Front Section Questionnaire

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-START- CENSUS CATI/CAPI SYSTEM Date: 06-03-97

Ver: 1

SIPP

THE SURVEY OF INCOME AND PROGRAM PARTICIPATION

[fill I_PANEL] Panel, Wave [fill I_WAVE]

PSU: [fill I_PSU:0]

SEGMENT: [fill I_SEG:0]

SERIAL: [fill I_SER:0]

CASE STATUS IS: [fill TEMP2]

APPOINTMENT: [fill CALLBACK]

DATE IS: [fill CDATE_C]

TIME IS: [fill CTIME_C] [fill TEMP9]

INTERVIEW MODE: [fill TEMP8]

(P) Proceed - PERSONAL INTERVIEW

(T) Telephone interview (goto Dial screen)

(A) Set appointment for visit or callback

(Q) Quit -- Do Not Attempt now

[fill TEMP6]

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-DIAL-

FR INSTRUCTION: PRESS SHIFT-F4 AND REVIEW HOUSEHOLD COMPOSITION

BEFORE BEGINNING THE INTERVIEW

Dial this number: Area Code: ([fill HPHNAR:0])

Phone Number: [fill HPHNNUM3:0]-[fill HPHNNUM4:0] Ext: [fill HPHNEXT:0]

Secondary number: Area Code: ([fill SHPHNAR:0])

Phone Number: [fill SHPHNNUM3:0]-[fill SHPHNNUM4:0] Ext: [fill SHPHNEXT:0]

(1) Someone answers - BEGIN INTERVIEW

(2) Someone answers - SET APPOINTMENT

(3) No contact - answer machine/busy/no answer

(4) New telephone number or telephone disconnected

(5) Not attempted now

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-DASSIST- Enter address or (S) for SAME, if no change needed

If HH has no telephone, enter N for the area code to proceed

FR INSTRUCTION: Call directory assistance in your area

if necessary to obtain the correct telephone

number for this household.

(PRESS SHIFT-F4 TO DISPLAY HOUSEHOLD ROSTER

AND ADDRESS FROM PREVIOUS WAVE)

What is the new telephone number for the

[fill I_REF_LNAME] household?

CURRENT TELPHONE NUMBER:

Area Code: [fill HPHNAR:0]

Telephone: [fill HPHNNUM3:0]-[fill HPHNNUM4:0] Extension: [fill HPHNEXT:0]

@CHGAR @CHGNUM @CHGEXT

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-HHAPPT2-

When would be a convenient time to conduct an

interview with your household?

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-HHAPPT3-

Before I go, let me verify some information:

Is your address still (READ ADDRESS BELOW) ?

Household address: [fill HADDR1]

[fill HADDR2]

[fill HADDPO], [fill HADDST] [fill HADDZP_5:0]-[fill HADDZP_4:0]

(1) Yes

(2) No

(3) Address correction - HH did not move

(Q) End interview

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-HHAPPT4- Enter address or (S) for SAME, if no change needed

Current listing:

[fill HADDR1]

[fill HADDR2]

@CHGADR1

@CHGADR2

Current listing: [fill HADDPO]

@CHGPO

Current listing: [fill HADDST]

@CHGSTATE (H) HELP

Current Listing: [fill HADDZP_5:0]-[fill HADDZP_4:0]

@CHGZIP

CURRENT TELPHONE NUMBER:

Area Code: [fill HPHNAR:0]

Telephone: [fill HPHNNUM3:0]-[fill HPHNNUM4:0] Extension: [fill HPHNEXT:0]

@CHGAR @CHGNUM @CHGEXT

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-HHAPPT5-

FR INSTRUCTION: PRESS SHIFT-F4 TO DISPLAY

PREVIOUS WAVE HOUSEHOLD ROSTER

I have listed (PRESS SHIFT-F4) as living in this household.

Are ALL of these people still living here?

(1) Yes

(2) No

(Q) End interview

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-HHAPPT99-

Thank you for your assistance. I will visit your household

on [fill HHAPPT2].

FR INSTRUCTION: This household has persons who have moved since

the last interview; you may wish to review procedures

for movers before the interview.

REMEMBER: deal with mover cases early in the month,

so that you have sufficient time to locate and

interview the people who moved.

