Income (IN) Section
IN01
====
For the next questions, it might be useful to have out some of
the family’s financial records, such as a copy of the family’s
tax forms or materials used to complete the tax form, such as
year end bank statements, financial summaries, pay stubs,
W-2 forms, and the like.
----------------------------------------------------
| NOTE: FOR ALL DOLLAR AMOUNT RANGE CHECKS, ALLOW |
| THE ENTRY OF DOLLARS AND CENTS. |
----------------------------------------------------
LOOP_01
=======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, |
| ASK BOX_00 - END_LP01 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_01 DETERMINES WHICH RU |
| MEMBERS HAVE OR WILL FILE A 2006 FEDERAL INCOME |
| TAX FORM. IF A JOINT RETURN WAS OR WILL BE FILED,|
| IT DETERMINES WHO IS THE SECONDARY FILER. THIS |
| LOOP CYCLES ON PERSONS WHO MEET THE FOLLOWING |
| CONDITION: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
----------------------------------------------------
BOX_00
======
----------------------------------------------------
| IF PERSON BEING LOOPED ON IS FLAGGED AS |
| ‘SECONDARY FILER ON JOINT FEDERAL TAX RETURN’, GO |
| TO END_LP01 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, CONTINUE WITH IN02 |
----------------------------------------------------
IN02
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
Has (PERSON) filed a 2006 Federal income tax return?
YES .................................... 1 {IN04}
NO ..................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF TAX RETURN.
IN03
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
Will (PERSON) file a 2006 Federal income tax return?
YES .................................... 1
NO ..................................... 2 {END_LP01}
REF ................................... -7 {END_LP01}
DK .................................... -8 {END_LP01}
PRESS F1 FOR DEFINITION OF TAX RETURN.
IN04
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
What {was/will be} (PERSON)’s filing status ...
single; ................................ 1 {IN06}
married filing joint return; ........... 2
married filing separately; ............. 3 {IN06}
head of household with qualifying
person; or ........................... 4 {IN06}
qualifying widow(er) with dependent
children? ............................ 5 {IN06}
REF ................................... -7 {IN06}
DK .................................... -8 {IN06}
[Code One]
PRESS F1 FOR DEFINITION OF RESPONSE CATEGORIES.
----------------------------------------------------
| DISPLAY ‘was’ IF IN02 IS CODED ‘1’ (YES). DISPLAY|
| ‘will be’ IF IN03 IS CODED ‘1’ (YES). |
----------------------------------------------------
----------------------------------------------------
| FLAG PERSON BEING LOOPED ON AS ‘PRIMARY FILER ON |
| FEDERAL TAX RETURN’. |
----------------------------------------------------
IN05
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
Who is the other taxpayer that (PERSON) is filing jointly with?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last name-65]
[2. First Name, [Middle Name], Last name-65]
[3. First Name, [Middle Name], Last name-65]
[Code One]
PRESS F1 FOR DEFINITION OF ‘FILING JOINTLY’.
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL PERSONS WHO MEET |
| THE FOLLOWING CONDITIONS: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
| - PERSON IS NOT ALREADY FLAGGED AS A ‘PRIMARY |
| FILER ON FEDERAL TAX RETURN’ |
| - PERSON IS NOT ALREADY FLAGGED AS A ‘SECONDARY |
| FILER ON JOINT FEDERAL TAX RETURN’ |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘PERSON NOT IN RU’ AS THE LAST ENTRY |
| ON THE ROSTER. |
----------------------------------------------------
----------------------------------------------------
| FLAG PERSON SELECTED AT IN05 AS ‘SECONDARY FILER |
| ON JOINT FEDERAL TAX RETURN’. |
----------------------------------------------------
IN06
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
{Did/Will} (PERSON) claim any dependents on (PERSON)’s Federal tax
return?
YES .................................... 1
NO ..................................... 2 {IN09}
REF ................................... -7 {IN09}
DK .................................... -8 {IN09}
PRESS F1 FOR DEFINITION OF DEPENDENTS.
----------------------------------------------------
| DISPLAY ‘Did’ IF IN02 IS CODED ‘1’ (YES). DISPLAY|
| ‘Will’ IF IN03 IS CODED ‘1’ (YES). |
----------------------------------------------------
IN07
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
Who {is/will be} listed as (PERSON)’s dependents?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last name-65]
[2. First Name, [Middle Name], Last name-65]
[3. First Name, [Middle Name], Last name-65]
[Code All That Apply]
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL PERSONS WHO MEET |
| THE FOLLOWING CONDITIONS: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
| - PERSON IS NOT CURRENTLY BEING LOOPED ON |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘PERSON(S) NOT IN RU’ AS THE LAST ENTRY |
| ON THE ROSTER. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘is’ IF IN02 IS CODED ‘1’ (YES). DISPLAY |
| ‘will be’ IF IN03 IS CODED ‘1’ (YES). |
----------------------------------------------------
BOX_IN07
========
----------------------------------------------------
| IF ‘PERSON(S) NOT IN RU’ SELECTED AT IN07, |
| CONTINUE WITH IN08 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO IN09 |
----------------------------------------------------
IN08
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
How many of the dependents that are being claimed on (PERSON)’s
Federal income tax return live outside of this household?
[Enter Number of Dependents] ...........
REF .................................... -7
DK ..................................... -8
PRESS F1 FOR DEFINITION OF HOUSEHOLD.
----------------------------------------------------
| SOFT RANGE CHECK: 1-10 |
----------------------------------------------------
IN09
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
{Did/Will} (PERSON) file on the long form (1040), the short
form 1040A, or the short form 1040EZ?
LONG FORM 1040 ......................... 1
SHORT FORM 1040A ....................... 2 {IN17}
SHORT FORM 1040EZ ...................... 3 {END_LP01}
OTHER .................................. 91
REF .................................... -7 {END_LP01}
DK ..................................... -8 {END_LP01}
[Code One]
----------------------------------------------------
| DISPLAY ‘Did’ IF IN02 IS CODED ‘1’ (YES). DISPLAY|
| ‘Will’ IF IN03 IS CODED ‘1’ (YES). |
----------------------------------------------------
IN10
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
{Did/Will} (PERSON) itemize deductions or take the standard
deduction?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO FORM 1040,
SCHEDULE A, LINE 28 (ITEMIZED DEDUCTIONS) OR LINE 39 (SCHEDULE A
IS NOT COMPLETED) (STANDARD DEDUCTION) TO DETERMINE THE TYPE OF
DEDUCTION.
ITEMIZED DEDUCTIONS .................... 1
STANDARD DEDUCTION ..................... 2 {END_LP01}
REF .................................... -7 {END_LP01}
DK ..................................... -8 {END_LP01}
[Code One]
PRESS F1 FOR DEFINITION OF ITEMIZED AND STANDARD DEDUCTIONS.
----------------------------------------------------
| DISPLAY ‘Did’ IF IN02 IS CODED ‘1’ (YES). DISPLAY|
| ‘Will’ IF IN03 IS CODED ‘1’ (YES). |
----------------------------------------------------
IN11
====
OMITTED.
IN12
====
OMITTED.
