Attachment Q: Intermeditate Follow-up Survey Sources

S upporting Statement for OMB Clearance Request

Attachment Q: Intermediate Follow-up Survey Sources

National and Tribal Evaluation of the 2^nd Generation of the Health Profession Opportunity Grants (HPOG)

0970-0462

April 2019

Submitted by:

Office of Planning,
Research & Evaluation

Administration for Children & Families

U.S. Department of Health
and Human Services

Federal Project Officers:

Nicole Constance, Hilary Bruck, and Amelia Popham

#	Domain/Topic	Sources
Training and Employment History
A1	Status of employment or school enrollment at time of last interview	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 72-month Follow-up Survey (OMB No. 0970-0397)/HPOG 1.0 72-month Follow-up Survey (OMB No. 0970-0394). Modified
A2-A5	Job or school status at LASTINTERVIEW	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397). Minor modifications.
A3	Other activities at LASTINTERVIEW	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A4	Any job or school spells since LASTINTERVIEW	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A5	If respondent had any job or school spell since LASTINTERVIEW, which did they do first	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A6	OMITTED
A7a and A7b	Number of preschool aged children in household	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
“Main” Activity Spell Details
A8 and A8a A8_1	Employer name and self-employment/School name School address (street, cross-street, and city)	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397). HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
A9-A9b	Spell start date	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397). Modified to capture year and season if date unknown.
A10-A10c	Spell end date	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397). Modified to capture year and season if date unknown; captures total time spent in that activity if season and year are unknown.
A11	Hours worked (job spells) Hours of attendance (school spells)	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397). Modified for school spells under HPOG 2.0 to capture hours of attendance as opposed to full or part time enrollment.
A12a and A12b	Hours of child care respondent had to arrange in order to work or attend classes	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
A13-A14	Next activity after current spell ended	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A15	Did respondent ever work or go to school again?	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A16	Did respondent work or go to school first?	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A17	Identification of overlapping job spell	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A18	Identification of overlapping school spell	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A19	Main activity during gap period (4+ months between work and/or school spells)	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A20	Current employment status	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A21	Employed since last job spell	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
“Subspell” Activity Details
A22	Employer or School name	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A23 -A23b	Start date for this subspell	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397). Previously modified under HPOG 2.0 to capture year and season if date unknown.
A24-A24b	End date for this subspell	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397). Previously modified under HPOG 2.0 to capture year and season if date unknown; captures total time spent in that activity if year and season are unknown.
A25	Working in same field as course of study	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
A26	Additional jobs worked or schools attended during this subspell	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
	Additional schools attended during this subspell	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
School Experiences
B1	Gaps in training for 4 weeks or more	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397). Minor modifications.
B1a	Number of 4 week gaps during this school spell	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B1b	Date stopped classes	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B1c	Date resumed classes	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B2	Participation in basic education classes	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-month Follow-Up Survey (OMB No. 0970-0397). Minor modifications to capture for each spell.
B2a	Completion of basic education classes	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-month Follow-Up Survey (OMB No. 0970-0397). Minor modifications to capture multiple spells.
B2b	Did classes help prepare for enrollment in regular college?	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
B3-B3a	Receipt of college credits	HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B3b-c	Verification of college credits earned	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/
B4	Completion status of for each spell	HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B5	Cost of training program	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/Workforce Incentives Act (WIA) Gold Standard Evaluation 15-month Follow up Survey (OMB No. 1205-0504). Minor modifications.
B6a-k	Financial support sources for school expenses	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-Month Follow-up Survey (OMB No. 0970-0397)/ HPOG 1.0 15- and 36-Month Follow-Up Surveys 0970-0394).
B7	Amount respondent paid to take classes	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
B8	Amount paid by respondent’s parents/family members	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/
B9	Student Loan Respondent Debt	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B9a	Student Loan Respondent Debt	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B10	Student Loan Family Debt	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B10a	Student Loan Family Debt	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B11a-j	Financial support from school attended	B11a-e: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-month Follow-Up Survey (OMB No. 0970-0397). B11f-j: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-month Follow-Up Survey (OMB No. 0970-0397). Modified to capture costs incurred by others.
