Various Pretesting Activities (see attached list)

Changes to questions on A
Topic
Computer/
Internet

Question
Number
Between 8
and 9 in
Housing

English Question Text -- Version 1
ACS-1(X)V1(2010)
Q1. At this house, apartment, or mobile home –
do you or any member of this household currently
own or use any of the following computers or related
devices?
YES
a)
b)
c)

NO

Desktop, laptop, netbook, or
notebook computer
Handheld computer, smart mobile phone,
or other handheld wireless computer
Some other type of computer

English Question Text -- Version 2
ACS-1(X)V2(2010)
Q1. Which of the following devices that could
access the Internet are currently owned or used
in this house, apartment, or mobile home?
Mark (X) one or more boxes.
Desktop, laptop, netbook, or notebook computer
Handheld computer, smart mobile phone, or other
wireless device
Some other device
Specify type of device
___________________________________
None

1 of 29

English Question Text -- Version 3
ACS-1(X)V3(2010)
Q1. Do you or any member of this household
subscribe to the Internet at this house,
apartment, or mobile home?
Yes
No -> Skip to Computer/Internet Q3

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Changes to questions on A
Topic
Computer/
Internet

Question
Number
Between 8
and 9 in
Housing

English Question Text -- Version 1
ACS-1(X)V1(2010)
Q2. At this house, apartment, or mobile home -do you or any member of this household currently
access the Internet?
Yes, with a subscription to an Internet service
Yes, without a subscription to an Internet service -> Skip
to current Q9
No Internet access at this house, apartment, or mobile
home -> Skip to current Q9

English Question Text -- Version 2
ACS-1(X)V2(2010)
Q2. How do you or any member of this
household subscribe to the Internet at this
house, apartment, or mobile home?
Mark (X) one or more boxes.

English Question Text -- Version 3
ACS-1(X)V3(2010)
Q2. What type of Internet service do you or any
member of this household have at this house,
apartment, or mobile home?
Mark (X) one or more boxes.

No subscription to an Internet Service Provider
Dial-up service
DSL service
Cable-modem or fiber-optic service
Wireless Internet service, including a mobile Internet
plan (exclude in-house Wi Fi)
Satellite service
Some other service
Specify service
__________________________________

Dial-up service
DSL service
Cable-modem or fiber-optic service
Wireless Internet service, including a mobile
Internet plan (exclude in-house Wi Fi)
Satellite service
Some other service
Specify service
________________________________

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Changes to questions on A
Topic
Computer/
Internet

Question
Number
Between 8
and 9 in
Housing

English Question Text -- Version 1
ACS-1(X)V1(2010)
Q3. At this house, apartment, or mobile home –
do you or any member of this household currently
subscribe to the Internet using –

English Question Text -- Version 2
ACS-1(X)V2(2010)
NA (only 2 questions in this series)

YES NO
a) Dial-up service?
b) DSL service?
c) Cable modem or fiber-optic service?
d) Wireless Internet service, including a
mobile Internet plan (exclude in-house Wi Fi)?
e) Satellite service?
f) Some other service?

Food
Stamps

English Question Text -- Version 3
ACS-1(X)V3(2010)
Q3. Do you or any member of this household
currently own or use a computer or related
device at this house, apartment, or mobile
home?
· INCLUDE desktops, laptops, netbooks, smart
mobile phones, hand-held computers, or other
types of computers.
· EXCLUDE GPS devices, digital music players,
and devices with only limited computing
capabilities, for example: household appliances .
Yes
No

use current Housing question #12 -- Food Stamps
12 Housing IN THE PAST 12 MONTHS, did you or any member of IN THE PAST 12 MONTHS, did you or any
member of this household receive a government
this household receive a government benefit from
benefit that can only be used to buy food?
the Supplemental Nutrition Assistance Program
(SNAP) - formerly known as the Food Stamp Program Include Food Stamps and Supplemental Nutrition
- that can only be used to buy food? Do NOT include Assistance Program (SNAP). Do NOT include WIC
or the National School Lunch Program.
WIC or the National School Lunch Program.
Yes
No

Yes
No

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Changes to questions on A
Topic
Parental
Place of
Birth

Parental
Place of
Birth

Question English Question Text -- Version 1
ACS-1(X)V1(2010)
Number
Between
1. In what country was this person’s FATHER born?
12 and 13
in Person
Print name of country, or Puerto Rico, Guam, etc.
______________________________________

English Question Text -- Version 2
ACS-1(X)V2(2010)
1. Was this person’s FATHER born in or outside
the United States?
Mark (X) ONE box .
Born in the United States
Born outside the United States – Print name of
foreign country, or Puerto Rico, Guam, etc.
______________________________________

Between
2. In what country was this person’s MOTHER born? 2. Was this person’s MOTHER born in or outside
12 and 13
the United States?
in Person Print name of country, or Puerto Rico, Guam, etc.
Mark (X) ONE box .
______________________________________
Born in the United States
Born outside the United States – Print name of
foreign country, or Puerto Rico, Guam, etc.
______________________________________

