I
... receive any income from the
000
____________________---__----_---(For example: Hospital, fish cannery, basket weaving)
-
During 1979 did
following sources?
O 0 0
G H J
______________________----_-----------(Name of company, business, organization, or other employer)
IIIIIIIII
2 2 2 2 ;2 2 2 2
3333 f 3333
q - q - q - q - ‘ q4q-q-q-
Fill circles and print dollar amounts. If net income was a loss,
print “Loss”above the dollar amount. If exact amount is not
known, ask for best estimate.
26.
I30b.
O 0 0 0 I 0 0 0 0
f. Of the weeks not worked or in which only subsistence
activity was done in 1979, how many weeks
was ... looking for work to earn money or on layoff
from a job?
_ _ _ _ _ _ _ _ _ _ _ _ _ - Weeks
Skip
to29f
Describe the chief job activitv, business or subsistence activity
worked the most hours last week ( I f . did not work
at which
last week, describe the last job or business since 1975).I f . had more
than one job or had a job to earn money and did subsistence activity,
worked the most hours.
describe the one at which
30a.
Hours
___________-__
O 1970to1974
O 1969orearlier
O Never worked
,
eDuring the weeks worked in 1979, how many hours
did ... usually work each week?
33
26-28. Current or most recent job activity.
c. Is this mainly
Weeks
_____________-
E: :3
25. When did ... last work, even for a few days?
O 1978
O 1975 to 1977
O No
d. How many weeks did ... work in 1979?
? ?
No, already has a job
No, temporarily ill
No, other reasons (in school, etc.)
Yes, could have taken a job
O 1980
O 1979
O Yes
q-
I
... earn any cash income from this work in 1979?
G G
b. Could ... have taken a job last week?
O
O
O
O
c. Did
5 5
O Yes
O NO -Skip to 29f
O Yes
O 0
2 2
33
Pagc 11
CENSUS USE ONLY
29b. In 1979. did ... do subsistence activity such as
growing/gathering food. fishing, copra, or handicrafts
not for commercial purposes?
,ns-foT Person 4 on p é
*
- - -
Page 12
Last name
loa. Where was.
Middle initial
First name
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
O
O
O
O
O
O
O Yes
I
0 6 months up to 1 year
O 1 to2years
O 3 to 4 years
... a
1979 or
1977or
1975or
1973or
1971 or
13. Where was
1980
1978
1976
1974
1972
O
O
O
O
O Ponape
14. Where was
O
O
O
O
O
O
O
u
O
O
O
O
O
O
b. How many of
these children
are still living?
17. Does . . . know how to read and write (in any
language)?
O Yes
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify
at home?
6
7
8
9
1
0
1
o o o o o
3
c
I
11 12 13 14 15 or
O O O O O more
None 1 2 3 4 5 6 7 8 9 10
o ooooo
0o
I
oo0
11 12 13 14 15 or more
I
0
3
<->
'
3
-
O No
-r
@-
U
or business; did no subsistence activity.
O Yes, worked full time or part time at a job
c. Does . . . speak this language (from 18b)at home
more frequently than English?
or business and did subsistence activity.
O Yes, did subsistence activity only.-Skip to 2 3
Yes, more frequently than English
Both equally often
No, less frequently than English
Doesn't speak English
19a. When was.
0,
O Yes, worked full time or part time at a job
(For example - Chamorro, Samoan, etc.)
7
e
5
Count part-time work, or helping without pay in a family
business or farm. Also count active duty in the U.S. Armed
Forces. Subsistence activity includes fishing,
handicrafts, etc. not for commercial purposes.
7
O
O
O
O
4
.
O No, only speaks English -Skip to 7%
_____---------________---
O
O
O
O
O
O
3
22a. Did . . work at any time last week?
Tb. What language other than English is spoken
_____-_______-----
2
c. Has . . . had any babies born alive since
September 15, 1979?
18a. Does . . . speak a language other than English
at home?
O Yes
1
0 0 0 0 0
u
O No
?
G
0 0 0 0 0
Donotcountherstepchildren
O
O
O
0
3
E:
_ _\
______________________
orchildrenshehasadopted
(Full time or part time)?. . . . . . . . O
. . . 's mother born?
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
Business school, trade school, or 2-year college
High school vocational program
Training program at place of work
Other school - Specify
21a. If this person is a female How many babies hasshe
ever had, not including
u
stillbirths?
. . lived in the U.S.,
(2) In the U.S. Armed Forces?.. . . . O
(3) Attending school or college? . . . 0
1970
1960to 1969
1950to 1959
Before 1950
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify
O
O
O
O
(1) Working at a job or business
O Yes
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
O Palau
O 1973
O 1972
O 1970or1971
O None - Skipto22a
. . .'o father born?
O
O
O
O
O
b. At what kind of school was the training received?
O 6 t o 9 years
O 10 or more years
-
O NO - Skipto27a
O Yes
0 5 years
d. For the last 6 months that.
was.. .
12. I f . . . was born outside this territory When did . . . come to this territory to stay?
O
O
O
O
O
(Do not include academic college courses,)
c. How long did . . . live in the United States
the last time?
for persons born outside Guam or the United Stutes:
Naturalized U.S. citizen
Permanent U.S. alien (visa)
Temporary U.S. alien (work permit)
Other U.S. citizen
O 1976
O 1975
O 1974
If"
O No
20a. Has. . . completed the requirements for a
vocational training program at a trade school,
business school, hospital or some other kind of
school for occupational training?
O No-skip to 77
O 1979or1980
O 1978
O 1977
. . . 's mother living?
O Yes
b. When did . . . come or return to this territory
the last time?
111. ASK 71 I N G U A M O N L Y
O
O
O
O
Ask: Is
I f 796 is answered, turn to next page for next person.
16a. During the last 14.years did . . . live in the
United States (including Hawaii) at any time
for 6 or more consecutive months?
7
Is
O No+
foreign country _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere
. . .'s
mother from page 2 or 3 _ _ _ _ _ _
(2) the major island or atoll, U.S. State, or
b. Specify the name of the major island or atoll,
U.S.State or foreign country.
Ask -0
. . 's mother in the household?
O Yes +Person no. of
(1) the village name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
. . born?
If born in a hospital, give residence of the mother,
not location of the hospital. Fill one circle.
O
O
O
O
O
O
O
ANSWER THESE QUESTIONS FOR
19b. Is .
15c. Specify the name of the village and the major
island or atoll, U.S. State or foreign country
where. . . lived five years ago.
Name of
Person 4
on page 2
O No (Fill this circle i f this person did not work or did
u
only own housework, or volunteer work.)- Skip
to 23
b. How many hours did.. . work last week
(at all jobs),excluding subsistence activity?