IN13
====
OMITTED.
IN14
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
About how much {was/will be} the total of all the itemized
deduction expenses?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO FORM 1040,
SCHEDULE A, LINE 28 FOR AMOUNT.
[Enter $ Amount] .......................
REF .................................... -7
DK ..................................... -8
----------------------------------------------------
| SOFT RANGE CHECK: 0-200,000 |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘was’ IF IN02 IS CODED ‘1’ (YES). DISPLAY|
| ‘will be’ IF IN03 IS CODED ‘1’ (YES). |
----------------------------------------------------
IN15
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
{Did/Will} (PERSON) claim a deduction for health insurance premiums?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 31
YES .................................... 1
NO ..................................... 2
NOT APPLICABLE ......................... 3
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF HEALTH INSURANCE DEDUCTION.
----------------------------------------------------
| DISPLAY ‘Did’ IF IN02 IS CODED ‘1’ (YES). DISPLAY|
| ‘Will’ IF IN03 IS CODED ‘1’ (YES). |
----------------------------------------------------
IN16
====
OMITTED.
IN17
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
{Did/Will} (PERSON) receive earned income credits?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 65a
FORM 1040A, LINE 41a
YES .................................... 1
NO ..................................... 2
NOT APPLICABLE ......................... 3
REF ................................... -7
DK .................................... -8
[Code One]
PRESS F1 FOR DEFINITION OF EARNED INCOME CREDITS.
----------------------------------------------------
| DISPLAY ‘Did’ IF IN02 IS CODED ‘1’ (YES). DISPLAY|
| ‘Will’ IF IN03 IS CODED ‘1’ (YES). |
----------------------------------------------------
END_LP01
========
----------------------------------------------------
| CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER WHO |
| MEETS THE CONDITIONS STATED IN THE LOOP DEFINITION|
----------------------------------------------------
----------------------------------------------------
| IF NO OTHER PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_01 AND CONTINUE WITH LOOP_02 |
----------------------------------------------------
BOX_01
======
OMITTED.
LOOP_02
=======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, |
| ASK BOX_01A - END_LP02 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_02 COLLECTS INFORMATION |
| ON TAXABLE INCOME FOR EACH RU MEMBER WHO IS 16 |
| YEARS OF AGE OR OLDER OR HAS OR WILL FILE A 2006 |
| FEDERAL TAX RETURN. THIS LOOP CYCLES ON EACH |
| PERSON ON THE RU-MEMBERS-ROSTER WHO MEETS THE |
| FOLLOWING CONDITION: |
| |
| - PERSON IS A CURRENT ROUND 5 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
----------------------------------------------------
IN17A
=====
OMITTED.
BOX_01A
=======
----------------------------------------------------
| IF PERSON BEING LOOPED ON IS FLAGGED AS A ‘PRIMARY|
| FILER ON FEDERAL TAX RETURN’, GO TO IN18 |
----------------------------------------------------
----------------------------------------------------
| IF PERSON BEING LOOPED ON IS FLAGGED AS A |
| ‘SECONDARY FILER ON A JOINT FEDERAL TAX RETURN’, |
| GO TO END_LP02 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (I.E., PERSON IS NOT FLAGGED AS EITHER |
| ‘PRIMARY FILER ON FEDERAL TAX RETURN’ OR A |
| ‘SECONDARY FILER ON A JOINT FEDERAL TAX RETURN’, |
| THAT IS, IN03 IS CODED ‘2’ (NO), ‘-7’ (REFUSED) |
| OR ‘-8’ (DON’T KNOW)), CONTINUE WITH BOX_01B |
----------------------------------------------------
BOX_01B
=======
----------------------------------------------------
| IF PERSON BEING LOOPED ON IS 16 YEARS OF AGE OR |
| OLDER (OR IN AGE CATEGORIES 4-9), CONTINUE WITH |
| IN18 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE (I.E., PERSON IS LESS THAN 16 YEARS OF |
| AGE (OR IN AGE CATEGORIES 1-3) AND IN03 IS CODED |
| ‘2’ (NO), ‘-7’ (REFUSED), OR ‘-8’ (DON’T KNOW)), |
| CONTINUE WITH END_LP02 |
----------------------------------------------------
----------------------------------------------------
| NOTE: THE PURPOSE OF BOX_01A AND BOX_01B IS TO |
| SKIP OUT PERSONS ALREADY FLAGGED AS SECONDARY |
| FILERS AND PERSONS YOUNGER THAN 16 YEARS OF AGE |
| WHO HAVE NOT ALREADY REPORTED THAT HE/SHE HAS OR |
| WILL FILE A FEDERAL INCOME TAX RETURN. |
----------------------------------------------------
----------------------------------------------------
| NOTE: PERSONS REPORTING THAT HE/SHE HAS/WILL FILE |
| A 1040A SHORT FORM (IN09=2) OR A 1040EZ FORM |
| (IN09=3) RECEIVE THE WAGES, INTEREST, DIVIDENTS, |
| IRA, PENSIONS, UNEMPLOYMENT, AND SOCIAL SECURITY |
| TAXABLE INCOME ITEMS. |
| |
| PERSONS REPORTING THAT HE/SHE HAS/WILL FILE A |
| 1040 LONG FORM, OTHER TYPE OF FORM, OR REFUSED |
| OR DON’T KNOW THE TYPE OF FORM (IN09=1, 91, -7, |
| -8) RECEIVE ALL THE TAXABLE INCOME QUESTIONS. |
| THIS IS A CHANGE FROM PREVIOUS ROUNDS IN THAT |
| THOSE PERSONS REPORTING REFUSED AND DON’T KNOW |
| TO TYPE OF FORM DID NOT RECEIVE ANY QUESTIONS. |
| |
| PERSONS REPORTING THAT THEY HAVE NOT AND WILL NOT |
| FILE ANY FEDERAL TAX RETURN (IN03=2, -7, -8) AND |
| IS 16 YEARS OF AGE OR OLDER ALSO RECEIVE ALL THE |
| TAXABLE INCOME QUESTIONS. THIS IS ALSO A CHANGE |
| FROM PREVIOUS ROUNDS IN THAT THOSE PERSONS |
| REPORTING THAT THEY WERE NOT FILING DID NOT |
| RECEIVE ANY QUESTIONS. |
----------------------------------------------------
IN18
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
{People get money from many different sources, such as wages and
salaries, social security, and interest on savings. The next few
questions ask about different sources of income that (READ NAME(S)
ABOVE) received in 2006. It would be useful to have out any tax
materials that you may have.}
{Now let’s talk about (READ NAME(S) ABOVE).}
During 2006, how much money did (READ NAME(S) ABOVE) receive from
wages or salary, tips, commissions, or bonuses?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 7
FORM 1040A, LINE 7
FORM 1040EZ, LINE 1
[Enter $ Amount] .......................
