SIPP 2021 Questionnaire Changes

SIPP 2021 Questionnaire Changes_Census_12302020.docx

2021 Survey of Income and Program Participation Panel

SIPP 2021 Questionnaire Changes

OMB: 0607-1000

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SIPP 2021 Questionnaire Changes



H_PURPOSE1



Why are you interviewing me and not my neighbor?

In order to make this survey more cost effective, minimizing the amount of tax payer dollars used to collect data, a sample is drawn at random based on several key components, like the purpose of the survey and its target population. The decennial census is used to determine basic characteristics of all households in the U.S. Based on the population size and characteristics, individual households are then chosen to represent larger groups of the population. Your household in particular was randomly chosen to represent a portion of the population.





1.

Enter 1 to continue





H_PURPOSE5



Some of these questions are very personal; how do I know the government isn't going to use this information to deport me or take away my benefits?

The U.S. Census Bureau is required by law to protect your information. The Census Bureau is not permitted to publicly release your responses in a way that could identify you or this household. We are conducting this survey under the authority of Title 13, United States Code, Sections 141 and 182. Federal law protects your privacy and keeps your answers confidential (Title 13, United States Code, Section 9). Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the systems that transmit your data.

Additionally, data access is restricted and prior to the release of any data, all products must meet the Disclosure Review Board standards, ensuring the protection of your confidentiality. Not only is personally identifiable information not released, but neither is any information that may lead to your identification through a combination of any of the answers you provided, which simply means we use statistical methods to protect the data before we release it to the public. For example, if you are the only small business owner in your geographic location with two children in day care, you could be identified if we did not modify the data prior to its release. Our modifications maintain the integrity of the data while preventing you from being identified.





1.

Enter 1 to continue









ORIGIN



B

^ASKORVERIFY

^C_AREISWAS ^TEMPNAME Spanish, Hispanic or Latino?
(Such as Mexican, Mexican American, Chicano, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, or some other Spanish, Hispanic, or Latino group.)





1.

Yes

2.

No



HISPAN



B

^ASKORVERIFY


^C_AREISWAS ^TEMPNAME Mexican, Mexican American, Chicano, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, or some
Cuban other Spanish, Hispanic, or Latino group?

Mark all that apply.





1.

Mexican, Mexican American, Chicano

2.

Puerto Rican

3.

Cuban

4.

SalvadoranPuerto Rican

5.

Dominican

6.

Colombian

7.

Other Spanish, Hispanic, or Latino group



OROTSP



What is the name of ^PTEMPNAME other Spanish, Hispanic, or Latino group?
on the list.
Please use the category "Other Spanish, Hispanic, or Latino origin" for responses that do not appear elsewhere

























ECVD_EIP



Since April 1, 2020, did ^COVIDPER_FILL receive any stimulus payment or payments from the Department of the Treasury due to the coronavirus pandemic?

Do not include refunds on annual income taxes, unemployment compensation, or payments from an employer.






ECVD_MTH



What month or months did ^TEMPNAME receive a stimulus payment or payments? Mark all that apply.






4.

April ^CALENDAR_YRFIL

5.

May ^CALENDAR_YRFIL

6.

June ^CALENDAR_YRFIL

7.

July ^CALENDAR_YRFIL

8.

August ^CALENDAR_YRFIL

9.

September ^CALENDAR_YRFIL

10.

October ^CALENDAR_YRFIL

11.

November ^CALENDAR_YRFIL

12.

December ^CALENDAR_YRFIL

13.

January ^INTYEARFIL

14.

February ^INTYEARFIL

15.

March ^INTYEARFIL

16.

April ^INTYEARFIL

17.

May ^INTYEARFIL

18.

June ^INTYEARFIL



ECVD_AMT



What was the amount of the stimulus payment that ^COVIDPER_FILL received in ^COVIDMTH_FIL? Probe for best guess if necessary.






ECVD_USE



Thinking about the coronavirus pandemic stimulus ^COVIDPMT_FIL, did ^TEMPNAME mostly spend ^COVIDTHEM_FIL, save ^COVIDTHEM_FIL, use ^COVIDTHEM_FIL to pay off debt, or give ^COVIDTHEM_FIL away?





1.

Mostly spent

2.

Mostly saved

3.

Mostly paid off debt

4.

Mostly given away (to charity or someone in need)



ECVD_SPND



What did ^TEMPNAME mostly spend the stimulus ^COVIDPMT_FIL on? Read answer categories.

Mark all that apply.






1.

Food (groceries, eating out, take out)

2.

Clothing (clothing, accessories, shoes)

3.

Rent

4.

Mortgage

5.

Repairs (home, car, other)

6.

Utilities and telecommunications (natural gas, electricity, cable, internet, cellphone)

7.

Major household items (TV, electronics, furniture, appliances or other goods)big ticket

8.

Gave to charity DO NOT READ

9.

Other, specify DO NOT READ



ECVD_SPDOTH



What was the other thing on which ^TEMPNAME spent ^HISHER stimulus ^COVIDPMT_FIL?















TIMES_MARRIED



How many times ^HAVEHAS ^TEMPNAME been married?
If the person has been married but the marriage was annulled, consider the marriage never to have occurred.





1.

Once

2.

Twice

3.

Three times

4 or more.

Four or more times

0.

Never Married



MAR_MO



^MARMO_FIL
Enter month.






1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



MAR_YR



^MARYR_FIL
Enter year.






WIDIV



Did ^PTEMPNAME ^12CUR_FIL marriage end in widowhood or divorce?
^WIDIV_FRNOTEFIL





1.

Widowhood

2.

Divorce



END_MO



^ENDMO_FIL Enter month.






1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



END_YR



^ENDYR_FILEnter year.






STOPLIV_MO



^STOPLIVMO_FIL actually Enter month.

living together?stop





1.

January

2.

February

3.

March

4.

April

5.

May

6.

June

7.

July

8.

August

9.

September

10.

October

11.

November

12.

December



STOPLIV_YR



^STOPLIVYR_FIL Enter year.

living together?)stopactually



















MS_EHC



? [F1]
^ASKORVERIFY_MH


What ^ISWAS ^PTEMPNAME marital status ^BETWEEN_BMONTH_EMONTH...

Read answer categories.





1.

Married?

2.

Married, spouse absent - DO NOT READ

3.

Widowed?

4.

Divorced?

5.

Separated?

6.

Never Married?





WHO_PARTNER_EHC



Who ^ISWAS_MH ^PTEMPNAME boyfriend, girlfriend, or partner?