. . born?
O Born before September 15,1965 -Skip to 20a
Subtract any time off; add overtime or extm hours worked.
I
I
i\\\
FOR
\
CENSUS
\
USE\
ONLY
W
\\\\\\\\\\\\
h
\\
\\\\\\\
O Yes, this house-Skip to 760
O No,different house
7b. Where
did . . . .live five years ago (Sept.l5,1975)?
O
O
O
O
O
O
O
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere
13.
Person lob.
No.
14.
15c.
19b.
22b.
Z.
000
000
O 0 0
000
00
00
I
I I I
I I I
I I I
I I
I I
I I I
2
2 2 %
2 2 2
2 2
33
2 2 2
333
CL
q-,
2 2
33
q- q+
@I-
S
s s
s s s
G
G G
G G G
?
? ?
'2??
:3
33
8 8 8
333
333
222
333
OI- @ I- , +
+q+q-,
0,
s s s
5 5 s
G
G G G
G G G
5 s s
G G G
?
'2'7'1
0
:3 0 E:
333
' I ? ?? ? ' I
8
8 :3 E:
3
qS
i'
u
C'
333
q- q4
333
01-
q+
.
333
PERSON 4 ON PAGE2
!a. Has ... been looking for work to earn money
during the last 4 weeks?
O NO -Skip to 25
O
I
2
3
0
I
2
3
q-,
0,
29b. In 1979, did ... do subsistence activity such as
growinglgatheringfood,fishing,copra, or handicrafts
not for commercial purposes?
O Yes
b. Could ... have taken a job last week?
O Yes
Count paid vacation, paid sick leave, and military service.
? ?
H
e. During the weeks worked in 1979, how many hours
did ... usually work each week?
f. Of the weeks not worked or in which only subsistence
activity was done in 1979, how many weeks
was . . . looking for work to earn money or on layoff
25. When did ... last work, even for a few days?
O 1970to1974
30. Income in 1979
26-28. Current or most recent job activity.
Describe the chief job activitv, business or subsistence activity
worked the most hours last week ( I f . .. did not work
at which
last week, describe the last job or business since 1975).I f . had more
than one job or had ajob to earn money and did subsistence activity,
worked the most hours.
describe the one at which
...
..
...
26. Industry
a. For whom did ... work? If now on active duty
26.
A B C
... receive any income from the
During 1979 did
following sources?
O 0 0
DEF
If “Yes” to any of the sources below - HOWmuch did
receive for the entire year?
for retirement funds, etc.
K L M
b. What kind of business or industry was this?
H
____________________-------------(For example: Hospital, fish cannery, basket weaving)
- (Fill one circle)
O Manufacturing
O Wholesale trade
O Retail trade
O Construction
O Other - (agriculture,
service, etc.)
27. Occupation
a. What kind of work to earn money or subsistence activity
was ... doing?
_-______________________________________
b. What were . . . ‘s most important activities or duties?
___________________________________
Working without pay in family business or farm..
Doing subsistence activity .......................
..
...
O
O
29a. Last year (1979), did
work, even for a few days, at a paid
job or in a businessor farm?
H
O No-Goto29b.
_ _ _ _ _ _ - - - _ _ _ _ - _.o0
(Annual amount-Dollars)
________--_-_--
o
No
.o0
(Annual amount-Dollars)
c. Income from individual activity such as
farming, fishing, etc. Report p e income
~
after operating
G G
expenses. Include earnings as a tenant farmer or sharecropper.
? ?
8 8
O Yes + $_ _ _ _ _ _ _ _ _ _ _ _ _ .o0
__
o No
(Annual amount-Dollars)
33
AF O
d. Interest, dividends, royalties, or
-
rental income
5 5 5
G G G
-
? ? ?
8 8 8
Report even small amounts credited to an account.
27.
N P Q
O Yes
o
No
$- - - - - - - _ _ _ _ _ _ _ -
H
-
_ _ _ - - - - - - - _ _ _ _ _ .o0
O Yes + $
o
No
O Yes
(Annual amount-Dollars)
o No
X Y Z
-t
-
(Annual amount-Dollars)
? ? ? ?
________-__-__-
o
5 5 5
31. What was.
G G G
No
(Annual amount-Dollars)
. . ‘s total income in 19791
’-
Add entries in questions 30a through g;
.o0
- - - - - -- - - - - - subtract losses. If total amount was a
(Annual amount-Dollars)
loss, print “Loss” above amount.
OR O None
? ? ?
i3 8 8
333
I
b
s s 5 5
G G G G
sum payments such as money from an inheritance or the sale
of a home.
O Yes + $
.o0
q-, q- q+
I I I I
2 2 2 2
3333
.o0
$_ _ _ _ _ _ _ _ - - - - - - -
-
00
I I
2 2
3 3 3
31.
o1- o1- q-, q-
g. Unemployment compensation, veterans’ payments,
pensions, alimony or child support, or any other sources
of income received regularly, including money transfers
from other relatives outside the household Exclude lump
O 0 0
333
.- _ - - - - - -
0000
f. Public assistance or public welfare payments
O 0 0
.o0
(Annual amount-Dollars)
e. Social Security or Railroad Retirement
u v w
Self-employed in own business,
professional practice, or farm Own business not incorporated ............. O
Own business incorporated . . . . . . . . . . . . . . . . O
No
-
O 0 0
Employee of private company, business or
individual for wages, salary, or commissions. .... O
U.S. government employee. ......................
O
Local government employee (Territorial, etc.). ..... O
$
t
b. Own nonfarm business,commercial enterprise,
partnership,or professional practice Report Et income
afterbusinessexpenses. 0 yes +
000
I I I
2 2 2
3 3
q- q5 5
R S T
- (Fill one circle)
O Yes-Skipto29c
o
O 0 0
(For example: Patient care, repair machines in factory,
weave baskets)
1
O Yes
O 0 0
NW O
(For example: Registered nurse, industrial machinery mechanic,
basket weaver)
28. Was ...
H
-
(Name of company, business, organization, or other employer)
Describe activity at location where employed.
...
a. Wages, salary, commissions, bonuses, or tips
from all jobs
Report gross amount before any deductions
G H J
O 0 0
_______________________________________
-
Fill circles and print dollar amounts. if net income was a loss,
print “Loss”above the dollar amount. If exact amount is not
known, ask for best estimate.
O 0 0
in the U.S. Armed Forces, print “A F“and skip to question 29a.
c. Is this mainly
Hours
--__________--
O Yes, could have taken a job
O 1978
0 No
d. How many weeks did ... work in 1979?
8 8
33
O No, temporarily ill
O No, other reasons (in school, etc.)
