Various Pretesting Activities (see attached list)

Generic Clearence for Questionnaire Pretesting Research

questions for Content Test_to OMB_rev 041309

Various Pretesting Activities (see attached list)

OMB: 0607-0725

Document [pdf]
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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

Changes to questions on AC
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

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

Changes to questions on AC
English Question Text -- Version 2
English Question Text -- Version 3
ACS-1(X)V2(2010)
ACS-1(X)V3(2010)
Q2. What type of Internet service do you or
Q2. How do you or any member of this
household subscribe to the Internet at this house, any member of this household have at this
house, apartment, or mobile home?
apartment, or mobile home?
Mark (X) one or more boxes.
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
________________________________

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 12 Housing

Changes to questions on AC
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

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

Yes
No

Topic

Question
Number
Parental
Between 12
Place of Birth and 13 in
Person

English Question Text -- Version 1
ACS-1(X)V1(2010)
1. In what country was this person’s FATHER born?

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.
______________________________________

Changes to questions on AC
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.
______________________________________

Topic

Question
Number
Parental
Between 12
Place of Birth and 13 in
Person

English Question Text -- Version 1
English Question Text -- Version 2
ACS-1(X)V1(2010)
ACS-1(X)V2(2010)
2. In what country was this person’s MOTHER born? 2. Was this person’s MOTHER born in or outside
the United States?
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.
______________________________________

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

Topic
Veteran ID

Question
Number
26
Person

English Question Text -- Version 1
ACS-1(X)V1(2010)
Q26: Has this person ever served on ACTIVE DUTY in
the U.S. Armed Forces, Reserves, or National Guard?
Active duty includes federal activation of the Reserves or
National Guard for service in Iraq, Afghanistan, or
elsewhere but does NOT include Reserve or National
Guard training.
Mark (X) ONE box.

English Question Text -- Version 2
ACS-1(X)V2(2010)
Q26: What is this person’s ACTIVE DUTY military
status in the U.S. Armed Forces, Reserves, or
National Guard? Active duty includes federal
activation of the Reserves or National Guard for
service in Iraq, Afghanistan, or elsewhere but does
NOT include Reserve or National Guard training.
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

Changes to questions on AC
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

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

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

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?
_______
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?

English Question Text -- Version 2
ACS-1(X)V2(2010)
NOTE: Changes only apply to CATI/CAPI
instruments
Q47a1. Did [/you] receive any wages,
salary, tips, bonuses or commissions?
Yes
No -> Skip to Current Q47b
Q47a2. How much did [/you] receive
before taxes and other deductions?
____________

Changes to questions on AC
English Question Text -- Version 3
ACS-1(X)V3(2010)
use current Person question #47a -- Wage and
salary

Topic
Interest and
Dividends

Question
Number
47c
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?
____________

English Question Text -- Version 2
ACS-1(X)V2(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 a
checking or savings 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.
______________

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.

Changes to questions on AC
English Question Text -- Version 3
ACS-1(X)V3(2010)
use current Person question #47c -- Interest and
Dividends

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 C, change "someone else in" to "any member of"
Housing
47a, 47b, 47c increase the number of digits in the response from 6 to 7
Person
48 Person
increase the number of digits in the response from 7 to 8

Changes to questions on AC
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

increase the number of digits in the response from 6 no change
to 7
increase the number of digits in the response from 7 no change
to 8

CS-1/ACS-1(SP) for 2010 Content Test
Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Computer/
Q1. Actualmente en esta casa, apartamento o casa
Internet
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
Topic

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
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

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

CS-1/ACS-1(SP) for 2010 Content Test
Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Computer/
Q2. Actualmente en esta casa, apartamento o casa
Internet
móvil, ¿tiene usted o algún otro miembro de este hogar
accesso a Internet?
Topic

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, incluyendo un plan de Internet
móvil (excluya servicio Wi Fi en la casa)
Servicio por satélite
Algún otro servicio
Especifique el servicio

CS-1/ACS-1(SP) for 2010 Content Test
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)
Computer/
Q3. Actualmente en esta casa, apartamento o casa
Internet
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?
Topic

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.
Sí
No

use current Housing question #12 -- Food Stamps

CS-1/ACS-1(SP) for 2010 Content Test
Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Parental
1. ¿ En qué país nació el PADRE de esta persona?
Place of Birth
Escriba en letra de molde el nombre del país o Puerto Rico,
Guam, etc. ____________________________________
Topic