1.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

2.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

3.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

4.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

5.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

6.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

7.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

8.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

9.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

10.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

11.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

12.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

13.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

14.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

15.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

16.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

17.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

18.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

19.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

20.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

21.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

22.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

23.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

24.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

25.

LNO ROST_FNAME ROST_LNAME of all people AGE >= 15 or AGE = DK or REF either on the T2 roster or where PEOPLE_TO_ROSTER=1, excluding the respondent

26.

Someone not listed



rsend



G, ? [F1]

What is the main reason ^YOUHESHE stopped working for ^YOURHISHER employer?





1.

Plant or company closed down or moved

2.

Slack work or business conditions, such as due to coronavirus pandemic business closures

3.

Position or shift abolished

4.

Temporary or seasonal job completed

5.

Discharged or fired

6.

Other involuntary reason

7.

Quit to take another job

8.

Unsatisfactory work arrangements

9.

Quit for some other reason

10.

Retirement

11.

Taking care of children, such as due to coronavirus pandemic school closures

12.

Other family or personal obligations

13.

Own health concerns or own illness

14.

Own injury

15.

School or training

16.

Other personal reason



rendb



G

What is the main reason ^TEMPNAME gave up or ended this business?





1.

Retirement

2.

Taking care of children, such as due to coronavirus pandemic school closures

3.

Other family or personal problems

4.

Own health concerns or own illness

5.

Own injury

6.

School or training

7.

Went bankrupt or business failed

8.

Sold business or transferred ownership

9.

To start other business or take a job

10.

Season ended for a seasonal business

11.

Quit for some other reason

ptresn1



I, ? [F1]

What ^ISWAS the main reason ^TEMPNAME WORKSWORKED less than 35 hours per week?

For those respondents who work part-time because they have multiple jobs, select option #2 (wanted to work part-time).





1.

Could not find full-time job

2.

Wanted to work part-time

3.

Temporarily unable to work full-time because of own injury

4.

Temporarily unable to work full-time because of own health concerns or own illness

5.

Unable to work full-time because of chronic health condition or disability

6.

Taking care of children or other persons, such as due to coronavirus pandemic school closures

7.

Full-time work week is less than 35 hours

8.

Slack work or business conditions, such as reduced hours due to coronavirus pandemic

9.

Participated in a job-sharing arrangement

10.

On vacation

11.

In school

12.

Other



ptresn2



I

What was the main reason ^TEMPNAME worked less than 35 hours per week?





1.

Could not find full-time job

2.

Wanted to work part-time

3.

Temporarily unable to work full-time because of own injury

4.

Temporarily unable to work full-time because of own health concerns or own illness

5.

Unable to work full-time because of chronic health condition or disability

6.

Taking care of children or other persons, such as due to coronavirus pandemic school closures

7.

Full-time work week is less than 35 hours

8.

Slack work or business conditions, such as reduced hours due to coronavirus pandemic

9.

Participated in a job-sharing arrangement

10.

On vacation

11.

In school

12.

Other





ptresn3



I

What was the main reason ^TEMPNAME worked less than 35 hours per week?





1.

Could not find full-time job

2.

Wanted to work part-time

3.

Temporarily unable to work full-time because of own injury

4.

Temporarily unable to work full-time because of own health concerns or own illness

5.

Unable to work full-time because of chronic health condition or disability

6.

Taking care of children or other persons, such as due to coronavirus pandemic school closures

7.

Full-time work week is less than 35 hours

8.

Slack work or business conditions, such as reduced hours due to coronavirus pandemic

9.

Participated in a job-sharing arrangement

10.

On vacation

11.

In school

12.

Other





ptresn4



I

What was the main reason ^TEMPNAME worked less than 35 hours per week?





1.

Could not find full-time job

2.

Wanted to work part-time

3.

Temporarily unable to work full-time because of own injury

4.

Temporarily unable to work full-time because of own health concerns or own illness

5.

Unable to work full-time because of chronic health condition or disability

6.

Taking care of children or other persons, such as due to coronavirus pandemic school closures

7.

Full-time work week is less than 35 hours

8.

Slack work or business conditions, such as reduced hours due to coronavirus pandemic

9.

Participated in a job-sharing arrangement

10.

On vacation

11.

In school

12.

Other







fpawopyn1



? [F1]

^C_FPAWOPYN1FILL, did ^TEMPNAME have any time away without pay from ^EMPNAME for a period of at least two weeks?
Examples include being furloughed due to coronavirus pandemic business closures, or taking care of children due to school closures.





1.

Yes

2.

No





fpawopre1



J, ? [F1]

What was the main reason that ^TEMPNAME did not get paid during this period?





1.

On layoff, such as furloughed due to coronavirus pandemic business closures

2.

Slack work or business conditions

3.

Vacation, scheduled time off, or personal days

4.

Teacher on an 8-, 9-, or 10-month contract

5.

Own health concerns, injury, illness, or medical problems

6.

Taking care of children, such as due to coronavirus pandemic school closures

7.

Other family or personal obligations

8.

Pregnancy, childbirth, maternity leave, or paternity leave

9.

Labor dispute

10.

Weather affected job

11.

Civic, jury, or military duty

12.

Other





fpawopyn2



? [F1]

^C_FPAWOPYN2FILL ^TEMPNAME have a second period of time away without pay from ^EMPNAME for at least two weeks?
Examples include being furloughed due to coronavirus pandemic business closures, or taking care of children due to school closures.





1.

Yes

2.

No





fpawopre2



J, ? [F1]

What was the main reason that ^TEMPNAME did not get paid during this period?





1.

On layoff, such as furloughed due to coronavirus pandemic business closures

2.

Slack work or business conditions

3.

Vacation, scheduled time off, or personal days

4.

Teacher on an 8-, 9-, or 10-month contract

5.

Own health concerns, injury, illness, or medical problems

6.

Taking care of children, such as due to coronavirus pandemic school closures

7.

Other family or personal obligations

8.

Pregnancy, childbirth, maternity leave, or paternity leave

9.

Labor dispute

10.

Weather affected job

11.

Civic, jury, or military duty

12.

Other





fpawopyn3



? [F1]

^C_FPAWOPYN3FILL ^TEMPNAME have a third period of time away without pay from ^EMPNAME for at least two weeks?
Examples include being furloughed due to coronavirus pandemic business closures, or taking care of children due to school closures.





1.

Yes

2.

No



fpawopre3



J, ? [F1]

What was the main reason that ^TEMPNAME did not get paid during this period?





1.

On layoff, such as furloughed due to coronavirus pandemic business closures

2.

Slack work or business conditions

3.

