SIPP Home > Survey Content > Core Content > SIPP 1996 Panel Questionnaires > SIPP 1996 Panel Wave 2-12 Questionnaires > General Income Amount
-AMTS-
Earlier I recorded that [fill TEMPNAME+] [fill TEMP4++]
[fill TEMP2++]
[fill TEMP3++]
PRESS ENTER TO CONTINUE
@
------------------------------------------------------------------------------
-RESNSS-
What is the reason [fill TEMPNAME+] [fill AREIS+] getting
[fill TEMP2++]
[fill TEMP3++]
Any other reason?
READ ALL CATEGORIES AND SELECT THE MOST APPROPRIATE
ENTER (N) IF NO SECOND REASON
(1) Retired?
(2) Disabled?
(3) Widowed or surviving child?
(4) Spouse or dependent child?
(5) Some other reason?
@1 @2
------------------------------------------------------------------------------
-JNTSSYN-
Did [fill TEMPNAME+] receive
[fill INCTYP1]
[fill INCTYP2]
jointly with [fill HISHER+] spouse?
(1) Yes
(2) No
@
------------------------------------------------------------------------------
-DIRECT-
Does [fill HISHER+]
[fill INCTYP1]
[fill INCTYP2]
payment come in the mail or is it direct deposited
into an account?
(1) Comes in the mail
(2) Direct deposited
@
------------------------------------------------------------------------------
-COLSS- SHOW FLASHCARD G
Please look at this flashcard and tell me which
color ENVELOPE [fill PTEMPNAME+] check comes in.
(1) Blue
(2) Buff
(4) Other
@
------------------------------------------------------------------------------
-WHENSS-
Are [fill HISHER+] payments usually [fill TEMP2++] on the
first of the month or the third?
(1) First
(2) Third
(3) Other
@
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-VETTYP-
What type of Veterans payments did [fill HESHE+] receive?
(1) Service-connected disability compensation
(2) Survivor Benefits
(3) Veteran's Pension
(4) Other Veteran's Payments
@1
-VAQUES-
[fill C_AREIS+] [fill TEMPNAME+] required to fill out an annual
income questionnaire in order to receive a VA pension?
(1) Yes
(2) No
@2
------------------------------------------------------------------------------
-AFSRVDIE-
Earlier I recorded that [fill TEMPNAME+] received income as
a [fill TEMP2++].
Did [fill HISHER+] late spouse die while in the service
or from a service-related injury?
(1) Yes
(2) No
@
------------------------------------------------------------------------------
-AFDCMTH-
[fill C_HAVHAS+] [fill TEMPNAME+] received any public
assistance payments so far in [fill MONTH5++]?
(1) Yes
(2) No
@5
In [fill MONTH4++]? @4
In [fill MONTH3++]? @3
In [fill MONTH2++]? @2
In [fill MONTH1++]? @1
------------------------------------------------------------------------------
-YSTOP21-
What set of circumstances caused [fill TEMPNAME+]
to stop receiving
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH4++]?
(1) Became ineligible because of increased income
(2) Became ineligible because of family changes
(family member left, over age limit, etc.)
(3) Still eligible but could not/chose not to collect
(4) Other, specify
@
------------------------------------------------------------------------------
-OTHSPS21-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-YBEG21- What set of circumstances led [fill TEMPNAME+] to apply for
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH4++]? Anything else?
MARK ALL THAT APPLY; ENTER "N" AFTER LAST RESPONSE
NOTE TO FR: THE FIRST RESPONSE "NEEDED THE MONEY" IS NOT
ACCEPTABLE AS THE ONLY RESPONSE, YOU MUST PROBE FOR A SECOND REASON
(1) Needed the money
(2) Pregnancy/birth of child
(3) Began receiving for another dependent (e.g. grandchild)
(4) Separated or divorced from spouse/partner
(5) Loss of job/wages/other income (own or partner's)
(6) Loss of other support income
(7) Just learned about the program
(8) Just got around to applying
(9) Became disabled
(10) Other, specify
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
------------------------------------------------------------------------------
-OTHSPB21-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-YSTOP22-
What set of circumstances caused [fill TEMPNAME+]
to stop receiving
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH3++]?
(1) Became ineligible because of increased income
(2) Became ineligible because of family changes
(family member left, over age limit, etc.)
