Attachment C - CEQ Information Booklet

Attachment C - Information Booklet CE 305.pdf

The Consumer Expenditure Surveys: The Quarterly Interview and the Diary

Attachment C - CEQ Information Booklet

OMB: 1220-0050

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Consumer
Expenditure
Surveys
Quarterly Interview Survey

Information Booklet

U S C E N S U S B U R E A U
Helping You Make Informed Decisions

CE-305
(4-1-2011)

TABLE OF CONTENTS
Page
Hispanic Origin

2

Race

2

Asian Origin

2

Education

3

Armed Forces

3

Section 1 – General Survey Information

4-5

Section 2 – Rented Living Quarters

6

Section 3 – Owned Living Quarters and Other Owned Real Estate
Section 4 – Utilities and Fuels for Owned and Rented Properties

7-8
9-10

Section 5 – Construction, Repairs, Alterations, and Maintenance of Owned
and Rented Property

11-12

Section 6 – Appliances, Household Equipment and Other Selected Items

13-19

Section 7 – Household Item Repairs and Service Contracts

20

Section 8 – Home Furnishings and Related Household Items

21-24

Section 9 – Clothing and Clothing Services

25-27

Sections 10 and 11 – Rented, Leased, and Owned Vehicles

28

Section 12 – Vehicle Operating Expenses

29-31

Section 13 – Insurance Other than Health

32

Section 14 – Hospitalization and Health Insurance

33

Section 15 – Medical and Health Expenditures
Section 16 – Educational Expenses

34-36
37

Section 17 – Subscriptions, Memberships, Books, and Entertainment Expenses

38-39

Section 18 – Trips and Vacations

40-41

Section 19 – Miscellaneous Expenses

42-45

Section 20B – Expense Patterns for Selected Services and Goods

46

Section 21 – Credit Liability

47

Section 22 – Occupations

48

Section 22 – Work Experience and Income

49-51

2011 Calendar

52

2012 Calendar

53

Fraction Conversion Chart

54

Privacy Act Statement

55

Page 1

CE-305 (4-1-2011)

Hispanic Origin
1. Mexican
2. Mexican-American
3. Chicano
4. Puerto Rican
5. Cuban

Race
(Please choose one or more)
1. White
2. Black or African American
3. American Indian or Alaska Native
4. Asian
5. Native Hawaiian
6. Guamanian or Chamorro
7. Samoan
8. Other Pacific Islander

Asian Origin
1. Chinese
2. Filipino
3. Japanese
4. Korean
5. Vietnamese
6. Asian Indian

CE-305 (4-1-2011)

Page 2

Education
0. Never attended, preschool, kindergarten
1 – 11. 1st grade through 11th grade
38. 12th grade, no diploma
39. High school graduate – high school diploma,
or the equivalent (For example: GED)
40. Some college but no degree
41. Associate degree in college – Occupational/
Vocational
42. Associate degree in college – Academic program
43. Bachelor’s degree (For example: BA, AB, BS)
44. Master’s degree (For example: MA, MS, MEng,
MEd, MSW, MBA)
45. Professional School Degree (For example: MD,
DDS, DVM, LLB, JD)
46. Doctorate degree (For example: PhD, EdD)

Armed Forces
A person is considered to be in the armed forces if he
or she serves in any branch of the U.S. military. This
includes the Army, Navy, Marine Corps, Air Force and
Coast Guard, their Reserve components, and the Air
and Army National Guard.

Page 3

CE-305 (4-1-2011)

SECTION 1 – GENERAL SURVEY INFORMATION
Part B – General Housing Characteristics
Type of Structure
1. Single family detached (detached structure with only one primary
residence; however, the structure could include a rental unit(s) in the
basement, attic, etc.)
2. Row or townhouse – inner unit (2, 3, or 4 story structure with 2 walls in common with other
units and a private ground level entrance; it may have a rental unit as part of the structure
3. End row or end townhouse (one common wall)
4. Duplex (detached two unit structure with all units occupying the same level or levels)
5. 3-plex or 4-plex (3 or 4 unit structure with all units occupying the same level or levels)
6. Garden (a multi-unit structure, usually wider than it is high, having 2, 3, or possibly 4
floors; characteristically the units not only have common walls but are also stacked on top
of one another)
7. High rise (a multi-unit structure which has 4 or more floors)
8. Apartment or flat (a unit not described above; could be located in the basement, attic,
second floor or over the garage of one of the units described above)
9. Mobile home or trailer
10. College dormitory

Fuels
1. Gas
2. Electricity
3. Fuel oil
4. Other
5. No fuel used

Included with this Housing Unit
1. Swimming pool
2. Off-street parking
3. Porch, terrace, patio, or balcony
4. Apartment or guest house
5. Central air conditioning
6. Window air conditioning
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Page 4

SECTION 1 – GENERAL SURVEY INFORMATION (continued)
Part C – Major Household Appliances
Cooking stove, range, or oven
Microwave oven
Refrigerator or home freezer
Built-in dishwasher
Portable dishwasher
Garbage disposal
Clothes washer
Clothes dryer
Television
Home computer
Stereo or sound systems
VCRs, DVD players, or digital video recorders

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CE-305 (4-1-2011)

OTHER OWNED REAL ESTATE
SECTION 2 – RENTED LIVING QUARTERS
Included with the Rental Payment
Electricity
Gas
Piped-in water
Heating
Trash/garbage collection
Garage and parking facilities
Telephone services
Television services
Internet services
Furniture

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Page 6

SECTION 3 – OWNED LIVING QUARTERS AND
OTHER OWNED REAL ESTATE

Types of Owned Real Estate
1. A home in which you used to live
2. Commercial property for business or investment purposes only
3. Residential property for business or investment purposes only
4. A second home, vacation home, or recreational property, including timeshares
5. Unimproved land with no buildings on it
6. Other property

Closing Costs
Property survey charges

Points paid by buyer

Title search

Deed preparation

Recording fees

Lawyer’s fees

Transfer taxes

Advertising costs

Escrow payment

Real estate listing fees

Costs for Selling a Property
Commission to Realtor

Lawyer’s fees

Closing costs

Advertising costs

Points for financing

Deferred mortgage interest payment

Mortgage penalties

Real estate listing fees

Property inspection

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CE-305 (4-1-2011)

SECTION 3 – OWNED LIVING QUARTERS AND
OTHER OWNED REAL ESTATE (continued)
Mortgage Payment Items
1. Principal

4. Property insurance

2. Interest

5. Mortgage guarantee insurance

3. Property taxes

6. Any other payments (Specify)

Fees for Cooperatives
1. Repayment of loans owed by cooperative
2. Property taxes
3. Property insurance
4. Management
5. Repairs or maintenance, including lawn care or snow removal
6. Improvements
7. Recreational, including swimming, golf, or tennis, facilities
8. Security, including guards or alarm systems
9. Utilities, such as gas, electricity, water, heat
10. Trash collection
11. Other (Specify)

Homeowners’ Associations or
Condominium Fees
1. Management
2. Repairs or maintenance, including lawn care or snow removal
3. Improvements
4. Utilities, such as gas, electricity, water, heat
5. Parking
6. Recreational, including swimming, golf, or tennis, facilities
7. Security, including guards or alarm systems
8. Maid service
9. Medical services
10. Trash collection
11. Other (Specify)
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Page 8