B12	Difficulty finding support to attend classes	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-month Follow-Up Survey (OMB No. 0970-0397).
B13	Services received from school	PACE 15-month Follow-Up Survey (OMB No. 0970-0397).
B14 B14a	Time spent in one-on-one service receipt	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
B15 B15a	Time spent in group service sessions	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
B16a-f	Participation in occupation related activities	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-month Follow-Up Survey (OMB No. 0970-0397).
Credentials
C1-C1b	Were courses taken to prepare for work in particular occupation? Was that occupation healthcare related?	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
C1c-C1d	Currently working in this occupation?	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-month Follow-Up Survey (OMB No. 0970-0397).
C2-C2f	Academic degrees or diplomas receipt	C2, 2a, 2c-f: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/ PACE 15- and 36- and 72-Month Follow-Up Surveys (OMB No. 0970-0397). Original sources: based on the Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA), the 2005 National Household Education Survey (OMB No. 1850-0768), and the National Community College Survey of Student Engagement (CCSSE). C2b: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768).
C3 – C3i	Academic certificate receipt	C3-a-c: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Modified to follow the format of the Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768). C3d, 3g: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Original sources: based on the Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA), the 2005 National Household Education Survey (OMB No. 1850-0768), and the National Community College Survey of Student Engagement (CCSSE). C3e, C3i: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15- 36-, and 72-Month Follow-Up Surveys (OMB No. 0970-0397). C3h: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768). C3f: NEW
C4-C4f	Professional certification or state/industry license receipt	C4: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Modified to include introductory text to follow format of the Adult Training and Education Survey , Part of the 2016 National Household Education Survey (OMB No. 1850-0768) C4a, C4i: HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (OMB No. 0970-0397). C4b, C4d, and C4h: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Original sources: based on the Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA), the 2005 National Household Education Survey (OMB No. 1850-0768), and the National Community College Survey of Student Engagement (CCSSE). C4c: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768). C4e, C4f, C4g: NEW
C5	Work-based training	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Original source Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768). Modified to capture any work-based training, not most recent one.
C6	Type of work-based training	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Original source Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768). Modified to capture any work-based training, not most recent one.
C7	Employer-provided training	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Original source Education Longitudinal Study (OMB No. 1850-0652). Modified to eliminate 12-month time frame.
C8a	Progress toward long-range education goals	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Original sources: based on the Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA) and the 2005 National Household Education Survey (OMB No. 1850-0768).
C8b-c	Self-perception of career track progress	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 1.0 15-and 36-Month Follow-Up Surveys (OMB No. 0970-0397; OMB No. 0970-0394).
C9	Knowledge of additional training needs to advance in career	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
C10	Plans to pursue training for next level of occupation	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
Current / Most Recent Job
D1-2a	Industry	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Original source American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936).
D3	Occupation	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Original source the American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936).
D4	Job activities	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Original source the American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936).
D5	Job title	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Original source the American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936).
D6	Occupation related to healthcare	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394).
D7- D7c	Job pay (hourly earnings/weekly pay for self-employed)	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36 and 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Survey (0970-0397).
D8- D8c	Requirement for shift work	8 and 8a: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 1.0 15- 36- and 72-Month Follow-Up Surveys (OMB No. 0970-0397; OMB No. 0970-0394).Originally taken n from Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA). 8b: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 1.0 72-Month Follow-Up Surveys (OMB No. 0970-0397/0970-0394). 8c: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
D9a-c	Job flexibility (hours and schedules)	9a: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-month Follow-Up Surveys (OMB No. 0970-0394). Originally modified question from the Education Longitudinal Study (OMB No. 1850-0652). Modified to change scale from numeric ranking to level of agreement. 9b-c: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-and 72-month Follow-Up Surveys (OMB No. 0970-0394).
D10	Available benefits	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-month Follow-Up Survey (OMB No. 0970-0394). Originally a modified question from Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA). Modified to eliminate follow-up sub-items. Added item to capture personal time off, also referred to as earned time or paid time off.
D11	Quality of work life	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 72-month Follow-Up Survey (OMB No. 0970-0397).