Vacation, scheduled time off, or personal days

4.

Teacher on an 8-, 9-, or 10-month contract

5.

Own health concerns, injury, illness, or medical problems

6.

Taking care of children, such as due to coronavirus pandemic school closures

7.

Other family or personal obligations

8.

Pregnancy, childbirth, maternity leave, or paternity leave

9.

Labor dispute

10.

Weather affected job

11.

Civic, jury, or military duty

12.

Other













NOWRK_1



K

Why This is the fill for DIDDODONT ^TEMPNAME work for pay ^NWBETWEEN_BMONTH_EMONTH?

Read or show the respondent the answer list.

After each response, ask: Any other reason?





1.

Temporarily unable to work because of own injury?

2.

Temporarily unable to work because of own health concerns or own illness?

3.

Unable to work because of chronic health condition or disability?

4.

Retired?

5.

Pregnancy or childbirth?

6.

Taking care of children or other persons, such as due to coronavirus pandemic school closures?

7.

Going to school?

8.

Unable to find work?

9.

On layoff, such as furloughed due to coronavirus pandemic business closures?

10.

Not interested in working at a job?

11.

Usually worked 15 or more hours per week without pay in a family business or farm?

12.

Other DO NOT READ



LAYOFF_1



? [F1]

^LAYOFFFILL ^TEMPNAME spend any time on layoff from a job?


Examples include being forced to leave a job due to slack work, shortages, or business closures such as those due to the coronavirus pandemic (rather than personal misconduct or the completion of a temporary job).



1.

Yes

2.

No

















LAYOFF_TYPE_1



When ^TEMPNAME WASWERE laid off, WASWERE ^YOUHESHE either informed that ^YOUHESHE would be recalled to work within 6 months, or given a date to return to work?
Answer YES if the respondent was told to come back to work after government-ordered coronavirus pandemic business closures are lifted.





1.

Yes

2.

No



NOWRK_0



K

Next, I'll ask some follow-up questions based on the employment information you have already provided.

Why ^DONTDOESNT ^TEMPNAME work for pay now...

Read answer categories.

After each response, ask: Any other reason?





1.

Temporarily unable to work because of own injury?

2.

Temporarily unable to work because of own health concerns or own illness?

3.

Unable to work because of chronic health condition or disability?

4.

Retired?

5.

Pregnancy or childbirth?

6.

Taking care of children or other persons, such as due to coronavirus pandemic school closures?

7.

Going to school?

8.

Unable to find work?

9.

On layoff, such as furloughed due to coronavirus pandemic business closures?

10.

Not interested in working at a job?

11.

Usually worked 15 or more hours per week without pay in a family business or farm?

12.

Some other reason?

13.

Error: Currently working DO NOT READ



















UC_CVD



Did ^TEMPNAME have a period of unemployment due to the coronavirus pandemic?





1.

Yes

2.

No





ECVDMEAL



Did ^PTEMPNAME child(ren) continue receiving free or
meals through ^PTEMPNAME school or school district if schools were closed during the coronavirus pandemic? reduced price

































RET_TYPE



N

^QSTNTXT_RETTYPE What type of retirement income did ^TEMPNAME receive since ^MONTH1 ^CALENDAR_YRFIL?

Mark all that apply.





1.

Pension from a company or union including income from a profit-sharing plan

2.

Federal Civil Service or other Federal Civilian employee pension

3.

State government pension

4.

Local government pension

5.

Military retirement pay

6.

U.S. Government Railroad Retirement

7.

National Guard or Reserve Forces retirement

8.

Other retirement income

9.

Did not receive retirement income



RETTYPE_SP



What was that other type of retirement income?





LIFEYN



? [F1]

Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME receive any retirement income from a paid-up life insurance policy or annuity?





1.

Yes

2.

No



LIFEREG



Did that come as a single lump-sum?





1.

Yes

2.

No



LIFEWHEN



Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, during which months did ^TEMPNAME receive retirement income from a paid-up life insurance policy or annuity?

Mark all that apply.





1.

^MONTH1 ^CALENDAR_YEAR

2.

^MONTH1 ^CALENDAR_YEAR

3.

^MONTH1 ^CALENDAR_YEAR

4.

^MONTH1 ^CALENDAR_YEAR

5.

^MONTH1 ^CALENDAR_YEAR

6.

^MONTH1 ^CALENDAR_YEAR

7.

^MONTH1 ^CALENDAR_YEAR

8.

^MONTH1 ^CALENDAR_YEAR

9.

^MONTH1 ^CALENDAR_YEAR

10.

^MONTH1 ^CALENDAR_YEAR

11.

^MONTH1 ^CALENDAR_YEAR

12.

^MONTH1 ^CALENDAR_YEAR

13.

All months



LIFEAMT



What was the total amount of life insurance payments ^TEMPNAME received between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL?



RET_NOW



C_DODOES ^TEMPNAME receive ^RETIREMENT_TYPE now?





1.

Yes

2.

No



RET_LAST_REC



Whe did ^TEMPNAME last receive ^RETIREMENT_TYPE?





1.

^MONTH1, ^CALENDAR_YEAR

2.

^MONTH2, ^CALENDAR_YEAR

3.

^MONTH3, ^CALENDAR_YEAR

4.

^MONTH4, ^CALENDAR_YEAR

5.

^MONTH5, ^CALENDAR_YEAR

6.

^MONTH6, ^CALENDAR_YEAR

7.

^MONTH7, ^CALENDAR_YEAR

8.

^MONTH8, ^CALENDAR_YEAR

9.

^MONTH9, ^CALENDAR_YEAR

10.

^MONTH10, ^CALENDAR_YEAR

11.

^MONTH11, ^CALENDAR_YEAR

12.

^MONTH12, ^CALENDAR_YEAR

13.

^INTV_MONTH1, ^INTV_YEAR

14.

^INTV_MONTH2, ^INTV_YEAR

15.

^INTV_MONTH3, ^INTV_YEAR

16.

^INTV_MONTH4, ^INTV_YEAR

17.

^INTV_MONTH5, ^INTV_YEAR

18.

^INTV_MONTH6, ^INTV_YEAR



RET_START_REC



When did ^TEMPNAME start receiving ^RETIREMENT_TYPE?

Enter 0 if the person started receiving ^RETIREMENT_TYPE prior to the start of the reference period.





0.

Receipt started prior to ^MONTH1, ^CALENDAR_YEAR

1.

^MONTH1, ^CALENDAR_YEAR

2.

^MONTH2, ^CALENDAR_YEAR

3.

^MONTH3, ^CALENDAR_YEAR

4.