PRESS ENTER TO CONTINUE

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-INTRO_D-

[fill TEMP2]

Some of the questions have already been answered.

Let me see where we should begin.

Item to begin: [fill last open question]

PRESS ENTER TO CONTINUE

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-INTRO-

"Hello. I'm ... from the United States Bureau of the Census.

(If personal visit, read: Here is my identification card (show ID card).)

Several months ago this household was contacted concerning a

survey on the economic situation of people who live in the

United States. I have some further questions to ask you."

o Ask respondent if he/she received advance letter;

if not, give letter to respondent before proceeding

(if personal visit), or read/explain the letter to

telephone respondents.

o Is the respondent ready to complete the interview?

(1) No - Inconvenient time.

(2) No - Reluctant Respondent - Hold for refusal followup

(3) Noninterview (Type A/B/C/D OR a mover noninterview)

(4) Contacted Incorrect Household - END INTERVIEW

(P) Proceed @

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-TYPEABC- ENTER NONINTERVIEW CODE

TYPE A

(1) No one home

(2) Temporarily absent

(3) Refused

(4) Language problem

(5) Other Type A

TYPE B

(20) ENTIRE HH institutionalized

TYPE C

(29) ENTIRE HH deceased

(30) ENTIRE HH moved out of country

(31) ENTIRE HH on active duty in Armed Forces

MOVER SITUATIONS

(32) ENTIRE HH Moved to known address OUTSIDE of FR's area

(33) ENTIRE HH Moved to known address WITHIN FR's area

(34) ENTIRE HH merged with another SIPP HH

(35) ENTIRE HH Moved and split into several new SIPP HH's

(36) ENTIRE HH Moved - further work needed to obtain address

(37) Other Type C

TYPE D

(38) ENTIRE HH Moved, address unknown

(39) ENTIRE HH Moved within US; RO determined case is outside SIPP limits @

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-BCINFO-

FR INSTRUCTION:

For Type B and C noninterviews, collect the

following information.

Date the household left sample: Month: @MONTH Day: @DAY

Name of person providing noninterview status

FR NOTE: Enter "BYOBS" if determined by observation

@NAME

Telephone number of person listed above:

Area Code: @AR

Number: @PHONE

Extension: @EXT

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-SPCIFY-

Specify the kind of "Other" Noninterview

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-TYPC_OTH-

Specify the kind of "Other" Noninterview

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-NI_RACE-

Enter the Race of the reference person

(1) White

(2) Black

(3) American Indian, Aleut or Eskimo

(4) Asian or Pacific Islander

(5) Other

(D) Don't Know

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-NI_SEX-

Enter the Sex of the reference person

(1) Male

(2) Female

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-NI_SIZE-

ASK OR VERIFY WITH SOME KNOWLEDGEABLE INDIVIDUAL

Enter the total number of people in the household.

Count all children and adults.

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-NI_TENUR-

Are the living quarters --

(1) Owned or being bought by the occupant(s)

(2) Rented for cash

(3) Occupied without payment of cash rent

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-CC02AB-

FR NOTE: Please be sure to complete a Type A and D Information

Sheet for this case.

PRESS ENTER TO CONTINUE

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-TYPEADIS-

** NOTE TO FR **

PLEASE DISCUSS THIS CASE WITH YOUR SUPERVISOR

BEFORE DESIGNATING IT AS A TYPE A NONINTERVIEW.

PRESS ENTER TO CONTINUE

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-GET_NEWAD1-

ASK OR VERIFY -

Can you give me the new address of the individuals who

lived in this household?

(1) Yes

(2) No / Address not available yet

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-GET_NEWAD2-

IF ANY PART OF THE ADDRESS IS UNKNOWN OR BLANK,

PRESS ENTER TO LEAVE THOSE FIELDS BLANK.

What is the new address for these persons?

STREET ADDRESS:

@AD1

@AD2

CITY: @PO

COUNTY: @CTY

STATE: @ST (H) HELP

ZIP CODE: @ZP

TELPHONE NUMBER:

AREA CODE: @AR

TELEPHONE: @NUM

EXTENSION: @EXT

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-ALFTDATE-

DATE OF LAST INTERVIEW: [fill I_MONTH5++]

When did these persons leave?