REF .................................... -7 {IN19}
DK ..................................... -8 {IN18A}
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
| DISPLAY ‘People get money from many different |
| sources, such as wages and salaries, social |
| security, and interest on savings. The next few |
| questions ask about different sources of income |
| that (READ NAME(S) ABOVE) received in 2006. It |
| would be useful to have out any tax materials that|
| you may have.’ IF FIRST CYCLE THROUGH LOOP_02. |
| OTHERWISE, USE NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘Now let’s talk about (READ NAME(S) |
| ABOVE): IF NOT FIRST CYCLE THROUGH LOOP_02. IF |
| FIRST CYCLE THROUGH LOOP_02, USE A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-300,000 |
----------------------------------------------------
BOX_IN18
========
----------------------------------------------------
| IF AMOUNT OTHER THAN ZERO ENTERED AT IN18 AND IN04|
| IS CODED ‘2’ (MARRIED FILING JOINT RETURN), |
| CONTINUE WITH IN18OV |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO IN19 |
----------------------------------------------------
IN18OV
======
What percentage of this amount was received by (PRIMARY FILER)?
[Enter Percent] ........................ {IN19}
REF .................................... -7 {IN19}
DK ..................................... -8 {IN19}
----------------------------------------------------
| RANGE CHECK: 0-100 |
----------------------------------------------------
IN18A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was received [from wages or salary, tips, commissions, or
bonuses in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7
DK ..................................... -8
[Code One]
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
IN19
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During 2006, how much did (READ NAME(S) ABOVE) receive in taxable
interest from savings accounts, bonds, NOW accounts, money market
accounts, or similar types of investments?
{IF NECESSARY, SAY: If any interest from a joint account, include
only the amount that would be (READ NAME(S) ABOVE)’s portion.}
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 8a
FORM 1040A, LINE 8a
FORM 1040EZ, LINE 2
[Enter $ Amount] ....................... {IN20}
REF .................................... -7 {IN20}
DK ..................................... -8 {IN19A}
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
| DISPLAY ‘IF NECESSARY, SAY ... ABOVE).’ IF IN04 |
| IS NOT CODED ‘2’ (MARRIED, FILING JOINT RETURN |
| OR IF IN04 WAS NOT ASKED. IF IN04 IS CODED ‘2’ |
| (MARRIED, FILING JOINT RETURN), USE A NULL |
| DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-100,000 |
----------------------------------------------------
BOX_IN19
========
OMITTED.
IN19OV
======
OMITTED.
IN19A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was received [in interest from savings accounts, bonds, NOW
accounts, money market accounts, or similar types of
investments in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7
DK ..................................... -8
[Code One]
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
IN19B
=====
OMITTED.
BOX_02
======
OMITTED.
IN20
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During 2006, how much money did (READ NAME(S) ABOVE) receive from
dividends?
{IF NECESSARY, SAY: If any dividends from a joint source, include
only the amount that would be (READ NAME(S) ABOVE)’s portion.}
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 9
FORM 1040A, LINE 9
[Enter $ Amount] ....................... {BOX_02A}
REF .................................... -7 {BOX_02A}
DK ..................................... -8
PRESS F1 FOR DEFINITION OF DIVIDENDS.
----------------------------------------------------
| DISPLAY ‘IF NECESSARY, SAY ... PORTION.’ IF IN04 |
| IS NOT CODED ‘2’ (MARRIED, FILING JOINT RETURN |
| OR IF IN04 WAS NOT ASKED. IF IN04 IS CODED ‘2’ |
| (MARRIED, FILING JOINT RETURN), USE A NULL |
| DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-100,000 |
----------------------------------------------------
IN20A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was received [from dividends in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7
DK ..................................... -8
[Code One]
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
BOX_02A
=======
----------------------------------------------------
| IF IN09 IS CODED ‘2’ (SHORT FORM 1040A), OR ‘3’ |
| (SHORT FORM 1040EZ) GO TO IN25 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, CONTINUE WITH IN21 |
----------------------------------------------------
IN21
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During 2006, how much money did (READ NAME(S) ABOVE) receive from
refunds of state or local income taxes?
{IF NECESSARY, SAY: If any money from a joint return, include
only the amount that would be (READ NAME(S) ABOVE)’s portion.}
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 10
[Enter $ Amount] ....................... {IN22}
REF .................................... -7 {IN22}
DK ..................................... -8
PRESS F1 FOR DEFINITION OF INCOME TAX REFUNDS.
----------------------------------------------------
| DISPLAY ‘IF NECESSARY, SAY ... ABOVE).’ IF IN04 |
| IS NOT CODED ‘2’ (MARRIED, FILING JOINT RETURN |
| OR IF IN04 WAS NOT ASKED. IF IN04 IS CODED ‘2’ |
| (MARRIED, FILING JOINT RETURN), USE A NULL |
| DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-100,000 |
----------------------------------------------------
IN21A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was received [from refunds of state or local taxes in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7
DK ..................................... -8
[Code One]
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
IN22
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During 2006, how much money did (READ NAME(S) ABOVE) receive from
alimony?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 11
[Enter $ Amount] ....................... {IN23}
REF .................................... -7 {IN23}
DK ..................................... -8
PRESS F1 FOR DEFINITION OF ALIMONY.
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-100,000 |
----------------------------------------------------
IN22A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was received [from alimony in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7
DK ..................................... -8
[Code One]
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
IN23
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During 2006, how much money did (READ NAME(S) ABOVE) earn or lose
from (his/her/their) own farm or non-farm business or practice?
{IF NECESSARY, SAY: If any money from a shared business, include
only the amount that would be (READ NAME(S) ABOVE)’s portion.}
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINES 12 AND 18
[Enter $ Amount] .......................
REF .................................... -7 {IN24}
DK ..................................... -8 {IN23A}
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
| DISPLAY ‘IF NECESSARY, SAY ... ABOVE).’ IF IN04 |
| IS NOT CODED ‘2’ (MARRIED, FILING JOINT RETURN |
| OR IF IN04 WAS NOT ASKED. IF IN04 IS CODED ‘2’ |
| (MARRIED, FILING JOINT RETURN), USE A NULL |
| DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-300,000 |
----------------------------------------------------
BOX_IN23
========
----------------------------------------------------
| IF AMOUNT OTHER THAN ZERO ENTERED AT IN23, |
| CONTINUE WITH IN23OV1 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO IN24 |
----------------------------------------------------
IN23OV1
=======
INTERVIEWER: WAS THE AMOUNT ENTERED EARNINGS OR LOSS?
EARNINGS ............................... 1
LOSS ................................... 2
[Code One]
BOX_IN23OV1
===========
----------------------------------------------------
| IF IN04 IS CODED ‘2’ (MARRIED FILING JOINT |
| RETURN), CONTINUE WITH IN23OV2 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO IN24 |
----------------------------------------------------
IN23OV2
=======
What percentage of this amount was {received/lost} by
(PRIMARY FILER)?
[Enter Percent] ........................ {IN24}
REF .................................... -7 {IN24}
DK ..................................... -8 {IN24}
----------------------------------------------------
| IF IN23OV1 IS CODED ‘1’ (EARNINGS), DISPLAY |
| ‘received’. IF IN23OV1 IS CODED ‘2’ (LOSS), |
| DISPLAY ‘lost’. |
----------------------------------------------------
----------------------------------------------------
| RANGE CHECK: 0-100 |
----------------------------------------------------
IN23A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was earned or lost [from (his/her/their) own farm or non-farm
business or practice in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7 {IN24}
DK ..................................... -8 {IN24}
[Code One]
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
IN23AOV
=======
INTERVIEWER: DOES THE RANGE SELECTED REPRESENT
EARNINGS OR LOSS?