SECTION 4 – UTILITIES AND FUELS FOR
OWNED AND RENTED PROPERTIES
Part A – Telephone Expenses
Telephone services included in bill
1. Residential Service
2. Mobile/Cellular Service
3. Voice Over IP
Other telephone and non-telephone service items
1. Internet access (including broadband, DSL, or dial-up)
2. Cable or satellite television services
3. Applications, games, or ringtones
4. Non-telephone related rentals or purchases such as a modem

Part B – Other Telephone Expenses
Pre-paid long distance telephone cards/minutes
Pre-paid cellular minutes
Public pay phone services

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CE-305 (4-1-2011)

SECTION 4 – UTILITIES AND FUELS FOR
OWNED AND RENTED PROPERTIES (continued)
Part C – Cable, Satellite, and Internet Services
1. Cable or satellite TV, not already reported
Cable TV

Direct TV

Dish TV

TiVo

2. Satellite radio services
Sirius Radio

XM Radio

3. Internet connection or internet service providers, not already reported
AOL

Road Runner

ISPs

Comcast

4. Internet services away from home such as web cafes or internet kiosks

Part D – Utilities, Fuels, and Services
1. Electricity
2. Natural or utility gas
3. Fuel oil
4. Bottled or tank gas
5. Other fuels including wood
6. Piped-in water
7. Sewerage maintenance
8. Trash/garbage collection including:
hazardous waste collection
waste disposal
recyclable material collection
9. Water softening service
10. Septic tank cleaning

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Page 10

Verizon

SECTION 5 – CONSTRUCTION, REPAIRS, ALTERATIONS AND
MAINTENANCE OF OWNED AND RENTED PROPERTY

Job Types
1. Dwellings under construction, including a vacation home
or second home
2. Building an addition to the house or a new structure, such as a
porch, garage, or new wing
3. Finishing a basement or an attic or enclosing a porch
4. Remodeling one or more rooms in the house
5. Landscaping the grounds or planting new shrubs or trees
6. Building outdoor patios, walks, fences, or other enclosures, driveways, permanent
swimming pools, or hot tubs
7. Repairing outdoor patios, walks, fences, driveways, or permanent swimming pools
(including permanent above-ground swimming pools)
8. Inside painting or papering, spackling, sanding
9. Outside painting, caulking, sanding, or surface repairs
10. Plastering or paneling
11. Plumbing or water heating installations or repairs
12. Electrical work
13. Heating or air conditioning jobs
14. Flooring repair or replacement, including wood, vinyl, and tile
15. Wall-to-wall carpet – original installation
16. Wall-to-wall carpet – replacement
17. Insulation
18. Roofing, gutters, or downspouts
19. Siding
20. Installation, repair, or replacement of window panes, screens, storm doors, awnings, and
the like
21. Masonry, brick, or stucco work
22. Other improvements or repairs (include security systems that are hard-wired into the
home)
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CE-305 (4-1-2011)

SECTION 5 – CONSTRUCTION, REPAIRS, ALTERATIONS AND
MAINTENANCE OF OWNED AND RENTED PROPERTY
(continued)

Appliances
1. Cooking stove, range, or oven
2. Microwave oven
3. Refrigerator or home freezer
4. Built-in dishwasher
5. Portable dishwasher
6. Garbage disposal
7. Clothes washer
8. Clothes dryer
9. Range hood
10. Smoke alarms and detectors
11. Trash compactor
12. Window air conditioner
13. Portable cooling and heating equipment, including portable dehumidifiers, humidifiers, fans, and
space heaters; excluding window air conditioners
14. Other major home appliances and equipment

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Page 12

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT
AND OTHER SELECTED ITEMS
Part A – Major Household Appliances
1. Microwave oven
2. Cooking stove, range, or oven (including convection oven)
3. Range hood
4. Refrigerator or home freezer
5. Built-in dishwasher
6. Portable dishwasher
7. Garbage disposal
8. Clothes washer (including washer/dryer combinations)
9. Clothes dryer

Page 13

CE-305 (4-1-2011)

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT
AND OTHER SELECTED ITEMS (continued)
Part B – Household Appliances and Other Selected Items
SMALL HOUSEHOLD APPLIANCES
1. Small electrical kitchen appliances, including –
blender
breadmaker
coffee grinder
coffee maker
crockpot
deep fryer
electric barbecue
electric can opener
electric grill
electric fondue set

electric frying pan
electric iron
electric knife
electric timer
electric wine chiller
electric wok
food processor
hot plate
ice cream maker
juicer

mixer
pizza oven
popcorn maker
rice cooker
sandwich grill
slow cooker
smoothie maker
toaster
toaster oven
waffle iron

2. Electrical personal care appliances, including –
curling iron
denture cleaner
electric hair trimmer
electric razor
digital scale

electric toothbrush
facial sauna
foot bath
hair dryer
heating pad

make-up mirror
massager
water-pik

3. Smoke detectors, including –
wired

battery operated

ionization chamber type

photo-cell type

rug shampooer

floor polisher

4. Electrical floor cleaning equipment, including –
vacuum cleaner

hand vacuum

5. Other household appliances, including –
trash compactor
home security device (burglar alarm) including
air purifier
console, control modules, burglar alarm console,
water filters
door and window transmitters
carbon monoxide detector
6. Sewing machines (with or without cabinet)

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Page 14

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT
AND OTHER SELECTED ITEMS (continued)
Part B – Household Appliances and Other Selected Items
(continued)
7. Office machines including fax machines and calculators, also including –
typewriters

copy machines

8. Personal Digital Assistant or PDAs and pocket PCs, including –
Palm

iPaq

9. Digital book readers, including –
Kindle

Nook

Sony eReader

10. Computers, computer systems, or related hardware for non-business use, including –
CD/DVD drive
computer printers
netbooks
iPads
laptops

monitors
fax modems
scanner
memory
keyboards

home computers with or without monitors
modems
external hard drive
mouse
cables

11. Computer software, including computer games, for non-business use,
12. Computer accessories, for non-business use, including –
printer cartridges

mouse pads

13. Portable memory, such as flash drives, memory cards, and recordable discs and tapes,
including –
thumb drives
memory stick

blank DVDs

blank CDs

USB flash drive

14. Video game hardware or accessories, including –
Nintendo Wii
Gameboy

Gamecube
Playstation

Nintendo DS
Xbox

PSP

Nintendo DS

PSP

15. Video games, including –
Nintendo Wii

Gamecube

16. Telephones or accessories, including –
cell phones
beepers
phone jacks and cords

headsets
chargers
pagers

cordless telephones
cell phone covers
Bluetooth accessories

car chargers

17. Telephone answering machines, including –
combinations of telephone/answering machines

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CE-305 (4-1-2011)

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT
AND OTHER SELECTED ITEMS (continued)
Part B – Household Appliances and Other Selected Items
(continued)
18. Photographic equipment, including –
camera
filter
projection screen
battery pack for camera flash
digital camera
winder
electro flash
motor driven film advancer
lens
enlarger
strobe light
tripod
projector
(for photographs)
Do not include film, film processing, or other photographic supplies.
19. Musical instruments, supplies, or accessories, including –
piano
sheet music
guitar
strings for musical
woodwinds
instruments
brass instruments
stringed
trombone
instruments
reeds
valve oil
Do not include music lessons.