^MONTH4, ^CALENDAR_YEAR

5.

^MONTH5, ^CALENDAR_YEAR

6.

^MONTH6, ^CALENDAR_YEAR

7.

^MONTH7, ^CALENDAR_YEAR

8.

^MONTH8, ^CALENDAR_YEAR

9.

^MONTH9, ^CALENDAR_YEAR

10.

^MONTH10, ^CALENDAR_YEAR

11.

^MONTH11, ^CALENDAR_YEAR

12.

^MONTH12, ^CALENDAR_YEAR

13.

^INTV_MONTH1, ^INTV_YEAR

14.

^INTV_MONTH2, ^INTV_YEAR

15.

^INTV_MONTH3, ^INTV_YEAR

16.

^INTV_MONTH4, ^INTV_YEAR

17.

^INTV_MONTH5, ^INTV_YEAR

18.

^INTV_MONTH6, ^INTV_YEAR



RET_1STAMT



How much ^DIDDO ^TEMPNAME receive in ^RETIREMENT_TYPE ^RETCURAMT_FIL?





RET_GUESS



What would you estimate the montly amount to be?





RET_1STSTART



When did ^TEMPNAME start receiving ^RETAMT1_FIL?





0.

Receipt started prior to ^MONTH1, ^CALENDAR_YEAR

1.

^MONTH1, ^CALENDAR_YEAR

2.

^MONTH2, ^CALENDAR_YEAR

3.

^MONTH3, ^CALENDAR_YEAR

4.

^MONTH4, ^CALENDAR_YEAR

5.

^MONTH5, ^CALENDAR_YEAR

6.

^MONTH6, ^CALENDAR_YEAR

7.

^MONTH7, ^CALENDAR_YEAR

8.

^MONTH8, ^CALENDAR_YEAR

9.

^MONTH9, ^CALENDAR_YEAR

10.

^MONTH10, ^CALENDAR_YEAR

11.

^MONTH11, ^CALENDAR_YEAR

12.

^MONTH12, ^CALENDAR_YEAR

13.

^INTV_MONTH1, ^INTV_YEAR

14.

^INTV_MONTH2, ^INTV_YEAR

15.

^INTV_MONTH3, ^INTV_YEAR

16.

^INTV_MONTH4, ^INTV_YEAR

17.

^INTV_MONTH5, ^INTV_YEAR

18.

^INTV_MONTH6, ^INTV_YEAR



RET_2NDAMT



How much did ^TEMPNAME receive in ^RETIREMENT_TYPE ^RETSTART1_FIL?





RET_2NDSTART



When did ^TEMPNAME start receiving ^RETAMT2_FIL?





0.

Receipt started prior to ^MONTH1, ^CALENDAR_YEAR

1.

^MONTH1, ^CALENDAR_YEAR

2.

^MONTH2, ^CALENDAR_YEAR

3.

^MONTH3, ^CALENDAR_YEAR

4.

^MONTH4, ^CALENDAR_YEAR

5.

^MONTH5, ^CALENDAR_YEAR

6.

^MONTH6, ^CALENDAR_YEAR

7.

^MONTH7, ^CALENDAR_YEAR

8.

^MONTH8, ^CALENDAR_YEAR

9.

^MONTH9, ^CALENDAR_YEAR

10.

^MONTH10, ^CALENDAR_YEAR

11.

^MONTH11, ^CALENDAR_YEAR

12.

^MONTH12, ^CALENDAR_YEAR

13.

^INTV_MONTH1, ^INTV_YEAR

14.

^INTV_MONTH2, ^INTV_YEAR

15.

^INTV_MONTH3, ^INTV_YEAR

16.

^INTV_MONTH4, ^INTV_YEAR

17.

^INTV_MONTH5, ^INTV_YEAR

18.

^INTV_MONTH6, ^INTV_YEAR



RET_3RDAMT



How much did ^TEMPNAME receive in ^RETIREMENT_TYPE ^RETSTART2_FIL?





RET_3RDSTART



When did ^TEMPNAME start receiving ^RETAMT3_FIL?





0.

Receipt started prior to ^MONTH1, ^CALENDAR_YEAR

1.

^MONTH1, ^CALENDAR_YEAR

2.

^MONTH2, ^CALENDAR_YEAR

3.

^MONTH3, ^CALENDAR_YEAR

4.

^MONTH4, ^CALENDAR_YEAR

5.

^MONTH5, ^CALENDAR_YEAR

6.

^MONTH6, ^CALENDAR_YEAR

7.

^MONTH7, ^CALENDAR_YEAR

8.

^MONTH8, ^CALENDAR_YEAR

9.

^MONTH9, ^CALENDAR_YEAR

10.

^MONTH10, ^CALENDAR_YEAR

11.

^MONTH11, ^CALENDAR_YEAR

12.

^MONTH12, ^CALENDAR_YEAR

13.

^INTV_MONTH1, ^INTV_YEAR

14.

^INTV_MONTH2, ^INTV_YEAR

15.

^INTV_MONTH3, ^INTV_YEAR

16.

^INTV_MONTH4, ^INTV_YEAR

17.

^INTV_MONTH5, ^INTV_YEAR

18.

^INTV_MONTH6, ^INTV_YEAR



RET_4THAMT



How much did ^TEMPNAME receive in ^RETIREMENT_TYPE ^RETSTART3_FIL?





RET_4THSTART



When did ^TEMPNAME start receiving ^RETAMT4_FIL?





0.

Receipt started prior to ^MONTH1, ^CALENDAR_YEAR

1.

^MONTH1, ^CALENDAR_YEAR

2.

^MONTH2, ^CALENDAR_YEAR

3.

^MONTH3, ^CALENDAR_YEAR

4.

^MONTH4, ^CALENDAR_YEAR

5.

^MONTH5, ^CALENDAR_YEAR

6.

^MONTH6, ^CALENDAR_YEAR

7.

^MONTH7, ^CALENDAR_YEAR

8.

^MONTH8, ^CALENDAR_YEAR

9.

^MONTH9, ^CALENDAR_YEAR

10.

^MONTH10, ^CALENDAR_YEAR

11.

^MONTH11, ^CALENDAR_YEAR

12.

^MONTH12, ^CALENDAR_YEAR

13.

^INTV_MONTH1, ^INTV_YEAR

14.

^INTV_MONTH2, ^INTV_YEAR

15.

^INTV_MONTH3, ^INTV_YEAR

16.

^INTV_MONTH4, ^INTV_YEAR

17.

^INTV_MONTH5, ^INTV_YEAR

18.

