Attachment Q: Intermeditate Follow-up Survey Sources

Attachment Q_HPOG 2.0 Intermeditate Follow-up Survey Sources.docx

OPRE Evaluation - National and Tribal Evaluation of the 2nd Generation of the Health Profession Opportunity Grants [descriptive evaluation, impact evaluation, cost-benefit analysis study, pilot study]

Attachment Q: Intermeditate Follow-up Survey Sources

OMB: 0970-0462

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Attachment Q: Intermediate Follow-up Survey Sources


National and Tribal Evaluation of the 2nd 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

            1. #
            1. Domain/Topic
            1. Sources
  1. 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).

  1. 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).

  1. 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)

  1. 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).

  1. 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).

  1. 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).

  1. 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)/

  1. 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)/

  1. 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).

  1. 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)





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