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English Question Text -- Version 3
ACS-1(X)V3(2010)
1. Was this person’s FATHER born in the
United States?
Yes
No – Print name of foreign country, or Puerto
Rico, Guam, etc.
______________________________________

2. Was this person’s MOTHER born in the
United States?
Yes
No – Print name of foreign country, or Puerto
Rico, Guam, etc.
______________________________________

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Changes to questions on A
Topic
Veteran ID

Question
Number
26
Person

English Question Text -- Version 1
English Question Text -- Version 2
ACS-1(X)V1(2010)
ACS-1(X)V2(2010)
Q26: Has this person ever served on ACTIVE DUTY in Q26: What is this person’s ACTIVE DUTY military
the U.S. Armed Forces, Reserves, or National Guard? status in the U.S. Armed Forces, Reserves, or
Active duty includes federal activation of the Reserves
National Guard? Active duty includes federal
or National Guard for service in Iraq, Afghanistan, or
activation of the Reserves or National Guard for
elsewhere but does NOT include Reserve or National
service in Iraq, Afghanistan, or elsewhere but does
Guard training.
NOT include Reserve or National Guard training.
Mark (X) ONE box.
Mark (X) ONE box.
Never served in the military -> SKIP to current question
29a
Now on active duty
On active duty in the past, but not now
Training for the Reserves or National Guard only ->
SKIP to current question 28a

Never served in the military -> SKIP to current
question 29a
Now on active duty
On active duty in the past, but not now
Training for the Reserves or National Guard only ->
SKIP to current question 28a

English Question Text -- Version 3
ACS-1(X)V3(2010)
Q26. Has this person ever served on active
duty in the U.S. Armed Forces, military
Reserves, or National Guard? Active duty does
NOT include training for the Reserves or National
Guard, but DOES include activation, for example,
for service in Iraq, Afghanistan, or elsewhere.
Yes, now on active duty
Yes, on active duty in the past, but not now
No, training for Reserves or National Guard only > SKIP to current question 28a
No, never served in the military -> SKIP to current
question 29a
NOTE THAT THIS WILL BE A MODIFIED
CONTROL VERSION

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Changes to questions on A
Topic
Veteran
Period of
Service

Question
Number
27
Person

English Question Text -- Version 1
ACS-1(X)V1(2010)
Q27 When did this person serve on active duty in
the U.S. Armed Forces? Mark (X) a box for EACH
period in which this person served, even if just for part
of the period.

English Question Text -- Version 2
ACS-1(X)V2(2010)
Q27 When did this person serve on active duty
in the U.S. Armed Forces? Mark (X) a box for
EACH period in which this person served, even if
just for part of the period.

September 2001 or later
August 1990 to August 2001 (including Persian Gulf
War)
May 1975 to July 1990
Vietnam Era (August 1964 to April 1975)
February 1955 to July 1964
Korean War (July 1950 to January 1955)
January 1947 to June 1950
World War II (December 1941 to December 1946)
November 1941 or earlier

September 2001 or later
August 1990 to August 2001 (including Persian Gulf
War)
May 1975 to July 1990
Vietnam Era (August 1964 to April 1975)
February 1955 to July 1964
Korean War (July 1950 to January 1955)
January 1947 to June 1950
World War II (December 1941 to December 1946)
November 1941 or earlier

6 of 29

English Question Text -- Version 3
ACS-1(X)V3(2010)
use current Person question #27 -- Veterans
Period of Service

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Changes to questions on A
Topic
Wage and
Salary

Question
Number
47a
Person

English Question Text -- Version 1
ACS-1(X)V1(2010)
NOTE: Changes only apply to CATI/CAPI instruments
Q47a1a. Did [/you] receive any wages or
salary?
Yes
No -> Skip to Q47a2a
Q47a1b. How much did [/you] receive from all
jobs before taxes and other deductions?
_______

English Question Text -- Version 2
ACS-1(X)V2(2010)
NOTE: Changes only apply to CATI/CAPI
instruments

English Question Text -- Version 3
ACS-1(X)V3(2010)
NOTE: Changes only apply to CATI/CAPI
instruments

Q47a1. Did [/you] receive any wages,
salary, tips, bonuses or commissions?

use current Person question #47a -- Wage and
salary

Yes
No -> Skip to Current Q47b
Q47a2. How much did [/you] receive before
taxes and other deductions?
____________

Q47a2a. Did [/you] receive any additional tips,
bonuses or commissions DURING THE PAST 12
MONTHS?
Yes
No -> Skip to Current Q47b
Q47a2b. How much did [/you] receive from all
jobs before taxes and other deductions?
________________

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Changes to questions on A
Topic

Question
Number
Interest and 47c
Dividends
Person

English Question Text -- Version 1
ACS-1(X)V1(2010)
NOTE: Changes only apply to CATI/CAPI instruments
Q47c1a. [The next few questions are about income
DURING THE PAST 12 MONTHS….]
Did [/you] receive any interest or dividends
[DURING THE PAST 12 MONTHS]? Report even small
amounts credited to an account.
Yes
No -> Skip to Q47c2a
Q47c1b. What was the amount received?
____________