^INTV_MONTH6, ^INTV_YEAR



RET_STARTAMT



How much did ^TEMPNAME receive in ^RETIREMENT_TYPE ^RETSTARTAMT_FIL?





INCOME_TYPE



Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME receive any money or income from any of the following sources...

Read answer categories.
Do not include any money or income received from the government due to the coronavirus pandemic.
Mark all that apply.





1.

A community or religious charity?

2.

Family or friends?

3.

Roomers or boarders?

4.

Estates?

5.

Incidental or casual earnings?

6.

Miscellaneous cash income (such as lottery winnings)?

7.

National Guard or Reserve Pay?

8.

Did not receive money from any of these sources?



RETIRE_INTRO



Next I'll ask some questions about ^RET_INTRO_FIL





1.

Enter 1 to continue



MAIN_JOB



Which of the following did ^YOUHESHE consider to be ^YOURHISHER main employer in December ^REFYEAR?If no main job can be identified or selected, enter CTRL+D.

Respondent must select one of the options below. If respondent is unsure, choose the job where respondent has the most earnings.






1.

^JOB1_FILL

2.

^JOB2_FILL

3.

^JOB3_FILL

4.

^JOB4_FILL

5.

^JOB5_FILL

6.

^JOB6_FILL

7.

^JOB7_FILL











EVERET



^C_HAVHAS ^TEMPNAME ever retired, for any reason, from a job or business?





1.

Yes

2.

No



ECVD_RETIRE



^COVIDRET





1.

Yes

2.

No



ECVD_RET_HOW



^COVIDRET_HOWRead answer categories






1.

postpone or delay retirement?

2.

plan an earlier retirement date?

3.

return to work from retirement?

4.

retire later than planned?

5.

retire earlier than planned?

6.

Retired before pandemic began - (DO NOT READ)

7.

Other reason (or no change in plans) - (DO NOT READ)



OWN_IRAKEO



? [F1]

Next are a couple of questions about retirement accounts. At any time between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME have an Individual Retirement Account (IRA) or a Keogh account?





1.

Yes

2.

No

















OWN_THR401



? [F1] Did ^TEMPNAME ^ALSOFIL own a retirement plan, such as a 401k, 403b, 503b, or thrift plan?(Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL)






1.

Yes

2.

No



OWN_PENSION



? [F1]^C_WASWERE ^TEMPNAME included in a plan that provides regular payments for life based on earnings or years on the job, such as a defined-benefit pension or cash balance plan?(Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL)






1.

Yes

2.

No



PENSION_FUP



^DODOES ^TEMPNAME have a defined-benefit pension from a current or previous job which will provide benefits in the future?





1.

Yes

2.

No



RETIRE_INTRO2



Next, I'll ask more detailed questions about ^PTEMPNAME ^IRA401FIL





1.

Enter 1 to continue



IRAKEOVAL



? [F1]
^IRA_MULT_FIL As of the last day of ^LASTMONTH, ^CALENDAR_YEAR, what was the total balance or market value of the account(s) ^TEMPNAME owned?













IRAVAL_RAN



Was the amount less than $5,000, between $5,000 and $25,000, between $25,000 and $50,000, or more than $50,000?(as of the last day of ^LASTMONTH, ^CALENDAR_YEAR)





1.

Less than $5,000

2.

$5,000 to $24,999

3.

$25,000 to $49,999

4.

$50,000 or more



IRA_INC_YN



At any time in ^CALENDAR_YRFIL, did ^TEMPNAME receive any income or withdrawals from ^HISHER IRA or Keogh account(s)?





1.

Yes

2.

No



IRA_INC_AMT



Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, how much income did ^TEMPNAME receive ?(from ^HISHER IRA or Keogh account)





IRA_INC_RANGE



Was the annual amount less than $1,000, between $1,000 and $5,000, between $5,000 and $20,000, or more than $20,000?





1.

less than $1,000

2.

$1,000 to $4,999

3.

$5,000 to $19,999

4.

$20,000 or more



MAIN_JOB_IRA



In ^CALENDAR_YRFIL, did ^TEMPNAME have an IRA or Keogh account(s) provided through ^MJBNAME_FIL?





1.

Yes

2.

No











SCNTYN_IRA



In ^CALENDAR_YRFIL, did ^HESHE contribute any money to the plan with ^MJBNAME_FIL, for example, through payroll deductions?





1.

Yes

2.

No



SCNTAMT_IRA



Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, how much did ^TEMPNAME contribute toward this plan?Enter 0 if the respondent made no contributions.






ECNTYN_IRA



In ^CALENDAR_YRFIL, did ^MJBNAME_FIL make contributions to this plan?





1.

Yes

2.

No



ECNTAMT_IRA



Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, how much did ^MJBNAME_FIL contribute toward this plan?Enter 0 if ^MJBNAME_FIL made no contributions.






PREV_JOB_IRA



^PREVJOBIRA_FIL





1.

Yes

2.

No



THR401VAL



? [F1]
^THR401_MULT_FIL As of the last day of ^LASTMONTH, ^CALENDAR_YEAR, what was the total balance or market value of the plan(s) ^TEMPNAME participated in?









THR401VAL_RAN



Was the amount less than $5,000, between $5,000 and $25,000, between $25,000 and $50,000, or more than $50,000?(as of the last day of ^LASTMONTH, ^CALENDAR_YEAR)





1.

Less than $5,000

2.

$5,000 to $24,999

3.

$25,000 to $49,999

4.

$50,000 or more



THR401_INC_YN



At any time in ^CALENDAR_YRFIL, did ^TEMPNAME receive any income or withdrawals from ^HISHER 401k, 403b, 503b, or thrift plan(s)^LUMP_FIL?





1.

Yes

2.

No



THR401_INC_AMT



Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, how much income did ^TEMPNAME receive ?(from ^HISHER 401k, 403b, 503b, or thrift plan)





THR401_INC_RANGE



Was the annual amount less than $1,000, between $1,000 and $5,000, between $5,000 and $20,000, or more than $20,000?





1.

less than $1,000

2.

$1,000 to $4,999

3.

$5,000 to $19,999

4.

$20,000 or more



MAIN_JOB_THR401



In ^CALENDAR_YRFIL, did ^TEMPNAME have a 401k, 403b, 503b, or thrift plan provided through ^MJBNAME_FIL?





1.

Yes

2.

No













SCNTYN_401



In ^CALENDAR_YRFIL, did ^HESHE contribute any money to the plan with ^MJBNAME_FIL, for example, through payroll deductions?





1.

Yes

2.

No



SCNTAMT_401



Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, how much did ^TEMPNAME contribute toward this plan?Enter 0 if the respondent made no contributions.