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
FOR PRCS:
Nació fuera de los Estados Unidos - Escriba en letra de
Puerto Rico, Guam, etc.
1. ¿ En qué país nació el PADRE de esta persona?
molde el nombre del país extranjero o Puerto Rico, Guam, ____________________________________
Escriba en letra de molde Puerto Rico o el nombre del país etc.
o teritorio de los EE.UU. (incluyendo U.S. Virgin Islands o
FOR PRCS:
____________________________________
Guam, etc.) → ____________________
1. ¿Nació el PADRE de esta persona en los Estados
FOR PRCS:
Unidos?
1. ¿Nació el PADRE de esta persona en los Estados
Unidos o fuera de los Estados Unidos?
Sí
Marque (X) UNA casilla.
No --Escriba en letra de molde Puerto Rico o el nombre del país
extranjero o teritorio de los EE.UU. (incluyendo U.S. Virgin
Nació en los Estados Unidos
Islands o Guam, etc.)
Nació fuera de los Estados Unidos - Escriba en letra de
____________________________________
molde Puerto Rico o el nombre del país extranjero o
teritorio de los EE.UU. (incluyendo U.S. Virgin Islands o
Guam, etc.)
____________________________________

CS-1/ACS-1(SP) for 2010 Content Test
Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Parental
2. ¿ En qué país nació la MADRE de esta persona?
Place of Birth
Escriba en letra de molde el nombre del país o Puerto Rico,
Guam, etc.
____________________________________
Topic

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

Nació en los Estados Unidos
Nació fuera de los Estados Unidos - Escriba en letra de
FOR PRCS:
molde el nombre del país extranjero o Puerto Rico, Guam,
etc.
1. ¿ En qué país nació la MADRE de esta persona?
Escriba en letra de molde Puerto Rico o el nombre del país ____________________________________
o teritorio de los EE.UU. (incluyendo U.S. Virgin Islands o
Guam, etc.) → ____________________
FOR PRCS:
2. ¿Nació la MADRE de esta persona en los Estados
Unidos o fuera de los Estados Unidos?
Marque (X) UNA casilla.
Nació en los Estados Unidos
Nació fuera de los Estados Unidos -- Escriba en letra de
molde Puerto Rico o el nombre del país extranjero o
teritorio de los EE.UU. (incluyendo U.S. Virgin Islands o
Guam, etc.)
____________________

Spanish Question Text -- Version 3
ACS-1(X)(SP)V3(2010)
2. ¿Nació la MADRE de esta persona en los Estados
Unidos?
Sí
No – Escriba en letra de molde el nombre del país extranjero o
Puerto Rico, Guam, etc.
____________________________________
FOR PRCS:
1. ¿Nació la MADRE de esta persona en los Estados
Unidos?
Sí
No --Escriba en letra de molde Puerto Rico o el nombre del país
extranjero o teritorio de los EE.UU. (incluyendo U.S. Virgin
Islands o Guam, etc.)
____________________________________

CS-1/ACS-1(SP) for 2010 Content Test
Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Veteran ID
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.
Topic

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.
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 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 SI 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
No, entrenamiento para la Reserva militar o la Guardia Nacional
solamente –> PASE a la pregunta 28a
No, nunca estuvo en el servicio militar –> PASE a la pregunta
29a

Topic
Veteran
Period of
Service

CS-1/ACS-1(SP) for 2010 Content Test
Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Q27: ¿Cuándo estuvo esta persona en 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 (incluyendo 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

Spanish Question Text -- Version 2
Spanish Question Text -- Version 3
ACS-1(X)(SP)V2(2010)
ACS-1(X)(SP)V3(2010)
Q27: ¿Cuándo estuvo esta persona en servicio militar use current Person question #27 -- Veterans Period of Service
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 (incluyendo 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

CS-1/ACS-1(SP) for 2010 Content Test
Spanish Question Text -- Version 1
ACS-1(X)(SP)V1(2010)
Wage and
NOTE: Changes only apply to CATI/CAPI instruments
Salary
Q47a1a. ¿Recibió [/usted] algún jornal, sueldo
o salario?
Topic

Si
No -> Pase a la pregunta Q47a2a

Spanish Question Text -- Version 2
ACS-1(X)(SP)V2(2010)
NOTE: Changes only apply to CATI/CAPI instruments
Q47a1 ¿Recibió [/usted] algún jornal, sueldo o
salario, propina, bonificación o comisión?
Sí
No -> Pase a la pregunta Q47b

Q47a1b. ¿Cuánto recibió [/usted] de todos los Q47a2 ¿Cuánto recibió [/usted] antes de
empleos antes de impuestos y otras deducciones?
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?