Q47c2a. Did [/you] receive any net rental
income, royalty income, or income from estates and
trusts [DURING THE PAST 12 MONTHS]?
Yes
No -> Skip to Q47d
Q47c2b. What was the amount received?
If income was a loss, precede amount with a '-'.
Breakeven = 1.
______________

English Question Text -- Version 2
ACS-1(X)V2(2010)
NOTE: Changes only apply to CATI/CAPI
instruments

English Question Text -- Version 3
ACS-1(X)V3(2010)
NOTE: Changes only apply to CATI/CAPI
instruments

Q47c1a. [The next few questions are about income use current Person question #47c -- Interest and
DURING THE PAST 12 MONTHS….]
Dividends
Did [/you] receive any interest or dividends
[DURING THE PAST 12 MONTHS]? Report even
small amounts credited to an account.
Yes
No -> Skip to Q47c2a
Q47c1b. What was the amount received?
____________

Q47c2a. Did [/you] receive any net rental
income, royalty income, or income from estates and
trusts [DURING THE PAST 12 MONTHS]?
Yes
No -> Skip to Q47d
Q47c2b. What was the amount received?
If income was a loss, precede amount with a '-'.
Breakeven = 1.
______________

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Changes to questions on A
Topic

Question
Number
Cash Public 47f
Assistance Person

English Question Text -- Version 1
ACS-1(X)V1(2010)
Any welfare payments or cash assistance from the
state or local welfare office, even if for only one
month, for this person or any children in this
household. Do NOT include benefits from food, energy,
or rental assistance programs.

English Question Text -- Version 2
ACS-1(X)V2(2010)
Any welfare payments or cash assistance from
the state or local welfare office for this person or
any children in this household, even if only one
payment. Do NOT include benefits from food,
energy, or rental assistance programs.

Yes ----------------->

Yes ----------------->

$ __ __ ,__ __ __ . 00
TOTAL AMOUNT
for the past 12 months

No

Other
changes

Instruction change "someone else in" to "any member of"
C, Housing

English Question Text -- Version 3
ACS-1(X)V3(2010)
use current Person question #47f -- Public
assistance or welfare payments

$ __ __ ,__ __ __ . 00
TOTAL AMOUNT
for the past 12 months

No

change "someone else in" to "any member of"

no change

47a, 47b, increase the number of digits in the response from 6 to 7 increase the number of digits in the response from 6 no change
47c Person
to 7
48 Person increase the number of digits in the response from 7 to 8 increase the number of digits in the response from 7 no change
to 8

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CS-1/ACS-1(SP) for 2010 Content Test
Topic
Computer/
Internet

Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Q1. Actualmente en esta casa, apartamento o casa
móvil, ¿tiene o usa usted o algún otro miembro de este
hogar alguna de las siguientes computadoras o
equipos relacionados?
SÍ NO
a) Computadora de escritorio, computadora portátil,
miniportátil (netbook) o computadora personal móvil
(notebook)
b) Computadora de mano, smartphone o alguna otra
computadora de mano inalámbrica
c) Algún otro tipo de computadora

Spanish Question Text -- Version 2
ACS-1(X)(SP)V2(2010)
Q1. ¿Cuáles de los siguientes equipos con los cuales
pueden obtener acceso a Internet tienen o usan en
esta casa, apartamento o casa móvil?
Marque (X) una o más casillas

Spanish Question Text -- Version 3
ACS-1(X)(SP)V3(2010)
Q1. ¿Se suscribe usted o algún otro miembro de este hogar
a Internet en esta casa, apartamento o casa móvil?
SÍ
NO -> Pase a la pregunta Q3 en Computadora/ Internet

Computadora de escritorio, computadora portátil,
miniportátil (netbook) o computadora personal móvil
(notebook)
Computadora de mano, smartphone o algún otro equipo
inalámbrico
Algún otro equipo
Especifique el tipo de equipo
________________________
Ninguno

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CS-1/ACS-1(SP) for 2010 Content Test
Topic
Computer/
Internet

Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Q2. Actualmente en esta casa, apartamento o casa
móvil, ¿tiene usted o algún otro miembro de este hogar
accesso a Internet?
Sí, con una suscripción a un servicio de Internet.
Sí, sin una suscripción a un servicio de Internet -> Pase a
la pregunta Q9 actual.
No tiene acceso a Internet en esta casa, apartamento o
casa móvil -> Pase a la pregunta Q9 actual

Spanish Question Text -- Version 2
ACS-1(X)(SP)V2(2010)
Q2. ¿Cómo se suscribe usted o algún otro miembro de
este hogar a Internet en esta casa, apartamento o casa
móvil?
Marque (X) una o más casillas.

Spanish Question Text -- Version 3
ACS-1(X)(SP)V3(2010)
Q2. ¿Qué tipo de servicio de Internet tiene usted o algún
otro miembro de este hogar en esta casa, apartamento o
casa móvil?
Marque (X) una o más casillas .