(3) Still eligible but could not/chose not to collect
(4) Other, specify
@
------------------------------------------------------------------------------
-OTHSPS22-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-YBEG22- What set of circumstances led [fill TEMPNAME+] to apply for
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH3++]? Anything else?
MARK ALL THAT APPLY; ENTER "N" AFTER LAST RESPONSE
NOTE TO FR: THE FIRST RESPONSE "NEEDED THE MONEY" IS NOT
ACCEPTABLE AS THE ONLY RESPONSE, YOU MUST PROBE FOR A SECOND REASON
(1) Needed the money
(2) Pregnancy/birth of child
(3) Began receiving for another dependent (e.g. grandchild)
(4) Separated or divorced from spouse/partner
(5) Loss of job/wages/other income (own or partner's)
(6) Loss of other support income
(7) Just learned about the program
(8) Just got around to applying
(9) Became disabled
(10) Other, specify
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
------------------------------------------------------------------------------
-OTHSPB22-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-YSTOP23-
What set of circumstances caused [fill TEMPNAME+]
to stop receiving
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH2++]?
(1) Became ineligible because of increased income
(2) Became ineligible because of family changes
(family member left, over age limit, etc.)
(3) Still eligible but could not/chose not to collect
(4) Other, specify
@
------------------------------------------------------------------------------
-OTHSPS23-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-YBEG23- What set of circumstances led [fill TEMPNAME+] to apply for
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH2++]? Anything else?
MARK ALL THAT APPLY; ENTER "N" AFTER LAST RESPONSE
NOTE TO FR: THE FIRST RESPONSE "NEEDED THE MONEY" IS NOT
ACCEPTABLE AS THE ONLY RESPONSE, YOU MUST PROBE FOR A SECOND REASON
(1) Needed the money
(2) Pregnancy/birth of child
(3) Began receiving for another dependent (e.g. grandchild)
(4) Separated or divorced from spouse/partner
(5) Loss of job/wages/other income (own or partner's)
(6) Loss of other support income
(7) Just learned about the program
(8) Just got around to applying
(9) Became disabled
(10) Other, specify
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
------------------------------------------------------------------------------
-OTHSPB23-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-YBEG220- What set of circumstances led [fill TEMPNAME+] to apply for
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH1++]? Anything else?
MARK ALL THAT APPLY; ENTER "N" AFTER LAST RESPONSE
NOTE TO FR: THE FIRST RESPONSE "NEEDED THE MONEY" IS NOT
ACCEPTABLE AS THE ONLY RESPONSE, YOU MUST PROBE FOR A SECOND REASON
(1) Needed the money
(2) Pregnancy/birth of child
(3) Began receiving for another dependent (e.g. grandchild)
(4) Separated or divorced from spouse/partner
(5) Loss of job/wages/other income (own or partner's)
(6) Loss of other support income
(7) Just learned about the program
(8) Just got around to applying
(9) Became disabled
(10) Other, specify
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
------------------------------------------------------------------------------
-OTHSP220-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-ADCAMT15- How much did [fill TEMPNAME+] receive from Public
Assistance Payments not including food stamps --
ENTER (N) FOR NONE/NO MORE. ENTER (S) FOR SAME AS PREVIOUS AMOUNT.
[fill TEMP3++]
@41 @42 @43 @44 @45
[fill TEMP4++]
@31 @32 @33 @34 @35
[fill TEMP5++]
@21 @22 @23 @24 @25
[fill TEMP6++]
@11 @12 @13 @14 @15
------------------------------------------------------------------------------
-CHCK4-
NOTE TO FR -----
THE AMOUNT ENTERED - [fill INDEX2++:,]
IS UNUSUALLY LARGE.
(1) BACKUP AND CORRECT
(P) Proceed
@
------------------------------------------------------------------------------
-CHCK3-
NOTE TO FR -----
THE AMOUNT ENTERED - [fill INDEX2++:,]
IS UNUSUALLY LARGE.
(1) BACKUP AND CORRECT
(P) Proceed
@
------------------------------------------------------------------------------
-CHCK2-
NOTE TO FR -----
THE AMOUNT ENTERED - [fill INDEX2++:,]
IS UNUSUALLY LARGE.
(1) BACKUP AND CORRECT
(P) Proceed
@
------------------------------------------------------------------------------
-CHCK1-
NOTE TO FR -----
THE AMOUNT ENTERED - [fill INDEX2++:,]
IS UNUSUALLY LARGE.
