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pdfIncome (IN) Section
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IN01
Help Enabled
Comment Enabled
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For the next questions, it might be useful to have out some of the family’s
financial records, such as a copy of the family’s tax forms or materials used to
complete the tax form, such as year end bank statements, financial
summaries, pay stubs, W-2 forms, and the like.
PRESS ENTER OR SELECT NEXT PAGE TO CONTINUE.
PROGRAMMER NOTES:
NOTE: FOR ALL DOLLAR AMOUNT RANGE CHECKS, ALLOW THE ENTRY OF
WHOLE DOLLARS AMOUNTS ONLY; DO NOT COLLECT CENTS.
LOOP_01
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK BOX_00 - END_LP01
LOOP DEFINITION: LOOP_01 DETERMINES WHICH RU MEMBERS HAVE OR WILL FILE A
FEDERAL INCOME TAX FORM FOR THE CALENDAR YEAR. IF A JOINT RETURN WAS OR
WILL BE FILED, IT DETERMINES WHO IS THE SECONDARY FILER. THIS LOOP CYCLES
ON PERSONS WHO MEET THE FOLLOWING CONDITION:
- PERSON IS A CURRENT RU MEMBER (INCLUDES DECEASED AND INSTITUTIONALIZED
RU MEMBERS)
BOX_00
IF PERSON BEING LOOPED ON IS FLAGGED AS ‘SECONDARY FILER ON JOINT FEDERAL
TAX RETURN’, GO TO END_LP01
OTHERWISE, CONTINUE WITH IN02
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Income (IN) Section
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IN02
Help Enabled (TAXRET)
Variable Name
PRND.FILEDITR
Comment Enabled
Jump Back Enabled
Label
HAS PERSON FILED A FED INCOME TAX RETURN
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has (PERSON) filed a {YEAR} Federal income tax return?
YES
1
{IN04}
NO
2
{IN03}
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Refused
Don't Know
RF
DK
{IN03}
{IN03}
HELP AVAILABLE FOR DEFINITION OF TAX RETURN.
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
2
Income (IN) Section
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IN03
Help Enabled (TAXRET)
Variable Name
PRND.WILLFILE
Comment Enabled
Jump Back Enabled
Label
WILL PERSON FILE A FED INCOME TAX RETURN
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Will (PERSON) file a {YEAR} Federal income tax return?
YES
1
{IN04}
NO
2
{END_LP01}
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Refused
Don't Know
RF
DK
{END_LP01}
{END_LP01}
HELP AVAILABLE FOR DEFINITION OF TAX RETURN.
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
3
Income (IN) Section
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IN04
Help Enabled (IN04Help)
Comment Enabled
Variable Name
PRND.FILESTAT
WHAT IS PERSON'S FILING STATUS
PRND.FILER
PRND.TAXYEAR
PRIMARY OR SECONDARY FILER
TAX YEAR
Jump Back Enabled
Label
Size
2
2
4
{PERSON'S FIRST MIDDLE AND LAST NAME}
What {was/will be} (PERSON)’s filing status …
single;
1
{IN06}
married filing joint return;
married filing separately;
2
3
{IN05}
{IN06}
head of household with qualifying person;
or
qualifying widow(er) with dependent
children?
4
{IN06}
5
{IN06}
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Refused
Don't Know
RF
DK
{IN06}
{IN06}
HELP AVAILABLE FOR DEFINITION OF RESPONSE CATEGORIES.
DISPLAY INSTRUCTIONS:
DISPLAY ‘was’ IF IN02 IS CODED ‘1’ (YES).
IF IN03 IS CODED ‘1’ (YES).
DISPLAY ‘will be’
PROGRAMMER NOTES:
FLAG PERSON BEING LOOPED ON AS ‘PRIMARY FILER ON FEDERAL TAX
RETURN’.
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Income (IN) Section
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IN05
Help Enabled (IN05Help)
Comment Enabled
Jump Back Enabled
Variable Name
PRND.TAXYEAR
TAX YEAR
Label
Size
4
PRND.FILER
PRND.JOINTPID
PRIMARY OR SECONDARY FILER
PID OF SECONDARY FILER
2
3
PRND.JNTINRU
JOINT FILE IN OR OUT OF RU
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Who is the other taxpayer that (PERSON) is filing jointly with?
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
{IN06}
HELP AVAILABLE FOR DEFINITION OF ‘FILING JOINTLY’.
PROGRAMMER NOTES:
FLAG PERSON SELECTED AT IN05 AS ‘SECONDARY FILER ON JOINT
FEDERAL TAX RETURN’.
Roster Details
Title:
RU_Members_1
Col #
Header
Instructions
NAME
Display RU member's first, middle, and last names
PERS.FULLNAME
1
Roster Definition:
This item displays RU-MEMBERS-ROSTER for selection.
Roster Behavior:
1. Select allowed.
2. Multiple select, add, delete, and edit disallowed
3. Display ‘PERSON NOT IN RU’ as the last entry on the roster.
Roster Filter:
Display all RU members who meet the following conditions:
- Person is a current RU member (includes deceased and
institutionalized members)
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Income (IN) Section
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- Person is not already flagged as a ‘PRIMARY FILER ON FEDERAL
TAX RETURN’
- Person is not already flagged as a ‘SECONDARY FILER ON
FEDERAL TAX RETURN’
IN06
Help Enabled (IN06Help)
Variable Name
PRND.CLAIMDEP
Comment Enabled
Jump Back Enabled
Label
CLAIM DEPENDENTS ON FED TAX RETURN
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
{Did/Will} (PERSON) claim any dependents on (PERSON)’s Federal tax
return?
YES
NO
1
2
{IN07}
{IN09}
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Refused
Don't Know
RF
DK
{IN09}
{IN09}
HELP AVAILABLE FOR DEFINITION OF DEPENDENTS.
DISPLAY INSTRUCTIONS:
DISPLAY ‘Did’ IF IN02 IS CODED ‘1’ (YES).
IN03 IS CODED ‘1’ (YES).
6
DISPLAY ‘Will’ IF
Income (IN) Section
Beta
IN07
Help Enabled
Comment Enabled
Jump Back Enabled
Variable Name
PRND.TAXYEAR
TAX YEAR
Label
Size
4
PTOP.DEPREL
PRND.DEPINRU
PERS TO PERS DEPENDENT RELATIONSHIP
DEPENDENTS IN/OUT OF RU
2
2
PRND.DEPENDNT
PERSON IS FLAGGED AS DEPENDENT
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Who {is/will be} listed as (PERSON)’s dependents?
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
{BOX_IN07}
DISPLAY INSTRUCTIONS:
DISPLAY ‘is’ IF IN02 IS CODED ‘1’ (YES).
IN03 IS CODED ‘1’ (YES).
DISPLAY ‘will be’ IF
Roster Details
Title:
RU_Members_1
Col #
Header
Instructions
NAME
Display RU member's first, middle, and last names
PERS.FULLNAME
1
Roster Definition:
This item displays RU-MEMBERS-ROSTER for selection.
Roster Behavior:
1. Multiple select allowed.
2. Add, delete, and edit disallowed
3. Display ‘PERSON(S) NOT IN RU’ as the last entry on the
roster.
Roster Filter:
Display all RU members who meet the following conditions:
- Person is a current RU member (includes deceased and
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Income (IN) Section
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institutionalized members)
- Person is not currently being looped on.
BOX_IN07
IF ‘PERSON(S) NOT IN RU’ SELECTED AT IN07, CONTINUE WITH IN08
OTHERWISE, GO TO IN09
IN08
Help Enabled (IN08Help)
Variable Name
PRND.DEPOUTSD
Comment Enabled
Jump Back Enabled
Label
HOW MANY DEPENDENTS LIVE OUTSIDE RU
Size
3
{PERSON'S FIRST MIDDLE AND LAST NAME}
How many of the dependents that are being claimed on (PERSON)’s Federal
income tax return live outside of this household?
NUMBER OF _______
DEPENDENTS:
{IN09}
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Refused
Don't Know
RF
DK
{IN09}
{IN09}
HELP AVAILABLE FOR DEFINITION OF HOUSEHOLD.
Soft CHECK:
SOFT RANGE CHECK:
1-10
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Income (IN) Section
Beta
IN09
Help Enabled
Variable Name
PRND.TAXFORM
Comment Enabled
Jump Back Enabled
Label
Size
2
WHAT FORM WILL PERSON FILE ON
{PERSON'S FIRST MIDDLE AND LAST NAME}
{Did/Will} (PERSON) file on the long form (1040), the short form 1040A, or the
short form 1040EZ?
LONG FORM 1040
SHORT FORM 1040A
1
2
{IN10}
{IN17}
SHORT FORM 1040EZ
OTHER
3
91
{END_LP01}
{IN10}
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Refused
Don't Know
RF
DK
DISPLAY INSTRUCTIONS:
DISPLAY ‘Did’ IF IN02 IS CODED ‘1’ (YES).
IN03 IS CODED ‘1’ (YES).
9
{END_LP01}
{END_LP01}
DISPLAY ‘Will’ IF
Income (IN) Section
Beta
IN10
Help Enabled (IN10Help)
Variable Name
PRND.DEDUCTNS
Comment Enabled
Jump Back Enabled
Label
Size
2
ITEMIZE OR STANDARD DEDUCTION
{PERSON'S FIRST MIDDLE AND LAST NAME}
{Did/Will} (PERSON) itemize deductions or take the standard deduction?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO FORM
1040, SCHEDULE A, LINE 28 (ITEMIZED DEDUCTIONS) OR LINE 39
(SCHEDULE A IS NOT COMPLETED) (STANDARD DEDUCTION) TO
DETERMINE THE TYPE OF DEDUCTION.
ITEMIZED DEDUCTIONS
STANDARD DEDUCTION
1
2
{IN14}
{END_LP01}
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Refused
Don't Know
RF
DK
{END_LP01}
{END_LP01}
HELP AVAILABLE FOR DEFINITION OF ITEMIZED AND STANDARD
DEDUCTIONS.
DISPLAY INSTRUCTIONS:
DISPLAY ‘Did’ IF IN02 IS CODED ‘1’ (YES).
IN03 IS CODED ‘1’ (YES).