No tiene suscripción a un proveedor de servicios de
Internet
Servicio de conexión Dial Up
Servicio de DSL
Servicio de cable-modem o de fibra óptica
Servicio inalámbrico de Internet, incluyendo un plan de
Internet móvil (excluya servicio Wi Fi en la casa)
Servicio por satélite
Algún otro servicio
Especifique el servicio

Servicio de conexión Dial Up
Servicio de DSL
Servicio de cable-modem o de fibra óptica
Servicio inalámbrico de Internet, incluso un plan de Internet
móvil (excluya servicio Wi Fi en la casa)
Servicio por satélite
Algún otro servicio
Especifique el servicio

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CS-1/ACS-1(SP) for 2010 Content Test
Topic
Computer/
Internet

Spanish Question Text -- Version 1
Spanish Question Text -- Version 2
ACS-1(X)(SP)V1(2010)
ACS-1(X)(SP)V2(2010)
NA (only 2 questions in this series)
Q3. Actualmente en esta casa, apartamento o casa
móvil, ¿se suscribe usted o algún otro miembro de este
hogar a Internet usando --SÍ NO
a) Servicio de conexión Dial Up?
b) Servicio de DSL?
c) Servicio de cable-modem o de fibra óptica?
d) Servicio inalámbrico de Internet, incluyendo un plan de
Internet móvil (excluya servicio Wi Fi en la casa )?
e) Servicio por satélite?
f) Algún otro servicio?

Spanish Question Text -- Version 3
ACS-1(X)(SP)V3(2010)
Q3. Actualmente, ¿tiene o usa usted o algún otro miembro
de este hogar una computadora o equipo relacionado en
esta casa, apartamento o casa móvil?
-- INCLUYA computadoras de escritorio, computadoras
portátiles, miniportátiles (netbooks), smartphones,
computadoras de mano, u otros tipos de computadora.
-- EXCLUYA Sistemas de posicionamiento global (GPS),
reproductores digitales de música y otros equipos con
capacidad limitada de computación, por ejemplo, enseres
eléctricos.
Sí
No

Food
Stamps

EN LOS ÚLTIMOS 12 MESES, ¿recibió usted o algún
miembro de este hogar algún beneficio del gobierno
por medio del Programa de Asistencia Nutricional
Suplementaria (SNAP) -- antes conocido como el
Programa de Cupones de Alimentos -- que sólo se
puede usar para comprar alimentos? NO incluya WIC o
el Programa Nacional de Almuerzos Escolares.
Sí
No

EN LOS ÚLTIMOS 12 MESES, ¿recibió usted o algún
miembro de este hogar algún beneficio del gobierno
que sólo se puede usar para comprar alimentos?
Incluya Cupones de Alimentos y el Programa de
Asistencia Nutricional Suplementaria (SNAP). NO incluya
WIC o el Programa Nacional de Almuerzos Escolares.

use current Housing question #12 -- Food Stamps

Sí
No

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CS-1/ACS-1(SP) for 2010 Content Test
Topic
Parental
Place of
Birth

Parental
Place of
Birth

Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
1. ¿ En qué país nació el PADRE de esta persona?
Escriba en letra de molde el nombre del país o Puerto
Rico, Guam, etc.
____________________________________

2. ¿ En qué país nació la MADRE de esta persona?
Escriba en letra de molde el nombre del país o Puerto
Rico, Guam, etc.
____________________________________

Spanish Question Text -- Version 2
ACS-1(X)(SP)V2(2010)
1. ¿Nació el PADRE de esta persona en los Estados
Unidos o fuera de los Estados Unidos?
Marque (X) UNA casilla.

Spanish Question Text -- Version 3
ACS-1(X)(SP)V3(2010)
1. ¿Nació el PADRE de esta persona en los Estados
Unidos?

Sí
Nació en los Estados Unidos
No – Escriba en letra de molde el nombre del país extranjero o
Nació fuera de los Estados Unidos - Escriba en letra de
Puerto Rico, Guam, etc.
molde el nombre del país extranjero o Puerto Rico, Guam, ____________________________________
etc.
____________________________________

2. ¿Nació la MADRE de esta persona en los Estados
Unidos o fuera de los Estados Unidos?
Marque (X) UNA casilla .

2. ¿Nació la MADRE de esta persona en los Estados
Unidos?

Sí
Nació en los Estados Unidos
No – Escriba en letra de molde el nombre del país extranjero o
Nació fuera de los Estados Unidos - Escriba en letra de
Puerto Rico, Guam, etc.
molde el nombre del país extranjero o Puerto Rico, Guam, ____________________________________
etc.
____________________________________

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CS-1/ACS-1(SP) for 2010 Content Test
Topic
Veteran ID

Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Q26: ¿Ha estado esta persona alguna vez en el
SERVICIO MILITAR ACTIVO en las Fuerzas Armadas, la
Reserva Militar o la Guardia Nacional de los Estados
Unidos? El servicio activo incluye activación federal de la
Reserva Militar o la Guardia Nacional para servicio en Irak,
Afganistán o en otro lugar, pero NO incluye entrenamiento
para la Reserva Militar o Guardia Nacional.
Marque (X) UNA casilla.
Nunca estuvo en el servicio militar –> PASE a la pregunta
29a
En servicio activo ahora
En servicio activo en el pasado, pero no ahora
Entrenamiento para la Reserva Militar o la Guardia
Nacional solamente –> PASE a la pregunta 28a

Spanish Question Text -- Version 2
ACS-1(X)(SP)V2(2010)
¿Cuál es el estatus del SERVICIO MILITAR ACTIVO de
esta persona en las Fuerzas Armadas, la Reserva
Militar o la Guardia Nacional de los Estados Unidos?
El servicio activo incluye activación federal de la Reserva
Militar o la Guardia Nacional para servicio en Irak,
Afganistán o en otro lugar, pero NO incluye entrenamiento
para la Reserva Militar o Guardia Nacional.
Marque (X) UNA casilla.