O 1980
O 1979
O NO -Skip to 29f
c. Did ... earn any cash income from this work in 1979?
5 5
G G
O Yes
O No, already has a job
CENSUS
USE
J IC
O Yes, on layoff
O Yes, on vacation, temporary illness, labor dispute, etc.
x
Pa@
CENSUS USE ONLY
I
...
23. Was
temporarily absent or on layoff from a job or business
last week?
Please turn to the next page and answer the quest
E: :3 E: 8
3333
O A O
I
Pa
ANSWER THESE QUESTION FOR
Last name
loa. Where was.
First name
Middle initial
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
O
O
O
O
O
O
H
O Yes
________________-___--__----------
L
03
for persons born outside Guam or the United States.
O 6 months up to 1 year
O 1 to2years
O 3 to 4 years
... a
Naturalized U.S. citizen
Permanent U.S. alien (visa)
Temporary U.S. alien (work permit)
Other U.S. citizen
O
O
O
O
O
1979or
1977or
1975or
1973or
1971 or
1980
1978
1976
1974
1972
w
-
O
O
O
O
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
H
O
O
O
O
O
O
(Full time or part time)?. . . . . . . . O
1970
1960 to 1969
1950to 1959
Before 1950
O Yes
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify 1~
O
O
O
O
O
O
O
. . 's mother born?
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify
II
O No, only speaks English -Skip to 79a
YO
No,different house
O
O
O
O
O
O
O
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
13.
9
1
O
O
O O
O more
\
o o o o 0o 00o 00
11 12 13 14 15 ormore
O
0 0 0 0 0
3
or business; did no subsistence activity.
O Yes, worked full time or part time at a job
or business and did subsistence activity.
O Yes, did subsistence activity only.-Skip to 2 3
only own housework, or volunteer work.)- Skip
to 23
b. How many hours did . . . work last week
(at all jobs1 excluding subsistence activity?
Subtract any time off; add overtime or extra hours worked.
_ _ _ _ _ _ _ _ _ Hours 115~.
W
Skip to 26
\\
118b.
222
333
cI+ o1- q,
s s s
G
'I
G G G
o
:3 :3
333
'3
-q-
O Yes, worked full time or part time at a job
FOR CENSUS USE ONLY
114.
W
O No
to 796
\
S
o,
None 1 2 3 4 5 6 7 8 9 10
T E T
I
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere
8
o00
b. Where did . . . .live five years ago (Sept.l5,1975)?
O
O
O
O
O
O
7
Count part-time work, or helping without pay in a family
business or farm. Also count active duty in the U.S. Armed
Forces. Subsistence activity includes fishing,
handicrafts, etc. not for commercial purposes.
u
O Born September 15,1965 or later -Go
Person
No.
6
O No (Fill this circle i f this person did not work or did
. . born?
I
5
22a. Did . . . work at any time last week?
Yes, more frequently than English
Both equally often
No, less frequently than English
Doesn't speak English
O Born before September 15,1965 -Skip to 200
O Yes, this house-Skip to 76a
O Yes
c. Does. . . speak this language (from 78b)at home
more frequently than English?
O Born September 15, 1975 or later-Skip to 780
4
,->
O No
Y\
3
c. Has.. . had any babies born alive since
September 15, 1979?
________----_____________
15a. Did . . . live in this house five years ago
(September 15,1975) ?
2
0 0 0 0 0
I
(For example - Chamorro, Samoan, etc.)
19a. When was.
1
a
Donotcountherstepchildren
o o o
orchildrenshehasadopted
11 12 13 14 15 or
b. What language other than English is spoken
at home?
~~
8
'I
3
2
\
O
O
O
O
7
Yes
3
0
b. How many of
thesechildren
are still living?
O
O
O
18a. Does . . . speak a language other than English
at home?
s- O
o
_ _\
_____---------________
O None - Skipto22a
17. Does . . . know how to read and write (in any
language)?
_ _ _ _ _ _ _ _ _ _ _ -_ _ _ -_ - - -
14. Where was.
Y e s -No
(2) In the U.S. Armed Forces?.. . . . O
(3) Attending school or college? . . . 0
Business school, trade school, or 2-year college
High school vocational program
Training program at place of work
Other school - Specify
o o
(1) Working at a job or business
I 13. Where was . . .'s father born?
O
O
O
O
O
O
O
O
O
O
O
21a. If this person is a female How many babies hasshe
ever had, not including u
stillbirths?
O 5 years
O 6 to 9 years
O 10 or more years
d. For the last 6 months that. . . lived m the U.S.,
was. . .
12. I f . . . was born outside this territory When did . . . come to this territory to stay?
O NO - Skipto27a
b. At what kind of school was the training received?
O 1973
O 1972
O 1970or1971
-
(Do not include academic college courses.)
O Yes
c. How long did . . . live in the United States
the last time?
11. ASK 7 7 IN GUAM ONLY
O
O
O
O
20a. Has . . . completed the requirements for a
vocational training program at a trade school,
business school, hospital or some other kind of
school for occupational training?
H
b. When did . . . come or return to this territory
the last time?
O 1976
O 1975
O 1974
O No
I f 7 96 is answered, turn to next page for next person.
,
O No-Skipto 77
O 1979 or 1980
O 1978
O 1977
. . . 's mother living?
O Yes
16a. During the last 10years did . . . live in the
United States (including Hawaii) at any time
for 6 or more consecutive months?
7
Is
Ask: Is
O No-
foreign country _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere
. . .'s
mother from page 2 or 3 _ - _ _ _ _ - - _ _
(2) the major island or atoll, U.S. State, or
b. Specify the name of the major island or atoll,
U. S. State or foreign country.
Ask
. . . 's mother in the household?
O Yes +Person no. of
(1) the village name _ _ _ _ _ _ _ _ _ _ _ - - - _ _ _ - -
. . born?
If born in a hospital, give residence of the mother,
not location of the hospital. Fill one circle.
O
O
O
O
O
O
O
19b. Is
15c. Specify the name of the village and the major
island or atoll, U.S. State or foreign country
where. . . lived five years ago.
Name of
Person 5
on page 2
'I??
33
1
333
3
2
î
W
- - -
PERSON 5 ON PAGE 2
... temporarily absent or on layoff from a job or business
last week?
CENSUS
USE
O Yes, on layoff
O Yes, on vacation, temporary illness, labor dispute, etc.
I IC
29b. In 1979, did ... do subsistence activity such as
growindgatheringfood,fishing, copra, or handicrafts
not for commercial purposes?
c. Did ... earn any cash income from this work in 1979?
I I
2 2
33
F
rn
<-,
e. During the weeks worked in 1979, how many hours
did ... usually work each week?