EARNINGS ............................... 1
LOSS ................................... 2
[Code One]
IN24
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During 2006, how much money was (READ NAME(S) ABOVE)’s net gain or
net loss from the sale of property or other assets, including the
sale of (his/her/their) home, if it was taxable?
{IF NECESSARY, SAY: If any money from a shared property or other
asset, include only the amount that would be (READ NAME(S) ABOVE)’s
portion.}
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINES 13 & 14
[Enter $ Amount] .......................
REF .................................... -7 {IN25}
DK ..................................... -8 {IN24A}
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
| DISPLAY ‘IF NECESSARY, SAY ... ABOVE).’ IF IN04 |
| IS NOT CODED ‘2’ (MARRIED, FILING JOINT RETURN |
| OR IF IN04 WAS NOT ASKED. IF IN04 IS CODED ‘2’ |
| (MARRIED, FILING JOINT RETURN), USE A NULL |
| DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-300,000 |
----------------------------------------------------
BOX_IN24
========
----------------------------------------------------
| IF AMOUNT OTHER THAN ZERO ENTERED AT IN24, |
| CONTINUE WITH IN24OV |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO IN25 |
----------------------------------------------------
IN24OV
======
INTERVIEWER: WAS THE AMOUNT ENTERED A NET GAIN OR A
NET LOSS?
NET GAIN ............................... 1 {IN25}
NET LOSS ............................... 2 {IN25}
[Code One]
IN24A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was earned or lost [from the sale of property or other assets,
including the sale of (his/her/their) home, if it was taxable,
in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7 {IN25}
DK ..................................... -8 {IN25}
[Code One]
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
IN24AOV
=======
INTERVIEWER: DOES THE RANGE SELECTED REPRESENT
NET GAIN OR NET LOSS?
NET GAIN ............................... 1
NET LOSS ............................... 2
[Code One]
IN25
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During 2006, how much money did (READ NAME(S) ABOVE) receive from
payments from Individual Retirement Accounts, that is, IRA, Keogh,
or 401K accounts?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 15a
FORM 1040A, LINE 11a
[Enter $ Amount] ....................... {IN26}
REF .................................... -7 {IN26}
DK ..................................... -8 {IN25A}
PRESS F1 FOR DEFINITION OF IRA, KEOGH, AND 401K.
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-100,000 |
----------------------------------------------------
BOX_IN25
========
OMITTED.
IN25OV
======
OMITTED.
IN25A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was received [from payments from IRA, Keogh, and 401K accounts
in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7
DK ..................................... -8
[Code One]
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
IN26
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During 2006, how much money did (READ NAME(S) ABOVE) receive from
private pensions, military retirement, other Federal government
employee pensions, state or local government employee pensions,
or annuities?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 16a
FORM 1040A, LINE 12a
[Enter $ Amount] ....................... {BOX_02B}
REF .................................... -7 {BOX_02B}
DK ..................................... -8
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-300,000 |
----------------------------------------------------
IN27
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was received [from private pensions, military retirement, other
Federal government employee pensions, state or local government
employee pensions, or annuities in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7
DK ..................................... -8
[Code One]
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
BOX_02B
=======
----------------------------------------------------
| IF IN09 IS CODED ‘2’ (SHORT FORM 1040A) OR ‘3’ |
| SHORT FORM 1040EZ, GO TO IN30 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, CONTINUE WITH IN28 |
----------------------------------------------------
IN28
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During 2006, how much money did (READ NAME(S) ABOVE) receive as a
net gain or loss from estates or trusts, partnerships,
S corporations, royalties, or from rental income?
{IF NECESSARY, SAY: If any money from a joint venture, include
only the amount that would be (READ NAME(S) ABOVE)’s portion.}
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 17
[Enter $ Amount] .......................
REF .................................... -7 {IN30}
DK ..................................... -8 {IN28A}
PRESS F1 FOR DESCRIPTION OF AMOUNTS TO INCLUDE.
----------------------------------------------------
| DISPLAY ‘IF NECESSARY, SAY ... ABOVE).’ IF IN04 |
| IS NOT CODED ‘2’ (MARRIED, FILING JOINT RETURN |
| OR IF IN04 WAS NOT ASKED. IF IN04 IS CODED ‘2’ |
| (MARRIED, FILING JOINT RETURN), USE A NULL |
| DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-300,000 |
----------------------------------------------------
BOX_IN28
========
----------------------------------------------------
| IF AMOUNT OTHER THAN ZERO ENTERED AT IN28, |
| CONTINUE WITH IN28OV |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO IN30 |
----------------------------------------------------
IN28OV
======
INTERVIEWER: WAS THE AMOUNT ENTERED A NET GAIN OR A
NET LOSS?
NET GAIN ............................... 1 {IN30}
NET LOSS ............................... 2 {IN30}
[Code One]
IN28A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was earned or lost [from estates or trusts, partnerships,
S corporations, royalties, or from rental income in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7 {IN30}
DK ..................................... -8 {IN30}
[Code One]
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
IN28AOV1
========
INTERVIEWER: DOES THE RANGE SELECTED REPRESENT
NET GAIN OR NET LOSS?
NET GAIN ............................... 1
NET LOSS ............................... 2
[Code One]
IN29
====
OMITTED.
BOX_IN29
========
OMITTED.
IN29OV1
=======
OMITTED.
BOX_IN29OV1
===========
OMITTED.
IN29OV2
=======
OMITTED.
IN29A
=====
OMITTED.
IN29AOV
=======
OMITTED.
IN30
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During 2006, how much money did (READ NAME(S) ABOVE) receive from
unemployment compensation?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 19
FORM 1040A, LINE 13
FORM 1040EZ, LINE 3
[Enter $ Amount] ....................... {IN31}
REF .................................... -7 {IN31}
DK ..................................... -8 {IN30A}
PRESS F1 FOR DEFINITION OF UNEMPLOYMENT COMPENSATION.
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-100,000 |
----------------------------------------------------
BOX_IN30
========
OMITTED.
IN30OV
======
OMITTED.
IN30A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was received [from unemployment compensation in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7
DK ..................................... -8
[Code One]
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
BOX_03
======
OMITTED.
IN31
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
During 2006, how much money did (READ NAME(S) ABOVE) receive from
Social Security and equivalent tier 1 Railroad Retirement benefits?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 20a
FORM 1040A, LINE 14a
[Enter $ Amount] ....................... {END_LP02}
REF .................................... -7 {END_LP02}
DK ..................................... -8 {IN32}
PRESS F1 FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-100,000 |
----------------------------------------------------
BOX_IN31
========
OMITTED.
IN31OV
======
OMITTED.