Spanish Question Text -- Version 3
ACS-1(X)(SP)V3(2010)
Q26: ¿Ha estado esta persona alguna vez en el servicio
militar activo en las Fuerzas Armadas, la Reserva Militar o la
Guardia Nacional de los Estados Unidos? El servicio activo
NO incluye entrenamiento para la Reserva Militar o la Guardia
Nacional, pero Sí incluye activación, por ejemplo, para servicio
en Irak, Afganistán o en otro lugar.

Sí, en servicio activo ahora
Sí, en servicio activo en el pasado, pero no ahora
Nunca estuvo en el servicio militar –> PASE a la pregunta No, entrenamiento para la Reserva Militar o la Guardia Nacional
29a
solamente –> PASE a la pregunta 28a
En servicio activo ahora
No, nunca estuvo en el servicio militar –> PASE a la pregunta
En servicio activo en el pasado, pero no ahora
29a
Entrenamiento para la Reserva Militar o la Guardia
Nacional solamente –> PASE a la pregunta 28a

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CS-1/ACS-1(SP) for 2010 Content Test
Topic
Veteran
Period of
Service

Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Q27: ¿Cuándo estuvo esta persona en el servicio militar
activo en las Fuerzas Armadas de los Estados Unidos?
Marque (X) una casilla para CADA período durante el cual
esta persona estuvo en servicio militar, aunque fuera sólo
por parte del período.

Spanish Question Text -- Version 2
ACS-1(X)(SP)V2(2010)
Q27: ¿Cuándo estuvo esta persona en el servicio
militar activo en las Fuerzas Armadas de los Estados
Unidos? Marque (X) una casilla para CADA período
durante el cual esta persona estuvo en servicio militar,
aunque fuera sólo por parte del período.

Septiembre del 2001 ó después
Agosto del 1990 a agosto del 2001 (incluye la Guerra del
Golfo Pérsico)
Mayo del 1975 a julio del 1990
Época de Vietnam (agosto del 1964 a abril del 1975)
Febrero del 1955 a julio del 1964
La Guerra de Corea (julio del 1950 a enero del 1955)
Enero del 1947 a junio del 1950
Segunda Guerra Mundial (diciembre del 1941 a diciembre
del 1946)
Noviembre del 1941 ó antes

Septiembre del 2001 ó después
Agosto del 1990 a agosto del 2001 (incluye la Guerra del
Golfo Pérsico)
Mayo del 1975 a julio del 1990
Época de Vietnam (agosto del 1964 a abril del 1975)
Febrero del 1955 a julio del 1964
La Guerra de Corea (julio del 1950 a enero del 1955)
Enero del 1947 a junio del 1950
Segunda Guerra Mundial (diciembre del 1941 a diciembre
del 1946)
Noviembre del 1941 ó antes

15 of 29

Spanish Question Text -- Version 3
ACS-1(X)(SP)V3(2010)
use current Person question #27 -- Veterans Period of Service

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CS-1/ACS-1(SP) for 2010 Content Test
Topic
Wage and
Salary

Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
NOTE: Changes only apply to CATI/CAPI instruments

Spanish Question Text -- Version 2
ACS-1(X)(SP)V2(2010)
NOTE: Changes only apply to CATI/CAPI instruments

Spanish Question Text -- Version 3
ACS-1(X)(SP)V3(2010)
NOTE: Changes only apply to CATI/CAPI instruments

Q47a1a. ¿Recibió [/usted] algún jornal, sueldo o
salario?

Q47a1 ¿Recibió [/usted] algún jornal, sueldo o
salario, propina, bonificación o comisión?

use current Person question #47a -- Wage and salary

Si
No -> Pase a la pregunta Q47a2a

Sí
No -> Pase a la pregunta Q47b

Q47a1b. ¿Cuánto recibió [/usted] de todos los
empleos antes de impuestos y otras deducciones?
___________

Q47a2 ¿Cuánto recibió [/usted] antes de
impuestos y otras deducciones?