saxophone
music stand
clarinet
picks
rosin
drums

music books
trumpet
any other musical
accessories
carrying case
keyboards

20. Lawnmowing machinery or other yard equipment, including –
lawn mowers
tractor (farm,
garden, etc.)

motorized tiller
wheelbarrow
rake

snow blower
electric lawn
trimmer

sander
lathe
electric plane
electric polisher

cordless circular saw
electric swimming pool
cleaning equipment
air compressor

shovel
spreader

TOOLS FOR HOME USE
21. Power tools, including –
electric drill
electric saw
router
cordless drill

22. Nonpower tools including –
wrench
socket
hammer

axe
screwdriver
pliers

saw
level
plane

drill
trouble light
caulking gun

HEATING AND COOLING EQUIPMENT
23. Window air conditioners
24. Portable cooling or heating equipment, including –
space heater

CE-305 (4-1-2011)

dehumidifier

humidifier

Page 16

fan

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT
AND OTHER SELECTED ITEMS (continued)
Part B – Household Appliances and Other Selected Items
(continued)
TELEVISIONS, RADIOS, VIDEO AND SOUND EQUIPMENT (not installed on vehicles)
25. Televisions, all types including combinations of TVs with DVD/video players, including –
flat screen TV

plasma TV

high definition TV

26. DVD players, VCRs, DVRs, or video cameras, including –
TiVo unit
Blu-ray disc player
high definition disc player
combination of VCR/DVD player

digital TV converter box
video tape recorder/player
video laser disc player
video cassette recorder/player

27. Satellite dishes, receivers, or accessories
28. Handheld personal music players, including –
iPod

personal mp3 players

29. Radios, all types, including –
CB (not permanently
mounted in an
automobile)

clock radio
console

short-wave
walky-talky

transistor/portable
Walkman (radio only)

30. Tape recorders or players (not permanently mounted in an automobile), including –
audio tape decks
reel-to-reel tape decks

audio cassette players/recorders
Walkman (cassette/radio combination or cassette only)

31. Sound components, component systems, or compact disc sound systems, including –
speakers
mixer
stereo
tuner

amplifier
turntable
receiver
equalizer

tape deck (not specified)
compact disc players
stereo rack system

32. Other sound or video equipment including accessories –
earphones/headphones battery packs
power converter
power booster
antenna (TV, radio, etc.) headset

adapter for sound equipment
base station CB antenna
microphone

Page 17

CE-305 (4-1-2011)

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT
AND OTHER SELECTED ITEMS (continued)
Part B – Household Appliances and Other Selected Items
(continued)
SPORTS, RECREATION, AND EXERCISE EQUIPMENT
33. General sports equipment, including –
roller blades
sports uniform

baseball bat
table tennis
badminton set
football
equipment
soccer ball
basketball
lawn games
sports protective
tennis racket
racquetball
frisbee
equipment/gear
bowling ball
racquetball racket boxing equipment
golf clubs
baseball glove
volleyball
karate equipment
basketball hoop
skateboard
golf cart (non-riding)
Exclude specialized athletic shoes such as for football, baseball, soccer, biking, and
bowling.
34. Health and exercise equipment, including –
trampoline
weights
rowing machine

exercise mat
home gym
exercycle

weight bench
treadmill
pedometer

35. Camping equipment, including –
tent
kerosene lamp
frame packs and
other camping packs

sleeping bag
sleeping pad
air mattress
canteen

camping stove
camping cookware
portable heater

36. Hunting and fishing equipment, including –
fishing rod and tackle
bow and arrow
crossbow

CE-305 (4-1-2011)

knife
rifle
shotgun

BB/pellet gun
ammunition
scopes (not specified)

Page 18

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT
AND OTHER SELECTED ITEMS (continued)
Part B – Household Appliances and Other Selected Items
(continued)
37. Winter sports equipment, including –
snow skis
ski boots
snowboard
snowboard equipment

ski poles
toboggan
ice skates
sled
ice boat
sledding equipment

38. Water sports equipment, including –
water skis
life jacket
wake board

snorkel
water ski vest
diving equipment

surf board
raft
wind surf board

39. Outboard motors
40. Bicycles, including –
bicycle helmets
bicycle parts

stand
locks

tires
rack

tubes
supplies

41. Tricycles or battery powered riders, including –
big wheels
42. Playground equipment, including –
portable swimming pool

swing set

sand box

gym set

43. Other sports or recreation equipment, including –
telescope
paintball equipment

metal detector

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CE-305 (4-1-2011)

SECTION 7 – HOUSEHOLD ITEM REPAIRS
AND SERVICE CONTRACTS
1. Garbage disposal, range hood, or built-in dishwasher
2. Other household appliances and equipment, such as –
washer
refrigerator
range/oven
portable heating equipment
portable air conditioning equipment (window air conditioner)
portable fans
dehumidifiers
sewing machines
vacuum cleaners
3. Televisions, radios, video and sound equipment, except those installed in automobiles or other
vehicles
4. Computers, computer systems, and related equipment for non-business use
5. Lawn and garden equipment (including lawn mower repair, snowblower repair)
6. Musical instruments and accessories (including professional tuning)
7. Hand or power tools
8. Photographic equipment
9. Sport and recreational equipment (including bicycles)
10. Termite or pest control treatment
11. Heating or air conditioning equipment (service contracts only), such as –
central air conditioners
central coolers
furnaces
Exclude repairs.

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Page 20

SECTION 8 – HOME FURNISHINGS AND
RELATED HOUSEHOLD ITEMS
Part A – Purchases
LIVING, FAMILY, OR RECREATION ROOM FURNITURE
1. Sofas, including –
sofabed

loveseat

sectionals

futon

2. Living room chairs, including –
recliner
bean bag chair

convertible chair
swivel

rocker

3. Living room tables, including –
coffee table

end tables

TV table

lamp table

4. Wall units, shelves, or cabinets, including –
bookcase

curio cabinet

entertainment center

5. Ping-pong tables, pool tables, or other similar recreation room items
6. Other living room, family room, or recreation room furniture, including –
room divider
coat rack

bar stools
gun cabinet

desk/chair
bar or portable bar

card table/chairs
foot stool (ottoman)

7. Living room furniture combinations, including –
sofa, chair, and table combinations or suites

DINING ROOM AND KITCHEN FURNITURE
8. All dining room or kitchen furniture, including –
dinette set
kitchen chairs

buffet
china cabinet

serving table or cart
dining table and chairs

BEDROOM FURNITURE
9. Mattresses or box springs, including rollaways
10. Bedroom furniture other than mattresses or box springs, including –
headboard
brass bed
frames
chest

dresser
vanity
cedar chest
mattress topper

mirrors
chairs
armoire

Page 21

bunk bed
night tables
water bed

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SECTION 8 – HOME FURNISHINGS AND
RELATED HOUSEHOLD ITEMS (continued)
Part A – Purchases

(continued)

INFANTS FURNITURE AND EQUIPMENT
11. Infants furniture, including –
crib
playpen
high chair

mattress
dresser
chest

toy chest
bassinet

changing table
portable crib

baby monitor
baby jogger
baby backpack

baby bottle sterilizer
baby travel systems

12. Infants equipment, including –
carriage
stroller
car seat

guard rail
swing
baby carriers

OUTDOOR FURNITURE AND EQUIPMENT
13. Patio, porch, or outdoor furniture, including –
patio umbrella
14. Barbecue grills or outdoor decorative items, including –
patio lanterns

patio statues

bird houses

OFFICE FURNITURE FOR HOME USE
15. All office furniture for home use, including –
file cabinet
office chairs
computer furniture
safe
drawing table
Do not include any furniture used exclusively for business.