<-,
‘3 <y>
33
O 1970to1974
O 1969orearlier
o
Never worked
26-28. Current or most recent job activity.
...
..
f. Of the weeks not worked or in which only subsistence
activity was done in 1979, how many weeks
was ... looking for work to earn money or on layoff
from a job?
_ _ _ _ _ _ _ _ _ _ _ _ _ - Weeks
I
Skip
to29f
Describe the chief job activity,business or subsistence activity
worked the most hours last week ( I f . did not work
at which
last week, describe the last job or business since 1975).I f . had more
than one job or had a job to earn money and did subsistence activity,
worked the most hours.
describe the one at which
..
...
26. Industry
a. For whom did ... work? If now on active duty
in the U.S. Armed Forces, print “A F” and skip to question 290.
-
Fill circles and print dollar amounts. If net income was a loss,
print “Loss”above the dollar amount. If exact amount is not
known, ask for best estimate.
26.
A B C
... receive any income from the
During 1979 did
following sources?
O 0 0
D E F
If “Yes” to any of the sources below - How much did
O 0 0
receive for the entire year?
Describe activity at location where employed.
-
for retirement funds, etc.
O Construction
O Other - (agriculture,
service, etc.)
27. Occupation
a. What kind of work to earn money or subsistence activity
was ... doing?
____________________----------___--_---(For example: Registered nurse, industrial machinery mechanic,
basket weaver)
b. What were ... ’s most important activities or duties?
___________________________________
(For example: Patient care, repair machines in factory,
weave baskets)
28. Was
... - (Fill one circle)
Employee of private company, business or
individual for wages, salary, or commissions ..... O
U.S. government employee. ......................
O
Local government employee (Territorial, etc.). . . . . . O
Self-employed in own business,
professional practice, or farm Own business not incorporated ............. O
Own business incorporated . . . . . . . . . . . . . . . . O
UCJ.
o
after businessexpenses. 0 yes
Working without pay in family business or farm.. .. O
Doing subsistence activity .......................
O
29a. Last year (1979),did ... work, even for a few days, at a paid
job or in a businessor farm?
O Yes-Skipto29c
O No-Goto29b.
o
q-, q-
3
_ _ _ _ _ _ _ _ - _ _ _ _ - -.o0
(Annual amount-Dollars)
-
No
-
_______--------
.o0
(Annual amount-Dollars)
c. Income from individual activity such as
farming, fishing, etc. Report netincome after operating
s s
G G
expenses. Include earnings as a tenant farmer or sharecropper#
’7’1
<->
No
t
b. Own nonfarm business, commercial enterprise,
partnership, or professional practice Report Et income
22%
3 3
- (Fill one circle)
O Manufacturing
O Wholesale trade
O Retail trade
O Yes
I I I
(For example: Hospital, fish cannery, basket weaving)
c. Is this mainly
K L M
O 0 0
000
__________-__----___-_----__------
...
a. Wages, salary, commissions, bonuses, or tips
from all jobs
Report gross amount before any deductions
O 0 0
(Name of company, business, organization, or other employer)
b. What kind of business or industry was this?
rn
30. Income in 1979
G H J
_______________________________________
h
Hours
----__-___-___
25. When did ... last work, even for a few days?
O 1978
O 1975 to 1977
Weeks
______________
?’7
No, already has a job
No, temporarily ill
No, other reasons (in school, etc.)
Yes, could have taken a job
O 1980
O 1979
Count paid vacation, paid sick leave, and military service.
G G
b. Could ... have taken a job last week?
rn
O No
d. How many weeks did ... work in 1979?
s s
O Yes
O
O
O
O
O Yes
q-, q-,
O NO -Skip to 25
O NO -Skip to 29f
O Yes
O 0
!a. Has ... been looking for work to earn money
during the last 4 weeks?
Paí4 15
CENSUS USE ONLY
I
O Yes + 3_ - _ _ _ _ _ _ - - - - - - - .o0
o No
(Annual amount-Dollars)
L>
33
d. Interest,dividends, royalties, or net rental income
AF O
NW O
-
Report even small amounts credited to an account.
27.
N P Q
O Yes
o
O 0 0
No
+
3_ _ _ _ _ _ _ _ _ _ _ _ _ .o0
_-
(Annual amount-Dollars)
e. Social Security or Railroad Retirement
R S T
W
O 0 0
-
O Yes -+ 3_ _ _ _ _ _ - _ _ - _ _ _ _ .o0
_
o
No
(Annual amount-Dollars)
f. Public assistance or public welfare payments
u v w
O Yes
O 0 0
o No
X Y Z
-
-+ 3
_ _ _ _ _ _ _ _ - - - - - - - .o0
(Annual amount-Dollars)
g. Unemployment compensation, veterans’ payments,
pensions, alimony or child support, or any other sources
of income received regularly, including money transfers
from other relatives outside the household Exclude lump
O 0 0
-
00
I I
IL
I I
.o0
2 2
33
(Annual amount-Dollars)
q+ q-
22
33
q- q-
sum payments such as money from an inheritance or the sale
of a home.
O Yes + 3
2 2
333
q-# Li- +
o
s s s
31. What was
G G G
No
_____---____-__
... ’s total income in 1979?
Add entries in questions300 through g;
nn
*-- - - - - --- - - - - -.UV
subtract losses. If total amount was a
(Annual amount-Dollars)
loss, print “Loss” above amount.
OR O None
? ? ?
i3 8 8
333
I
F
s 5
5 s
G G
G G
‘77
3
‘7‘7
33
33
r,
<->
<Y>is
Please turn to the next page and answer the quesi ms for Perso
- - -
Pi e 16
Name of
Person 6
on page 2
Last name
First name
Middle initia
(1) the village name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
. . born?
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
O
O
O
O
O
O
16a. During the last 10years did . . . live in the
United States (including Hawaii) at any time
for 6 or more consecutive months?
O Yes
11. ASK 7 7 IN GUAM ONLY
Ask*o
for persons born outside Guam or the United State:
O Permanent U.S. alien (visa)
O Temporary U.S.alien (work permit)
O Other U.S. citizen
d. For the last 6 months that.
was..
. . lived in the U.S.,
(Full time or part time)?. . . . . . . . O
17. Does . . . know how to read and write (in any
language)?
O Yes
. . .'s father born?
Ponape
O
O
O
O
O
O
O
~
Tb. What language other than English is spoken
O Yes
O No, only speaks English -Skip to 79a
at home?
7
. . . 's mother born?
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify
(For example - Chamorro, Samoan, etc.)
c. Does . . . speak this language (from 78b)at home
more frequently than English?