IN32
====
{PERSON'S FIRST MIDDLE AND LAST NAME} {NAME OF SECONDARY FILER}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was received [from Social Security and equivalent tier 1
Railroad Retirement benefits in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7
DK ..................................... -8
[Code One]
----------------------------------------------------
| FOR ‘NAME OF SECONDARY FILER’, DISPLAY THE |
| PERSON’S NAME SELECTED AT IN05 DURING LOOP_01 FOR |
| THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF|
| IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE|
| A NULL DISPLAY. |
----------------------------------------------------
IN33
====
OMITTED.
BOX_IN33
========
OMITTED.
IN33OV
======
OMITTED.
END_LP02
========
----------------------------------------------------
| CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER |
| THAT MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO OTHER PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_02 AND CONTINUE WITH IN34 |
----------------------------------------------------
IN34
====
During 2006, did anyone in the family receive Worker’s
Compensation?
YES .................................... 1
NO ..................................... 2 {IN37}
REF ................................... -7 {IN37}
DK .................................... -8 {IN37}
PRESS F1 FOR DEFINITION OF WORKER’S COMPENSATION.
----------------------------------------------------
| IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, |
| AUTOMATICALLY CODE PERSON AS ‘RECEIVED WORKER’S |
| COMPENSATION’ AT IN35 AND GO TO LOOP_03 |
----------------------------------------------------
IN35
====
Who received Worker’s Compensation in 2006?
PROBE: Anyone else receive Worker’s Compensation in 2006?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last name-65]
[2. First Name, [Middle Name], Last name-65]
[3. First Name, [Middle Name], Last name-65]
[Code All That Apply]
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL PERSONS WHO MEET |
| THE FOLLOWING CONDITION: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
----------------------------------------------------
LOOP_03
=======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, |
| ASK IN36 - END_LP03 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_03 DETERMINES HOW MUCH |
| MONEY WAS RECEIVED FROM WORKER’S COMPENSATION FOR |
| RU MEMBERS WHO RECEIVED WORKER’S COMPENSATION IN |
| 2006. THIS LOOP CYCLES ON EACH PERSON ON THE |
| RU-MEMBERS-ROSTER WHO MEETS THE FOLLOWING |
| CONDITIONS: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
| - PERSON RECEIVED WORKER’S COMPENSATION IN 2006 |
| (SELECTED AT IN35) |
----------------------------------------------------
IN36
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
How much money did (PERSON) receive from Worker’s Compensation
[in 2006]?
[Enter $ Amount] ....................... {END_LP03}
REF .................................... -7 {END_LP03}
DK ..................................... -8
----------------------------------------------------
| SOFT RANGE CHECK: 0-50,000 |
----------------------------------------------------
IN36A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was received [from Worker’s Compensation in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7
DK ..................................... -8
[Code One]
END_LP03
========
----------------------------------------------------
| CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER |
| THAT MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO OTHER PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_03 AND CONTINUE WITH IN37 |
----------------------------------------------------
IN37
====
During 2006, did anyone in the family receive Supplemental
Security Income, also known as S.S.I.?
YES .................................... 1
NO ..................................... 2 {IN41}
REF ................................... -7 {IN41}
DK .................................... -8 {IN41}
PRESS F1 FOR DEFINITION OF S.S.I.
----------------------------------------------------
| IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, |
| AUTOMATICALLY CODE PERSON AS ‘RECEIVED S.S.I.’ AT |
| IN38 AND GO TO LOOP_04 |
----------------------------------------------------
IN38
====
Who received Supplemental Security Income in 2006?
PROBE: Anyone else receive S.S.I. in 2006?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last name-65]
[2. First Name, [Middle Name], Last name-65]
[3. First Name, [Middle Name], Last name-65]
[Code All That Apply]
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL PERSONS WHO MEET |
| THE FOLLOWING CONDITION: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
----------------------------------------------------
LOOP_04
=======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, |
| ASK BOX_03A - END_LP04 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_04 DETERMINES HOW MUCH |
| MONEY WAS RECEIVED FROM SUPPLEMENTAL SECURITY |
| INCOME (S.S.I) FOR RU MEMBERS WHO RECEIVED S.S.I. |
| IN 2006. THIS LOOP CYCLES ON EACH PERSON ON THE |
| RU-MEMBERS-ROSTER WHO MEETS THE FOLLOWING |
| CONDITIONS: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
| - PERSON RECEIVED SUPPLEMENTAL SECURITY INCOME IN |
| 2006 (SELECTED AT IN38) |
----------------------------------------------------
BOX_03A
=======
----------------------------------------------------
| IF PERSON IS LESS THAN 65 YEARS OLD OR IN AGE |
| CATEGORIES 1-8, CONTINUE WITH IN39 |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO IN40A |
----------------------------------------------------
IN39
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
Did (PERSON) receive money from Supplemental Security Income
because of (PERSON)’s own disability or for some other reason?
DISABILITY .............................. 1
SOME OTHER REASON ....................... 2
REF .................................... -7
DK ..................................... -8
[Code One]
IN40A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
For how many months in 2006 did (PERSON) receive money from
Supplemental Security Income?
[Enter Number of Months] ................
REF .................................... -7
DK ..................................... -8
----------------------------------------------------
| RANGE CHECK: 1-12 |
----------------------------------------------------
IN40B
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
On average, how much money did (PERSON) get per month [from
Supplemental Security Income in 2006]?
[Enter $ Amount] ........................ {END_LP04}
REF .................................... -7 {END_LP04}
DK ..................................... -8
----------------------------------------------------
| SOFT RANGE CHECK: 0-50,000 |
----------------------------------------------------
IN40C
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-2.
Looking at this card, which range best estimates how much money
was received per month [from Supplemental Security Income in
2006]?
1 - 250 ................................. 1
251 - 500 ............................... 2
501 - 750 ............................... 3
751 - 1,000 ............................. 4
1,001 OR MORE ........................... 5
REF .................................... -7
DK ..................................... -8
[Code One]
END_LP04
========
----------------------------------------------------
| CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER |
| THAT MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO OTHER PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_04 AND CONTINUE WITH IN41 |
----------------------------------------------------
IN41
====
SHOW CARD IN-2A.
During 2006, did anyone in the family receive any money from
public assistance, such as Temporary Assistance for Needy
Families, also known as TANF {or the program(s) listed on this
card} or general assistance)?
YES .................................... 1
NO ..................................... 2 {IN46}
REF ................................... -7 {IN46}
DK .................................... -8 {IN46}
PRESS F1 FOR DEFINITION OF PUBLIC ASSISTANCE.
----------------------------------------------------
| DISPLAY ‘SHOW CARD IN-2A.’ AND ‘or the program(s) |
| listed on this card’ IF INTERVIEW STATE IS NOT DC,|
| IL, IN, IA, KS, MS, NE, NV, PA, OK, OR, OR VA. |
| OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
----------------------------------------------------
| IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, |
| AUTOMATICALLY CODE PERSON AS ‘RECEIVED PUBLIC |
| ASSISTANCE’ AT IN42 AND GO TO LOOP_05 |
----------------------------------------------------
IN42
====
Whose name was on the checks?