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Page 22

SECTION 8 – HOME FURNISHINGS AND
RELATED HOUSEHOLD ITEMS (continued)
Part A – Purchases

(continued)

HOUSEHOLD DECORATIVE ITEMS
16. Lamps or other lighting fixtures, including chandeliers
17. Other household decorative items, including –
painting
vase
wall hangings
plant stand

baskets
silk flowers
mirror
book ends

fireplace equipment and accessories
seasonal decorations (Christmas)
wreaths
clocks

CLOSET STORAGE AND TRAVEL ITEMS
18. Closet storage items, including –
garment bag

shoe bag

shoe rack

19. Travel items including luggage, also including –
travel garment bags

trunk

attaché cases

DISHES, DINNERWARE, FLATWARE, GLASSWARE, AND COOKWARE
20. Plastic dinnerware, including Tupperware
21. China or other dinnerware
22. Stainless, silver, or other flatware, except plastic
23. Glassware, including crystal
24. Serving pieces other than silver
25. Nonelectric cookware, including –
skillet
saucepan

roaster
pans

pots
teakettle

pressure cooker
casserole dishes

26. Silver serving pieces, including –
tray

pitcher

bowl

Page 23

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SECTION 8 – HOME FURNISHINGS AND
RELATED HOUSEHOLD ITEMS (continued)
Part A – Purchases

(continued)

HOUSEHOLD LINENS
27. Bedroom linens, including –
sheets
pillowcases
pillows

comforter
mattress pad
quilt

baby blanket
electric blanket
duvet

blanket
bedspread

bath mat
tub mat

toilet cover

28. Bathroom linens, including –
towels
face cloths

shower curtain
bath rug

29. Kitchen or dining room linens, including –
tablecloths
dish towels

cloth napkins
dish cloths

placemats

small appliance covers

furniture protectors

covers for living room tables

30. Other linens, including –
doilies

chair pads

31. Slipcovers, decorative pillows, or cushions, custom or ready-made

FLOOR AND WINDOW COVERINGS
32. Room-size rugs or other non-permanent floor coverings, including carpet squares
33. Curtains or drapes (either custom or ready-made)
34. Blinds, shades, or other window coverings (either custom or ready-made)

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Page 24

SECTION 9 – CLOTHING AND CLOTHING SERVICES
Part A – Clothing
1. Coats, jackets, and furs, including –
shawl
windbreaker

raincoat
down vest

fur coat
outerwear jacket

winter coat

2. Sport coats or tailored jackets, including blazers
3. Suits, including –
woman’s suit (of two or more pieces)
man’s suit (of two or more pieces)

formal suit

4. Vests (purchased separately, not with a suit), excluding sweater vests and down vests
5. Sweaters or sweater sets, including –
cardigan
sweater vest

pullover
ski sweater

V-neck sweater

6. Pants, jeans, or shorts, including –
jump suit
overalls
short sets
Do not include any athletic shorts.

maternity pants

dress slacks

maternity dresses

formals or semi-formals

7. Dresses, including –
two-piece dresses

wedding gown

8. Skirts, including skorts
Do not include any tennis skirts, golf skirts, or other athletic skirts.
9. Shirts, blouses, or tops, including –
sport shirts
knit blouses
maternity tops
dress shirts
Do not include any sweat shirts or athletic shirts.

T-shirts

10. Undergarments, including –
bras
shapewear

undershirts
underwear

slips
thermal underwear

knee-highs

tights

11. Hosiery, including –
socks

pantyhose

12. Nightwear or loungewear, including –
pajamas
robe

night shirt
house coat

night gown
thermal sleeping garments

Page 25

CE-305 (4-1-2011)

SECTION 9 – CLOTHING AND CLOTHING SERVICES (continued)
Part A – Clothing

(continued)

13. Accessories, including –
umbrellas
belts
ties
scarves

gloves
mittens
purse
wallet

apron
ear muffs
handkerchiefs
bridal headpiece

fold-up rain accessories
bandannas
hair accessories
non-prescription sunglasses

14. Swimsuits or warm-up or ski suits, including –
athletic shorts
tennis outfit
athletic shirt
jogging suit
hunting wear
leotards
Do not include any sports uniforms.

sweatshirt
swimwear

swimwear accessories
snow and ski suit

15. Uniforms, other than sport, for which the cost is not reimbursed, including shirts, pants,
suits, and service apparel such as medical, barber, boy or girl scout, mechanic,
waiter/waitress, plumber and lab smocks, and military apparel
16. Costumes, including costumes for dance, ballet, Halloween, etc.
17. Footwear, including athletic footwear –
dress shoes
sandals
bedroom slippers
casual shoes
boots
sneakers, jogging, aerobic, basketball, tennis shoes
Include specialized athletic shoes such as for football, soccer, bowling, biking, or baseball,
except if included in the rental or activity fee for the sport.
18. Diapers, including disposable
Do not include diaper service.
19. Layettes
20. Watches
21. Jewelry, including –
costume jewelry

CE-305 (4-1-2011)

rings

infants jewelry

Page 26

SECTION 9 – CLOTHING AND CLOTHING SERVICES (continued)
Part B – Clothing Services
1. Repair, alteration, and tailoring for clothing and accessories
2. Shoe repair or other shoe services
3. Watch or jewelry repair, including cleaning
4. Clothing or accessory rental, including formal wear
5. Clothing storage outside the home

Page 27

CE-305 (4-1-2011)

SECTIONS 10 and 11 – RENTED, LEASED,
AND OWNED VEHICLES
1. Automobile, truck, minivan, van, and SUV
2. Motor home
3. Trailer-type camper
4. Other attachable-type camper
5. Motorcycle, motor scooter, or moped (motorized bicycle)
6. Boat, with a motor. Include jet skis.
7. Boat, without a motor such as canoes, kayaks, and rowboats
8. Trailer other than camper
such as for a boat or cycle – includes trailer for snowmobile or for moving, hauling, etc.
9. Private airplane
10. Any other vehicle
such as a snowmobile, dunebuggy, go-cart or riding golf cart (except charges for rental of golf carts
included in golfing fees)

CE-305 (4-1-2011)