10
DISPLAY ‘Will’ IF
Income (IN) Section
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IN14
Help Enabled
Variable Name
PRND.TOTDED
Comment Enabled
Jump Back Enabled
Label
TOTAL OF ALL ITEMIZED DEDUCTIONS
Size
9
{PERSON'S FIRST MIDDLE AND LAST NAME}
About how much {was/will be} the total of all the itemized deduction
expenses?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, SCHEDULE A, LINE 28 FOR AMOUNT.
AMOUNT:$ _______
{IN15}
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Refused
Don't Know
RF
DK
DISPLAY INSTRUCTIONS:
DISPLAY ‘was’ IF IN02 IS CODED ‘1’ (YES).
IF IN03 IS CODED ‘1’ (YES).
{IN15}
{IN15}
DISPLAY ‘will be’
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-200,000
11
Income (IN) Section
Beta
IN15
Help Enabled (IN15Help)
Variable Name
PRND.CLMHIP
Comment Enabled
Jump Back Enabled
Label
CLAIM DEDUCTION FOR HEALTH INS PREMIUMS
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
{Did/Will} (PERSON) claim a deduction for health insurance premiums?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 31.
YES
NO
1
2
{IN17}
{IN17}
NOT APPLICABLE
3
{IN17}
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Refused
Don't Know
RF
DK
{IN17}
{IN17}
HELP AVAILABLE FOR DEFINITION OF HEALTH INSURANCE
DEDUCTION.
DISPLAY INSTRUCTIONS:
DISPLAY ‘Did’ IF IN02 IS CODED ‘1’ (YES).
IN03 IS CODED ‘1’ (YES).
12
DISPLAY ‘Will’ IF
Income (IN) Section
Beta
IN17
Help Enabled (IN17Help)
Variable Name
PRND.EICREDIT
Comment Enabled
Jump Back Enabled
Label
Size
2
RECEIVE EARNED INCOME CREDITS
{PERSON'S FIRST MIDDLE AND LAST NAME}
{Did/Will} (PERSON) receive earned income credits?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 65a
FORM 1040A, LINE 41a.
YES
NO
1
2
{END_LP01}
{END_LP01}
NOT APPLICABLE
3
{END_LP01}
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Refused
RF
{END_LP01}
Don't Know
DK
{END_LP01}
HELP AVAILABLE FOR DEFINITION OF EARNED INCOME CREDITS.
DISPLAY INSTRUCTIONS:
DISPLAY ‘Did’ IF IN02 IS CODED ‘1’ (YES).
IN03 IS CODED ‘1’ (YES).
DISPLAY ‘Will’ IF
END_LP01
CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER WHO MEETS THE CONDITIONS
STATED IN THE LOOP DEFINITION
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_01 AND CONTINUE
WITH LOOP_02
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Income (IN) Section
Beta
LOOP_02
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK BOX_01A - END_LP02
LOOP DEFINITION: LOOP_02 COLLECTS INFORMATION ON TAXABLE INCOME FOR EACH
RU MEMBER WHO IS 16 YEARS OF AGE OR OLDER OR HAS FILED OR WILL FILE A
FEDERAL TAX RETURN FOR THIS CALENDAR YEAR. THIS LOOP CYCLES ON EACH
PERSON ON THE RU-MEMBERS-ROSTER WHO MEETS THE FOLLOWING CONDITION:
- PERSON IS A CURRENT RU MEMBER (INCLUDES DECEASED AND INSTITUTIONALIZED
RU MEMBERS)
BOX_01A
IF PERSON BEING LOOPED ON IS FLAGGED AS A ‘PRIMARY FILER ON FEDERAL TAX
RETURN’, GO TO IN18
IF PERSON BEING LOOPED ON IS FLAGGED AS A ‘SECONDARY FILER ON A JOINT
FEDERAL TAX RETURN’, GO TO END_LP02
OTHERWISE (I.E., PERSON IS NOT FLAGGED AS EITHER ‘PRIMARY FILER ON FEDERAL
TAX RETURN’ OR A ‘SECONDARY FILER ON A JOINT FEDERAL TAX RETURN’, THAT IS,
IN03 IS CODED ‘2’ (NO), ‘RF’ (REFUSED) OR ‘DK’ (DON’T KNOW)), CONTINUE
WITH BOX_01B
BOX_01B
IF PERSON BEING LOOPED ON IS 16 YEARS OF AGE OR OLDER (OR IN AGE
CATEGORIES 4-9), CONTINUE WITH IN18
OTHERWISE (I.E., PERSON IS LESS THAN 16 YEARS OF AGE (OR IN AGE CATEGORIES
1-3) AND IN03 IS CODED ‘2’ (NO), ‘RF’ (REFUSED), OR ‘DK’ (DON’T KNOW)), GO
T
NOTE: THE PURPOSE OF BOX_01A AND BOX_01B IS TO SKIP OUT PERSONS ALREADY
FLAGGED AS SECONDARY FILERS AND PERSONS YOUNGER THAN 16 YEARS OF AGE WHO
HAVE NOT ALREADY REPORTED THAT THEY HAVE FILED OR WILL FILE A FEDERAL
INCOME TAX RETURN.
NOTE: PERSONS REPORTING THAT THEY HAVE FILED OR WILL FILE A 1040A SHORT
FORM (IN09=2) OR A 1040EZ FORM (IN09=3) RECEIVE THE WAGES, INTEREST,
DIVIDENDS, IRA, PENSIONS, UNEMPLOYMENT, AND SOCIAL SECURITY TAXABLE INCOME
ITEMS.
PERSONS REPORTING THAT THEY HAVE FILED OR WILL FILE A 1040 LONG FORM,
OTHER TYPE OF FORM, OR REFUSED OR DON’T KNOW THE TYPE OF FORM (IN09=1, 91,
RF, DK) RECEIVE ALL THE TAXABLE INCOME QUESTIONS.
PERSONS REPORTING THAT THEY HAVE NOT FILED AND WILL NOT FILE ANY FEDERAL
TAX RETURN (IN03=2, RF, DK) AND ARE 16 YEARS OF AGE OR OLDER ALSO RECEIVE
ALL THE TAXABLE INCOME QUESTIONS.
14
Income (IN) Section
Beta
IN18
Help Enabled (IN18Help)
Variable Name
PRND.WAGEAMT
Comment Enabled
Jump Back Enabled
Label
Size
9
MONEY FROM WAGES OR SALARY
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
{People get money from many different sources, such as wages and salaries,
social security, and interest on savings. The next few questions ask about
different sources of income that (READ NAME(S) ABOVE) received in
{YEAR}. It would be useful to have out any tax materials that you may have.}
{Now let’s talk about (READ NAME(S) ABOVE).}
During {YEAR}, how much money did (READ NAME(S) ABOVE) receive from
wages or salary, tips, commissions, or bonuses?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 7
FORM 1040A, LINE 7
FORM 1040EZ, LINE 1.
AMOUNT: $ _______
{BOX_IN18}
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Refused
Don't Know
RF
DK
{IN19}
{IN18A}
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
15
Income (IN) Section
Beta
DISPLAY INSTRUCTIONS:
DISPLAY ‘People get money from many different sources, such as
wages and salaries, social security, and interest on savings.
The next few questions ask about different sources of income
that (READ NAME(S) ABOVE) received in {YEAR}. It would be
useful to have out any tax materials that you may have.’ IF
FIRST CYCLE THROUGH LOOP_02. OTHERWISE, USE NULL DISPLAY.
DISPLAY ‘Now let’s talk about (READ NAME(S) ABOVE): IF NOT
FIRST CYCLE THROUGH LOOP_02. IF FIRST CYCLE THROUGH LOOP_02,
USE A NULL DISPLAY.
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-300,000
BOX_IN18
IF AMOUNT OTHER THAN ZERO ENTERED AT IN18 AND IN04 IS CODED ‘2’ (MARRIED
FILING JOINT RETURN), CONTINUE WITH IN18OV
OTHERWISE, GO TO IN19
16
Income (IN) Section
Beta
IN18OV
Help Enabled (IN18Help)
Variable Name
PRND.WAGEPR1
Comment Enabled
Jump Back Enabled
Label
WHAT % OF WAGES RECV'D BY PRIMARY FILER
Size
3
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
What percentage of this amount was received by (PRIMARY FILER)?
PERCENT: _______
{IN19}
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Refused
Don't Know
Hard CHECK:
RANGE CHECK:
RF
DK
0-100
17
{IN19}
{IN19}
Income (IN) Section
Beta
IN18A
Help Enabled
Variable Name
PRND.WAGERANG
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF WAGE RANGE - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
received [from wages or salary, tips, commissions, or bonuses in {YEAR}]?
1 - 5,000
1
{IN19}
5001 - 10,000
2
{IN19}
10,001 - 15,000
15,001 - 25,000
3
4
{IN19}
{IN19}
25,001 - 50,000
50,001 - 100,000
5
6
{IN19}
{IN19}
100,001 OR MORE
7
{IN19}
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Refused
Don't Know
RF
DK
{IN19}
{IN19}
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
18
Income (IN) Section
Beta
IN19
Help Enabled (IN19Help)
Variable Name
PRND.INTRAMT
Comment Enabled
Jump Back Enabled
Label
Size
9
INTEREST FROM SAVINGS
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During {YEAR}, how much did (READ NAME(S) ABOVE) receive in interest
from savings accounts, bonds, NOW accounts, money market accounts, or
similar types of investments?
{IF NECESSARY, SAY: If any interest from a joint account, include only the
amount that would be (READ NAME(S) ABOVE)’s portion.}
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 8a
FORM 1040A, LINE 8a
FORM 1040EZ, LINE 2.
AMOUNT: $ _______
{IN20}
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Refused
RF
{IN20}
Don't Know
DK
{IN19A}
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
DISPLAY INSTRUCTIONS:
DISPLAY ‘IF NECESSARY, SAY ... ABOVE).’ IF IN04 IS NOT CODED
‘2’ (MARRIED, FILING JOINT RETURN OR IF IN04 WAS NOT ASKED. IF
IN04 IS CODED ‘2’ (MARRIED, FILING JOINT RETURN), USE A NULL
DISPLAY.