ECNTYN_401



In ^CALENDAR_YRFIL, did ^MJBNAME_FIL make contributions to this plan?





1.

Yes

2.

No



ECNTAMT_401



Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, how much did ^MJBNAME_FIL contribute toward this plan?Enter 0 if ^MJBNAME_FIL made no contributions.






PREV_JOB_THR401



^PREVJOB401_FIL





1.

Yes

2.

No



PENSION_INC_YN



^PENS_MULT_FIL. At any time in ^CALENDAR_YEAR, did ^TEMPNAME receive any income from ^HISHER pension or cash balance plan(s)?





1.

Yes

2.

No





RET_ANY



^OTHERTHANFIL_RETANY ^SSHLTHFIL_RETANY ^DIDFIL_RETANY ^TEMPNAME receive any ^OTHERFIL_RETANY retirement income?





1.

Yes

2.

No



RET_TYPE



N

^QSTNTXT_RETTYPE What type of retirement income did ^TEMPNAME receive since ^MONTH1 ^CALENDAR_YRFIL?

Mark all that apply.





1.

Pension from a company or union including income from a profit-sharing plan

2.

Federal Civil Service or other Federal Civilian employee pension

3.

State government pension

4.

Local government pension

5.

Military retirement pay

6.

U.S. Government Railroad Retirement

7.

National Guard or Reserve Forces retirement

8.

Other retirement income

9.

Did not receive retirement income



RETTYPE_SP



What was that other type of retirement income?





LIFEYN



? [F1]

Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME receive any retirement income from a paid-up life insurance policy or annuity?





1.

Yes

2.

No



LIFEREG



Did that come as a single lump-sum?





1.

Yes

2.

No



LIFEWHEN



Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, during which months did ^TEMPNAME receive retirement income from a paid-up life insurance policy or annuity?

Mark all that apply.





1.

^MONTH1 ^CALENDAR_YEAR

2.

^MONTH1 ^CALENDAR_YEAR

3.

^MONTH1 ^CALENDAR_YEAR

4.

^MONTH1 ^CALENDAR_YEAR

5.

^MONTH1 ^CALENDAR_YEAR

6.

^MONTH1 ^CALENDAR_YEAR

7.

^MONTH1 ^CALENDAR_YEAR

8.

^MONTH1 ^CALENDAR_YEAR

9.

^MONTH1 ^CALENDAR_YEAR

10.

^MONTH1 ^CALENDAR_YEAR

11.

^MONTH1 ^CALENDAR_YEAR

12.

^MONTH1 ^CALENDAR_YEAR

13.

All months



LIFEAMT



What was the total amount of life insurance payments ^TEMPNAME received between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL?



RET_NOW



C_DODOES ^TEMPNAME receive ^RETIREMENT_TYPE now?





1.

Yes

2.

No



RET_LAST_REC



Whe did ^TEMPNAME last receive ^RETIREMENT_TYPE?





1.

^MONTH1, ^CALENDAR_YEAR

2.

^MONTH2, ^CALENDAR_YEAR

3.

^MONTH3, ^CALENDAR_YEAR

4.

^MONTH4, ^CALENDAR_YEAR

5.

^MONTH5, ^CALENDAR_YEAR

6.

^MONTH6, ^CALENDAR_YEAR

7.

^MONTH7, ^CALENDAR_YEAR

8.

^MONTH8, ^CALENDAR_YEAR

9.

^MONTH9, ^CALENDAR_YEAR

10.

^MONTH10, ^CALENDAR_YEAR

11.

^MONTH11, ^CALENDAR_YEAR

12.

^MONTH12, ^CALENDAR_YEAR

13.

^INTV_MONTH1, ^INTV_YEAR

14.

^INTV_MONTH2, ^INTV_YEAR

15.

^INTV_MONTH3, ^INTV_YEAR

16.

^INTV_MONTH4, ^INTV_YEAR

17.

^INTV_MONTH5, ^INTV_YEAR

18.

^INTV_MONTH6, ^INTV_YEAR



RET_START_REC



When did ^TEMPNAME start receiving ^RETIREMENT_TYPE?

Enter 0 if the person started receiving ^RETIREMENT_TYPE prior to the start of the reference period.





0.

Receipt started prior to ^MONTH1, ^CALENDAR_YEAR

1.

^MONTH1, ^CALENDAR_YEAR

2.

^MONTH2, ^CALENDAR_YEAR

3.

^MONTH3, ^CALENDAR_YEAR

4.

^MONTH4, ^CALENDAR_YEAR

5.

^MONTH5, ^CALENDAR_YEAR

6.

^MONTH6, ^CALENDAR_YEAR

7.

^MONTH7, ^CALENDAR_YEAR

8.

^MONTH8, ^CALENDAR_YEAR

9.

^MONTH9, ^CALENDAR_YEAR

10.

^MONTH10, ^CALENDAR_YEAR

11.

^MONTH11, ^CALENDAR_YEAR

12.

^MONTH12, ^CALENDAR_YEAR

13.

^INTV_MONTH1, ^INTV_YEAR

14.

^INTV_MONTH2, ^INTV_YEAR

15.

^INTV_MONTH3, ^INTV_YEAR

16.

^INTV_MONTH4, ^INTV_YEAR

17.

^INTV_MONTH5, ^INTV_YEAR

18.

^INTV_MONTH6, ^INTV_YEAR



RET_1STAMT



How much ^DIDDO ^TEMPNAME receive in ^RETIREMENT_TYPE ^RETCURAMT_FIL?





RET_GUESS



What would you estimate the montly amount to be?





RET_1STSTART



When did ^TEMPNAME start receiving ^RETAMT1_FIL?





0.

Receipt started prior to ^MONTH1, ^CALENDAR_YEAR

1.

^MONTH1, ^CALENDAR_YEAR

2.

^MONTH2, ^CALENDAR_YEAR

3.

^MONTH3, ^CALENDAR_YEAR

4.

^MONTH4, ^CALENDAR_YEAR

5.

^MONTH5, ^CALENDAR_YEAR

6.

^MONTH6, ^CALENDAR_YEAR

7.

^MONTH7, ^CALENDAR_YEAR

8.

^MONTH8, ^CALENDAR_YEAR

9.

^MONTH9, ^CALENDAR_YEAR

10.

^MONTH10, ^CALENDAR_YEAR

11.

^MONTH11, ^CALENDAR_YEAR

12.

^MONTH12, ^CALENDAR_YEAR

13.

^INTV_MONTH1, ^INTV_YEAR

14.