O
O
O
O
7
Yes, more frequently than English
Both equally often
No, less frequently than English
Doesn't speak English
b. Where did
. . ..live five years ago (Sept.l5,1975)?
American Samoa
Guam
Kosrae
Marshall Islands
NorthernMarianas
Palau
O Ponape
O
O
O
O
O
O
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere
21a. I f this person is a female How many babies hasshe
ever had, not including
m
stillbirths?
Person lob.
No.
000
1
3
4
6
7
8
9
1
O None - Skipt0224
None 1 2 3 4 5 6 7 8 9 10
oooo
ooo
O
O
O
O
O Ye5
O No
22a. Did . . . work at any time last week?
Count part-time work, or helping without pay in a family
O Yes, worked full time or part time at a job
or business; did no subsistence activity.
O Yes, worked full time or part time at a job
or business and did subsistence activity.
O Yes, did subsistence activity only.-Skip to 2 3
..
b. How many hours did . work last week
(at all jobs),excluding subsistence activity?
Subtract any time off; add overtime or extra hours worked
\
y
13.
FOR
14.
CENSUS^^
_________
19b.
Hours- Skipt026
22b.
000
000
00
00
Z.
000
I I I
I E I
I I
I I
I I I
2
3
222
333
2 2 2
333
2 2 2
333
22
33
q-
CI
o-,
I
el-
q- q-
2 2
33
q- q-
S
5 5 s
G G G
G
z
0
7'7'7
8
8
3 3 3
o
11 12 13 14 15 or more
I I I
5- q4
.
0
o o o o o
I
1-
5
o
1 1 12 13 14 15 or
O O O O O more
or children she has adopted
b. How many of
these children
are still living?
2
0 0 0 0
Donotcountherstepchildren
O Born September 15,1965 or later -Go to 796
O Born September 15, 1975 or later-Skip to 780
Y
\
only own housework, or volunteer work.)- Skip
to 2 3
19a. When was.. . born?
15a. Did . . . live in this house five years ago
(September 15,1975)?
O No,different house
Business school, trade school, or 2-year college
High school vocational program
Training program at place of work
Other school - Specify
O No (Fill this circle i f this person did not work or did
O Born before September 15,1965 -Skip to 200
O Yes, this house-Skip to 760
O
O
O
O
business or farm. Also count active duty in the U.S. Armed
Forces. Subsistence activity includes fishing,
handicrafts, etc. not for commercial purposes.
______----------___------
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
O NO - Skipto27a
c. Has . . . had any babies born alive since
September 15, 1979?
O No
~~~~
I f 796 is answered, turn to next page for next person.
O
18a. Does . . . speak a language other than English
at home?
_________________14. Where was
O
O
O
(2) In the U.S. Armed Forces?.. . . . O
(3) Attending school or college? . . . O
1970
1960to 1969
1950to 1959
Before 1950
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify
No
Yes
(1) Working at a job or business
..
O No
_____________________-__
O 5 years
O 6 t o 9 years
O 10 or more years
.-
. . . 's mother living?
b. At what kind of school was the training received?
O 1973
O 1972
O 1970or1971
O 6 months up to 1 year
O 1 to2years
O 3 to 4 years
12. I f . . . was born outside this territory When did . come to this3erritory to stay?
O
O
O
O
O
O
O 1976
O 1975
O 1974
.. . live in the United States
...
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ask: Is
O Yes
c. How long did
the last time?
Is
a
O Naturalized U.S. citizen
O
O
O
O
O
O
O
O No-
(Do not include academic college courses.)
O No-Skipto 77
O 1979 or1980
O 1978
O 1977
7
13. Where was
Person no. of . . .'s
mother from page 2 or 3 _ _ _ _ _ _ _ _ _ _
Zoa. Has . . . completed the requirements for a
vocational training program at a trade school,
business school, hospital or some other kind of
school for occupational training?
b. When did . . . come or return to this territory
the last time?
O
O
O
O
O Yes-
O Yes
foreign country _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere
b. Specify the name of the major island or atoll,
U. S. State or foreign country.
1979or 1980
1977or 1978
1975 or 1976
1973or 1974
1971 or 1972
. . . 's mother in the household?
(2) the major island or atoll, U.S. State, or
I f born in a hospital, give residence of the mother,
not location of the hospital. Fill one circle.
O
O
O
O
O
19 b. Is
..
loa. Where was.
O
O
O
O
O
O
O
ANS WER THESE QUESTION
1%. Specify the name of the village and the major
island or atoll, U.S. State or foreign country
where.
lived five years ago.
5 5 s
5 5 5
5
5 s
2 2 2
333
c;- q- q+
5 5 s
G G G
G G G
G
G G
G G G
? ? ?
8 8 :3
'7'7'7
8 8
77'7
:3 8 9
3 3
333
@-,
I
@I
3 3 3
@-,
l
fiI-
:3
333
<->
0
I-,
0
z
'7z
I
I
- _ _ -
TRSON 6 ON PAGE 2
23. Was ... temporarily absent or on layofffrom a job or business
last week?
l
I
CENSUS
USE
I IC
O Yes, on layoff
O Yes, on vacation, temporary illness, labor dispute, etc.
c. Did
during the last 4 weeks?
q-,
-
O NO -Skip to 25
b. Could ... have taken a job last week?
O
O
O
O
No, already has a job
No, temporarily ill
No, other reasons (in school, etc.)
Yes, could have taken a job
O 1978
f.
O 1970to1974
..
...
26. Industry
a. For whom did ... work? Ifnowon activeduty
in the U.S. Armed Forces, print ‘% F” and skip to question 29a.
A B C
K L M
(For example: Hospital, fish cannery, basket weaving)
- (Fill one circle)
O Construction
O Other - (agriculture,
service, etc.)
o
O No-Goto29b.
$
_ _ _ _ - _ _ _ _ _ - _ _ _ _.o0
(Annual amount-Dollars)
o No
O Yes
o
No
-
- - _ _ _ - _ _ _ _ _ - - - - .o0
(Annual amount-Dollars)
-
.o0
-+ $
_____-_-----__(Annual amount-Dollars)
-
O Yes + $_ _ _ _ _ _ _ _ _ _ _ - - - - .o0
o No
(Annual amount-Dollars)
g. Unemployment compensation, veterans’ payments,
pensions, alimony or child support, or any other sources
of income received regularly, including money transfers
from other relatives outside the household Exchde lump
O 0 0
00
I T
-
8
e
G G G G
G G G G
71‘2‘2‘2
‘2‘7‘7‘2
8 8 8 8
G
5
30d.