PROBE: Does anyone else receive a check from public
assistance in their name?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last name-65]
[2. First Name, [Middle Name], Last name-65]
[3. First Name, [Middle Name], Last name-65]
[Code All That Apply]
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL PERSONS WHO MEET |
| THE FOLLOWING CONDITION: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
----------------------------------------------------
LOOP_05
=======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, |
| ASK IN43 - END_LP05 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_05 DETERMINES WHO WAS |
| COVERED BY PUBLIC ASSISTANCE, WHETHER ANY OF THE |
| CHECKS INCLUDED MONEY FROM TANF AND HOW MUCH WAS |
| RECEIVED PER MONTH. THIS LOOP CYCLES ON EACH |
| PERSON ON THE RU-MEMBERS-ROSTER WHO MEETS THE |
| FOLLOWING CONDITIONS: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
| - PERSON’S NAME WAS ON THE PUBLIC ASSISTANCE |
| CHECKS (SELECTED AT IN42) |
----------------------------------------------------
IN43
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
Sometimes checks from public assistance cover more than one person
in the family, even though only one person’s name is on the check.
Who is covered by (PERSON)’s checks from public assistance?
PROBE: Did (PERSON)’s checks cover anyone else?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last name-65]
[2. First Name, [Middle Name], Last name-65]
[3. First Name, [Middle Name], Last name-65]
[Code All That Apply]
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL PERSONS WHO MEET |
| THE FOLLOWING CONDITIONS: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
| - PERSON IS NOT SELECTED AS RECEIVING HIS OWN |
| PUBLIC ASSISTANCE CHECKS, THAT IS PERSON WAS NOT|
| SELECTED AT IN42 |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘PERSON NOT IN RU’ AS THE 2ND TO LAST |
| ENTRY ON THE ROSTER. |
----------------------------------------------------
----------------------------------------------------
| DISPLAY ‘CHECK ONLY COVERS (PERSON) IN HEADER’ |
| AS THE LAST ENTRY ON THE ROSTER. |
----------------------------------------------------
IN44
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-2A.
Did any of (PERSON)’s checks include money from Temporary
Assistance for Needy Families, also known as TANF {or the
program(s) listed on this card}?
YES .................................... 1
NO ..................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITION OF TANF.
----------------------------------------------------
| DISPLAY ‘SHOW CARD IN-2A.’ AND ‘or the program(s) |
| listed on this card’ IF INTERVIEW STATE IS NOT DC,|
| IL, IN, IA, KS, MS, NE, NV, PA, OK, OR, OR VA. |
| OTHERWISE, USE A NULL DISPLAY. |
----------------------------------------------------
IN45A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
For how many months in 2006 did (PERSON) receive checks from
public assistance?
[Enter Number of Months] ................
REF .................................... -7
DK ..................................... -8
----------------------------------------------------
| RANGE CHECK: 1-12 |
----------------------------------------------------
IN45B
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
On average, how much money did (PERSON) get per month [from
public assistance in 2006]?
[Enter $ Amount] ........................ {END_LP05}
REF .................................... -7 {END_LP05}
DK ..................................... -8
----------------------------------------------------
| SOFT RANGE CHECK: 0-50,000 |
----------------------------------------------------
IN45C
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-2.
Looking at this card, which range best estimates how much money
was received per month [from public assistance in 2006]?
1 - 250 ................................. 1
251 - 500 ............................... 2
501 - 750 ............................... 3
751 - 1,000 ............................. 4
1,001 OR MORE ........................... 5
REF .................................... -7
DK ..................................... -8
[Code One]
END_LP05
========
----------------------------------------------------
| CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER |
| THAT MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO OTHER PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_05 AND CONTINUE WITH IN46 |
----------------------------------------------------
IN46
====
During 2006, did anyone in the family receive any money from
child support?
YES .................................... 1
NO ..................................... 2 {IN49}
REF ................................... -7 {IN49}
DK .................................... -8 {IN49}
PRESS F1 FOR DEFINITION OF CHILD SUPPORT.
----------------------------------------------------
| IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, |
| AUTOMATICALLY CODE PERSON AS ‘RECEIVED CHILD |
| SUPPORT’ AT IN47 AND GO TO LOOP_06 |
----------------------------------------------------
IN47
====
Who received child support in 2006?
PROBE: Anyone else receive child support in 2006?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last name-65]
[2. First Name, [Middle Name], Last name-65]
[3. First Name, [Middle Name], Last name-65]
[Code All That Apply]
PRESS F1 FOR DESCRIPTION OF WHO TO INCLUDE.
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL PERSONS WHO MEET |
| THE FOLLOWING CONDITION: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
----------------------------------------------------
LOOP_06
=======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, |
| ASK IN48A - END_LP06 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_06 DETERMINES HOW MUCH |
| MONEY WAS RECEIVED FROM CHILD SUPPORT FOR RU |
| MEMBERS WHO RECEIVED CHILD SUPPORT IN 2006. |
| THIS LOOP CYCLES ON EACH PERSON ON THE RU-MEMBERS-|
| ROSTER WHO MEETS THE FOLLOWING CONDITIONS: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
| - PERSON RECEIVED CHILD SUPPORT IN 2006 (SELECTED |
| AT IN47) |
----------------------------------------------------
IN48A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
For how many months in 2006 did (PERSON) receive money from
child support?
[Enter Number of Months] ................
REF .................................... -7
DK ..................................... -8
----------------------------------------------------
| RANGE CHECK: 1-12 |
----------------------------------------------------
IN48B
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
On average, how much money did (PERSON) get per month [from
child support in 2006]?
[Enter $ Amount] ........................ {END_LP06}
REF .................................... -7 {END_LP06}
DK ..................................... -8
----------------------------------------------------
| SOFT RANGE CHECK: 0-100,000 |
----------------------------------------------------
IN48C
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-2.
Looking at this card, which range best estimates how much money
was received per month [from child support in 2006]?
1 - 250 ................................. 1
251 - 500 ............................... 2
501 - 750 ............................... 3
751 - 1,000 ............................. 4
1,001 OR MORE ........................... 5
REF .................................... -7
DK ..................................... -8
[Code One]
END_LP06
========
----------------------------------------------------
| CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER |
| THAT MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO OTHER PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_06 AND CONTINUE WITH IN49 |
----------------------------------------------------
IN49
====
Not counting military retirement, during 2006, did anyone in the
family receive any veteran’s payments such as education or
disability benefits?
YES .................................... 1
NO ..................................... 2 {IN52}
REF ................................... -7 {IN52}
DK .................................... -8 {IN52}
PRESS F1 FOR DEFINITION OF VETERAN’S PAYMENTS.
----------------------------------------------------
| IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, |
| AUTOMATICALLY CODE PERSON AS ‘RECEIVED VETERAN’S |
| PAYMENTS’ AT IN50 AND GO TO LOOP_07 |
----------------------------------------------------
IN50
====
Who received veteran’s payments such as education or
disability benefits [in 2006]?