Q47a2a. ¿Recibió [ /usted] alguna propina,
bonificación o comisión adicional DURANTE LOS
ÚLTIMOS 12 MESES?
Sí
No -> Pase a la pregunta Q47b
¿Cuánto recibió [/usted] de todos los empleos
antes de impuestos y otras deducciones?
______________

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CS-1/ACS-1(SP) for 2010 Content Test
Topic

Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Interest and NOTE: Changes only apply to CATI/CAPI instruments
Dividends
Q47c1a. [Las próximas preguntas tienen que ver con el
ingreso DURANTE LOS ÚLTIMOS 12 MESES….]
¿Recibió [/usted] algún interés o dividendo
[DURANTE LOS ÚLTIMOS 12 MESES]? Informe
cantidades acreditadas a una cuenta aunque sean
cantidades pequeñas.
Si
No -> Pase a la pregunta Q47c2a

Spanish Question Text -- Version 2
ACS-1(X)(SP)V2(2010)
NOTE: Changes only apply to CATI/CAPI instruments

Spanish Question Text -- Version 3
ACS-1(X)(SP)V3(2010)
NOTE: Changes only apply to CATI/CAPI instruments

Q1a. ¿Cuáles de los siguientes equipos con los cuales
use current Person question #47c -- Interest and Dividends
pueden obtener acceso a Internet tienen o usan en esta
[casa, apartamento o casa móvil]: una computadora de
escritorio, computadora portátil, miniportátil (netbook) o
computadora personal móvil (notebook); una computadora
de mano, smartphone o algún otro equipo inalámbrico,
algún otro tipo de equipo or none?
Marque (X) una o más casillas

Computadora de escritorio, computadora portátil,
miniportátil (netbook) o computadora personal móvil
(notebook) -> Pase a la pregunta Q2
Computadora de mano, smartphone o algún otro equipo
Q47c2a. ¿Recibió [/usted] algún ingreso neto de inalámbrico -> Pase a la pregunta Q2
rentas, ingreso por derecho de autor o ingreso de herencias Algún otro equipo
o fideicomisos [DURANTE LOS ÚLTIMOS 12 MESES]?
Ninguno -> Pase a la pregunta Q3
Q47c1b. ¿Cuál fue la cantidad recibida?
____________

Si
No -> Pase a la pregunta Q47d

Q1a. What is this other type of device?
_____________________________

Q47c2b. ¿Cuál fue la cantidad recibida?
Si el ingreso fue una pérdida, coloque un '-' antes de la
cantidad.
Si no hubo pérdidas ni ganancias = 1
__________

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CS-1/ACS-1(SP) for 2010 Content Test
Topic

Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Cash Public Algún pago de bienestar público o asistencia en dinero
Assistance en efectivo de la oficina estatal o local de bienestar,
aunque sólo sea por un mes, para esta persona o
cualquier niño de este hogar. NO incluya beneficios de
programas de asistencia para alimentos, energía o alquiler.
$ __ __ ,__ __ __ . 00
CANTIDAD TOTAL
para los últimos 12 meses

Spanish Question Text -- Version 2
ACS-1(X)(SP)V2(2010)
Algún pago de bienestar público o asistencia en dinero
en efectivo de la oficina estatal o local de bienestar
para esta persona o cualquier niño de este hogar,
aunque sólo sea un pago. NO incluya beneficios de
programas de asistencia para alimentos, energía o
alquiler.

Spanish Question Text -- Version 3
ACS-1(X)(SP)V3(2010)
use current Person question #47f -- Public assistance or welfare
payments

Sí ----------------->

Sí ----------------->

No

$ __ __ ,__ __ __ . 00
CANTIDAD TOTAL
para los últimos 12 meses

No

Other
changes

change "u otra persona en este hogar" to "o algún otro
miembro de este hogar"

change "u otra persona en este hogar" to "o algún otro
miembro de este hogar"

no change

increase the number of digits in the response from 6 to 7

increase the number of digits in the response from 6 to 7

no change

increase the number of digits in the response from 7 to 8

increase the number of digits in the response from 7 to 8

no change

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Topic

Question
Number

Possible probes -- Version 1

Computer/
Internet Q1

Between 8
and 9 in
Housing

§ What do you think a computer is?
§ What are some examples of computers other than
desktop/laptop/netbook/notebooks?
§ Are there devices that you aren’t sure are “computers”? What are some
examples?___________
§ What do you think “smart mobile phone” means in this question?
§ Do you or does any member of this household own or use a video gaming
device that is connected to the Internet at this house, apartment or mobile
home? ¨ If so, what type[s]?¨ Is it used to access the Internet? ¨ If so, is it
used to access content other than video games? What are some examples
____________¨ Do you consider this device a computer?

Computer/
Internet Q2

Between 8
and 9 in
Housing

§ What do you think the word “subscription” means in this question?
§ [For those responding affirmative to suscribing] Who is your internet
subscription with?