Page 28

SECTION 12 – VEHICLE OPERATING EXPENSES
Part A – Vehicle Maintenance and Repair, Parts, and
Equipment
1. Oil change, lubrication, or oil filter
(Include oil only if purchased for an oil change)
2. Motor tune-up, including –
air/fuel filters
distributor cap, rotor
emission controls

computer sensor
PCV valve
spark plugs

ignition wires
valve adjustment

ignition timing or mixture
adjustment
breather/vapor/air filter element

hydraulic system
wheel calipers
parking brake

shoes or pads
wheel cylinder

bleed brake system
machine drums/rotors

3. Brake work, including –
anti-lock brakes
master cylinder
brake adjustment

4. Battery purchase or installation
5. Tire purchase or mounting
6. Tire repairs
7. Front end alignment, wheel balancing, wheel rotation
8. Steering or front-end work, including –
axle bearing/seals
axle shafts
rack and pinion

bushings
CV joints/boots
wheel hubs

studs/lug nuts
tie rods
ball joints

power steering fluid/filter
idler arms
steering box/linkage

ignition system
starter motor
wiring

voltage regulator
gauges/instruments

motor mounts
pistons/rods
choke

timing chain/gears or belt
oil pump/cooler/hoses

motor/switch

recharging

radiator
water pump
fan switch or belt

fan or water pump belt
cooling fan/controls

9. Electrical system work, including –
alternator belt
alternator/generator
battery charge

car computer
coil
switches

10. Engine repair or replacement, including –
carburetor
fuel pump/lines/filter
crankshaft bearings

fuel injector
turbo charge
gaskets

11. Air conditioning work, including –
compressor

condenser

12. Engine cooling system work, including –
coolant or filter
hoses
pressure cap

heater core
thermostat
cooling fan relay

Page 29

CE-305 (4-1-2011)

SECTION 12 – VEHICLE OPERATING EXPENSES (continued)
Part A – Vehicle Maintenance and Repair, Parts, and
Equipment (continued)
13. Exhaust system work, including –
catalytic converter
exhaust pipe

hanger/clamps
manifold gasket

muffler

resonator

rebuilt transmission
safety switch
shaft seal

transaxle
transmission filter

T-roof
rust proofing

crash repairs
window repair/replacement

14. Clutch or transmission work, including –
clutch cable
clutch fork
flywheel

hydraulic system
master cylinder
pilot bearing

15. Body work or painting, including –
convertible top
glass replacement
sanding

doors
vinyl top

16. Shock absorber replacement, including MacPherson struts
17. Drive shaft or rear-end work, including –
axle fluid
differential
rear wheel bearings

CV joints
tie rods
universal joint

rear axle
grommet
coil or leaf springs

suspension
rear wheel axle seal
axle mounts/bushings

18. Video equipment or installation, including –
televisions and combinations of TVs with
VCRs and/or DVD players
video game consoles

GPS navigational system with screen
satellite receiver, In-Motion Satellite receiver

19. Audio equipment or installation, including –
antenna
CB antenna

CB radio
radio

speakers
stereo equipment

tape player
satellite radio equipment

20. Vehicle accessories or customizing, including –
alarm system
bike/ski racks
bumper guards

carpeting
fender skirts
luggage rack

running boards
seat covers

steering wheel covers
spoilers

21. Vehicle cleaning services or cleaning supplies, including –
car washes
waxes
boat cleaning services

vacuuming
upholstery sprays

cleaning mitts
protective coating

vehicle detailing services
wheel cleaning supplies

22. Other vehicle services, parts, or equipment, including –
battery cables
gas cable/cap/can
light bulbs
wheels/rims
upholstery work
CE-305 (4-1-2011)

vent filters
brake lights
wheel lugs
hub caps

jack
gasket sets
headlights
heater repair
Page 30

charcoal canister filters
windshield wipers
speedometer cable
tire/wheel combination

SECTION 12 – VEHICLE OPERATING EXPENSES (continued)
Part B – Licensing, Registration, and Inspection of Vehicles
1. Driver’s licenses
2. Vehicle inspection
emissions inspection
safety inspection
3. State vehicle registration
4. Local vehicle registration

Page 31

CE-305 (4-1-2011)

SECTION 13 – INSURANCE OTHER THAN HEALTH
1. Long term care insurance
2. Life insurance or other policies which provide benefits in case of death or disability,
including –
term insurance
whole-life insurance
cash benefits
mortgage insurance
veterans insurance
annuities

income or disability insurance
group-life insurance
straight-life insurance
flight insurance
life endowments
burial insurance

HOME INSURANCE
Insurance protecting your home, furniture, personal effects, or other property against fire, theft, loss,
natural disasters, or damage from other means.
3. Homeowners' insurance, including any insurance covered in mortgage payments or flood
insurance
flood insurance

fire and extended coverage

4. Renters' insurance

OTHER INSURANCE
5. Automobile or other vehicle insurance, including –
liability insurance
collision insurance
comprehensive insurance

bodily injury insurance
property damage insurance
no-fault insurance

6. Other types of non-health insurance, including –
credit card insurance
personal liability insurance
mortgage guarantee insurance
ambulance
Do not include malpractice insurance.

CE-305 (4-1-2011)

Page 32

SECTION 14 – HOSPITALIZATION AND HEALTH INSURANCE
1. Health Maintenance Organization
Expenses usually covered in full, or there may be a modest co-payment at the time of your visit.


Group/staff type: You go to a central facility (group health center) to receive care.



Independent practice association (IPA): Providers work from their individual offices (and are
referred to as primary care physicians).

2. Fee for Service Plan
You or your insurance company are generally billed after each visit.


Traditional fee for service plan: You may go to any doctor or hospital you choose.



Preferred Provider Organization (PPO): You are given a list of doctors from which to choose. If
you go to a doctor on the PPO list, more expenses are covered than if you go to a doctor not on
the list.

3. Commercial Medicare Supplement
Voluntary contributory private insurance plan available to Medicare recipients. Covers the costs of
deductibles, co-insurance, physician services, and other medical and health services.
4. Special Purpose Plan
Covers only specific health needs. Examples of special purpose health insurance plans are:
dental insurance
mental health insurance
vision insurance
dread disease policy
prescription drug insurance
Do not include Medicare Prescription Drug plans.

Page 33

CE-305 (4-1-2011)

SECTION 15 – MEDICAL AND HEALTH EXPENDITURES
EYE CARE
1. Eye examinations, treatment, or surgery, such as –
eye examinations

laser surgery

eye treatments

2. Purchase of eye glasses or contact lenses, such as –
eye glasses
warranty expenses
prescription sunglasses

contact lenses
fittings

contact lens insurance
kits and equipment

DENTAL CARE
3. Dental care, such as –
examinations
cleanings
dentures

bridges
orthodontic work
caps or crowns

root canals
X-rays
fillings

teeth whitening in a
dental office
any other dental services

operating room
intensive care unit
recovery room
any other services

examinations
nursing services
X-rays

INPATIENT CARE
4. Hospital rooms or services, including –
anesthetics
blood transfusions
drugs and medicine
treatment rooms

injections
oxygen
laboratory tests
therapy

From facilities, such as –
general care hospitals
psychiatric hospitals

CE-305 (4-1-2011)

substance abuse hospitals
birthing centers

Page 34

SECTION 15 – MEDICAL AND HEALTH EXPENDITURES
(continued)
SERVICES BY MEDICAL PROFESSIONALS OTHER THAN PHYSICIANS
5. All services provided by medical professionals other than physicians, such as –
chiropractor
acupuncturist
marriage counselor

podiatrist
midwife
physical therapist

psychologist
homeopath
nurse practitioners

substance abuse professionals
naturopath
medical massage therapist
(certified)

Include services provided both inside and outside the home.