PROBE: Anyone else receive veteran’s payments in 2006?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last name-65]
[2. First Name, [Middle Name], Last name-65]
[3. First Name, [Middle Name], Last name-65]
[Code All That Apply]
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL PERSONS WHO MEET |
| THE FOLLOWING CONDITION: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
----------------------------------------------------
LOOP_07
=======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, |
| ASK IN51 - END_LP07 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_07 DETERMINES HOW MUCH |
| MONEY WAS RECEIVED FROM VETERAN’S PAYMENTS FOR RU |
| MEMBERS WHO RECEIVED VETERAN’S PAYMENTS IN 2006. |
| THIS LOOP CYCLES ON EACH PERSON ON THE RU-MEMBERS-|
| ROSTER WHO MEETS THE FOLLOWING CONDITIONS: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
| - PERSON RECEIVED VETERAN’S PAYMENTS IN 2006 |
| (SELECTED AT IN50) |
----------------------------------------------------
IN51
====
{PERSON'S FIRST MIDDLE AND LAST NAME}
How much money did (PERSON) receive from veterans payments such as
education or disability benefits in 2006? [Do not include military
retirement.]
[Enter $ Amount] ....................... {END_LP07}
REF .................................... -7 {END_LP07}
DK ..................................... -8
----------------------------------------------------
| SOFT RANGE CHECK: 0-100,000 |
----------------------------------------------------
IN51A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was received [from veteran’s payments such as education or
disability benefits in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7
DK ..................................... -8
[Code One]
END_LP07
========
----------------------------------------------------
| CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER |
| THAT MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO OTHER PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_07 AND CONTINUE WITH IN52 |
----------------------------------------------------
IN52
====
Besides what we have already talked about, during 2006, did any
one in the family receive any money from regular cash contributions
from people who do not live in this household?
YES .................................... 1
NO ..................................... 2 {IN55}
REF ................................... -7 {IN55}
DK .................................... -8 {IN55}
PRESS F1 FOR DESCRIPTION OF REGULAR CASH CONTRIBUTIONS AND HOUSEHOLD.
----------------------------------------------------
| IF CODED ‘1’ (YES) AND A SINGLE PERSON RU, |
| AUTOMATICALLY CODE PERSON AS ‘RECEIVED REGULAR |
| CASH CONTRIBUTIONS FROM OUTSIDE HOUSEHOLD’ AT |
| IN53 AND GO TO LOOP_08 |
----------------------------------------------------
IN53
====
Who received regular cash contributions from people who do not
live in this household [in 2006]?
PROBE: Anyone else receive regular cash contributions, in 2006,
from people who do not live here?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last name-65]
[2. First Name, [Middle Name], Last name-65]
[3. First Name, [Middle Name], Last name-65]
[Code All That Apply]
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL PERSONS WHO MEET |
| THE FOLLOWING CONDITION: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
----------------------------------------------------
LOOP_08
=======
----------------------------------------------------
| FOR EACH ELEMENT IN THE RU-MEMBERS-ROSTER, |
| ASK IN54A - END_LP08 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_08 DETERMINES HOW MUCH |
| MONEY WAS RECEIVED FROM REGULAR CASH |
| CONTRIBUTIONS FROM OUTSIDE THE HOUSEHOLD FOR RU |
| MEMBERS WHO RECEIVED THESE TYPES OF CONTRIBUTIONS |
| IN 2006. THIS LOOP CYCLES ON EACH PERSON ON THE |
| RU-MEMBERS-ROSTER WHO MEETS THE FOLLOWING |
| CONDITIONS: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
| - PERSON RECEIVED REGULAR CASH CONTRIBUTIONS |
| FROM SOMEONE OUTSIDE OF THE HOUSEHOLD IN 2006 |
| (SELECTED AT IN53) |
----------------------------------------------------
IN54A
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
For how many months in 2006 did (PERSON) receive money from
regular cash contributions from people who do not live in this
household?
[Enter Number of Months] ................
REF .................................... -7
DK ..................................... -8
----------------------------------------------------
| RANGE CHECK: 1-12 |
----------------------------------------------------
IN54B
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
On average, how much money did (PERSON) get per month [from
regular cash contributions from people who do not live in this
household, in 2006]?
[Enter $ Amount] ........................ {END_LP08}
REF .................................... -7 {END_LP08}
DK ..................................... -8
----------------------------------------------------
| SOFT RANGE CHECK: 0-100,000 |
----------------------------------------------------
IN54C
=====
{PERSON'S FIRST MIDDLE AND LAST NAME}
SHOW CARD IN-2.
Looking at this card, which range best estimates how much money
was received per month [from regular cash contributions from
people who do not live in this household, in 2006]?
1 - 250 ................................. 1
251 - 500 ............................... 2
501 - 750 ............................... 3
751 - 1,000 ............................. 4
1,001 OR MORE ........................... 5
REF .................................... -7
DK ..................................... -8
[Code One]
END_LP08
========
----------------------------------------------------
| CYCLE ON NEXT PERSON ON THE RU-MEMBERS-ROSTER |
| THAT MEETS THE CONDITIONS STATED IN THE LOOP |
| DEFINITION. |
----------------------------------------------------
----------------------------------------------------
| IF NO OTHER PERSONS MEET THE STATED CONDITIONS, |
| END LOOP_08 AND CONTINUE WITH IN55 |
----------------------------------------------------
IN55
====
During 2006, did anyone in the family receive food stamps?
YES .................................... 1
NO ..................................... 2 {IN59}
REF ................................... -7 {IN59}
DK .................................... -8 {IN59}
PRESS F1 FOR DEFINITION OF FOOD STAMPS.
IN56
====
For how many months in 2006 were these food stamps received?
[Enter Months] .........................
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| RANGE CHECK: 1-12 |
----------------------------------------------------
IN57
====
OMITTED.
IN58
====
What was the approximate monthly value of the stamps?
[Enter $ Amount] .......................
REF ................................... -7
DK .................................... -8
----------------------------------------------------
| SOFT RANGE CHECK: 0-1,000 |
----------------------------------------------------
IN59
====
SHOW CARD IN-3.
This card lists some sources of income. Has anyone in the
family received any income, other than income we have already
talked about, such as income from sources listed on this card?
YES .................................... 1
NO ..................................... 2 {BOX_04}
REF ................................... -7 {BOX_04}
DK .................................... -8 {BOX_04}
PRESS F1 FOR DEFINITIONS OF SHOW CARD CATEGORIES.
LOOP_09
=======
----------------------------------------------------
| FOR EACH OF THE FOLLOWING: |
| |
| OTHER INCOME SOURCE CATEGORY 1 |
| OTHER INCOME SOURCE CATEGORY 2 |
| OTHER INCOME SOURCE CATEGORY 3 |
| OTHER INCOME SOURCE CATEGORY 4 |
| OTHER INCOME SOURCE CATEGORY 5 |
| |
| ASK IN60 - END_LP09 |
----------------------------------------------------
----------------------------------------------------
| LOOP DEFINITION: LOOP_09 COLLECTS INFORMATION |
| ABOUT OTHER SOURCES OF TAXABLE INCOME. THIS LOOP |
| CYCLES ON SOURCES OF TAXABLE INCOME LISTED AT |
| IN60. THE FIRST CYCLE OF THIS LOOP COLLECTS THE |
| THE FIRST SOURCE OF TAXABLE INCOME. SUBSEQUENT |
| CYCLES OF THE LOOP ARE DETERMINED BY THE RESPONSE |
| AT IN63. IF IN63 IS CODED '1' (YES), THE LOOP |
| CYCLES AGAIN TO COLLECT THE NEXT SOURCE OF TAXABLE|
| INCOME. IF IN63 IS CODED ‘2’ (NO), ‘-7’ |
| (REFUSED), OR ‘-8’ (DON’T KNOW), THE LOOP ENDS. |
----------------------------------------------------
IN60
====
SHOW CARD IN-3.