0000
O 0 0 0
I I I I
I I I I
2 2 2 2
3333
q- q- q- q-
2222
3333
q- q4 q- q-
5 5 5 5
5 5 5 5
G G G G
G G G G
‘7‘7‘2‘7
8 8 8 8
‘7‘2‘271
q3
2
I
W
0
3
I-,
<y>
888E: e
3333 3333 G
O A O O A O 5
-- _ _ _ _ _ _ - _ _ _ _ - --q-,
30f.
30e.
3
0000 0000 ¿
r
I I î
I I I
222
333
q- q- q-
2 2 2
333
q- q- q-
5 5 5
G G G
G G G
’2‘2‘7
8 8 8
’2’7’7
8 8 8
333
cög:-
w
I
5 5 5
333
__ __ _ __31.
0000
f. Public assistance or public welfare payments
X Y Z
q4 q-
5 5 5 5
-+ $
e. Social Security or Railroad Retirement
O 0 0
29a. Last year (1979), did ... work, even for a few days, at a paid
job or in a businessor farm?
No
O Yes
u v w
2
3
q5
-
Report even small amounts credited to an account.
O 0 0
W
[Annual amount-Dollars)
d. Interest, dividends, royalties, or n
@ rental income
R S T
Working without pay in family business or farm.. . . O
Doing subsistence activity .......................
O
O Yes-5kipto29c
O Yes
N P Q
- (Fill one circle)
$_ _ _ _ _ _ _ _ _ _ _ _ _ .o0
__
expenses. Include earnings as a tenant farmer or sharecropper.
O 0 0
(For example: Patient care, repair machines in factory,
weave baskets)
Self-employed in own business,
professional practice, or farm Own business not incorporated ............. O
Own business incorporated . . . . . . . . . . . . . . . . O
...
-
27.
___________________________________
‘I
G G
AF O
b. What were ... ’s most important activities or duties?
No
@-
0
3
5 5 5 5
30c.
W
t
q- q-
3333 3333
A O
O
A O
- _ _ _ - - _ - - -- - - - - - -
c. Income from individual activity such as
farming, fishing, etc. Report net income after operating
5 5
NW O
(For example: Registered nurse, industrial machinery mechanic,
basket weaver)
Yes
I?,
8 8 8 8
b. Own nonfarm business, commercial enterprise.
partnership,or professional practice Report Kt income
afterbusinessexpenses. 0 yes + $
_ _ _ _ _ _ _ _ _ - _ - _ - - .o0
o No
(Annual amount-Dollars)
8 8
3 3
__-_________-______---------------------
‘
CI, q-
‘2‘2
27. Occupation
a. What kind of work to earn money or subsistence activity
was . . . doing?
Employee of private company, business or
individual for wages, salary, or commissions ..... O
U.S. government employee. ......................
O
Local government employee (Territorial, etc,) ...... O
-
o
o
000
T î 1
2 2 2
33
--____________---___-----_--------
28. Was ...
q-
O 0 0
Describe activity at location where employed.
w
q-
for retirement funds, etc.
b. What kind of business or industry was this?
O Manufacturing
O Wholesale trade
O Retail trade
activity was done in 1979, how many weeks
was . . . looking for work to earn money or on layoff
-
O 0 0
___--_______________-_-----------------
c. Is this mainly
I I I T
2222
3333
a. Wages, salary, commissions, bonuses, or tips
from all jobs
Report gross amount before any deductions
(Name of company, business, organization, or other employer)
0000
2222
3333
receive for the entire year?
G H J
3
I I I I
If “Yes” to any of the sources below - HOWmuch did
O 0 0
‘2
8
30b.
0000
... receive any income from the
DEF
881
3 3 ;
30a.
Hours
During 1979 did
following sources?
O 0 0
‘2‘2;
8
3
I
I
Fill circles and print dollar amounts. If net income was a loss,
print “Loss”above the dollar amount. If exact amount is not
known, ask for best estimate.
26.
71
Of the weeks not worked or in which only subsistence
30.Income in 1979
26-28. Current or most recent job activity.
Describe the chief job activity,business or subsistence activity
worked the most hours last week ( I f . did not work
at which
last week, describe the last job or business since 1975).I f . .. had more
than one job or had a job to earn money and did subsistence activity,
describe the one at which. .. worked the most houn.
G
Weeks
-_________----
25. When did ... last work, even for a few days?
O 1980
O 1979
5 5
e. During the weeks worked in 1979, how many hours
did ... usually work each week?
:3 E:
33
W
I I t I I
Count paid vacation, paid sick leave, and military service.
_____________-
;29f.
0 0 100
2 2 ;2 2
3 3 ;3 3
q+ q+
q- q-,
5 5 ;5 5
G G I
G
d. How many weeks did ... work in 1979?
17
I
I I
9- 0-
’2’2
29e.
22
33
O No
5 5
G G
O Yes
00
...earn any cash income from this work in 1979?
O Yes
Li
,
1
!9d.
O NO -Skip to 29f
O Yes
2 2
33
i.Has ... been lookingfor work to earn money
x
29b. In 1979, did ... do subsistence activity such as
growing/gathering food,fishing, copra, or handicrafts
not for commercial purposes?
00
I T
Pa4
CENSUS USE ONLY
T I T T
2222
3333
q- q+ q-,q+
5 s 5 5
G G G G
777‘2
:3 8
3333
O A O
-
sum payments such as money from an inheritance or the sale
of a home.
O Yes
$
.o0
2
33
q4 q-
o No
31. What was.
5 5
G G G
____------___--
(Annual amount-Dollars)
.. ’s total income in 1979?
Add entries in questions300 through g;
.o0
.--- - - - - -- - - - - - -subtract losses. If total amount was a
(Annual amount-Dollars)
loss, print “Loss” above amount.
OR O None
’2’2’2
r
3 E: 8
333
I
b Please turn to the next page and answer the quest
re 3
P; e 18
Name of
Person 7
on page 3
Last name
First name
Middle initial
.
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere
O Yes
03
for persons born outside Guam or the United States.
Naturalized U.S. citizen
Permanent U.S. alien (visa)
Temporary U.S. alien (work permit)
Other U.S. citizen
O 6 months up to 1 year
O 1 to2years
O 3 to 4years
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
1970
1960to 1969
1950to 1959
Before 1950
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify
Ponape
Yes
O
O
O
O
~~
or children she has adopted
O None - Skipto22a
b. How many of
thesechildren
are still living?
O
O
O
Tb. What language other than English is spoken
O No, only speaks English -Skip to 7%
O Yes
o o o o o
I
7
8
9
1
1 1 12 13 14 15 or
O O O O O more
None 1 2 3 4 5 6 7 8 9 10
o o o 00o 00o o o
11 12 13 14 15 or more
O No
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere - Specify
7
or business; did no subsistence activity.
or business and did subsistence activity.
