Attachment L-Revised: COVID-19 Short-Term Survey Sources

Attachment L-Revised: COVID-19 Cohort Short-term Survey Question Sources

#	Domain/Topic	Sources
Training and Employment History
A1	Job or school status at RAD	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397). Minor modifications.
A2	Other activities at RAD	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A3	Any job or school spells since RAD	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A4	If respondent had any job or school spell since RAD, which did they do first	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A5	Reasons for not working since RAD	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A6	Reasons for not going to school during gaps	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A7a and A7b	Dropped
“Main” Activity Spell Details
A8 and A8a A8_1	Employer name and self-employment/School name School address (street, cross-street, and city)	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397). New
A9-A9a	Spell start date	HPOG 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, A10a, and A10b	Spell end date	HPOG 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	Full or Part time Status	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397). Modified for school spells to capture hours of attendance as opposed to full or part time enrollment.
A12a and A12b	Dropped
A13-A14	Next activity after current spell ended	HPOG 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 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 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 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 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 (3+ months between work and/or school spells)	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A20	Current employment status	HPOG 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 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 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A23 and A23a	Start date for this subspell	HPOG 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.
A24, A24a, A24b	End date for this subspell	HPOG 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 year and season are unknown.
A25	Working in same field as course of study	New.
	Additional jobs worked or schools attended during this subspell	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
A26.	Working in a job within a job, job within a school or school within job spell.	HPOG 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 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 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 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B1b	Date stopped classes	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B1c	Date resumed classes	HPOG 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	PACE 15-month Follow-Up Survey (OMB No. 0970-0397). Minor modifications to capture for each spell.
B2a	Completion of basic education classes	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?	New
B3-B3a	Receipt of college credits	HPOG 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	New
B4	Completion status of for each spell	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B5	Dropped
B6a-k	Dropped
B7	Dropped
B8	Dropped
B9	Student Loan Respondent Debt	HPOG 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 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 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 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
B11a-j	Dropped
B12	Difficulty finding support to attend classes	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	New
B15 B15a	Time spent in group service sessions	New
B16a-f	Participation in occupation related activities	PACE 15-month Follow-Up Survey (OMB No. 0970-0397).
B17	Participation in classes or counseling sessions on work-related behaviors	Job Search Assistance Strategies Evaluation 6-month Follow-up survey (OMB No. 0970-0440). Minor modifications.
B18 B18a	Dropped
B19	Engagement (Dropped B19b and B19c)	University of North Dakota’s Student Evaluation of Learning and Feedback for Instructors (SELFI). Minor modifications.
B20	Individual rapport (Dropped B20a and B20c)	University of North Dakota’s Student Evaluation of Learning and Feedback for Instructors (SELFI). Minor modifications.
B21	Organization and clarity (Dropped B21a and B21c)	University of North Dakota’s Student Evaluation of Learning and Feedback for Instructors (SELFI). Minor modifications.
B22	Dropped
B22	Dropped
B22	Dropped
B24	Dropped
Credentials
C1-C1b	Were courses taken to prepare for work in particular occupation? Was that occupation healthcare related?	HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).
C1c-C1e	Currently working in this occupation? (C1d dropped)	PACE 15-month Follow-Up Survey (OMB No. 0970-0397).
C2-C2f	Academic degrees or diplomas receipt	C2, 2a, 2c-f: 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: Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768).
C3 – C3h	Academic certificate receipt	C3-a-c: 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, 3f: 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, C3h: PACE 15- 36-, and 72-Month Follow-Up Surveys (OMB No. 0970-0397). C3g: Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768).
C4-C4f	Professional certification or state/industry license receipt	C4: 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, C4f: HPOG 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (OMB No. 0970-0397). C4b, C4d, and 4e: 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: Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768).
C5	Work-based training	HPOG 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 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 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	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	PACE and HPOG 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	New.
C10	Plans to pursue training for next level of occupation	New.
Current / Most Recent Job
D1-2a	Industry	HPOG 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 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	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	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 72-Month Follow-up Survey (OMB No. 0970-0394).
D7- D7c	Job pay (hourly earnings/weekly pay for self-employed)	HPOG 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	7 and 7a: PACE and HPOG 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). 7b: PACE and HPOG 72-Month Follow-Up Surveys (OMB No. 0970-0397/0970-0394). 7c: New
D9a-c	Job flexibility (hours and schedules)	8a: HPOG 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. 8b-c: HPOG 36-and 72-month Follow-Up Surveys (OMB No. 0970-0394).
D10	Available benefits	HPOG 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 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 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 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 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 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 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 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 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 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 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 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	PACE 15-, 36-, and 72-Month Follow-up Surveys (0970-0397). Modified wording for male respondents.
E7	Recent fertility	PACE 15-, 36-, and 72-Month Follow-up Surveys (0970-0397). Modified wording for male respondents.
E8 E9	Dropped Dropped
Income and Adult Well Being
F1	Receipt of public benefits	HPOG 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 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 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 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397).
F5	Dropped
F6	Dropped
F7	Total debt	HPOG 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 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 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 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).
F11-12	Dropped F11 Ability to meet emergency expenses	Survey on Household Economics and Decision-Making (OMB No. 7100-0359).
F13-14	Health Insurance through employer or non-employer	HPOG 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.
F15	Current housing	HPOG 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).
F16-F16a	Whether respondent was doubled-up or living with friends or relatives and if so, for how long	Family Options Study 36-Month Follow-Up Survey (OMB No. 2528-0259).
F17	Physical health	National Health and Nutrition Examination Survey (OMB No. 0920-0237).
F18	Life Challenges
21st Century Skills/Cognitive Skills
G1	Computer skills utilization in everyday life	PIAAC Background Questionnaire (OMB Control No. 1850-0870). Modified to include only a subset of items.
G2	Literacy skills utilization in everyday life	PIAAC Background Questionnaire (OMB Control No. 1850-0870). Modified to include only a subset of items.
G3	Dropped
G4	Self-directed learning	New
G5	Self-directed learning	New
Contact Information
H1 – H12	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).
COVID-19 Module
I1	Desire to work in healthcare post-COVID-19	HPOG 2.0 Intermediate Follow-up Survey
I2	Desire to continue healthcare training post-COVID-19	HPOG 2.0 Intermediate Follow-up Survey
I3	COVID-19 Effect on education and training	HPOG 2.0 Intermediate Follow-up Survey
I4	Provision of direct care and setting	Epidemic Pandemic Impact Inventory- (EPII) Modified
14b	Adequacy of PPE	EPII-Modified
I5	Effect of COVID-19 on quality of life	I5a, b, c, and e: NEW I5d,and f EPII-Modified
I6	Post-COVID financial resiliency	HPOG 2.0 Short-term Follow-up Survey-Modified

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