PHYSICIAN SERVICES
6. All services provided and billed by physicians, such as –
general practitioner
dermatologist
surgeon

internist
urologist
plastic surgeon

pediatrician
psychiatrist
osteopath

gynecologist
any other type of physicians

OTHER MEDICAL CARE SERVICES
7. Lab tests or x-rays
X-rays

blood tests

other types of lab tests

Do not include services received in a hospital as an inpatient or services for eye and dental
care.
8. Care in convalescent or nursing home
Include all services provided and billed by a convalescent or nursing home.
9. Care for invalids, convalescents, handicapped, or elderly persons in the home
Do not include institutional or medical care.
10. Adult day care centers
11. Other medical care and outpatient services, such as –
ambulance services
rescue services

blood donation
dialysis services
outpatient hospital care

emergency room services
oxygen services

If medical care is given in outpatient department or emergency room, include injections
allergy shots
hearing test

electro cardiogram
skin treatment
cancer treatment

baby shots
physicians check up
cardiology test
broken bones/sprains
blood pressure check

Page 35

CE-305 (4-1-2011)

SECTION 15 – MEDICAL AND HEALTH EXPENDITURES
(continued)
MEDICINE OR MEDICAL SUPPLIES
12. Purchase of hearing aids
13. Prescription drugs
14. Rental of supportive or convalescent medical equipment, such as –
braces
cervical collars
ace bandages

splints
slings
walkers

whirlpools
canes

crutches
wheelchairs

15. Purchase of supportive or convalescent medical equipment, such as –
braces
cervical collars
ace bandages

splints
slings
walkers

whirlpools
canes
orthotics

crutches
wheelchairs
power chair/scooter

16. Rental of medical or surgical equipment for general use, such as –
ice bags
blood pressure kits

sinus masks
heating pads

sun lamps
vaporizers

hot water bottles
therapeutic heat lamps

17. Purchase of medical or surgical equipment for general use, such as –
thermometers
ice bags
ostomy supplies
pollen masks

sinus masks
insulin needles
heating pads
vaporizers

sun lamps
hot water bottles
blood pressure kits
home defibrillator

therapeutic heat lamps
syringes
oxygen
orthopedic appliances
(supports)

Do not include purchases of items such as band-aids, gauze, cotton roll, and cotton
balls.

CE-305 (4-1-2011)

Page 36

SECTION 16 – EDUCATIONAL EXPENSES
1. Recreational lessons or other instructions, including –
golf
music
sailing
skydiving
driving lessons

dancing
photography
swimming
needlepoint
horseback riding

driving
skiing
sewing
cooking

tennis
painting
instructional day camps
self defense

2. Nursery school or child day care centers, including non-instructional day camps
3. Tuition, including –
college or university
business school
elementary school
high school
secretarial school
parochial school
seminary
technical school
adult education
vocational school preparatory school
middle/junior high school
Include only those expenses paid directly to the school or to other educational facility.
Do not report student loans.
4. Housing while attending school, including –
student dormitory
sorority
fraternity
housing for married students
Include only those expenses paid directly to the school or to other educational facility.
5. Food or board while attending school
Include only those expenses paid directly to the school or to other educational facility.
6. Private school bus service
7. Test preparation or tutoring services
8. Purchase of any school books, supplies, or equipment, which has not already been reported,
including –
text books
microscopes

ruler
art supplies

drafting equipment
technical books

laboratory equipment
cap and gown

9. Other school related expenses not already reported, including the rental of any school
books or expenses
laboratory fees
registration fees
laundry fees
cap and gown rentals

matriculation fees
health fees
athletic fees
administration
fees
Do not report student loans.

transportation fees
conferences and seminars
student union fees
rental of school books
rental of school equipment

Page 37

CE-305 (4-1-2011)

SECTION 17 – SUBSCRIPTIONS, MEMBERSHIPS, BOOKS,
AND ENTERTAINMENT EXPENSES
Part A – Subscriptions and Memberships
1. Subscriptions to newspapers, magazines, or periodicals. Include online subscriptions
2. Books purchased from a book club
3. Season tickets to theater, concert series, opera, other musical series, or amusement parks
4. Season tickets to sporting events
5. Encyclopedias or other reference books
6. Golf courses, country clubs and other social organizations
7. Health clubs, fitness centers, swimming pools, weight loss centers, or other sports and recreational
organizations
8. Vacation clubs
9. Civic, service, or fraternal organization
10. Credit card membership fees
11. Shopping club memberships including warehouse clubs like SAM’S club and discount memberships
like Amazon Prime
12. Services that use Global Positioning Systems (GPS) such as OnStar, not already reported
13. Direct or online dating services

CE-305 (4-1-2011)

Page 38

SECTION 17 – SUBSCRIPTIONS, MEMBERSHIPS, BOOKS,
AND ENTERTAINMENT EXPENSES (continued)
Part B – Books and Entertainment Expenses
Fees for participation in sports, including –
tennis
billiards

golf
swimming

bowling
biking

hunting and fishing licenses
hockey

Single admissions to spectator sporting events, including –
football
auto racing

baseball
basketball

hockey
track events

soccer

Single admissions to performances, including –
movies

operas

plays

concerts

Single admissions to other entertainment activities, including –
museums
historic sites

zoos

state parks

amusement parks

Books not purchased through book clubs, including –
digital books
audio books
paperbacks
Exclude reference books or school books.

hardcover

Single copies of newspapers, magazines, periodicals (non-subscription)
Photographic film, including disposable cameras
Photo processing, including –
digital photo processing

video film processing

Compact discs, audio tapes, or records
Do not include blank or recordable CDs or blank or recordable audio tapes.
Listening to or downloading music files
Napster

iTunes

Rhapsody

Purchase of Blu-ray discs, DVDs or VHS tapes
Do not include blank or recordable DVDs or blank or recordable video tapes.
Rental of Blu-ray discs, DVDs, or VHS tapes, including –
mail delivery DVD rentals
Viewing or downloading video files, including –
CinemaNow

Blockbuster.com

iTunes

Applications, games, or ringtones for a cellphone or other handheld device, not already
reported
Online games or other internet entertainment sites

Page 39

CE-305 (4-1-2011)

SECTION 18 – TRIPS AND VACATIONS
Part A – Types of Trips
1. Visiting relatives or friends
2. Business trips
3. Recreational trips, such as –
Sightseeing
Sports events
Club or organizational meetings
Outdoor recreation
4. Any other trips that occur overnight or longer
5. Any day trips to a place at least 75 miles away

Types of Transportation
COMMERCIAL
1. local (taxi, etc.)
2. airplane
3. train
4. bus
5. ship

RENTED
6. automobile
7. truck, van
8. motorcycle, moped
9. private plane
10. boat, trailer
11. camper
12. other vehicles

PRIVATE
13. automobiles or other vehicles privately owned or leased by household
14. vehicle owned by someone else
15. other transport
CE-305 (4-1-2011)

Page 40

SECTION 18 – TRIPS AND VACATIONS (continued)
Rental of Sports Equipment
Golf clubs
Skis/snowboards
Fishing equipment
Boat
Scuba/snorkeling equipment
Other sports equipment