Possible probes -- Version 2

Possible probes-- Version 3

§ What do you think the word “subscription” means in this question?
§ What do you think a “computer” is?
§ [For those responding affirmative to suscribing] Who is your internet
§ What are some examples of computers other than
subscription with?
desktop/laptop/netbook/notebooks?
§ [For those responding affirmative to “None”], Do you or does any member
of this household own or use any computer in this house, apartment or
mobile home?
§ Are there devices that you aren’t sure are “computers”? What are they?
§ What do you think “smart mobile phone” means in this question?
§ [For those responding affirmatively to “A handheld device…”] What type of
device(s) did you have in mind in choosing this answer – [type of device,
brand, model if possible]?
§ [For those not identifying “A handheld device…”] Do you own a cell phone
What do you think think we mean by "you or any member of this household"? or other type of handheld wireless communication device?¨ If so, what
In CATI/CAPI: Did the R understand that we were referrring to this house in type[s] of device is it [brand, model if possible]?¨ Do you use it for anything
other than placing telephone calls? ¨ If so, what things do you use it for?
1b and 1c even though we didn't say it.
§ Do you or does any member of this household own or use a video gaming
device that is connected to the Internet at this house, apartment, or mobile
home?¨ If so, what type[s]?¨ Is it used to access the Internet?
If so, is it used to access content other than video games? Examples ______
Do you consider this device a computer?
§ Probe on the words "could access"

§ What do you think the word “subscribe” means in this question?
§ [For those responding affirmative to suscribing] Who is your internet
subscription with?
§ Why do you think in-house Wi Fi is excluded from wireless Internet
service in the option above?

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§ Do you or does any member of this household access the Internet at this
house, apartment or mobile home other than through a subscription service? If
so, please describe the circumstances _____________.
§ Why do you think Wi Fi is excluded from wireless Internet service in the option
above?

questions for Content Test_to OMB 3_25_09

Topic

Question
Number

Possible probes -- Version 1

Possible probes -- Version 2

Possible probes-- Version 3

Computer/
Internet Q3

Between 8
and 9 in
Housing

§ Why do you think in-house Wi Fi is excluded from wireless Internet service
in option c) ?

NA

§ What do you think a “computer” is?
§ What are some examples of computers other than
desktop/laptop/netbook/notebook?
§ Are there devices that you aren’t sure are “computers”? What are they?
§ What do you think “smart mobile phone” means in this question?
§ [For those responding affirmatively] What type of compuer or device(s) did you
have in mind in choosing this answer – [type of device, brand, model if
possible]?
§ [For those not responding affirmatively] Do you own a cell phone or other type
of handheld wireless communication device?¨ If so, what type[s] of device is it
[brand, model if possible]?¨ Do you use it for anything other than placing
telephone calls? ¨ If so, what things do you use it for?
§ Do you or does any member of this household own or use a video gaming
device that is connected to the Internet at this house, apartment, or mobile
home?¨ If so, what type[s]?

Some internal FNS concern that respondents are able to accurately recall
SNAP receipt – specifically EBT card receipt
Also please note that some States have specific names for their Food
Stamp/SNAP Program.

Some internal FNS concern that respondents are able to accurately recall
SNAP receipt – specifically EBT card receipt
Some States also have their own names for the Food Stamp/SNAP
Program.

control version

Food Stamps 12 Housing

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Topic

Question
Number

Parental
Between 12
Place of Birth and 13 in
Person

Possible probes -- Version 1

Possible probes -- Version 2

· General probe about question meaning:
-- “In your own words, what is this question asking?”

See Question Version #1.
In addition, the subcommittee suggests the following probes for this
question version only:
· Effect of question upon perceived subject of subsequent questions
· Interpretation of instruction text: “What does it mean to you when you read
-- For the ancestry question immediately following parental place of birth,
the instruction: ‘Mark (X) ONE box’?”
ask: “About whom do you think this question is asking?”
· Confusion amid response options: “Did you experience any confusion in
· Interpretation of direction text: “In your own words, what is meant by ‘country’ determining how to respond, with the two checkboxes and the write-in
or ‘Puerto Rico, Guam, etc.’?”
space available?”
· Clarity of question: “In your words, what did the question mean by the
phrase: ‘born in or outside the United States’?”
· General recall/response probe:
-- “Describe in detail how you produced your answer to the question.”
Also, the interviewers should take note when respondents incorrectly
· Perceived parental subject for adoptees, step-relatives, or foster children:
respond to the question (for example, checking both options, checking the
-- probe about whether they had trouble deciding which parent to report for
first option and writing in the second option’s field, checking neither option
and writing in the second option’s field, etc.).
(the parent with whom the child lives or the biological parent)

Possible probes-- Version 3

See Question Version #1.
Also, the subcommittee recommends the following probe to be asked in regards
to this question version only:
· Confusion amid response options: “Did you experience any confusion in
determining how to respond, with the two checkboxes and the write-in space
available?”
Also, the interviewers should take note when respondents incorrectly respond to
the question (for example, checking both options, checking the first option and
writing in the second option’s field, checking neither option and writing in the
second option’s field, etc.).