^INTV_MONTH2, ^INTV_YEAR

15.

^INTV_MONTH3, ^INTV_YEAR

16.

^INTV_MONTH4, ^INTV_YEAR

17.

^INTV_MONTH5, ^INTV_YEAR

18.

^INTV_MONTH6, ^INTV_YEAR



RET_2NDAMT



How much did ^TEMPNAME receive in ^RETIREMENT_TYPE ^RETSTART1_FIL?





RET_2NDSTART



When did ^TEMPNAME start receiving ^RETAMT2_FIL?





0.

Receipt started prior to ^MONTH1, ^CALENDAR_YEAR

1.

^MONTH1, ^CALENDAR_YEAR

2.

^MONTH2, ^CALENDAR_YEAR

3.

^MONTH3, ^CALENDAR_YEAR

4.

^MONTH4, ^CALENDAR_YEAR

5.

^MONTH5, ^CALENDAR_YEAR

6.

^MONTH6, ^CALENDAR_YEAR

7.

^MONTH7, ^CALENDAR_YEAR

8.

^MONTH8, ^CALENDAR_YEAR

9.

^MONTH9, ^CALENDAR_YEAR

10.

^MONTH10, ^CALENDAR_YEAR

11.

^MONTH11, ^CALENDAR_YEAR

12.

^MONTH12, ^CALENDAR_YEAR

13.

^INTV_MONTH1, ^INTV_YEAR

14.

^INTV_MONTH2, ^INTV_YEAR

15.

^INTV_MONTH3, ^INTV_YEAR

16.

^INTV_MONTH4, ^INTV_YEAR

17.

^INTV_MONTH5, ^INTV_YEAR

18.

^INTV_MONTH6, ^INTV_YEAR



RET_3RDAMT



How much did ^TEMPNAME receive in ^RETIREMENT_TYPE ^RETSTART2_FIL?





RET_3RDSTART



When did ^TEMPNAME start receiving ^RETAMT3_FIL?





0.

Receipt started prior to ^MONTH1, ^CALENDAR_YEAR

1.

^MONTH1, ^CALENDAR_YEAR

2.

^MONTH2, ^CALENDAR_YEAR

3.

^MONTH3, ^CALENDAR_YEAR

4.

^MONTH4, ^CALENDAR_YEAR

5.

^MONTH5, ^CALENDAR_YEAR

6.

^MONTH6, ^CALENDAR_YEAR

7.

^MONTH7, ^CALENDAR_YEAR

8.

^MONTH8, ^CALENDAR_YEAR

9.

^MONTH9, ^CALENDAR_YEAR

10.

^MONTH10, ^CALENDAR_YEAR

11.

^MONTH11, ^CALENDAR_YEAR

12.

^MONTH12, ^CALENDAR_YEAR

13.

^INTV_MONTH1, ^INTV_YEAR

14.

^INTV_MONTH2, ^INTV_YEAR

15.

^INTV_MONTH3, ^INTV_YEAR

16.

^INTV_MONTH4, ^INTV_YEAR

17.

^INTV_MONTH5, ^INTV_YEAR

18.

^INTV_MONTH6, ^INTV_YEAR



RET_4THAMT



How much did ^TEMPNAME receive in ^RETIREMENT_TYPE ^RETSTART3_FIL?





RET_4THSTART



When did ^TEMPNAME start receiving ^RETAMT4_FIL?





0.

Receipt started prior to ^MONTH1, ^CALENDAR_YEAR

1.

^MONTH1, ^CALENDAR_YEAR

2.

^MONTH2, ^CALENDAR_YEAR

3.

^MONTH3, ^CALENDAR_YEAR

4.

^MONTH4, ^CALENDAR_YEAR

5.

^MONTH5, ^CALENDAR_YEAR

6.

^MONTH6, ^CALENDAR_YEAR

7.

^MONTH7, ^CALENDAR_YEAR

8.

^MONTH8, ^CALENDAR_YEAR

9.

^MONTH9, ^CALENDAR_YEAR

10.

^MONTH10, ^CALENDAR_YEAR

11.

^MONTH11, ^CALENDAR_YEAR

12.

^MONTH12, ^CALENDAR_YEAR

13.

^INTV_MONTH1, ^INTV_YEAR

14.

^INTV_MONTH2, ^INTV_YEAR

15.

^INTV_MONTH3, ^INTV_YEAR

16.

^INTV_MONTH4, ^INTV_YEAR

17.

^INTV_MONTH5, ^INTV_YEAR

18.

^INTV_MONTH6, ^INTV_YEAR



RET_STARTAMT



How much did ^TEMPNAME receive in ^RETIREMENT_TYPE ^RETSTARTAMT_FIL?





MAIN_JOB_PENSION



In ^CALENDAR_YRFIL, did ^TEMPNAME have a pension or cash balance plan provided through ^MJBNAME_FIL?





1.

Yes

2.

No



CASH_BAL



Was the plan(s) through ^MJBNAME_FIL a defined-benefit pension, a cash balance plan, or both?





1.

Defined-benefit pension

2.

Cash balance plan

3.

Both a defined-benefit pension and cash balance plan















SCNTYN_PEN



In ^CALENDAR_YRFIL, did ^HESHE contribute any money to the ^PEN_CASH_FIL plan with ^MJBNAME_FIL, for example, through payroll deductions?



1.

Yes

2.

No



SCNTAMT_PEN



Between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, how much did ^TEMPNAME contribute toward this plan?Enter 0 if the respondent made no contributions.






PREV_JOB_PENSION



^PREVJOBPEN_FIL





1.

Yes

2.

No



PENSNYN



Even though ^TEMPNAME ^DODOES not have a retirement plan through ^MJBNAME_FIL, did ^MJBNAME_FIL have any kind of pension or retirement plans for anyone in ^PTEMPNAME company or organization?





1.

Yes

2.

No



INCPENS



^C_WASWERE ^TEMPNAME included in such a plan?





1.

Yes

2.

No



















EPREVPEN



Even though ^TEMPNAME ^DODOES not have a retirement plan through a previous job, ^HAVHAS ^TEMPNAME ever been covered by a pension or retirement plan on any previous job or business? Examples include a 401k you cashed out or leaving a job before you were vested.






1.

Yes

2.

No



PENTYP



Earlier you reported that ^TEMPNAME had ^PENTYP_FIL through ^MJBNAME_FIL. Which plan is the most important to ^TEMPNAME?





1.

The IRA or Keogh plan

2.

The 401k, 403b, 503b, or thrift plan

3.

The defined-benefit pension

4.

