Form Attachment II Attachment II CADC Collection Instrument Screen Shots

Consumer Price Index Housing Survey

ATT_II_COLLECTION_INSTRUMENT_SCREEN_SHOTS_September2021

Consumer Price Index (CPI) Housing Survey (CADC)

OMB: 1220-0163

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Housing Collection Instrument
Screen Shots
Last Modified: October 6, 2021

Assignment Overview

1

Assignment Organizer

2

Unit Facesheet

3

Observation: Type of Structure

4

Observation: Type of Structure, Elevator Question

5

Observation: Eligibility Screen with Ineligible Displayed

6

Observation: Public Housing Screen

7

Unit Respondent Screen

8

Respondent Screen for Interview Groups

9

Occupancy Screen

10

Owner Occupied Screen

11

PUBLIC HOUSING SCREENS
(Screen appears if data collector cannot determine if unit is public housing through observation)

12

13

14

Definitions Window for ASSISTING LIVING SCREEN

15

Primary Residence Screen

16

Relative of the Landlord Screen

17

Number of Rooms Screen

18

When Built Screen

19

Rent Control Screen

20

Move-In Date Screen

21

Lease Screen

22

Lease Screen Definitions

23

RENT POD
“Respondent/Occupant” Window

24

RENT POD
“Rent Amount”

25

RENT POD
“Subsidy”

26

RENT POD
“Work Reduction”

27

RENT POD
“Review”

28

EXTRA CHARGES SCREEN
“Extra Charges” Tab

29

EXTRA CHARGES SCREEN
“Collection Screen” Tab – SELECT EXTRA CHARGE” Window

30

EXTRA CHARGES SCREEN
“Collection Screen” Tab – Amount

31

SP CHANGES SCREEN
(“Last interview” date is filled in with actual month and year)

32

Free Parking Screen

33

Water Screen

34

Sewer Screen

35

Electricity Screen

36

Electricity Cost Included in Rent Screen

37

Electricity Charge Screen

38

A/C Equipment Screen

39

Definitions Window for A/C EQUIPMENT SCREEN

40

Thru-the-Wall A/C Units Screen

41

Window A/C Units Screen

42

Heating Fuel Screen

43

Definitions Window for HEATING FUEL SCREEN

44

WHO PAYS FOR HEATING FUEL SCREEN
(Wording substituted with selected fuel, such as “gas”, “fuel oil” or
“alternate fuel”)

45

COST FOR HEATING FUEL INCLUDED IN RENT SCREEN
(Wording substituted with selected fuel, such as “gas”, “fuel oil” or “alternate fuel”)

46

CHARGE FOR HEATING FUEL SCREEN
(Wording substituted with selected fuel, such as “gas”, “fuel oil” or “alternate fuel”)

47

Hot Water Screen

48

Definitions Window for HOT WATER SCREEN

49

WHO PAYS FOR THE HOT WATER FUEL SCREEN
(Wording substituted with selected fuel, such as “gas”, “fuel oil” or “alternate fuel”)

50

COST FOR HOT WATER FUEL INCLUDED IN RENT SCREEN
(Wording substituted with selected fuel, such as “gas”, “fuel oil” or “alternate fuel”)

51

CHARGE FOR HOT WATER FUEL SCREEN
(Wording substituted with selected fuel, such as “gas”, “fuel oil” or “alternate fuel”)

52

INCOMPLETE INTERVIEW POD DURING SCOPE DETERMINATION

53

INCOMPLETE INTERVIEW POD DURING INITIATION/PRICING

54

UNIT SI FACESHEET and UNIT FACESHEET
(Basically have the same content but different screen titles)
“Unit” Tab

55

UNIT SI FACESHEET and UNIT FACESHEET
(Basically have the same content but different screen titles)
“Occ/Resp/EA” Tab

56

UNIT SI FACESHEET and UNIT FACESHEET
(Basically have the same content but different screen titles)
“Ldld/Mgr/Auth.” Tab

57

UNIT SI FACESHEET and UNIT FACESHEET
(Basically have the same content but different screen titles)
“Messages” Tab

58

UNIT SI FACESHEET and UNIT FACESHEET
(Basically have the same content but different screen titles)
Field MSG. TO WASH. Button on the“Messages” Tab. Tap this to display standardized field message to Washington

59

Wrap Screen

60

JUMP Screen with JUMP MENU

61


File Typeapplication/pdf
File TitleHousing Collection Instrument Screen Shots
AuthorCADCWKSTA
File Modified2021-10-06
File Created2021-10-06

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