D12-D14	Self-perception of opportunities for career advancement	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397).). Original source: Project Quest 6-Year Follow-Up Survey (the evaluation of Project Quest is being conducted by the Economic Mobility Corporation with a grant from the Charles Stuart Mott Foundation).
D15	Employer provided financial support for education and training	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).
D16	Employer provided non-financial support for education and training	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).
Household Composition
E1	Household composition including marital status	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Original sources: Slight modification of American Community Survey (ACS) and the Supporting Healthy Marriages (SHM) baseline (OMB No. 0970-0299).
E2	How long respondent has been married or living with a romantic partner	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).
E2a	Regular interaction with spouse or romantic partner	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Original source Supporting Healthy Marriages (SHM) baseline (OMB No. 0970-0299). Modified to shift focus from frequency that they saw each other to frequency they discussed daily life with one another.
E2b	Ever been married or lived with a romantic partner during follow-up period	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).
E3	Number of adults in the household	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).
E4	Number of children in the household	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 15-, 36-, and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 15-, 36-, and 72-Month Follow-up Surveys (0970-0397). Original source: based on the Supporting Healthy Marriages (SHM) baseline (OMB No. 0970-0299).
E5	Number of dependents in the household	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Original source: Employment, Retention, Advancement (ERA) Study (OMB No. 0970-0285). Modified 36-month language to shift from legal guardian to primary caregiver.
E6	Current fertility	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-, 36-, and 72-Month Follow-up Surveys (0970-0397). Modified wording for male respondents.
E7	Recent fertility	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-, 36-, and 72-Month Follow-up Surveys (0970-0397). Modified wording for male respondents.
E9	Number of new births	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).
Income and Adult Well Being
F1	Receipt of public benefits	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Original source: Supporting Healthy Marriages (SHM) baseline (OMB No. 0970-0299). Modified to ask for respondent and other household members in same question rather than separately and to revise child support question.
F2	Total personal income in prior month	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 15-, 36-, and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 15-, 36-, and 72-Month Follow-up Surveys (0970-0397). Original sources: based on the PACE Baseline intake form (BIF) (OMB No. 0970–0343).
F3	Total household income in prior month	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 15-, 36-, and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 15-, 36-, and 72-Month Follow-up Surveys (0970-0397). Original sources: based on the PACE BIF (OMB No. 0970–0343).
F4	EITC	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397).
F5	Types of student loans	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/2015 National Finance Capability Study State by State Survey (No OMB control number as it was privately funded.)
F6	Started loan repayment yet?	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
F7	Total debt	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397).
F8	Material hardship	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Original source was modified question from Assets for Independence (AFI) Experiment: 12-Month Follow-Up Survey (OMB No. 0970-0414).
F9	Hunger, food insecurity	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Original source was exact question from Assets for Independence (AFI) Experiment 12-Month Follow-Up Survey (OMB No. 0970-0414).
F10	Making ends meet	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397) Original source was from PACE 15-Month Follow-Up Survey (OMB No. 0970-0397) and based on the PACE Self-administered questionnaire (SAQ (OMB No. 0970–0343).
F11	Ability to meet emergency expenses	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/Survey on Household Economics and Decision-Making (OMB No. 7100-0359).
F12-13	Health Insurance through employer or non-employer	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Modified to first capture whether those employed have insurance through employer and whether those unemployed have insurance through another source.
F14	Current housing	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Original source Moving to Opportunity (MTO) Adult Survey (OMB No. 2528-0218).
F15-F15a	Whether respondent was doubled-up or living with friends or relatives and if so, for how long	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/Family Options Study 36-Month Follow-Up Survey (OMB No. 2528-0259).
F16	Physical health	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/National Health and Nutrition Examination Survey (OMB No. 0920-0237).
21st Century Skills/Cognitive Skills
G1	Computer skills utilization in everyday life	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PIAAC Background Questionnaire (OMB Control No. 1850-0870). Modified to include only a subset of items.
G2	Literacy skills utilization in everyday life	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PIAAC Background Questionnaire (OMB Control No. 1850-0870). Modified to include only a subset of items.
G3	Numeracy skills utilization in everyday life	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PIAAC Background Questionnaire (OMB Control No. 1850-0870). Modified to include only a subset of items.
G4	Self-directed learning	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
G5	Self-directed learning	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/
PARENT REPORT: CHILD MODULE
Child screener	Respondent and Secondary Contact Information	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
CS1-CS3	Confirm focal child	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394).
H1	Confirm focal child is dependent (lives with parent least half time)	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394).