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
19
Income (IN) Section
Beta
Soft CHECK:
SOFT RANGE CHECK:
0-100,000
20
Income (IN) Section
Beta
IN19A
Help Enabled
Variable Name
PRND.INTRSTRC
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF INTEREST RECEIVED - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
received [in interest from savings accounts, bonds, NOW accounts, money
market accounts, or similar types of investments in {YEAR}]?
1 - 100
1
{IN20}
101 - 500
2
{IN20}
501 - 1,000
1001 - 5,000
3
4
{IN20}
{IN20}
5001 - 15,000
15,001 OR MORE
5
6
{IN20}
{IN20}
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Refused
Don't Know
RF
DK
{IN20}
{IN20}
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
21
Income (IN) Section
Beta
IN20
Help Enabled (IN20Help)
Variable Name
PRND.DIVDAMT
Comment Enabled
Jump Back Enabled
Label
AMOUNT RECEIVED FROM DIVIDENDS
Size
9
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During {YEAR}, how much money did (READ NAME(S) ABOVE) receive from
dividends?
{IF NECESSARY, SAY: If any dividends from a joint source, include only the
amount that would be (READ NAME(S) ABOVE)’s portion.}
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 9a
FORM 1040A, LINE 9a.
AMOUNT: $ _______
{BOX_02A}
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Refused
Don't Know
RF
DK
{BOX_02A}
{IN20A}
HELP AVAILABLE FOR DEFINITION OF DIVIDENDS.
DISPLAY INSTRUCTIONS:
DISPLAY ‘IF NECESSARY, SAY: ... PORTION).’ IF IN04 IS NOT
CODED ‘2’ (MARRIED, FILING JOINT RETURN) OR IF IN04 WAS NOT
ASKED. IF IN04 IS CODED ‘2’ (MARRIED, FILING JOINT RETURN),
USE A NULL DISPLAY.
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK
0 100 000
22
Income (IN) Section
Beta
IN20A
Help Enabled
Variable Name
PRND.DIVDND RC
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF DIVIDENDS RECV'D - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
received [from dividends in {YEAR}]?
1 - 100
1
{BOX_02A}
101 - 500
2
{BOX_02A}
501 - 1,000
1001 - 5,000
3
4
{BOX_02A}
{BOX_02A}
5001 - 15,000
15,001 OR MORE
5
6
{BOX_02A}
{BOX_02A}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_02A}
{BOX_02A}
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
23
Income (IN) Section
Beta
BOX_02A
IF IN09 IS CODED ‘2’ (SHORT FORM 1040A), OR ‘3’ (SHORT FORM 1040EZ) GO TO
IN25
OTHERWISE, CONTINUE WITH IN21
24
Income (IN) Section
Beta
IN21
Help Enabled (IN21Help)
Variable Name
PRND.REFDAMT
Comment Enabled
Jump Back Enabled
Label
Size
9
AMOUNT RECEIVED IN REFUNDS
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During {YEAR}, how much money did (READ NAME(S) ABOVE) receive from
refunds of state or local income taxes?
{IF NECESSARY, SAY: If any money from a joint return, include only the
amount that would be (READ NAME(S) ABOVE)’s portion.}
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 10.
AMOUNT: $ _______
{IN22}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN22}
{IN21A}
HELP AVAILABLE FOR DEFINITION OF INCOME TAX REFUNDS.
DISPLAY INSTRUCTIONS:
DISPLAY ‘IF NECESSARY, SAY ... ABOVE).’ IF IN04 IS NOT CODED
‘2’ (MARRIED, FILING JOINT RETURN) OR IF IN04 WAS NOT ASKED.
IF IN04 IS CODED ‘2’ (MARRIED, FILING JOINT RETURN), USE A
NULL DISPLAY.
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-100,000
25
Income (IN) Section
Beta
IN21A
Help Enabled
Variable Name
PRND.REFUNDRC
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF REFUNDS RECEIVED - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
received [from refunds of state or local taxes in {YEAR}]?
1 - 100
1
{IN22}
101 - 500
2
{IN22}
501 - 1,000
1,001 - 5,000
3
4
{IN22}
{IN22}
5,001 - 15,000
15,001 OR MORE
5
6
{IN22}
{IN22}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN22}
{IN22}
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
26
Income (IN) Section
Beta
IN22
Help Enabled (IN22Help)
Variable Name
PRND.ALIMAMT
Comment Enabled
Jump Back Enabled
Label
Size
9
AMOUNT RECEIVED FROM ALIMONY
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During {YEAR}, how much money did (READ NAME(S) ABOVE) receive from
alimony?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 11.
AMOUNT: $ _______
{IN23}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN23}
{IN22A}
HELP AVAILABLE FOR DEFINITION OF ALIMONY.
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN
LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-100,000
27
Income (IN) Section
Beta
IN22A
Help Enabled
Variable Name
PRND.ALIMNYRC
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF ALIMONY RECEIVED - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
received [from alimony in {YEAR}]?
1 - 100
1
{IN23}
101 - 500
2
{IN23}
501 - 1,000
1001 - 5,000
3
4
{IN23}
{IN23}
5,001 - 15,000
15,001 OR MORE
5
6
{IN23}
{IN23}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN23}
{IN23}
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
28
Income (IN) Section
Beta
IN23
Help Enabled (IN23Help)
Variable Name
PRND.BUSNAMT
Comment Enabled
Jump Back Enabled
Label
MONEY EARNED OR LOST FROM BUSINESS
Size
9
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During {YEAR}, how much money did (READ NAME(S) ABOVE) earn or lose
from (his/her/their) own farm or non-farm business or practice?
{IF NECESSARY, SAY: If any money from a shared business, include only the
amount that would be (READ NAME(S) ABOVE)’s portion.}
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINES 12 AND 18.
AMOUNT: $ _______
{BOX_IN23}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN24}
{IN23A}
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
DISPLAY INSTRUCTIONS:
DISPLAY ‘IF NECESSARY, SAY ... ABOVE).’ IF IN04 IS NOT CODED
‘2’ (MARRIED, FILING JOINT RETURN) OR IF IN04 WAS NOT ASKED.
IF IN04 IS CODED ‘2’ (MARRIED, FILING JOINT RETURN), USE A
NULL DISPLAY.
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-300,000
29
Income (IN) Section
Beta
BOX_IN23
IF AMOUNT OTHER THAN ZERO ENTERED AT IN23, CONTINUE WITH IN23OV1
OTHERWISE, GO TO IN24
IN23OV1
Help Enabled (IN23Help)
Variable Name
PRND.BUSNEL
Comment Enabled
Jump Back Enabled
Label
Size
2
BUSINESS EARNED OR LOSS
INTERVIEWER: WAS THE AMOUNT ENTERED EARNINGS OR LOSS?
EARNINGS
LOSS
1
2
{BOX_IN23OV1}
{BOX_IN23OV1}
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
BOX_IN23OV1
IF IN04 IS CODED ‘2’ (MARRIED FILING JOINT RETURN), CONTINUE WITH IN23OV2
OTHERWISE, GO TO IN24
30
Income (IN) Section
Beta
IN23OV2
Help Enabled (IN23Help)
Variable Name
PRND.BUSNPRI
Comment Enabled
Jump Back Enabled
Label
% OF AMOUNT EARNED/LOST BY PRIMARY FILER
Size
3
What percentage of this amount was {received/lost} by (PRIMARY FILER)?
PERCENT: _______
{IN24}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN24}
{IN24}
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
DISPLAY INSTRUCTIONS:
IF IN23OV1 IS CODED ‘1’ (EARNINGS), DISPLAY ‘received’.
IN23OV1 IS CODED ‘2’ (LOSS), DISPLAY ‘lost’.
Hard CHECK:
RANGE CHECK:
0-100
31
IF
Income (IN) Section
Beta
IN23A
Help Enabled
Variable Name
PRND.BUSNERLS
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF BUSINESS EARN/LOSS - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
earned or lost [from (his/her/their) own farm or non-farm business or practice
in {YEAR}]?
1 - 100
1
{IN23AOV}
101 - 500
501 - 1,000
2
3
{IN23AOV}
{IN23AOV}
1001 - 5,000
5001 - 15,000
4
5
{IN23AOV}
{IN23AOV}
15,001 OR MORE
6
{IN23AOV}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN24}
{IN24}
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
32
Income (IN) Section
Beta
IN23AOV
Help Enabled
Variable Name
PRND.BUSNEL
Comment Enabled
Jump Back Enabled
Label
Size
2
BUSINESS EARNED OR LOSS
INTERVIEWER: DOES THE RANGE SELECTED REPRESENT EARNINGS
OR LOSS?
EARNINGS
LOSS
1
2
33
{IN24}
{IN24}
Income (IN) Section
Beta
IN24
Help Enabled (IN24Help)
Variable Name
PRND.SALEAMT
Comment Enabled
Jump Back Enabled
Label
GAIN OR LOSS FROM SALE OF PROPERTY
Size
9
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During {YEAR}, how much money was (READ NAME(S) ABOVE)’s net gain or
net loss from the sale of property or other assets, including the sale of
(his/her/their) home, if it was taxable?
{IF NECESSARY, SAY: If any money from a shared property or other asset,
include only the amount that would be (READ NAME(S) ABOVE)’s portion.}
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINES 13a & 14.
AMOUNT: $ _______
{BOX_IN24}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN25}
{IN24A}
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
DISPLAY INSTRUCTIONS:
DISPLAY ‘IF NECESSARY, SAY ... ABOVE).’ IF IN04 IS NOT CODED
‘2’ (MARRIED, FILING JOINT RETURN) OR IF IN04 WAS NOT ASKED.
IF IN04 IS CODED ‘2’ (MARRIED, FILING JOINT RETURN), USE A
NULL DISPLAY.
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK
0 300 000
34
Income (IN) Section
Beta
BOX_IN24
IF AMOUNT OTHER THAN ZERO ENTERED AT IN24, CONTINUE WITH IN24OV
OTHERWISE, GO TO IN25
IN24OV
Help Enabled (IN24Help)
Variable Name
PRND.SALEGL
Comment Enabled
Jump Back Enabled
Label
Size
2
SALE GAIN OR LOSS
INTERVIEWER: WAS THE AMOUNT ENTERED A NET GAIN OR A NET
LOSS?