Fees for Exercising or Playing Sports
Golf
Fishing
Swimming
Tennis
Skiing/snowboarding
Bowling
Exercise classes
Scuba/snorkeling
Other sports

Entertainment or Admissions
Movies
Theater
Concerts
Museums
Tours
Sports events
Other entertainment events

Page 41

CE-305 (4-1-2011)

SECTION 19 – MISCELLANEOUS EXPENSES
Part A – Miscellaneous Expenses
1. Fresh flowers or potted plants
2. Professional photography
3. Services of lawyers or other legal professionals, including –
will
bail bonds
arbitration services
mediation

divorce
contracts
estate settlement

civil litigation, including lawsuits,
bankruptcies, etc.
criminal litigation, including
traffic citations

Do not include fees for business purposes or those related to closing costs for the
purchase of real estate.
4. Accounting fees, including –
estate management

trust management

income tax preparation

Do not include fees for business purposes.
5. Occupational expenses, such as union dues or professional licenses
6. Gardening or lawn care services, including –
fertilizing
tree removal
planting

lawn cutting
tilling
plowing

hedge trimming
tree pruning

Include any services provided under service contracts.
Do not include services that are covered by management or maintenance fees.
7. Housekeeping services, including –
cleaning
window washing

laundering
carpet cleaning

cooking

8. Home security system service fees
9. Other home services or small repair jobs around the house, not previously reported
Include diaper service.
10. Moving, storage, or freight, including –
moving companies

mini-warehouses

self-storage units

cargo shipping

Do not include expenses that are reimbursed by employer or other persons outside of the
household.

CE-305 (4-1-2011)

Page 42

SECTION 19 – MISCELLANEOUS EXPENSES (continued)
Part A – Miscellaneous Expenses

(continued)

11. Stamp or coin collecting, including –
stamp albums

coin albums

first day covers

12. Lotteries or games of chance
13. Babysitting, nanny services, or other child care in YOUR home
Do not include nursery school care or care in a day care center.
14. Babysitting, nanny services, or other child care in someone ELSE’s home
Do not include nursery school care or care in a day care center.
15. Toys or games, including –
trains
infant toys

dart board
stuffed animals

action figures
dolls

games
trucks

16. Arts or crafts kits, including –
model kits

rug kits

needlepoint kits

arts and craft supplies

17. Sewing and knitting materials for the home, including fabric for making slipcovers, blankets,
quilts, afghans, tablecloths, flowers, curtains, etc., and for handwork including yarn
18. Sewing materials for making clothes, including any fabric used for making clothes
19. Sewing notions, including –
sewing basket
sewing kit
crochet thread
seam binding

patterns
crochet hooks
scissors
snaps

buttons
measuring tapes
zipper
needles/pins

thread
knitting needles, equipment
embroidery hoops
embroidery thread

stuffing
rug material

beads, glitter, sequins
felt or felt squares

20. Other sewing materials, including –
interfacing
quilt pad

fiberfill
foam

21. Purchase of pets, pet supplies, or medicine for pets, including –
aquarium
hamster cage
guinea pig
gerbil

tropical fish
pet toys
cat

dog house
bird cage
bird

collars
dog
hamster

license

pet daycare

Exclude pet food.
22. Pet services, including –
grooming
pet resorts

kennels

23. Veterinarian expenses for pets, including –
vet insurance

veterinary treatment
Page 43

CE-305 (4-1-2011)

SECTION 19 – MISCELLANEOUS EXPENSES (continued)
Part A – Miscellaneous Expenses

(continued)

24. Food and beverages for catered affairs
bridal showers
weddings

parties
graduations

Bar/Bat Mitzvahs
anniversaries

quinceaneras
confirmations

25. Live entertainment for catered affairs
26. Rental of party supplies for catered affairs
27. Purchase or upkeep of cemetery lots or vaults
28. Funerals, burials, or cremation, including –
burial fees
burial plans
headstones

CE-305 (4-1-2011)

flowers for funeral
clergy
footstones

musician honoraria
funeral transcript

Page 44

limousines (used
during funeral)

SECTION 19 – MISCELLANEOUS EXPENSES (continued)
Part B – Contributions
GIVEN ANY MONEY BY CASH, CHECKS, OR GIVEN ANY GIFT CARDS TO –
1. College students living away from home
Money to pay for tuition, room, board, books, fees, transportation, clothing, and entertainment
expenses
2. Any other people not in your household, such as –
friends
street musicians
cash gifts at the office

co-workers
birthday money
money to assist others

homeless persons
wedding money

PAID ANY OF THE FOLLOWING –
3. Child support
4. Alimony
GIVEN ANY MONEY BY CASH, CHECKS, MONEY ORDERS, OR CREDIT CARDS TO BENEFIT –
5. Educational institutions, including –
alumni funds
scholarship funds

educational endowments
school fund-raisers

parochial schools

6. Political organizations, including –
political parties

political candidates

Political Action Committees (PACs)

7. Religious organizations, including churches, temples, and mosques, including –
tithes and offerings
building funds

religious fund raisers
religious television/radio ministries

8. Charities or all other organizations, including –
Red Cross
fine arts and literary
Humane Society

civic organizations
United Way

American Cancer Society
American Heart Association

GIVEN ANY STOCKS, BONDS, OR MUTUAL FUNDS
9. Stocks, bonds, mutual funds
Include only funds given to persons or organizations outside of your household

Page 45

CE-305 (4-1-2011)

SECTION 20B – EXPENSE PATTERNS FOR
SELECTED SERVICES AND GOODS
Self-service laundry machines
clothing
coats

quilts
rugs

linens
drapes

Laundry or dry cleaning services
clothing
coats

quilts
rugs

linens
drapes

pipe tobacco

chewing tobacco

Cigarettes
Other tobacco products
cigars

Haircutting, styling, attached hair pieces, manicures, massages and other salon services
hair coloring
waxing

pedicures
tanning salons

facials
hair weaves

Hairpieces, wigs, or toupees
temporary hair extensions
Rental of safe deposit box located in a bank or similar financial institution
Charges or fees for personal financial services such as ATM fees or account service charges
from financial institutions such as banks, credit unions, and finance companies –
ATM fees
certified check fee
check cashing fee

check order fee
online banking and bill payment fee
money order fee
below minimum balance fee
regular service charges

fees for personal loans, except those for real estate
management fees for trust, custodial or escrow accounts
Taxi or limousine service
Mass transportation services such as a bus, subway, mini-bus, or train

CE-305 (4-1-2011)

Page 46

SECTION 21 – CREDIT LIABILITY
CREDIT BALANCES, FINANCE CHARGES, INTEREST CHARGES, LATE FEES
Do not include mortgages, home equity loans, automobile loans, or business-related loans.
1. Gasoline credit cards – Shell, Exxon, Citgo, etc.
2. Store credit cards – department, specialty, electronic, or sporting goods
3. Major credit cards – Visa, MasterCard, American Express, Discover, or other revolving credit
accounts
4. Store installment credit accounts
5. Financial institutions – banks, brokerages, savings and loans, credit unions, or insurance
companies
Do not include insurance premium payments.
6. Doctors, dentists, hospitals, or other medical practitioners for expenses not covered by
insurance
7. Other credit – education loans, personal loans, or loans from retirement plans