O Yes, did subsistence activity only.-Skip to 2 3
Yes, more frequently than English
Both equally often
No, less frequently than English
Doesn't speak English
O No (Fill this circle i f this person did not work or did
only own housework, or volunteer work.)- Skip
to 23
b. How many hours did. . . work last week
(at all jobs),excluding subsistence activity?
19a. When was. . . born?
O Born September 15,1965 or later -Go
No,different house
. . .live five years ago (Sept.l5,1975)?
O
O
O
O
O
O
Tonga
Truk
Western Samoa
Yap
United States
Elsewhere
Person lob.
No.
000
m
\
13.
Subtract any time off; add overtime or extra hours worked
to 79b
\
_ _ _ _ _ _ _ _ _ Hours -
Skip to 26
FOR CENSUS USE (
15c.
18b.
000
000
000
Z.
000
I
I E T
T I T
I E T
I I I
I I I
2
3
2 2 %
333
q-, q- q-
222
333
222
333
222
333
q- q* q*
q- q- q*
2 2 2
333
q- q- qi.
q-,
@-
q- q+
5
s s 5
5 5 s
5 5 s
5 5 s
5 5 s
G
G G G
z22
8 :3 8
G G G
G G G
G G G
G G G
7 2 2
:3 8 8
333
'222
2 2 2
8 8 8
2 2 2
:3 E: 8
333
2
0
333
8
3
O Yes, worked full time or part time at a job
c. Does. . . speak this language (from 78b)at home
more frequently than English?
O
O
O
O
0
3
:3 r3 8
333
333
-.
a -
~~
O Yes, this house -Skip tr, !6a
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
0
q3
2
O Yes, worked full time or part time at a job
______---------_____-----
O Born September 15, 1975 or later--Skip to 780
O
O
O
O
O
O
O
6
5
o
Count part-time work, or helping without pay in a family
business or farm. Also count active duty in the U.S. Armed
Forces. Subsistence activity includes fishing,
handicrafts, etc. not for commercial purposes.
-7
L5a. Did . . . live in this house five years ago
(September 15,1975)?
b. Where did .
4
'5
G
5
@+
O Born before September 15,1965 -Skip to 20a
YO
3
22a. Did . . . work at any time last week?
at home?
~
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
2
c. Has . . . had any babies born alive since
September 15, 1979?
18a. Does . . . speak a language other than English
at home?
14. Where was. . . 's mother born?
O
O
O
O
O
O
O
1
0 0 0 0
0 0 0 0 0
(For example - Chamorro, Samoan, etc.)
~~~
a
~~
O No
O Yes
0
3
_ _\
______________________
Donotcountherstepchildren
17. Does . . . know how to read and write (in any
language)?
O Yes
Business school, trade school, or 2-year college
High school vocational program
Training program at place of work
Other school - Specify
21a. I f this person is a female How many babies has she
ever had, not including
m
stillbirths?
No
(1) Working at a job or business
(Full time or part time)?. . . . . . . . o
(2) In the U.S. Armed Forces?.. . . . o
(3) Attending school or college? . . . 0
. . .'o father born?
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
O 5 years
O 6 t o 9 years
O 10 or more years
-
O NO - Skipto27a
b. At what kind of school was the training received?
O 1973
O 1972
O 1970or1971
d. For the last 6 months that. . . lived in the U.S.,
was.. .
12. I f . . . was born outside this territory When did . . . come to this territory to stay?
13. Where was
O Yes
c. How long did . . . live in the United States
the last time?
Is ... a
1979or 1980
1977or 1978
1975or 1976
1973or 1974
1971 or 1972
(Do not include academic college courses.)
b. When did . . . come or return to this territory
the last time?
O 1976
O 1975
O 1974
3
O No
20a..Has . . . completed the requirements for a
vocational training program at a trade school,
business school, hospital or some other kind of
school for occupational training?
O No--Skipto 77
O 1979 or 1980
O 1978
O 1977
. . 's mother living?
I f 796 is answered, turn to next page for next person.
~~
11. ASK 7 7 IN GUAM ONLY
O
O
O
O
O
Ask: Is .
O Yes
16a. During the last 10years did . . . live in the
United States (including Hawaii) at any time
for 6 or more consecutive months?
7
O
O
O
O
mother from page 2 or 3 _ _ _ _ _ _ _ _ _ _
O No-+
foreign country _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
b. Specify the name of the major island or atoll,
U. S. State or foreign country.
Ask
ANS WER THESE QUESTION FOR
. . . 's mother in the household?
Yes +Person no. of . . .'s
(2) the major island or atoll, U.S. State, or
not location of the hospital. Fill one circle,
American Samoa
Guam
Kosrae
Marshall Islands
Northern Marianas
Palau
Ponape
O
(1) the village name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
loa. Where was. . born?
If born in a hospital, give residence of the mother,
O
O
O
O
O
O
O
19 b. Is
15c. Specify the name of the village and the major
island or atoll, U.S. State or foreign country
where. . . lived five years ago.
2
I
1
I
23. Was ... temporarily absent or on layoff from a job or business
last week?
O Yes, on layoff
O Yes, on vacation, temporary illness, labor dispute, etc.
USE
J IC
O 0
I T
2 2
O Yes
O NO -Skip to 29f
c. Did ... earn any cash income from this work in 1979?
O Yes
3 3
q-,
a.
I
O
d. How many weeks did
... work in 1979?
Count paid vacation, paid sick leave, and military service.
G G
11
Weeks
______________
,-,
<y> 8
e. During the weeks worked in 1979, how many hours
did . . . usually work each week?
33
O 0 0 0 I 0 0 0 0
I I I I I I I I I
f. Of the weeks not worked or in which only subsistence
activity was done in 1979, how many weeks
was
looking for work to earn money or on layoff
25. When did ... last work, even for a few days?
2 2 2 2 ; 2 2 2 2
3 3 3 3 1 3 3 3 3
...
O 1970to1974
; 30b.
30a.
Hours
_____________-
O 1978
rn
No
~~
5 5
O 1980
O 1979
Pafl
CENSUS USE ONLY
29b. In 1979, did ... do subsistence activity such as
growinglgathering food, fishing, copra, or handicrafts
not for commercial purposes?
CENSUS
q- q- a1- q-
II
q-,
01-
q+ q-
5 5 5 5 ; 5 5 5 5
~
30. Income in 1979
26-28. Current or most recent job activity.
Describe the chief job activitv, business or subsistence activity
worked the most hours last week ( I f . did not work
at which
last week, describe the last job or business since 1975).I f . had more
than one job or had a job to earn money and did subsistence activity,
worked the most hours.
describe the one at which
...