NET GAIN
NET LOSS
1
2
{IN25}
{IN25}
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
35
Income (IN) Section
Beta
IN24A
Help Enabled
Variable Name
PRND.SALEGNLS
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF SALE GAIN/LOSS - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
earned or lost [from the sale of property or other assets, including the sale of
(his/her/their) home, if it was taxable, in {YEAR}]?
1 - 100
1
{IN24AOV}
101 - 500
2
{IN24AOV}
501 - 1,000
1001 - 5,000
3
4
{IN24AOV}
{IN24AOV}
5001 - 15,000
15,001 OR MORE
5
6
{IN24AOV}
{IN24AOV}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN25}
{IN25}
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
36
Income (IN) Section
Beta
IN24AOV
Help Enabled
Variable Name
PRND.SALEGL
Comment Enabled
Jump Back Enabled
Label
Size
2
SALE GAIN OR LOSS
INTERVIEWER: DOES THE RANGE SELECTED REPRESENT NET GAIN
OR NET LOSS?
NET GAIN
NET LOSS
1
2
37
{IN25}
{IN25}
Income (IN) Section
Beta
IN25
Help Enabled (IN25Help)
Variable Name
PRND.IRASAMT
Comment Enabled
Jump Back Enabled
Label
Size
9
AMT RECEIVED FROM IRA'S
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During {YEAR}, how much money did (READ NAME(S) ABOVE) receive from
payments from Individual Retirement Accounts, that is, IRA, Keogh, or 401K
accounts?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 15a
FORM 1040A, LINE 11a.
AMOUNT: $ _______
{IN26}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN26}
{IN25A}
HELP AVAILABLE FOR DEFINITION OF IRA.
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-100,000
38
Income (IN) Section
Beta
IN25A
Help Enabled
Variable Name
PRND.IRAACTRC
Comment Enabled
Jump Back Enabled
Label
ESTIMAT OF IRA, KEOGH, 401K RCVD - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
received [from payments from IRA, Keogh, and 401K accounts in {YEAR}]?
1 - 100
1
{IN26}
101 - 500
2
{IN26}
501 - 1,000
1001 - 5,000
3
4
{IN26}
{IN26}
5001 - 15,000
15,001 OR MORE
5
6
{IN26}
{IN26}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN26}
{IN26}
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
39
Income (IN) Section
Beta
IN26
Help Enabled (IN26Help)
Variable Name
PRND.PENSAMT
Comment Enabled
Jump Back Enabled
Label
Size
9
AMOUNT RECEIVED FROM PENSIONS
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During {YEAR}, how much money did (READ NAME(S) ABOVE) receive from
private pensions, military retirement, other Federal government employee
pensions, state or local government employee pensions, or annuities?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 16a
FORM 1040A, LINE 12a.
AMOUNT: $ _______
{BOX_02B}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_02B}
{IN27}
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-300,000
40
Income (IN) Section
Beta
IN27
Help Enabled
Variable Name
PRND.PENSRANG
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF PENSION RANGE – P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
received [from private pensions, military retirement, other Federal government
employee pensions, state or local government employee pensions, or
annuities in {YEAR}]?
1 - 5,000
1
{BOX_02B}
5001 - 10,000
2
{BOX_02B}
10,001 - 15,000
15,001 - 25,000
3
4
{BOX_02B}
{BOX_02B}
25,001 - 50,000
50,001 - 100,000
5
6
{BOX_02B}
{BOX_02B}
100,001 OR MORE
7
{BOX_02B}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_02B}
{BOX_02B}
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
41
Income (IN) Section
Beta
BOX_02B
IF IN09 IS CODED ‘2’ (SHORT FORM 1040A) OR ‘3’
IN30
OTHERWISE, CONTINUE WITH IN28
42
(SHORT FORM 1040EZ), GO TO
Income (IN) Section
Beta
IN28
Help Enabled (IN28Help)
Variable Name
PRND.TRSTAMT
Comment Enabled
Jump Back Enabled
Label
AMT GAINED OR LOST FROM ESTATES OR TRUST
Size
9
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During {YEAR}, how much money did (READ NAME(S) ABOVE) receive as a
net gain or loss from estates or trusts, partnerships, S corporations, royalties,
or from rental income?
{IF NECESSARY, SAY: If any money from a joint venture, include only the
amount that would be (READ NAME(S) ABOVE)’s portion.}
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 17.
AMOUNT: $ _______
{BOX_IN28}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN30}
{IN28A}
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
DISPLAY INSTRUCTIONS:
DISPLAY ‘IF NECESSARY, SAY ... ABOVE).’ IF IN04 IS NOT CODED
‘2’ (MARRIED, FILING JOINT RETURN) OR IF IN04 WAS NOT ASKED.
IF IN04 IS CODED ‘2’ (MARRIED, FILING JOINT RETURN), USE A
NULL DISPLAY.
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK
0 300 000
43
Income (IN) Section
Beta
BOX_IN28
IF AMOUNT OTHER THAN ZERO ENTERED AT IN28, CONTINUE WITH IN28OV
OTHERWISE, GO TO IN30
IN28OV
Help Enabled (IN28Help)
Variable Name
PRND.TRSTGL
Comment Enabled
Jump Back Enabled
Label
Size
2
TRUST GAIN OR LOSS
INTERVIEWER: WAS THE AMOUNT ENTERED A NET GAIN OR A NET
LOSS?
NET GAIN
NET LOSS
1
2
{IN30}
{IN30}
HELP AVAILABLE FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
44
Income (IN) Section
Beta
IN28A
Help Enabled
Variable Name
PRND.TRSESTRC
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF TRUST - ESTATE RECV'D - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
earned or lost [from estates or trusts, partnerships, S corporations, royalties,
or from rental income in {YEAR}]?
1 - 100
1
{IN28AOV1}
101 -500
2
{IN28AOV1}
501 - 1,000
1001 - 5,000
3
4
{IN28AOV1}
{IN28AOV1}
5001 - 15,000
15,001 OR MORE
5
6
{IN28AOV1}
{IN28AOV1}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN30}
{IN30}
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
45
Income (IN) Section
Beta
IN28AOV1
Help Enabled
Variable Name
PRND.TRSTGL
Comment Enabled
Jump Back Enabled
Label
Size
2
TRUST GAIN OR LOSS
INTERVIEWER: DOES THE RANGE SELECTED REPRESENT NET GAIN
OR NET LOSS?
NET GAIN
NET LOSS
1
2
46
{IN30}
{IN30}
Income (IN) Section
Beta
IN30
Help Enabled (IN30Help)
Variable Name
PRND.UNEMAMT
Comment Enabled
Jump Back Enabled
Label
AMUNT RECV'D FROM UNEMPLOYMENT COMP
Size
9
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During {YEAR}, how much money did (READ NAME(S) ABOVE) receive from
unemployment compensation?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 19
FORM 1040A, LINE 13
FORM 1040EZ, LINE 3.
AMOUNT: $ _______
{IN31}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN31}
{IN30A}
HELP AVAILABLE FOR DEFINITION OF UNEMPLOYMENT
COMPENSATION.
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-100,000
47
Income (IN) Section
Beta
IN30A
Help Enabled
Variable Name
PRND.UNEMPLRC
Comment Enabled
Jump Back Enabled
Label
ESTMAT OF UNEMPLYMNT CMPNSATN - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
received [from unemployment compensation in {YEAR}]?
1 - 100
1
{IN31}
101 - 500
2
{IN31}
501 - 1,000
1001 - 5,000
3
4
{IN31}
{IN31}
5001 - 15,000
15,001 OR MORE
5
6
{IN31}
{IN31}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN31}
{IN31}
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
48
Income (IN) Section
Beta
IN31
Help Enabled (IN31Help)
Variable Name
PRND.SSECAMT
Comment Enabled
Jump Back Enabled
Label
AMOUNT RECEIVED FROM SOCIAL SECURITY
Size
9
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During {YEAR}, how much money did (READ NAME(S) ABOVE) receive from
Social Security and equivalent tier 1 Railroad Retirement benefits?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 20a
FORM 1040A, LINE 14a.
AMOUNT: $ _______
{END_LP02}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP02}
{IN32}
HELP AVAILABLE FOR DEFINITION OF SOCIAL SECURITY.
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-100,000
49
Income (IN) Section
Beta
IN32
Help Enabled
Variable Name
PRND.SSECRANG
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF SOCIAL SECURITY - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
received [from Social Security and equivalent tier 1 Railroad Retirement
benefits in {YEAR}]?
1 - 5,000
1
{END_LP02}
5001 - 10,000
2
{END_LP02}
10,001 - 15,000
15,001 - 25,000
3
4
{END_LP02}
{END_LP02}
25,001 - 50,000
50,001 - 100,000
5
6
{END_LP02}
{END_LP02}
100,001 OR MORE
7
{END_LP02}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP02}
{END_LP02}
DISPLAY INSTRUCTIONS:
FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE PERSON’S NAME
SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER
CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01
FOR THIS PERSON, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
50
Income (IN) Section
Beta
END_LP02
CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER THAT MEETS THE CONDITIONS
STATED IN THE LOOP DEFINITION.
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_02 AND CONTINUE
WITH IN34
IN34
Help Enabled (IN34Help)
Variable Name
HOME.WORKCOMP
Comment Enabled
Jump Back Enabled
Label
DID ANYONE RECEIVE WORKER'S COMPENSATION
Size
2
During {YEAR}, did anyone in the family receive Worker’s Compensation?
YES
1
NO
2
{IN37}
----------------------------------------------------------------------------------------------------------------------------------
Refused
RF
{IN37}
Don't Know
DK
{IN37}
HELP AVAILABLE FOR DEFINITION OF WORKER’S COMPENSATION.
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
ROUTING INSTRUCTION:
IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, AUTOMATICALLY CODE
PERSON AS ‘RECEIVED WORKER’S COMPENSATION’ AT IN35 AND GO TO
LOOP_03
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH IN35
51
Income (IN) Section
Beta
IN35
Help Enabled
Variable Name
PRND.WCOMP
Comment Enabled
Jump Back Enabled
Label
Size
2
RECEIVED WORKER'S COMP
Who received Worker’s Compensation in {YEAR}?
PROBE: Anyone else receive Worker’s Compensation in {YEAR}?