H1a	If not with parent at least half time, where does child live	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
H2	Current enrollment,	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)
H3-3c	grade clarification, school status, and reasons for leaving school	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source for 3a-3b: Moving to Opportunity (MTO) Interim Survey of Households (OMB No. 2528-0218).
H3d	Did child graduate or receive a GED	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/
H4-4a	Adults present before school	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, modified question from the Moving to Opportunity (MTO) Interim Survey of Households (OMB No. 2528-0218). Modification kept question wording except that we made it focal child specific and added “Both you and another adult” response option.
H5-5a	Adults present after school	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source was modified question from the Moving to Opportunity (MTO) Interim Survey of Households (OMB No. 2528-0218).
H6-6a	Adults present after dinner	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source was modified question from the Moving to Opportunity (MTO) Interim Survey of Households (OMB No. 2528-0218)..
H7-7a	Adults present on weekends	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394).
H8a and 8b	Family routines	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source was modified wording from the Community Action Project (CAP) Family Life Study, Wave 1 Parent Survey. Original sources: based on the Fragile Families Study.
H9	Prediction of actual child educational achievement	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, Community Action Project (CAP) Family Life Study, Wave 1 Parent Survey, which was based on the Early Childhood Longitudinal Study-Birth (ECLS-B), Preschool Parent Interview (OMB No. 1850-0756).
H10	Child’s wish for educational achievement	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, National Longitudinal Survey of Labor Force Behavior. Youth Survey. Child Supplement. Children 10 Years and Older. 1988.
H11	Discuss homework or what child learning in school	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, modified question from the Project on Human Development in Chicago Neighborhoods Home life Survey.
H12	Help child with homework	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, early Childhood Longitudinal Study-Kindergarten Class of 1998-99 (ECLS-K), Third Grade Spring Parent Interview (OMB No. 1850-0750). Modification: The question refers to help with all homework subjects (opposed to asking separate questions for homework in reading, language arts, or spelling and homework in math).
H13	Discuss grades	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, modified question from the Early Childhood Longitudinal Study-Kindergarten Class of 1998-99 (ECLS-K), Eighth Grade Spring Parent Interview (OMB No. 1850-0750).
H14	Reading skills	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, the Indiana Welfare Reform Evaluation Child Survey.
H15	Math skills	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, the Indiana Welfare Reform Evaluation Child Survey.
H16	Repeated grades	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, Indiana Welfare Reform Evaluation Child Survey and the Florida Family Transition Program Child Survey.
H17	School absences	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, Indiana Welfare Reform Evaluation Child Survey and the Florida Family Transition Program Child Survey.
H18	School tardiness	PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, Indiana Welfare Reform Evaluation Child Survey and the Florida Family Transition Program Child Survey.
H19	School reported behavioral problems	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, modified question from the Early Childhood Longitudinal Study-Kindergarten Class of 2010-11 (ECLS-K: 2011), Spring Parent Interview (OMB No. 1850-0750). Modification: Question wording is exact but added close-ended response categories (opposed to allowing for open-ended responses).
H20	School reported school work problems	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, the Early Childhood Longitudinal Study-Kindergarten Class of 2010-11 (ECLS-K:2011), Spring Parent Interview (OMB No. 1850-0750). Modification: original question in ECLS-K:2011 is shortened (“How about any problems {he/she} is having with school work?”), whereas question in survey mirrors format of item S1 in 36-Month survey. Additionally, we added close-ended response categories (opposed to allowing for open-ended responses).
H21	Suspended or expelled	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, Indiana Welfare Reform Evaluation.
H22 and 22a	Grades / Child compared to class	H22: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, modified question from Moving to Opportunity (MTO) Interim Survey of Households (OMB No. 2528-0218). Modification: added response category options “Mostly A’s,” “Mostly A’s and B’s,” “Mostly B’s,” and “Not applicable.” H22a: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, National Longitudinal Survey of Labor Force Behavior. Youth Survey. Child Supplement. Children 10 Years and Older. 1988.
H23a-c	College preparation tests	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, modified question from Moving to Opportunity (MTO) Interim Survey of Households (OMB No. 2528-0218).Modification: Specified the question refers to tests “as part of college preparation” and added the PSAT test sub-item.
H24	Child’s employment status (14-17 years of age)	HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/
PARENT REPORT: CHILD MODULE
I1 – I12	Respondent and Secondary Contact Information	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
21st Century Literacy and Numeracy Skills Assessment
J1-J45	Multiple choice questions to assess literacy and numeracy skills	J1, J2: HL: Questions about health literacy found in the public domain-modifed J3, J4, FL: Questions about financial literacy found in the public domain-modified J5, J6, J9-J35, J37-J45 Newly developed Items developed by the Abt team for this instrument. Informed by items and scales from: the Health and Psychosocial Instruments (HAPI) and Health Literacy Toolshed databases, an intensive literature search; and other sources. J7, J8, J36, HLSI Health literacy skills instrument (modified)