The cash balance plan






? [F1]

Next are a couple of questions about retirement accounts. At any time between ^MONTH1 1st and the end of ^LASTMONTH ^CALENDAR_YRFIL, did ^TEMPNAME have an Individual Retirement Account (IRA) or a Keogh account?





1.

Yes

2.

No











1.

Yes

2.

No



















































FIX_ASSETS



Which assets should not be included on the list?











4.

U.S. Govt. savings bonds/securities

5.

Checking account

7.

Savings account

8.

Money market deposit account

9.

Certificates of deposit

11.

Mutual funds

12.

Stocks

13.

Municipal or corporate bonds

14.

Life insurance

15.

Rental property

16.

Real estate

17.

Annuities and trusts

18.

Businesses as an investment only

19.

Fill with response to item AST4C_SP



























business_debt



? [F1]

(As of the last day of ^LASTMONTH, ^CALENDAR_YEAR) What was the total debt owed against ^BUSINESS_NAMES?

Enter 0 for none.
Please do not include fully forgiven loans as part of the businesses debt.
Please include all outstanding debts even if they may be forgiven at a future date.



UTILZ_INTRO



? [F1]

Next I'll ask some questions about doctor visits,
(such as how often ^TEMPNAME visited a doctor or dentist,) ^UTILZ_INTRO_FIL





1.

Enter 1 to continue









HOSPRNNGT



Which of the following describes why ^HESHE entered the hospital ^RECENT_STAYFIL

Read answer categories.

Mark all that apply.





1.

For a diagnostic test to determine what was wrong?

2.

For a birth (either to be born, or to give birth, including C-section)?

3.

To have an operation or surgery?

4.

For some other treatment or therapy not including surgery?

5.

To be treated for Covid-19 (suspected or diagnosed), or complications from Covid-19?

6.

For any other reason?





SIT_DIF



C_DODOES ^TEMPNAME have any difficulty:


(... using ^YOURHISHER hands and fingers to do things such as picking up a glass or grasping a pencil?)(... lifting or carrying something as heavy as 10 pounds (such as a bag of groceries)?)


... sitting for one hour?





1.

Yes

2.

No



LIFT10_DIF



(C_DODOES ^TEMPNAME have any difficulty:)(... using ^YOURHISHER hands and fingers to do things such as picking up a glass or grasping a pencil?)

... lifting or carrying something as heavy as 10 pounds (such as a bag of groceries)?

... sitting for one hour?





1.

Yes

2.

No











GRASP_DIF



(C_DODOES ^TEMPNAME have any difficulty:)
... using ^YOURHISHER hands and fingers to do things such as picking up a glass or grasping a pencil?
(... lifting or carrying something as heavy as 10 pounds (such as a bag of groceries)?)

(... sitting for one hour?)





1.

Yes

2.

No



LRN_DIS_AD



C_DODOES ^TEMPNAME have a learning or developmental disability? (This could include conditions such as dyslexia, ADHD, autism, Down Syndrome, or some other learning or developmental disability.)





1.

Yes

2.

No



MENT_DIS_AD



C_DODOES ^TEMPNAME have a mental or emotional condition?

(This could include conditions such as depression, anxiety, or some other psychological condition.)





1.

Yes

2.

No





HLTHCOND_AD



C_DODOES ^TEMPNAME have any physical, mental, or emotional health conditions lasting 12 months or longer that limit ^YOURHISHER daily activities?





1.

Yes

2.

No















COND1_AD



^WORKDIS_FIL What condition or conditions limit ^YOURHISHER ^ACTIVITY_FIL?Enter "Other" for a condition not on the answer list.

Enter "None" for no conditions.

Enter at least the first 3 letters of the condition to display the answer list.




OTHADCOND_SP



(Could you please repeat the name of the condition that limits ^YOURHISHER ^ACTIVITY_FIL?)

If you do not recall the person's "Other" condition, read the optional question text below.

Enter the respondent's "Other" condition that could not be found on the answer list.





COND2_AD



Any other conditions?Enter "Other" for a condition not on the answer list.

Enter "None" for no conditions.

Enter at least the first 3 letters of the condition to display the answer list.




COND3_AD



Any other condition?Enter "Other" for a condition not on the answer list.

Enter "None" for no conditions.

Enter at least the first 3 letters of the condition to display the answer list.






LRN_DIS



C_DODOES ^TEMPNAME have a learning or developmental disability? (This could include conditions such as dyslexia, ADHD, autism, Down Syndrome, or some other learning or developmental disability.)



1.

Yes

2.

No











MENT_DIS



C_DODOES ^TEMPNAME have a mental or emotional condition? (This could include conditions such as depression, anxiety, or some other psychological condition.)





1.

Yes

2.

No



HLTHCOND



C_DODOES ^TEMPNAME have any physical, mental, or emotional health conditions lasting 12 months or longer that limit ^YOURHISHER ordinary activities?





1.

Yes

2.

No



COND1



What condition or conditions limit ^YOURHISHER ordinary activities?Enter "Other" for a condition not on the answer list.

Enter "None" for no conditions.

Enter at least the first 3 letters of the condition to display the answer list.




OTHCHCOND_SP



(Could you please repeat the name of the condition that limits ^YOURHISHER ordinary activity?)

If you do not recall the child's "Other" condition, read the optional question text below.

Enter the child's "Other" condition that could not be found on the answer list.



COND2



Any other conditions?Enter "Other" for a condition not on the answer list.

Enter "None" for no conditions.

Enter at least the first 3 letters of the condition to display the answer list.














COND3



Any other condition?Enter "Other" for a condition not on the answer list.

Enter "None" for no conditions.

Enter at least the first 3 letters of the condition to display the answer list.






















































BIOMOMDEATH_RESPAGE



How old ^WEREWAS ^TEMPNAME when ^HISHER (biological) mother passed away?











BIOMOMDEATH_RESPUNDR19



^C_WASWERE ^TEMPNAME younger than 19 years old when ^HISHER (biological) mother passed away?





1.

Yes

2.

No

































































BIODADDEATH_RESPAGE



How old ^WEREWAS ^TEMPNAME when ^HISHER (biological) father passed away?





BIODADDEATH_RESPUNDR19



^C_WASWERE ^TEMPNAME younger than 19 years old when ^HISHER (biological) father passed away?





1.

Yes

2.

No



ECVD_RENT



Would you say that not paying the full rent or mortgage was due to events related to the coronavirus pandemic?





1.

Yes

2.

No





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorElizabeth Sinclair (CENSUS/ADDP FED)
File Modified0000-00-00
File Created2021-01-12

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