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
{LOOP_03}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
Roster Details
Title:
RU_Members_1
Col #
Header
Instructions
NAME
Display RU member's first, middle, and last names
PERS.FULLNAME
1
Roster Definition:
This item displays RU-MEMBERS-ROSTER for selection.
Roster Behavior:
1. Multiple select allowed.
2. Add, delete, and edit disallowed
Roster Filter:
Display all RU members who meet the following condition:
- Person is a current RU member (includes deceased and
institutionalized members)
52
Income (IN) Section
Beta
LOOP_03
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK IN36 - END_LP03
LOOP DEFINITION: LOOP_03 DETERMINES HOW MUCH MONEY WAS RECEIVED FROM
WORKER’S COMPENSATION FOR RU MEMBERS WHO RECEIVED WORKER’S COMPENSATION IN
THE CALENDAR YEAR. THIS LOOP CYCLES ON EACH PERSON ON THE RU-MEMBERSROSTER WHO MEETS THE FOLLOWING CONDITIONS:
- PERSON IS A CURRENT RU MEMBER (INCLUDES DECEASED AND INSTITUTIONALIZED
RU MEMBERS)
- PERSON RECEIVED WORKER’S COMPENSATION IN THE CALENDAR YEAR (SELECTED AT
IN35)
IN36
Help Enabled
Variable Name
PRND.WCOMPAMT
Comment Enabled
Jump Back Enabled
Label
AMOUNT RECV'D FROM WORKER'S COMPENSATION
Size
9
{PERSON'S FIRST MIDDLE AND LAST NAME}
How much money did (PERSON) receive from Worker’s Compensation [in
{YEAR}]?
AMOUNT: $ _______
{END_LP03}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP03}
{IN36A}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-50,000
53
Income (IN) Section
Beta
IN36A
Help Enabled
Variable Name
PRND.WCMPRANG
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF WORKERS COMP RECVD - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
received [from Worker’s Compensation in {YEAR}]?
1 - 100
1
{END_LP03}
101 - 500
2
{END_LP03}
501 - 1,000
1001 - 5,000
3
4
{END_LP03}
{END_LP03}
5001 - 15,000
15,001 OR MORE
5
6
{END_LP03}
{END_LP03}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP03}
{END_LP03}
DISPLAY INSTRUCTIONS:
FOR SPECIFICATION ONLY, 'YEAR' IN PROGRAM IS HARD-CODED. IF
ROUND 3, DISPLAY FIRST YEAR OF PANEL FOR {YEAR}. IF ROUND 5,
DISPLAY SECOND YEAR OF PANEL FOR {YEAR}.
END_LP03
CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER THAT MEETS THE CONDITIONS
STATED IN THE LOOP DEFINITION.
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_03 AND CONTINUE
WITH IN37
54
Income (IN) Section
Beta
IN37
Help Enabled (IN37Help)
Variable Name
HOME.CHEKSUPL
Comment Enabled
Jump Back Enabled
Label
DID ANYONE RECEIVE CHECK SUPPLEMENTS
Size
2
During {YEAR}, did anyone in the family receive Supplemental Security
Income, also known as S.S.I.?
YES
NO
1
2
{IN41}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN41}
{IN41}
HELP AVAILABLE FOR DEFINITION OF S.S.I.
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
ROUTING INSTRUCTION:
IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, AUTOMATICALLY CODE
PERSON AS ‘RECEIVED S.S.I.’ AT IN38 AND GO TO LOOP_04
IF CODE '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH IN38
55
Income (IN) Section
Beta
IN38
Help Enabled
Variable Name
PRND.SSINCOME
Comment Enabled
Jump Back Enabled
Label
Size
2
PERSON RECEIVED SSI
Who received Supplemental Security Income in {YEAR}?
PROBE: Anyone else receive S.S.I. in {YEAR}?
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
{LOOP_04}
DISPLAY INSTRUCTIONS:
FOR SPECIFICATION ONLY, 'YEAR' IN PROGRAM IS HARD-CODED. IF
ROUND 3, DISPLAY FIRST YEAR OF PANEL FOR {YEAR}. IF ROUND 5,
DISPLAY SECOND YEAR OF PANEL FOR {YEAR}.
Roster Details
Title:
RU_Members_1
Col #
Header
Instructions
NAME
Display RU member's first, middle, and last names
PERS.FULLNAME
1
Roster Definition:
This item displays RU-MEMBERS-ROSTER for selection.
Roster Behavior:
1. Multiple select allowed.
2. Add, delete, and edit disallowed
Roster Filter:
Display all RU members who meet the following condition:
- Person is a current RU member (includes deceased and
institutionalized members)
56
Income (IN) Section
Beta
LOOP_04
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK BOX_03A - END_LP04
LOOP DEFINITION: LOOP_04 DETERMINES HOW MUCH MONEY WAS RECEIVED FROM
SUPPLEMENTAL SECURITY INCOME (S.S.I) FOR RU MEMBERS WHO RECEIVED S.S.I. IN
THE CALENDAR YEAR. THIS LOOP CYCLES ON EACH PERSON ON THE RU-MEMBERSROSTER WHO MEETS THE FOLLOWING CONDITIONS:
- PERSON IS A CURRENT RU MEMBER (INCLUDES DECEASED AND INSTITUTIONALIZED
RU MEMBERS)
- PERSON RECEIVED SUPPLEMENTAL SECURITY INCOME IN THE CALENDAR YEAR
(SELECTED AT IN38)
BOX_03A
IF PERSON IS LESS THAN 65 YEARS OLD OR IN AGE CATEGORIES 1-8, CONTINUE
WITH IN39
OTHERWISE, GO TO IN40A
IN39
Help Enabled
Variable Name
PRND.SSIDISAB
Comment Enabled
Jump Back Enabled
Label
DID PERSON RECEIVE SSI BEC OF DISABILITY
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Did (PERSON) receive money from Supplemental Security Income because of
(PERSON)’s own disability or for some other reason?
DISABILITY
SOME OTHER REASON
1
2
{IN40A}
{IN40A}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
57
{IN40A}
{IN40A}
Income (IN) Section
Beta
IN40A
Help Enabled
Variable Name
PRND.SSIMNTH
Comment Enabled
Jump Back Enabled
Label
HOW MANY MONTHS DID PERSON RECEIVE SSI
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
For how many months in {YEAR} did (PERSON) receive money from
Supplemental Security Income?
NUMBER OF _______
MONTHS:
{IN40B}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN40B}
{IN40B}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
Hard CHECK:
RANGE CHECK:
1-12
58
Income (IN) Section
Beta
IN40B
Help Enabled
Variable Name
PRND.SSIAMT
Comment Enabled
Jump Back Enabled
Label
AVERAGE AMOUNT OF SSI PER MONTH
Size
9
{PERSON'S FIRST MIDDLE AND LAST NAME}
On average, how much money did (PERSON) get per month [from
Supplemental Security Income in {YEAR}]?
AMOUNT: $ _______
{END_LP04}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP04}
{IN40C}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-50,000
59
Income (IN) Section
Beta
IN40C
Help Enabled
Variable Name
PRND.SSIEST
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF MONTHLY SSI RECEIVED
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-2.
Looking at this card, which range best estimates how much money was
received per month [from Supplemental Security Income in {YEAR}]?
1 - 250
1
{END_LP04}
251 - 500
2
{END_LP04}
501 - 750
751 - 1,000
3
4
{END_LP04}
{END_LP04}
1,001 OR MORE
5
{END_LP04}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP04}
{END_LP04}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
END_LP04
CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER THAT MEETS THE CONDITIONS
STATED IN THE LOOP DEFINITION.
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_04 AND CONTINUE
WITH IN41
60
Income (IN) Section
Beta
IN41
Help Enabled (IN41Help)
Variable Name
HOME.PUBASST
Comment Enabled
Jump Back Enabled
Label
DID ANYONE RECEIVE PUBLIC ASSISTANCE
Size
2
{SHOW CARD IN-2A.}
During {YEAR}, did anyone in the family receive any money from public
assistance, such as Temporary Assistance for Needy Families, also known as
TANF {or the program(s) listed on this card}, AFDC or general assistance?
YES
NO
1
2
{IN46}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN46}
{IN46}
HELP AVAILABLE FOR DEFINITION OF PUBLIC ASSISTANCE.
DISPLAY INSTRUCTIONS:
DISPLAY ‘SHOW CARD IN-2A.’ AND ‘or the program(s) listed on
this card’ IF INTERVIEW STATE IS NOT DC, IL, IN, IA, KS, MS,
NE, NV, PA, OK, OR, OR VA. OTHERWISE, USE A NULL DISPLAY.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
ROUTING INSTRUCTION:
IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, AUTOMATICALLY CODE
PERSON AS ‘RECEIVED PUBLIC ASSISTANCE’ AT IN42 AND GO TO
LOOP_05
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH IN42
61
Income (IN) Section
Beta
IN42
Help Enabled
Variable Name
PRND.CHECK
Comment Enabled
Jump Back Enabled
Label
Size
2
PERSON RECEIVED CHECK
Whose name was on the checks?
PROBE: Does anyone else receive a check from public assistance in their
name?
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
{LOOP_05}
Roster Details
Title:
RU_Members_1
Col #
Header
Instructions
NAME
Display RU member's first, middle, and last names
PERS.FULLNAME
1
Roster Definition:
This item displays RU-MEMBERS-ROSTER for selection.
Roster Behavior:
1. Multiple select allowed.
2. Add, delete, and edit disallowed
Roster Filter:
Display all RU members who meet the following condition:
- Person is a current RU member (includes deceased and
institutionalized members)
62
Income (IN) Section
Beta
LOOP_05
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK IN43 -END_LP05
LOOP DEFINITION: LOOP_05 DETERMINES WHO WAS COVERED BY PUBLIC ASSISTANCE,
WHETHER ANY OF THE CHECKS INCLUDED MONEY FROM TANF AND HOW MUCH WAS
RECEIVED PER MONTH. THIS LOOP CYCLES ON EACH PERSON ON THE RU-MEMBERSROSTER WHO MEETS THE FOLLOWING CONDITIONS:
- PERSON IS A CURRENT RU MEMBER (INCLUDES DECEASED AND INSTITUTIONALIZED
RU MEMBERS)
- PERSON’S NAME WAS ON THE PUBLIC ASSISTANCE CHECKS (SELECTED AT IN42)
63
Income (IN) Section
Beta
IN43
Help Enabled
Comment Enabled
Variable Name
PRND.COVINRU
Label
CHECK COVERED PERSON IN/OUT OF RU
PTOP.CHECKREL
PERS TO PERS CHECK COVERAGE RELATIONSHIP
Jump Back Enabled
Size
2
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
Sometimes checks from public assistance cover more than one person in the
family, even though only one person’s name is on the check.