..
..
...
26. Industry
a. For whom did ... work? If now on active duty
in the U.S. Armed Forces, print ‘Y F“ and skip to question 290.
26.
A B C
O 0 0
D E F
O 0 0
G H J
O 0 0
__-__________________-_---_------------
0 0 0
I I I
(For example: Hospital, fish cannery, basket weaving)
2 2 2
- (Fill one circle)
O Manufacturing
O Wholesale trade
O Retail trade
w
service, etc.)
27. Occupation
a. What kind of work to earn money or subsistence activity
was ... doing?
________________________________________
(For example: Registered nurse, industrial machinery mechanic,
basket weaver)
b. What were ... ‘s most important activities or duties?
___________________-_______________
(For example: Patient care, repair machines in factory,
weave baskets)
28. Was ...
- (Fill one circle)
5 5
G G
‘11
Self-employed in own business,
professional practice, or farm Own business not incorporated ............. O
Own business incorporated . . . . . . . . . . . . . . . . O
Working without pay in family business or farm.. . . O
Doing subsistence activity .......................
O
...
B a . Last year (1979). did
work, even for a few days, at a paid
job or in a business or farm?
O No-Goto29b.
3 3 3 3 ;3 3 3 3
A O 1 0
30c.
If “Yes” to any of the sources below - HOWmuch did
receive for the entire year?
...
rn
a. Wages, salary, commissions, bonuses, or tips
from all jobs
Report gross amount before any deductions
-
o
o
O Yes
o No
3 3 3
O Yes
o
1 ? 7
;3 8 :3
333
+
rn
o
-
_ _ _ _ _ _ _ _ _ _ _ _ _ .o0
__
(Annual amount-Dollars)
-
$_ _ _ _ - - _ _ _ _ _ _ _ _ .o0
_
-t
No
(Annual amount-Dollars)
-
g. Unemployment compensation, veterans’ payments,
pensions, alimony or child support, or any other sources
of income received regularly, including money transfers
from other relatives outside the household Exclude lump
-
sum payments such as money from an inheritance or the sale
o
31. What was.
No
5 5 5 5
G G G G
,
i GGGG
q+q+q-q5 5 5 s
I
? ? 7 ? I ? ? ? 7
8 8 8 8 I S 8 8 8
3 3 3 3 I 3 3 3 3
A O i O
A O
O
--
_ _ - _ - - I---------
30e.
[ 30f.
O 0 0 0
0000
I I I
2 2 2
3 3 3
q+ q+ q5 5 5
q- q+ q-
I
s 5 5 1
G G G I
1 7 1 ‘
G G G
7 7 7
8 8 8
333
Fig:-
I I î 1
2 2 2 %
3 3 3 3
q- q- q- q-
O Yes + $_ _ _ _ _ _ _ _ _ _ _ - - _ -.o0
o No
(Annual amount-Dollars)
O Yes
3 3 3 3 ; 3 3 3 3
q+q+q-q-
O 0 0 0
f. Public assistance or public welfare payments
of a home.
I I I I I I I I I
2 2 2 2 ;2 2 2 2
+$
No
O Yes
I30d.
I
3 3 3 ;
(Annual amount-Dollars)
A O
0000 I O 0 0 0
I I I ;
2 2 2 ;
$- - _ _ _ _ _ _ _ _ _ - - - - .o0
e. Social Security or Railroad Retirement
q-# q* q-
s s 5
G G G
(Annual amount-Dollars)
Report even small amounts credited to an account.
O 0 0
2 2
.o0
_____-_--------
d. Interest, dividends, royalties, or n
@ rental income
O 0 0
f T
_ _ _ _ _ _ - _ - _ _ _ _ _.o0
_
(Annual amount-Dollars)
expenses. Include earnings as a tenant farmer or sharecropper.
R S T
O 0
$
c. Income from individual activity such as
farming, fishing, etc. Report ne^ income after operating
N P Q
O 0 0
No
o No
27.
X Y Z
t
-
8
33
O 0 0
Yes
b. Own nonfarm business, commercial enterprise,
partnership, or professional practice Report net income
afterbusinessexpenses. 0 yes + $
<y>
AF O
NW O
? ? ? ?
_ _ _ _ _ _ _ _ 4_ _ _ _ _ _ _ _ _
,Y
u v w
Employee of private company, business or
individual for wages, salary, or commissions. .... O
U.S. government employee. ......................
O
Local government employee (Territorial, etc.). ..... O
O Yes-Skipto29c
q- q-
G G G G
During 1979 did ... receive any income from the
following sources?
3 3
O Construction
O Other - (agriculture,
I
E:E::3:3; 8 8 8 8
O 0 0
____________________--___-_-------
? ? ? ? I
Fill circles and print dollar amounts. If net Income was a loss,
print “Loss”above the dollar amount. If exact amount is not
known, ask for best estimate.
K L M
Describe activity at location where employed.
c. Is this mainly
-
for retirement funds, etc.
(Name of company, business, organization, or other employer)
b. What kind of business or industry was this?
G G G G
s s s s
G G G G
‘1‘17‘1
,-,
r->
<->
<y> <y> 0
3333
rn
E I
_______-_______
.o0
2 2
3 3
(Annual amount-Dollars)
q+ q-
+
$
.. ‘s total income in 1979?
5 5
’-------------
Add entries in questions300 through g;
.o0
subtract losses. If total amount was a
(Annual amount-Dollars)
los, print “Loss” above amount.
OR O None
G G
7 1
r3 :3
33
I
19
Page 20
Please Make Sure You Have
Filled This Form Completely
1
Section B
Completed Question 1
on page 1.
For persons who answered in Question 1 that they are staying here only
temporarily and have a usual home elsewhere, enter the address of usual
home here:
House number
City
State
Street or road
Check to be certain you have:
*Completed Questions 2 through 9 for each person you
listed at the top of pages 2 and 3.
*Completed Housing Questionson pages 3 , 4 and 5.
Apartment number or location
*Filled a pair of pages for each person listed on pages 2
and 3. That is, pages 6 and 7 should be filled for the
Person in column 1,pages 8 and 9 for the Person in
column 2, etc.
Island/Cou nty
Please notice we need answers to questions 19 through 31 for every person
born before September 14, 1965 even though they may not seem to apply to
the particular person.
ZIP Code
For example, you may have forgotten to fill all the necessary circles on,
or on income for a teenager going to school, or a retired person.
2
Write here the name of the person who filled the form, the
date the form was completed, and the telephone number
on which the people in this household can be called.
Date
Telephone number of household
GPO : 1 9 8 0 O
-
317-504