Page 47

CE-305 (4-1-2011)

SECTION 22 – OCCUPATIONS
1. Administrator, Manager
administrator

manager

funeral director

2. Teacher
teacher

guidance counselor

3. Professional
registered nurse
lawyer

accountant
engineer

physician
clergy

social worker
photographer

computer systems
analyst

4. Administrative Support, including Clerical
secretary
receptionist

bookkeeper
computer assistant

clerk
typist

5. Sales, Retail
cashier
apparel salesperson

commodity salesperson
motor vehicle salesperson

door to door salesperson

6. Sales, Business Goods and Services
mining sales representative
financial services
manufacturing sales representative

real estate salesperson
wholesale sales representative
insurance salesperson

7. Technician
health technician
electronic technician

practical nurse

drafting

police officer

firefighter

clinical laboratory technician

8. Protective Service
private guard

9. Private Household Service
nanny

household worker

10. Other Service (except private household)
janitor
child care worker

cook
hairstylist

waiter/waitress
maid/houseman

food preparer
orderly

food counter/fountain
worker

11. Machine Operator, Assembler, Inspector
machine operator

assembler

inspector

12. Transportation Operator
truck driver

bus driver

tractor operator

taxi driver

13. Handler, Helper, Laborer
stock handler

freight handler

material handler

packager

construction laborer

machinist

meat cutter

sheet metal worker

painter

plumber

mining worker

groundskeeper

animal caretaker

14. Mechanic or Repairer, Precision Production
automobile
mechanic

machine repairer

15. Construction, Mining
carpenter

electrician

16. Farming
farmer

farm worker

17. Forestry, Fishing, Groundskeeping
forestry worker

fisher

18. Armed Forces
CE-305 (4-1-2011)

Page 48

SECTION 22 – WORK EXPERIENCE AND INCOME

CARD A

0. Loss
1. $ 0

– $ 4,999

2. $ 5,000

– $ 9,999

3. $ 10,000 – $ 14,999
4. $ 15,000 – $ 19,999
5. $ 20,000 – $ 29,999
6. $ 30,000 – $ 39,999
7. $ 40,000 – $ 49,999
8. $ 50,000 – $ 69,999
9. $ 70,000 – $ 89,999
10. $ 90,000 – $ 119,999
11. $ 120,000 and over

Page 49

CE-305 (4-1-2011)

SECTION 22 – WORK EXPERIENCE AND INCOME (continued)

CARD B

0. Less than $300
1. $ 300

– $ 399

2. $ 400

– $ 499

3. $ 500

– $ 599

4. $ 600

– $ 699

5. $ 700

– $ 799

6. $ 800

– $ 899

7. $ 900

– $ 999

8. $ 1,000 – $ 1,499
9. $ 1,500 and over

CE-305 (4-1-2011)

Page 50

SECTION 22 – WORK EXPERIENCE AND INCOME (continued)

CARD C

0. Loss
1. $ 0

– $ 999

2. $ 1,000

– $ 1,999

3. $ 2,000

– $ 2,999

4. $ 3,000

– $ 3,999

5. $ 4,000

– $ 4,999

6. $ 5,000

– $ 9,999

7. $ 10,000 – $ 14,999
8. $ 15,000 – $ 19,999
9. $ 20,000 – $ 29,999
10. $ 30,000 – $ 39,999
11. $ 40,000 – $ 49,999
12. $ 50,000 and over
Page 51

CE-305 (4-1-2011)

CALENDAR
2011
JANUARY
S

M

S

M

S

M

T

W

T

JULY
F

S
1
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
23 24 25 26 27 28 29
30 31

S

M

F S
1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28 29 30
31

FEBRUARY

M T W T F S
1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30 31

SEPTEMBER

T W T F S
1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30 31

S

M

4
11
18
25

T F S
1 2 3
5 6 7 8 9 10
12 13 14 15 16 17
19 20 21 22 23 24
26 27 28 29 30

S

M

S

M

S

M

APRIL
T

W

T

MAY

T

W

T

F

NOVEMBER
T W T F S
1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30

JUNE

DECEMBER

W T F S
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30

CE-305 (4-1-2011)

W

S
1
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
23 24 25 26 27 28 29
30

S M T W T F S
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31

M

T

OCTOBER

F S
1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28 29 30

S

T

S

MARCH

M

W

AUGUST

T W T F S
1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28

S

T

T

T F S
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30 31

Page 52

T

W

CALENDAR
2012
JANUARY

JULY

S M T W T F S
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31

S M T W T F S
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31

FEBRUARY
S

M

S

M

AUGUST

T

W T F S
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29

S

M

W T F S
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30 31

S

M

MARCH
T

SEPTEMBER

T F S
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30 31

W

2
9
16
23
30

S
1
3 4 5 6 7 8
10 11 12 13 14 15
17 18 19 20 21 22
24 25 26 27 28 29

APRIL

S

M

F

NOVEMBER
S

M

T F S
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30

S

M

JUNE
W

T

M T W T F S
1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30 31

T W T F S
1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30 31

T

W

S

MAY
M

T

OCTOBER

S M T W T F S
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30

S

T

T

W

DECEMBER

T

F S
1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28 29 30

S
1
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
23 24 25 26 27 28 29
30 31

Page 53

T

W

T

F

CE-305 (4-1-2011)

FRACTION CONVERSION CHART
Fractions to Percentages
Fraction

%

Fraction

%

Fraction

%

1/2

50.00

1/7

14.29

3/9

33.33

1/3

33.33

2/7

28.57

4/9

44.44

2/3

66.67

3/7

42.86

5/9

55.55

1/4

25.00

4/7

57.14

6/9

66.67

2/4

50.00

5/7

71.42

7/9

77.78

3/4

75.00

6/7

85.71

8/9

88.89

1/5

20.00

1/8

12.50

1/10

10.00

2/5

40.00

2/8

25.00

2/10

20.00

3/5

60.00

3/8

37.50

3/10

30.00

4/5

80.00

4/8

50.00

4/10

40.00

1/6

16.67

5/8

62.50

5/10

50.00

2/6

33.33

6/8

75.00

6/10

60.00

3/6

50.00

7/8

87.50

7/10

70.00

4/6

66.67

1/9

11.11

8/10

80.00

5/6

83.33

2/9

22.22

9/10

90.00

CE-305 (4-1-2011)

Page 54

PRIVACY ACT STATEMENT

The U.S. Census Bureau is conducting the Consumer Expenditure Surveys for the
Bureau of Labor Statistics of the U.S. Department of Labor under Title 29, United States
Code. The survey’s purpose is to obtain information on what Americans are purchasing
in order to update the Consumer Price Index. All survey information will be used for
statistical purposes only.

Any information you provide for this survey is confidential, by law, under Title 13, United
States Code. Participation in this survey is voluntary and there are no penalties for
refusing to answer any question(s). However, your cooperation is extremely important
to help ensure the completeness and accuracy of these data.

Page 55

CE-305 (4-1-2011)

U.S. Department of Commerce
Economics and Statistics Administration
U.S. Census Bureau


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