Who is covered by (PERSON)’s checks from public assistance?
PROBE: Did (PERSON)’s checks cover anyone else?
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
{IN44}
Roster Details
Title:
RU_Members_1
Col #
Header
Instructions
NAME
Display RU member's first, middle, and last names
PERS.FULLNAME
1
Roster Definition:
This item displays RU-MEMBERS-ROSTER for selection.
Roster Behavior:
1. Multiple select allowed.
2. Add, delete, and edit disallowed
3. Display ‘PERSON NOT IN RU’ as the 2nd to last entry on the
roster.
4. Display ‘CHECK ONLY COVERS (PERSON) IN HEADER’ as the last
entry on the roster.
Roster Filter:
Display all RU members who meet the following conditions:
- Person is a current RU member (includes deceased and
64
Income (IN) Section
Beta
institutionalized members)
- Person is not selected as receiving his own public
assistance checks; that is person was not selected at IN42
IN44
Help Enabled (IN44Help)
Variable Name
PRND.AFDC_ADC
Comment Enabled
Jump Back Enabled
Label
DID PERS'S CHECK INCLUDE AFDC OR ADC
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
{SHOW CARD IN-2A.}
Did any of (PERSON)’s checks include money from Temporary Assistance for
Needy Families, also known as TANF {or the program(s) listed on this card}?
YES
1
{IN45A}
NO
2
{IN45A}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN45A}
{IN45A}
HELP AVAILABLE FOR DEFINITION OF TANF.
DISPLAY INSTRUCTIONS:
DISPLAY ‘SHOW CARD IN-2A.’ AND ‘or the program(s) listed on
this card’ IF INTERVIEW STATE IS NOT DC, IL, IN, IA, KS, MS,
NE, NV, PA, OK, OR, OR VA. OTHERWISE, USE A NULL DISPLAY.
65
Income (IN) Section
Beta
IN45A
Help Enabled
Variable Name
PRND.CHEKMNTH
Comment Enabled
Jump Back Enabled
Label
HOW MANY MONTHS DID PERS RECEIVE CHECKS
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
For how many months in {YEAR} did (PERSON) receive checks from public
assistance?
NUMBER OF _______
MONTHS:
{IN45B}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN45B}
{IN45B}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
Hard CHECK:
RANGE CHECK:
1-12
66
Income (IN) Section
Beta
IN45B
Help Enabled
Variable Name
PRND.CHEKAMT
Comment Enabled
Jump Back Enabled
Label
AVERAGE MONTHLY PUBLIC ASSISTANCE AMT
Size
9
{PERSON'S FIRST MIDDLE AND LAST NAME}
On average, how much money did (PERSON) get per month [from public
assistance in {YEAR}]?
AMOUNT: $ _______
{END_LP05}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP05}
{IN45C}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-50,000
67
Income (IN) Section
Beta
IN45C
Help Enabled
Variable Name
PRND.CHEKEST
Comment Enabled
Jump Back Enabled
Label
Size
2
ESTIMATE OF PUBLIC ASSISTANCE
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-2.
Looking at this card, which range best estimates how much money was
received per month [from public assistance in {YEAR}]?
1 - 250
1
{END_LP05}
251 - 500
2
{END_LP05}
501 - 750
751 - 1,000
3
4
{END_LP05}
{END_LP05}
1,001 OR MORE
5
{END_LP05}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP05}
{END_LP05}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
END_LP05
CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER THAT MEETS THE CONDITIONS
STATED IN THE LOOP DEFINITION.
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_05 AND CONTINUE
WITH IN46
68
Income (IN) Section
Beta
IN46
Help Enabled (IN46Help)
Variable Name
HOME.CHILDSUP
Comment Enabled
Jump Back Enabled
Label
DID ANYONE RECEIVE CHILD SUPPORT
Size
2
During {YEAR}, did anyone in the family receive any money from child
support?
YES
NO
1
2
{IN49}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN49}
{IN49}
HELP AVAILABLE FOR DEFINITION OF CHILD SUPPORT.
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
ROUTING INSTRUCTION:
IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, AUTOMATICALLY CODE
PERSON AS ‘RECEIVED CHILD SUPPORT’ AT IN47 AND GO TO LOOP_06
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH IN47
69
Income (IN) Section
Beta
IN47
Help Enabled (IN47Help)
Variable Name
PRND.CHLD
Comment Enabled
Jump Back Enabled
Label
Size
2
PERSON RECEIVED CHILD SUPPORT
Who received child support in {YEAR}?
PROBE: Anyone else receive child support in {YEAR}?
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
{LOOP_06}
HELP AVAILABLE FOR DESCRIPTION OF WHO TO INCLUDE.
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
Roster Details
Title:
RU_Members_1
Col #
Header
Instructions
NAME
Display RU member's first, middle, and last names
PERS.FULLNAME
1
Roster Definition:
This item displays RU-MEMBERS-ROSTER for selection.
Roster Behavior:
1. Multiple select allowed.
2. Add, delete, and edit disallowed
Roster Filter:
Display all RU members who meet the following condition:
- Person is a current RU member (includes deceased and
institutionalized members)
70
Income (IN) Section
Beta
LOOP_06
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK IN48A - END_LP06
LOOP DEFINITION: LOOP_06 DETERMINES HOW MUCH MONEY WAS RECEIVED FROM
CHILD SUPPORT FOR RU MEMBERS WHO RECEIVED CHILD SUPPORT IN CALENDAR YEAR.
THIS LOOP CYCLES ON EACH PERSON ON THE RU-MEMBERS-ROSTER WHO MEETS THE
FOLLOWING CONDITIONS:
- PERSON IS A CURRENT RU MEMBER (INCLUDES DECEASED AND INSTITUTIONALIZED
RU MEMBERS)
- PERSON RECEIVED CHILD SUPPORT IN CALENDAR YEAR (SELECTED AT IN47)
IN48A
Help Enabled
Variable Name
PRND.CHLDMNTH
Comment Enabled
Jump Back Enabled
Label
HOW MANY MNTHS DID PERS GET CHILD SUPPRT
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
For how many months in {YEAR} did (PERSON) receive money from child
support?
NUMBER OF _______
MONTHS:
{IN48B}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN48B}
{IN48B}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
Hard CHECK:
RANGE CHECK:
1-12
71
Income (IN) Section
Beta
IN48B
Help Enabled
Variable Name
PRND.CHLDAMT
Comment Enabled
Jump Back Enabled
Label
Size
9
AMOUNT OF CHILD SUPPORT
{PERSON'S FIRST MIDDLE AND LAST NAME}
On average, how much money did (PERSON) get per month [from child
support in {YEAR}]?
AMOUNT: $ _______
{END_LP06}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP06}
{IN48C}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-100,000
72
Income (IN) Section
Beta
IN48C
Help Enabled
Variable Name
PRND.CHLDEST
Comment Enabled
Jump Back Enabled
Label
Size
2
ESTIMATE OF CHILD SUPPORT
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-2.
Looking at this card, which range best estimates how much money was
received per month [from child support in {YEAR}]?
1 - 250
1
{END_LP06}
251 - 500
2
{END_LP06}
501 - 750
751 - 1,000
3
4
{END_LP06}
{END_LP06}
1,001 OR MORE
5
{END_LP06}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP06}
{END_LP06}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
END_LP06
CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER THAT MEETS THE CONDITIONS
STATED IN THE LOOP DEFINITION.
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_06 AND CONTINUE
WITH IN49
73
Income (IN) Section
Beta
IN49
Help Enabled (IN49Help)
Variable Name
HOME.VETERAN
Comment Enabled
Jump Back Enabled
Label
DID ANYONE RECEIVE VETERAN'S PAYMENTS
Size
2
Not counting military retirement, during {YEAR}, did anyone in the family
receive any veteran’s payments such as education or disability benefits?
YES
NO
1
2
{IN52}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN52}
{IN52}
HELP AVAILABLE FOR DEFINITION OF VETERAN’S PAYMENTS.
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
ROUTING INSTRUCTION:
IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, AUTOMATICALLY CODE
PERSON AS ‘RECEIVED VETERAN’S PAYMENTS’ AT IN50 AND GO TO
LOOP_07
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH IN50
74
Income (IN) Section
Beta
IN50
Help Enabled
Variable Name
PRND.VET
Comment Enabled
Jump Back Enabled
Label
PERSON RECEIVED VETERAN'S PAYMENTS
Size
2
Who received veteran’s payments such as education or disability benefits [in
{YEAR}]?
PROBE: Anyone else receive veteran’s payments in {YEAR}?
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
{LOOP_07}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
Roster Details
Title:
RU_Members_1
Col #
Header
Instructions
NAME
Display RU member's first, middle, and last names
PERS.FULLNAME
1
Roster Definition:
This item displays RU-MEMBERS-ROSTER for selection.
Roster Behavior:
1. Multiple select allowed.
2. Add, delete, and edit disallowed
Roster Filter:
Display all RU members who meet the following condition:
- Person is a current RU member (includes deceased and
institutionalized members)
75
Income (IN) Section
Beta
LOOP_07
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK IN51 - END_LP07
LOOP DEFINITION: LOOP_07 DETERMINES HOW MUCH MONEY WAS RECEIVED FROM
VETERAN’S PAYMENTS FOR RU MEMBERS WHO RECEIVED VETERAN’S PAYMENTS IN THE
CALENDAR YEAR. THIS LOOP CYCLES ON EACH PERSON ON THE RU-MEMBERS-ROSTER
WHO MEETS THE FOLLOWING CONDITIONS:
- PERSON IS A CURRENT RU MEMBER (INCLUDES DECEASED AND INSTITUTIONALIZED
RU MEMBERS)
- PERSON RECEIVED VETERAN’S PAYMENTS IN THE CALENDAR YEAR (SELECTED AT
IN50)
76
Income (IN) Section
Beta
IN51
Help Enabled
Variable Name
PRND.VETAMT
Comment Enabled
Jump Back Enabled
Label
Size
9
AMOUT OF VETERAN PAYMENTS
{PERSON'S FIRST MIDDLE AND LAST NAME}
How much money did (PERSON) receive from veterans payments such as
education or disability benefits in {YEAR}? [Do not include military retirement.]