ENTER NUMERIC VALUES FOR MONTH AND DAY

MONTH: @MTHLFT

DAY: @DAYLFT

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-AVERDATE-

I would like to verify that

these persons left before [fill MONTH1+] 1st.

Is that correct?

(1) Yes

(2) No

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-ARSNLFT-

Why did these persons leave the household?

ENTER ALL THAT APPLY - ENTER (N) AFTER LAST

ENTRY IF LESS THAN 3 REASONS

(5) Separation or divorce

(6) Marriage

(7) Became employed/unemployed

(8) Due to job change - other

(10) Other

@1 @2 @3

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-ALFTMAIN-

What is the main reason these persons

left the household?

[fill TEMP2+]

[fill TEMP3+]

[fill TEMP4+]

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REFERENCE SCREEN SECTION

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-stateref- REFERENCE: PERMISSIBLE STATE CODES

AL=Alabama IA=Iowa NJ=New Jersey VT=Vermont

AK=Alaska KS=Kansas NM=New Mexico VA=Virginia

AZ=Arizona KY=Kentucky NY=New York WA=Washington

AR=Arkansas LA=Louisiana NC=N. Carolina WV=W.Virginia

CA=California ME=Maine ND=N. Dakota WI=Wisconsin

CO=Colorado MD=Maryland OH=Ohio WY=Wyoming

CT=Connecticut MA=Massachusetts OK=Oklahoma

DE=Delaware MI=Michigan OR=Oregon

DC=Dist. Colum. MN=Minnesota PA=Pennsylvania

FL=Florida MS=Mississippi RI=Rhode Island

GA=Georgia MO=Missouri SC=S. Carolina

HI=Hawaii MT=Montana SD=S. Dakota

ID=Idaho NE=Nebraska TN=Tennessee

IL=Illinois NV=Nevada TX=Texas

IN=Indiana NH=New Hampshire UT=Utah

PRESS ENTER TO CONTINUE @

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-T_NAVGRID1-

THIS SCREEN IS NOT AVAILABLE UNTIL THE

QUESTIONNAIRE PORTION OF THE INTERVIEW.

[end]

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>T_NAVGRID2< [template] [#changed 96-41 on 2/15/96 cg

-T_NAVGRID2-

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NOTE: The navigation grid is used to tell the FR how much of a person's interview is completed.

-T_NAVGRID2-

Number of persons in HH: [fill PCNT++]

Person currently interviewed: [fill LNO_NEED++]

[bold]HH Members 15+ Yrs. L1 G1 A1 L2 G2 A2 HI ED PG TM[n]

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[#REFERENCE SCREEN 3]

>HHNAME< [reference] [display HHROS2]

PRESS ENTER TO CONTINUE @

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-HHROS1-

THIS SCREEN IS NOT AVAILABLE UNTIL THE

QUESTIONNAIRE PORTION OF THE INTERVIEW.

[end]

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>HH_COMP1< [template]

-HH_COMP-

THIS SCREEN IS NOT AVAILABLE UNTIL THE

QUESTIONNAIRE PORTION OF THE INTERVIEW.

[end]

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>HH_COMP2< [template]

-HH_COMP- This screen presents the current HH composition.

Number of persons in HH: [fill PCNT++]

Person currently interviewed: [fill LNO_NEED++]

Items shown in the HH composition screen include:

Line number, name, relationship to reference person,

age, sex, marital status, line number of spouse,

armed forces status, race, and origin.

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[#REFERENCE SCREEN SFT-F8]

>WHOAMI< [reference] [display T_WHOAMI]

PRESS ENTER TO CONTINUE @

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-HHLWAVE1- This screen presents the HH composition as of LAST wave.

Household telephone number: ([fill HPHNAR:0]) [fill HPHNNUM3:0]-[fill HPHNNUM4:0] EXT [fill HPHNEXT:0]

Household address: [fill HADDR1]

[fill HADDR2]

[fill HADDPO], [fill HADDST] [fill HADDZP_5:0]-[fill HADDZP_4:0]

[roster begin persons]

[if I_HHRESP eq I_LN and POS1 is <0>]

HH Respondent: [fill I_FNAME] [fill I_LNAME]

[endif]

[roster end persons]

[store <0> in INDEX]

[roster begin persons]

[if I_HHSTAT eq <1>]

[add <1> to INDEX]

[endif]

[roster end persons]

Number of persons recorded in HH: [fill INDEX]

Items shown in the "HH last wave" screen include:

Line number, name, relationship to reference person,

age, sex, marital status, line number of spouse,

armed forces status, race, and origin.