From which of the sources on this card did anyone in the family
receive income [that we have not yet talked about]?
WAGES AND SALARY ...................... 1 {BOX_03B}
FARM INCOME (OR LOSS) ................. 2 {BOX_03B}
BUSINESS INCOME (OR LOSS) ............. 3 {BOX_03B}
SOCIAL SECURITY/RAILROAD RETIREMENT ... 4 {BOX_03B}
PRIVATE, MILITARY, OR GOVERNMENT
PENSIONS ............................ 5 {BOX_03B}
INTEREST .............................. 6 {BOX_03B}
DIVIDENDS ............................. 7 {BOX_03B}
RENTAL INCOME (OR LOSS) ............... 8 {BOX_03B}
OTHER SOURCE .......................... 91
REF ................................... -7 {BOX_03B}
DK .................................... -8 {BOX_03B}
[Code One]
PRESS F1 FOR DEFINITIONS OF ANSWER CATEGORIES.
IN60OV
======
ENTER OTHER:
[Other Specify] .........................
REF .................................... -7
DK ..................................... -8
BOX_03B
=======
-----------------------------------------------------
| IF SINGLE PERSON RU, AUTOMATICALLY CODE PERSON AS |
| ‘RECEIVED INCOME FROM IN60 SOURCE’ AT IN61 AND GO |
| TO IN62 OTHERWISE CONTINUE WITH IN61 |
-----------------------------------------------------
IN61
====
INCOME SOURCE: {DISPLAY CATEGORY SELECTED AT IN60.........}
Who received income from (INCOME SOURCE) in 2006?
PROBE: Anyone else receive income from (INCOME SOURCE) in 2006?
TO TURN CHECK MARK ON/OFF, USE ARROW KEYS, PRESS ENTER.
TO LEAVE, PRESS ESC.
[1. First Name, [Middle Name], Last name-65]
[2. First Name, [Middle Name], Last name-65]
[3. First Name, [Middle Name], Last name-65]
[Code All That Apply]
----------------------------------------------------
| ROSTER DEFINITION: THIS ITEM USES THE |
| RU-MEMBERS-ROSTER TO DISPLAY ALL PERSONS WHO MEET |
| THE FOLLOWING CONDITION: |
| |
| - PERSON IS A CURRENT ROUND 3 RU MEMBER (INCLUDES |
| DECEASED AND INSTITUTIONALIZED RU MEMBERS) |
----------------------------------------------------
----------------------------------------------------
| FOR ‘DISPLAY CATEGORY SELECTED AT IN60.....’, |
| DISPLAY THE RESPONSE CATEGORY NAME SELECTED AT |
| IN60 DURING THE CURRENT LOOP. |
----------------------------------------------------
IN62
====
INCOME SOURCE: {DISPLAY CATEGORY SELECTED AT IN60.........}
What is the total amount received from (INCOME SOURCE), in 2006,
for all of the people just mentioned?
[Enter $ Amount] .......................
REF ................................... -7 {IN63}
DK .................................... -8 {IN62A}
----------------------------------------------------
| FOR ‘DISPLAY CATEGORY SELECTED AT IN60.....’, |
| DISPLAY THE RESPONSE CATEGORY NAME SELECTED AT |
| IN60 DURING THE CURRENT LOOP. |
----------------------------------------------------
----------------------------------------------------
| SOFT RANGE CHECK: 0-100,000 |
----------------------------------------------------
BOX_IN62
========
----------------------------------------------------
| IF AMOUNT OTHER THAN ZERO ENTERED AT IN62 AND |
| IN60 IS CODED ‘2’ (FARM INCOME OR LOSS), ‘3’ |
| (BUSINESS INCOME OR LOSS), ‘8’ (RENTAL INCOME OR |
| LOSS), OR ‘91’ (OTHER SOURCE), CONTINUE WITH |
| IN62OV |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO IN63 |
----------------------------------------------------
IN62OV
======
INTERVIEWER: WAS THE AMOUNT ENTERED A NET GAIN OR A
NET LOSS?
NET GAIN ............................... 1 {IN63}
NET LOSS ............................... 2 {IN63}
[Code One]
IN62A
=====
INCOME SOURCE: {DISPLAY CATEGORY SELECTED AT IN60.........}
SHOW CARD IN-1.
Looking at this card, which range best estimates how much money
was received [from (INCOME SOURCE) in 2006]?
1 - 2,500 ............................... 1
2,501 - 5,000 ........................... 2
5,001 - 10,000 .......................... 3
10,001 - 20,000 ......................... 4
20,001 - 30,000 ......................... 5
30,001 - 40,000 ......................... 6
40,001 - 50,000 ......................... 7
50,001 - 75,000 ......................... 8
75,001 - 100,000 ........................ 9
100,001 OR MORE ........................ 10
REF .................................... -7
DK ..................................... -8
[Code One]
BOX_IN62A
=========
----------------------------------------------------
| IF ‘7’ (REFUSED) OR ‘-8’ (DON’T KNOW) IS NOT CODED|
| AT IN62A AND IN60 IS CODED ‘2’ (FARM INCOME OR |
| LOSS), ‘3’ (BUSINESS INCOME OR LOSS), ‘8’ (RENTAL |
| INCOME OR LOSS), OR ‘91’ (OTHER SOURCE), CONTINUE |
| WITH IN62AOV |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE, GO TO IN63 |
----------------------------------------------------
IN62AOV
=======
INTERVIEWER: DOES THE RANGE SELECTED REPRESENT
NET GAIN OR NET LOSS?
NET GAIN ............................... 1
NET LOSS ............................... 2
[Code One]
IN63
====
SHOW CARD IN-3.
Aside from what you already told me about, has anyone in the
family received any other income, such as income from another
source listed on this card?
YES .................................... 1
NO ..................................... 2
REF ................................... -7
DK .................................... -8
PRESS F1 FOR DEFINITIONS OF SHOW CARD CATEGORIES.
END_LP09
========
----------------------------------------------------
| IF IN63 IS CODED '1' (YES), CYCLE TO COLLECT THE |
| NEXT OTHER INCOME CATEGORY. |
----------------------------------------------------
----------------------------------------------------
| OTHERWISE END LOOP_09, AND CONTINUE WITH BOX_04 |
----------------------------------------------------
BOX_04
======
----------------------------------------------------
| GO TO NEXT QUESTIONNAIRE SECTION |
----------------------------------------------------
IN64
====
OMITTED.
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