AMOUNT: $ _______
{END_LP07}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP07}
{IN51A}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-100,000
77
Income (IN) Section
Beta
IN51A
Help Enabled
Variable Name
PRND.VETRNRC
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF VETERAN'S PAYMNTS - P12 & UP
Size
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
received [from veteran’s payments such as education or disability benefits in
{YEAR}]?
1 - 100
1
{END_LP07}
101 - 500
2
{END_LP07}
501 - 1,000
1001 - 5,000
3
4
{END_LP07}
{END_LP07}
5001 - 15,000
15,001 OR MORE
5
6
{END_LP07}
{END_LP07}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP07}
{END_LP07}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
END_LP07
CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER THAT MEETS THE CONDITIONS
STATED IN THE LOOP DEFINITION.
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_07 AND CONTINUE
WITH IN52
78
Income (IN) Section
Beta
IN52
Help Enabled (IN52Help)
Variable Name
HOME.CASHCONT
Comment Enabled
Jump Back Enabled
Label
DID ANYONE RECEIVE CASH CONTRIBUTIONS
Size
2
Besides what we have already talked about, during {YEAR}, did any one in the
family receive any money from regular cash contributions from people who do
not live in this household?
YES
NO
1
2
{IN55}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN55}
{IN55}
HELP AVAILABLE FOR DESCRIPTION OF REGULAR CASH
CONTRIBUTIONS AND HOUSEHOLD.
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
ROUTING INSTRUCTION:
IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, AUTOMATICALLY CODE
PERSON AS ‘RECEIVED REGULAR CASH CONTRIBUTIONS FROM OUTSIDE
HOUSEHOLD’ AT IN53 AND GO TO LOOP_08
IF CODED '1' (YES) AND A MULTI-PERSON RU, CONTINUE WITH IN53
79
Income (IN) Section
Beta
IN53
Help Enabled
Variable Name
PRND.CASH
Comment Enabled
Jump Back Enabled
Label
DID PERSON RECEIVE CASH CONTRIBUTIONS
Size
2
Who received regular cash contributions from people who do not live in this
household [in {YEAR}]?
PROBE: Anyone else receive regular cash contributions, in {YEAR}, from
people who do not live here?
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
{LOOP_08}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
Roster Details
Title:
RU_MEMBERS_1
Col #
Header
Instructions
PROGRAMMER
INSTRUCTION
Display RU members' first, middle, and last names
PERS.FULLNAME
1
Roster Definition:
DISPLAY THE RU-MEMBERS-ROSTER FOR SELECTION.
Roster Behavior:
1. MULTIPLE SELECT ALLOWED.
2. ADD, EDIT, AND DELETE DISALLOWED.
Roster Filter:
DISPLAY ALL CURRENT RU MEMBERS (INCLUDING PERSON WHO ARE
DECEASED AND INSTITUTIONALIZED THIS ROUND WHO ARE CURRENT
ROUND 3 MEMBERS.
80
Income (IN) Section
Beta
LOOP_08
FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, ASK IN54A - END_LP08
LOOP DEFINITION: LOOP_08 DETERMINES HOW MUCH MONEY WAS RECEIVED FROM
REGULAR CASH CONTRIBUTIONS FROM OUTSIDE THE HOUSEHOLD FOR RU MEMBERS WHO
RECEIVED THESE TYPES OF CONTRIBUTIONS IN THE CALENDAR YEAR. THIS LOOP
CYCLES ON EACH PERSON ON THE RU-MEMBERS-ROSTER WHO MEETS THE FOLLOWING
CONDITIONS:
- PERSON IS A CURRENT RU MEMBER (INCLUDES DECEASED AND INSTITUTIONALIZED
RU MEMBERS)
- PERSON RECEIVED REGULAR CASH CONTRIBUTIONS FROM SOMEONE OUTSIDE OF THE
HOUSEHOLD IN THE CALENDAR YEAR (SELECTED AT IN53)
IN54A
Help Enabled
Variable Name
PRND.CASHMNTH
Comment Enabled
Jump Back Enabled
Label
HOW MANY MNTHS DID PERS GET CASH CONTRIB
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
For how many months in {YEAR} did (PERSON) receive money from regular
cash contributions from people who do not live in this household?
NUMBER OF _______
MONTHS:
{IN54B}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN54B}
{IN54B}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
Hard CHECK:
RANGE CHECK:
1-12
81
Income (IN) Section
Beta
IN54B
Help Enabled
Variable Name
PRND.CASHAMT
Comment Enabled
Jump Back Enabled
Label
AVERAGE CASH CONTRIBUTIONS PER MONTH
Size
9
{PERSON'S FIRST MIDDLE AND LAST NAME}
On average, how much money did (PERSON) get per month [from regular
cash contributions from people who do not live in this household, in {YEAR}]?
Amount: $ _______
{END_LP08}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP08}
{IN54C}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-100,000
82
Income (IN) Section
Beta
IN54C
Help Enabled
Variable Name
PRND.CASHEST
Comment Enabled
Jump Back Enabled
Label
ESTIMATE OF MONTHLY CASH CONTRIBUTIONS
Size
2
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-2.
Looking at this card, which range best estimates how much money was
received per month [from regular cash contributions from people who do not
live in this household, in {YEAR}]?
1 - 250
1
{END_LP08}
251 - 500
2
{END_LP08}
501 - 750
751 - 1,000
3
4
{END_LP08}
{END_LP08}
1,001 OR MORE
5
{END_LP08}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP08}
{END_LP08}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
END_LP08
CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER THAT MEETS THE CONDITIONS
STATED IN THE LOOP DEFINITION.
IF NO OTHER PERSONS MEET THE STATED CONDITIONS, END LOOP_08 AND CONTINUE
WITH IN55
83
Income (IN) Section
Beta
IN55
Help Enabled (IN55Help)
Variable Name
HOME.FOODSTMP
Comment Enabled
Jump Back Enabled
Label
DID ANYONE PURCHASE FOOD STAMPS
Size
2
During {YEAR}, did anyone in the family receive food stamps?
YES
1
{IN56}
NO
2
{IN59}
----------------------------------------------------------------------------------------------------------------------------------
Refused
RF
{IN59}
Don't Know
DK
{IN59}
HELP AVAILABLE FOR DEFINITION OF FOOD STAMPS.
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
84
Income (IN) Section
Beta
IN56
Help Enabled
Variable Name
HOME.FOODMNTH
Comment Enabled
Jump Back Enabled
Label
HOW MANY MONTHS WERE FOOD STAMPS PURCHAS
Size
2
For how many months in {YEAR} were these food stamps received?
MONTHS: _______
{IN58}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN58}
{IN58}
DISPLAY INSTRUCTIONS:
FOR SPECIFICATION ONLY, 'YEAR' IN PROGRAM IS HARD-CODED. IF
ROUND 3, DISPLAY FIRST YEAR OF PANEL FOR {YEAR}. IF ROUND 5,
DISPLAY SECOND YEAR OF PANEL FOR {YEAR}.
Hard CHECK:
RANGE CHECK:
1-12
85
Income (IN) Section
Beta
IN58
Help Enabled
Variable Name
HOME.FOODVALU
Comment Enabled
Jump Back Enabled
Label
WHAT WAS THE MONTHLY VALUE OF THE STAMPS
Size
9
What was the approximate monthly value of the stamps?
AMOUNT: $ _______
{IN59}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN59}
{IN59}
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-1,000
86
Income (IN) Section
Beta
IN59
Help Enabled (IRS2)
Variable Name
HOME.ICOTHR
Comment Enabled
Jump Back Enabled
Label
HAS ANYONE RECEIVED OTHER INCOME
Size
2
SHOW CARD IN-3.
This card lists some sources of income. Has anyone in the family received
any income, other than income we have already talked about, such as income
from sources listed on this card?
YES
NO
1
2
{LOOP_09}
{BOX_04}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_04}
{BOX_04}
HELP AVAILABLE FOR DEFINITIONS OF SHOW CARD CATEGORIES.
LOOP_09
FOR EACH OF THE FOLLOWING:
OTHER
OTHER
OTHER
OTHER
OTHER
INCOME
INCOME
INCOME
INCOME
INCOME
SOURCE
SOURCE
SOURCE
SOURCE
SOURCE
CATEGORY
CATEGORY
CATEGORY
CATEGORY
CATEGORY
1
2
3
4
5
ASK IN60 - END_LP09
LOOP DEFINITION: LOOP_09 COLLECTS INFORMATION ABOUT OTHER SOURCES OF
TAXABLE INCOME. THIS LOOP CYCLES ON SOURCES OF TAXABLE INCOME LISTED AT
IN60. THE FIRST CYCLE OF THIS LOOP COLLECTS THE FIRST SOURCE OF TAXABLE
INCOME. SUBSEQUENT CYCLES OF THE LOOP ARE DETERMINED BY THE RESPONSE AT
IN63. IF IN63 IS CODED '1' (YES), THE LOOP CYCLES AGAIN TO COLLECT THE
NEXT SOURCE OF TAXABLE INCOME. IF IN63 IS CODED ‘2’ (NO), ‘RF’ (REFUSED),
OR ‘DK’ (DON’T KNOW), THE LOOP ENDS.
87
Income (IN) Section
Beta
IN60
Help Enabled (IRS2)
Comment Enabled
Jump Back Enabled
Variable Name
HOME.WAGEOTHR
OTHER SOURCE: WAGES OR SALARY
Label
Size
2
HOME.SSECOTHR
HOME.RENTOTHR
INCOME SOURCE: SOCIAL SECURITY
INCOME SOURCE: RENTAL INCOME (OR LOSS)
2
2
HOME.PENSOTHR
HOME.INTROTHR
INCOME SOURCE: PENSIONS
INCOME SOURCE: INTEREST
2
2
HOME.INCMOTHR
INCOME SOURCE: OTHER
2
HOME.FARMOTHR
HOME.DIVDOTHR
INCOME SOURCE: FARM INCOME (OR LOSS)
INCOME SOURCE: DIVIDENDS
2
2
HOME.BUSNOTHR
INCOME SOURCE: BUSINESS INCOME (OR LOSS)
2
SHOW CARD IN-3.