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[#REFERENCE SCREEN SHIFT-F9]

>CP_SUM< [reference] [# added by DD 5/02/96]

-CP_SUM-

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NOTE: This screen shows the contact person information for the household, and

allows the FR to update the information.

-CP_SUM-

Household telephone number:

([fill HPHNAR:0]) [fill HPHNNUM3:0]-[fill HPHNNUM4:0] EXT [fill HPHNEXT:0]

Household address: [fill HADDR1]

[fill HADDR2]

[fill HADDPO], [fill HADDST] [fill HADDZP_5:0]-[fill HADDZP_4:0]

HH Respondent: [fill I_REF_FNAME] [fill I_REF_LNAME]

[bold]CONTACT PERSON INFORMATION FROM PREVIOUS WAVE

CONTACT PERSON #1 NAME/ADDRESS:[n]

[fill CPNAME1_FN] [fill CPNAME1_MN] [fill CPNAME1_LN]

[fill CPADDRS1_R1]

[fill CPADDRS1_R2]

[fill CPADDRS1_PO]

[fill CPADDRS1_ST] [fill CPADDRS1_ZP]

[fill CPRELAT1]

CONTACT PERSON TELEPHONE #:

([fill CPPHONE1_AR:0]) [fill CPPHONE1_NUM3:0]-[fill CPPHONE1_NUM4:0]

EXT: [fill CPPHONE2_EXT:0]

CONTACT PERSON #2 NAME/ADDRESS:

[fill CPNAME2_FN] [fill CPNAME2_MN] [fill CPNAME2_LN]

[fill CPADDRS2_R1]

[fill CPADDRS2_R2]

[fill CPADDRS2_PO]

[fill CPADDRS2_ST] [fill CPADDRS2_ZP]

[fill CPRELAT2]

CONTACT PERSON TELEPHONE #:

([fill CPPHONE2_AR:0]) [fill CPPHONE2_NUM3:0]-[fill CPPHONE2_NUM4:0]

EXT: [fill CPPHONE2_EXT]

(1) Update Contact Person #1

(2) Update Contact Person #2

(P) PROCEED

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-CP1- Enter name and address or (S) for SAME, if no change needed

Current name:

[fill CPNAME1_FN] [fill CPNAME1_LN]

@CPNAME_FN @CPNAME_LN

Current address: [fill CPADDRS1_R1]

[fill CPADDRS1_R2]

@CPADDRS_R1

@CPADDRS_R2

[fill CPADDRS1_PO], [fill CPADDRS1_ST] [fill CPADDRS1_ZP]

@CPADDRS_PO @CPADDRS_ST @CPADDRS_ZP

Current relation: [fill CPRELAT1] @CPRELA

Current telephone: ([fill CPPHONE1_AR:0]) [fill CPPHONE1_NUM3:0]-[fill CPPHONE1_NUM4:0]

extension: [fill CPPHONE1_EXT:0]

@CPPHONE_AR @CPPHONE_NUM @CPPHONE_EXT

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-CP2- Enter name and address or (S) for SAME, if no change needed

Current name:

[fill CPNAME2_FN] [fill CPNAME2_LN]

@CPNAME_FN @CPNAME_LN

Current address: [fill CPADDRS2_R1]

[fill CPADDRS2_R2]

@CPADDRS_R1

@CPADDRS_R2

[fill CPADDRS2_PO], [fill CPADDRS2_ST] [fill CPADDRS2_ZP]

@CPADDRS_PO @CPADDRS_ST @CPADDRS_ZP

Current relation: [fill CPRELAT2] @CPRELA

Current telephone: ([fill CPPHONE2_AR:0]) [fill CPPHONE2_NUM3:0]-[fill CPPHONE2_NUM4:0]

extension: [fill CPPHONE2_EXT:0]

@CPPHONE_AR @CPPHONE_NUM @CPPHONE_EXT

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Page Last Modified: May 12, 2006

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