Spanish Question Text -- Version 3
ACS-1(X)(SP)V3(2010)
use current Person question #47a -- Wage and salary

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

Spanish Question Text -- Version 2
ACS-1(X)(SP)V2(2010)
NOTE: Changes only apply to CATI/CAPI instruments
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 de cheques o de
ahorro aunque sean cantidades pequeñas

Si
No -> Pase a la pregunta Q47c2a

Si
No -> Pase a la pregunta Q47c2a

Q47c1b. ¿Cuál fue la cantidad recibida?
____________

Q47c1b. ¿Cuál fue la cantidad recibida?
____________

Q47c2a. ¿Recibió [/usted] algún ingreso neto
de rentas, ingreso por derecho de autor o ingreso de
herencias o fideicomisos [DURANTE LOS ÚLTIMOS 12
MESES]?

Q47c2a. ¿Recibió [/usted] algún ingreso neto
de rentas, ingreso por derecho de autor o ingreso de
herencias o fideicomisos [DURANTE LOS ÚLTIMOS 12
MESES]?

Si
No -> Pase a la pregunta Q47d

Si
No -> Pase a la pregunta Q47d

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

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

Spanish Question Text -- Version 3
ACS-1(X)(SP)V3(2010)
use current Person question #47c -- Interest and Dividends

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

$ __ __ ,__ __ __ . 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"
increase the number of digits in the response from 6 to 7

change "u otra persona en este hogar" to "o algún otro
miembro de este hogar"
increase the number of digits in the response from 6 to 7

no change
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

Topic

Question
Number

Possible probes -- Version 1

Computer/
Internet Q1

Between 8
and 9 in
Housing

§ What do you think a “computer” is?
§ What do you think a computer is?
§ What are some examples of computers other than
§ What are some examples of computers other than
desktop/laptop/netbook/notebooks?
desktop/laptop/netbook/notebooks?
§ [For those responding affirmative to “None”], Do you or does any member
§ Are there devices that you aren’t sure are “computers”? What are some
of this household own or use any computer in this house, apartment or
examples?___________
mobile home?
§ 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 § Are there devices that you aren’t sure are “computers”? What are they?
§ What do you think “smart mobile phone” means in this question?
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 § [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,
to access content other than video games? What are some examples
brand, model if possible]?
____________¨ Do you consider this device a computer?
§ [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"

Possible probes -- Version 2

Topic

Question
Number

Possible probes -- Version 1

Possible probes -- Version 2

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?

§ 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?

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

Topic

Question
Number

Possible probes -- Version 1

Possible probes -- Version 2

Food Stamps

12 Housing

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.

Topic

Question
Number

Parental Place Between 12
of Birth
and 13 in
Person

Possible probes -- Version 1

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

Possible probes -- Version 2

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 space
or ‘Puerto Rico, Guam, etc.’?”
available?”
· Clarity of question: “In your words, what did the question mean by the
· General recall/response probe:
phrase: ‘born in or outside the United States’?”
-- “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
(the parent with whom the child lives or the biological parent)
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

Topic

Question
Number

Parental Place Between 12
of Birth
and 13 in
Person

Possible probes -- Version 1

Possible probes -- Version 2

same as PPOB -- father

same as PPOB -- father

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 …
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]

Possible probes -- Version 2

Topic

Veteran ID
(cont'd)

Question
Number

Possible probes -- Version 1

Possible probes -- Version 2

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

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

Topic

Question
Number

Veteran Period 27
of Service
Person

Possible probes -- Version 1

Possible probes -- Version 2

sane as V1
(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?

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.

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.

Topic

Question
Number

Possible probes -- Version 1

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 2

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?

Topic

Possible probes-- Version 3

Computer/
Internet Q1

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

Topic

Possible probes-- Version 3

Computer/
Internet Q2

§ 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?

Computer/
Internet Q3

§ 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]?

Topic

Possible probes-- Version 3

Food Stamps

control version

Topic

Possible probes-- Version 3

Parental Place See Question Version #1.
of Birth
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.).

Topic

Possible probes-- Version 3

Parental Place same as PPOB -- father
of Birth

Topic

Possible probes-- Version 3

Veteran ID

same as V1

Topic

Possible probes-- Version 3

Veteran ID
(cont'd)

same as V1

Topic

Possible probes-- Version 3

Veteran Period control version -- not probed
of Service

Wage and
Salary

control version -- not probed

Topic

Possible probes-- Version 3

Interest and
Dividends

control version -- not probed

Cash Public
Assistance

control version -- not probed


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AuthorCiochetto
File Modified2009-04-13
File Created2009-04-13

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