From which of the sources on this card did anyone in the family receive
income [that we have not yet talked about]?
WAGES AND SALARY
FARM INCOME (OR LOSS)
1
2
{BOX_03B}
{BOX_03B}
BUSINESS INCOME (OR LOSS)
SOCIAL SECURITY/RAILROAD
RETIREMENT
PRIVATE, MILITARY, OR GOVERNMENT
PENSIONS
INTEREST
3
4
{BOX_03B}
{BOX_03B}
5
{BOX_03B}
6
{BOX_03B}
DIVIDENDS
7
{BOX_03B}
RENTAL INCOME (OR LOSS)
OTHER SOURCE
8
91
{BOX_03B}
{IN60OV}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_03B}
{BOX_03B}
HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.
88
Income (IN) Section
Beta
IN60OV
Help Enabled (IRS2)
Variable Name
HOME.INCOMEOS
Comment Enabled
Jump Back Enabled
Label
Size
25
INCOME SOURCE: OTHER SPECIFY
ENTER OTHER: _______________________
{BOX_03B}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_03B}
{BOX_03B}
HELP AVAILABLE FOR DEFINITIONS OF ANSWER CATEGORIES.
BOX_03B
IF SINGLE PERSON RU, AUTOMATICALLY CODE PERSON AS ‘RECEIVED INCOME FROM
IN60 SOURCE’ AT IN61 AND GO TO IN62. OTHERWISE, CONTINUE WITH IN61
89
Income (IN) Section
Beta
IN61
Help Enabled
Comment Enabled
Jump Back Enabled
Variable Name
PRND.WAGEOTH
Label
PERSON RECEIVED OTHER WAGE INCOME
Size
2
PRND.SSECOTH
PRND.RENTOTH
PERSON RECEIVED OTHER SSEC INCOME
PERSON RECEIVED OTHER RENT INCOME
2
2
PRND.PENSOTH
PRND.INTROTH
PERSON RECEIVED OTHER PENSION INCOME
PERSON RECEIVED OTHER INTEREST INCOME
2
2
PRND.INCMOTH
PERSON RECEIVED OTHER INCOME
2
PRND.FARMONTH
PRND.DIVDOTH
PERSON RECEIVED OTHER FARM INCOME
PERSON RECEIVED OTHER DIVIDEND INCOME
2
2
PRND.BUSNOTH
PERSON RECEIVED OTHER BUSINESS INCOME
2
INCOME SOURCE: {DISPLAY CATEGORY SELECTED AT IN60.........}
Who received income from (INCOME SOURCE) in {YEAR}?
PROBE: Anyone else receive income from (INCOME SOURCE) in {YEAR}?
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
[First Name, [Middle Name], Last name]
{IN62}
DISPLAY INSTRUCTIONS:
FOR ‘DISPLAY CATEGORY SELECTED AT IN60.....’, DISPLAY THE
RESPONSE CATEGORY NAME SELECTED AT IN60 DURING THE CURRENT
LOOP.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
Roster Details
Title:
RU_Members_1
Col #
Header
Instructions
NAME
Display RU member's first, middle, and last names
PERS.FULLNAME
1
90
Income (IN) Section
Beta
Roster Definition:
This item displays RU-MEMBERS-ROSTER for selection.
Roster Behavior:
1. Multiple select allowed.
2. Add, delete, and edit disallowed
Roster Filter:
Display all RU members who meet the following condition:
- Person is a current RU member (includes deceased and
institutionalized members)
91
Income (IN) Section
Beta
IN62
Help Enabled
Comment Enabled
Jump Back Enabled
Variable Name
HOME.WAGEAMTO
OTHER WAGE INCOME
Label
Size
9
HOME.SSECAMTO
HOME.RENTAMTO
OTHER SOCIAL SECURITY INCOME
OTHER RENT INCOME
9
9
HOME.PENSAMTO
HOME.INTRAMTO
OTHER PENSION INCOME
OTHER INTEREST INCOME
9
9
HOME.INCMAMTO
OTHER INCOME
9
HOME.FARMAMTO
HOME.DIVDAMTO
OTHER FARM INCOME
OTHER DIVIDEND INCOME
9
9
HOME.BUSNAMTO
OTHER BUSINESS INCOME
9
INCOME SOURCE: {DISPLAY CATEGORY SELECTED AT IN60.........}
What is the total amount received from (INCOME SOURCE), in {YEAR}, for all
of the people just mentioned?
AMOUNT: $ _______
{BOX_IN62}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{IN63}
{IN62A}
DISPLAY INSTRUCTIONS:
FOR ‘DISPLAY CATEGORY SELECTED AT IN60.....’, DISPLAY THE
RESPONSE CATEGORY NAME SELECTED AT IN60 DURING THE CURRENT
LOOP.
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
PROGRAMMER NOTES:
BEGINNING IN PANEL 12 ROUND 3, PRE-FILL CENTS DIGITS WITH '00'
SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
Soft CHECK:
SOFT RANGE CHECK:
0-100,000
92
Income (IN) Section
Beta
BOX_IN62
IF AMOUNT OTHER THAN ZERO ENTERED AT IN62 AND IN60 IS CODED ‘2’ (FARM
INCOME OR LOSS), ‘3’ (BUSINESS INCOME OR LOSS), ‘8’ (RENTAL INCOME OR
LOSS), OR ‘91’ (OTHER SOURCE), CONTINUE WITH IN62OV
OTHERWISE, GO TO IN63
IN62OV
Help Enabled
Comment Enabled
Jump Back Enabled
Variable Name
HOME.INCMGLO
INCOME NET GAIN OR LOSS
Label
Size
2
HOME.RENTGLO
HOME.BUSNGLO
RENT NET GAIN OR LOSS
BUSINESS NET GAIN OR LOSS
2
2
HOME.FARMGLO
FARM NET GAIN OR LOSS
2
INTERVIEWER: WAS THE AMOUNT ENTERED A NET GAIN OR A NET
LOSS?
NET GAIN
NET LOSS
1
2
93
{IN63}
{IN63}
Income (IN) Section
Beta
IN62A
Help Enabled
Comment Enabled
Jump Back Enabled
Variable Name
HOME.OTHSRCRC
Label
ESTMAT INCOME RCVD OTH BUSINS - P12 & UP
Size
2
HOME.OTHRNTRC
HOME.OTHDVDRC
ESTMAT INCOME RCVD OTH DIVDND - P12 & UP
ESTMAT INCOME RCVD OTH FARM - P12 & UP
2
2
HOME.OTHINTRC
HOME.OTHPENRC
ESTMAT INCOME RCVD OTH SOURCE - P12 & UP
ESTMAT INCOME RCVD OTH INTRST - P12 & UP
2
2
HOME.OTHSSCRC
ESTMAT INCOME RCVD OTH PENSIN - P12 & UP
2
HOME.OTHBSNRC
HOME.OTHFRMRC
ESTMAT INCOME RCVD OTH RENT - P12 & UP
ESTMAT INCOME RCVD OTH SOCSEC - P12 & UP
2
2
HOME.OTHWAGRC
ESTMAT INCOME RCVD OTH WAGE - P12 & UP
2
INCOME SOURCE: {DISPLAY CATEGORY SELECTED AT IN60…….}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money was
received [from (INCOME SOURCE) in {YEAR}]?
1 - 100
101 - 500
501 - 1,000
1
2
3
{BOX_IN62A}
{BOX_IN62A}
{BOX_IN62A}
1001 -5,000
5001 - 15,000
4
5
{BOX_IN62A}
{BOX_IN62A}
15,001 OR MORE
6
{BOX_IN62A}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{BOX_IN62A}
{BOX_IN62A}
DISPLAY INSTRUCTIONS:
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:)
IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR {YEAR}.
IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR {YEAR}.
94
Income (IN) Section
Beta
BOX_IN62A
IF ‘7’ (REFUSED) OR ‘DK’ (DON’T KNOW) IS NOT CODED AT IN62A AND IN60 IS
CODED ‘2’ (FARM INCOME OR LOSS), ‘3’ (BUSINESS INCOME OR LOSS), ‘8’
(RENTAL INCOME OR LOSS), OR ‘91’ (OTHER SOURCE), CONTINUE WITH IN62AOV
OTHERWISE, GO TO IN63
IN62AOV
Help Enabled
Comment Enabled
Jump Back Enabled
Variable Name
HOME.INCMGLO
INCOME NET GAIN OR LOSS
Label
Size
2
HOME.RENTGLO
HOME.BUSNGLO
RENT NET GAIN OR LOSS
BUSINESS NET GAIN OR LOSS
2
2
HOME.FARMGLO
FARM NET GAIN OR LOSS
2
INTERVIEWER: DOES THE RANGE SELECTED REPRESENT NET GAIN
OR NET LOSS?
NET GAIN
NET LOSS
1
2
95
{IN63}
{IN63}
Income (IN) Section
Beta
IN63
Help Enabled (IRS2)
Comment Enabled
Jump Back Enabled
SHOW CARD IN-3.
Aside from what you already told me about, has anyone in the family received
any other income, such as income from another source listed on this card?
YES
1
{END_LP09}
NO
2
{END_LP09}
----------------------------------------------------------------------------------------------------------------------------------
Refused
Don't Know
RF
DK
{END_LP09}
{END_LP09}
HELP AVAILABLE FOR DEFINITIONS OF SHOW CARD CATEGORIES.
END_LP09
IF IN63 IS CODED '1' (YES), CYCLE TO COLLECT THE NEXT OTHER INCOME
CATEGORY.
OTHERWISE END LOOP_09, AND CONTINUE WITH BOX_04
BOX_04
GO TO NEXT QUESTIONNAIRE SECTION
96
| File Type | application/pdf |
| File Title | C:\Documents and Settings\POLACHEK_L\Local Settings\Temporary Internet Files\OLK8\IN (BETA).snp |
| Author | polachek_l |
| File Modified | 2006-02-20 |
| File Created | 2006-02-20 |