Suggestions for Debriefing Questions:
· For respondents whose parents were born in U.S. territories: Probe to find
out whether the respondent had trouble deciding whether to report “United
States” or the name of the territory.
Issues to Watch For:
· Take note of respondent’s reactions when children in the household are
asked of their parents’ places of birth, since that information has already been
· Take note of respondent’s inquiries for clarification (such as, who the subject

Parental
Between 12
Place of Birth and 13 in
Person

same as PPOB -- father

same as PPOB -- father

same as PPOB -- father

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Topic

Question
Number

Possible probes -- Version 1

Veteran ID

26
Person

same as V1
Q1: Have you ever served on active duty of any kind in the U.S. Armed
Forces?
Expecting all “yes” responses from all respondent types except nonveterans.
For “yes” respondents, next ask …

Possible probes -- Version 2

Possible probes-- Version 3

same as V1

Q2: Are you currently on active duty?
- (Q2a) If respondent answers “yes,” next get a yes/no response to each of
the four response options below:
Are you on …
· regular military active duty? [yes/no]
· federal activation as member of the Reserves or National Guard? [yes/no]
· weekend training as a member of the Reserves or National Guard? [yes/no]
· state activation as a member of the Reserves or National Guard? [yes/no]
- (Q2b) If the respondent answers “no,” ask …
Have you served on active duty in the past where “active duty” means …
· regular military active duty? [yes/no]
· federal activation as member of the Reserves or National Guard? [yes/no]
· weekend training as a member of the Reserves or National Guard? [yes/no]
· state activation as a member of the Reserves or National Guard? [yes/no]

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Topic

Veteran ID
(cont'd)

Question
Number

Possible probes -- Version 1

Possible probes -- Version 2

Possible probes-- Version 3

Priority Probe Questions
1) In your own words, define “active duty,” “federal activation,” and “U.S.
Armed Forces.”
2) Did you read the italicized instructions and were they clear?

same as V1

same as V1

Other Probe Questions
- If the terms “mobilization” or being “called up” had been substituted for
“federal activation,” would that have made the question instructions clearer?
- What is included when you refer to “active duty for training?”
- Would you agree that (except in very unusual circumstances) everyone in
the U.S. Armed Forces serves some active duty, be it for training or other nontraining activity?
- To you, do the terms “training” and “drill” refer to the same thing?
- In your view, does active duty include weekend training for the Reserves
and National Guard?
- In your own words, define “activation for training only” for members of the
Reserves or National Guard.”
- Have you ever been in a military (National Guard) unit that was activated by
the governor of a state (an example being for security following a hurricane?)
- In your own words, define “federal activation” distinct from “state activation.”
- Were you stationed somewhere other than Iraq or Afghanistan?
- Would your family members/roommates be able to correctly identify your activ
- Did the instruction “Mark (X) ONE box” confuse you?
- Were you confused by the description of ‘Active Duty’ in the italicized instruct

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Topic

Question
Number

Veteran
Period of
Service

27
Person

Possible probes -- Version 1

Possible probes -- Version 2

Possible probes-- Version 3

sane as V1

control version -- not probed

(2.3) General Probes for Veteran Period of Service Question
- What do you think this question is asking?
- Tell me how you came up with your answer of [__________________].
- Did you serve for any other periods?
- [If only one period is chosen, ask]: Were there any other periods in which
you served on active duty, even if only for a short time? (Include an example)
- Did you fall at the end of any of these periods that you did not mark?
- How did you decide which period (or periods) of time to pick from this list?
- Did the labels for any period cause confusion?
- During [each reported] period of time, were you in training only?

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Topic

Question
Number

Possible probes -- Version 1

Possible probes -- Version 2

Wage and
Salary

47a
Person

CATI/CAPI only
Probe on the word “additional” in the second part of the question “… receive
any additional tips, bonuses or commissions …” What does this mean to
respondents? Did they already include this in the first part of the question
regarding wages and salary? Probe on “all jobs” in the amount questions in
both parts. Does this cause any confusion? Are respondents also including
self-employment income here? Probe on reporting income before taxes and
other deductions.

control version -- not probed
CATI/CAPI only
Are respondents including self-employment income here? Are respondents
including earnings from all jobs they had during the past 12 months or just
from their current job? Probe on reporting income before taxes and other
deductions.

Interest and
Dividends

47c
Person

CATI/CAPI only
CATI/CAPI only
Are respondents reporting interest credited to their checking or savings
Are respondents reporting interest credited to their checking or savings
account even though they might not actually take money out of their savings? account even though they might not actually take money out of their
savings?

Cash Public
Assistance

47f
Person

Probe on the use of the word “cash” in the term “cash assistance” used in the
question. What does this mean to respondents? Probe on the use of the
phrase “even if for only one month.” Does this cause any problem when
reporting total amounts for the past 12 months? Probe on the phrase, “… or
any children in this household.” Is there confusion about what is meant by
this? Probe on whether public assistance for children was reported under
both parents income. Also, does the phrase “Do not include benefits from
food, energy, or rental assistance programs” at the end of the question help
or hurt a respondent’s understanding of how to answer? Does “from the state
or local welfare office” cause confusion?

Possible probes-- Version 3

control version -- not probed

control version -- not probed
Probe on the use of the word “cash” in the term “cash assistance” used in
the question. What does this mean to respondents? Probe on the use of
the phrase “even if only one payment.” What does the word “payment”
mean to respondents? Does this cause any problem when reporting total
amounts for the past 12 months? Probe on the phrase, “… or any children
in this household.” Is there confusion about what is meant by this? Probe
on whether public assistance for children was reported under both parents
income. Also, does the phrase “Do not include benefits from food, energy,
or rental assistance programs” at the end of the question help or hurt a
respondent’s understanding of how to answer? Does the phrase “from state
or local welfare office” cause confusion?

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