(1) BACKUP AND CORRECT
(P) Proceed
@
------------------------------------------------------------------------------
-AFDCAMT4-
How much did [fill TEMPNAME+] receive from Public
Assistance Payments in [fill MONTH4++]?
ENTER (N) FOR NONE/NO MORE AFTER LAST AMOUNT
@1
@2
@3
@4
@5
------------------------------------------------------------------------------
-BIGINC4-
NOTE TO FR -----
THE AMOUNT ENTERED - [fill INDEX++:,]
IS UNUSUALLY LARGE.
PRESS (1) TO BACK UP AND CORRECT IT IF IT IS IN ERROR OR
(P) TO PROCEED.
(1) BACKUP AND CORRECT
(P) Proceed
@
------------------------------------------------------------------------------
-CSAGCY4-
[fill FILPAS1]
[fill FILPAS2]
How much child support was collected by the agency in
[fill HISHER+] behalf in [fill MONTH4++]?
(N) None
@
------------------------------------------------------------------------------
-PASSAMT4-
How much pass through child support payment
did [fill TEMPNAME+] receive in [fill MONTH4++]?
(N) None
@
------------------------------------------------------------------------------
-AFDCAMT3-
How much did [fill TEMPNAME+] receive from Public
Assistance Payments in [fill MONTH3++]?
ENTER (N) FOR NONE/NO MORE AFTER LAST AMOUNT
@1
@2
@3
@4
@5
------------------------------------------------------------------------------
-BIGINC3-
NOTE TO FR -----
THE AMOUNT ENTERED - [fill INDEX++:,]
IS UNUSUALLY LARGE.
PRESS (1) TO BACK UP AND CORRECT IT IF IT IS IN ERROR OR
(P) TO PROCEED.
(1) BACKUP AND CORRECT
(P) Proceed
@
------------------------------------------------------------------------------
-CSAGCY3-
[fill FILPAS1]
[fill FILPAS2]
How much child support was collected by the agency in
[fill HISHER+] behalf in [fill MONTH3++]?
(N) None
@
------------------------------------------------------------------------------
-PASSAMT3-
How much pass through child support payment
did [fill TEMPNAME+] receive in [fill MONTH3++]?
(N) None
@
------------------------------------------------------------------------------
-AFDCAMT2-
How much did [fill TEMPNAME+] receive from Public
Assistance Payments in [fill MONTH2++]?
ENTER (N) FOR NONE/NO MORE AFTER LAST AMOUNT
@1
@2
@3
@4
@5
------------------------------------------------------------------------------
-BIGINC2-
NOTE TO FR -----
THE AMOUNT ENTERED - [fill INDEX++:,]
IS UNUSUALLY LARGE.
PRESS (1) TO BACK UP AND CORRECT IT IF IT IS IN ERROR OR
(P) TO PROCEED.
(1) BACKUP AND CORRECT
(P) Proceed
@
------------------------------------------------------------------------------
-CSAGCY2-
[fill FILPAS1]
[fill FILPAS2]
How much child support was collected by the agency in
[fill HISHER+] behalf in [fill MONTH2++]?
(N) None
@
------------------------------------------------------------------------------
-PASSAMT2-
How much pass through child support payment
did [fill TEMPNAME+] receive in [fill MONTH2++]?
(N) None
@
------------------------------------------------------------------------------
-AFDCAMT1-
How much did [fill TEMPNAME+] receive from Public
Assistance Payments in [fill MONTH1++]?
ENTER (N) FOR NONE/NO MORE AFTER LAST AMOUNT
@1
@2
@3
@4
@5
------------------------------------------------------------------------------
-BIGINC1-
NOTE TO FR -----
THE AMOUNT ENTERED - [fill INDEX++:,]
IS UNUSUALLY LARGE.
PRESS (1) TO BACK UP AND CORRECT IT IF IT IS IN ERROR OR
(P) TO PROCEED.
(1) BACKUP AND CORRECT
(P) Proceed
@
------------------------------------------------------------------------------
-CSAGCY1-
[fill FILPAS1]
[fill FILPAS2]
How much child support was collected by the agency in
[fill HISHER+] behalf in [fill MONTH1++]?
(N) None
@
------------------------------------------------------------------------------
-PASSAMT1-
How much of pass through child support payment
did [fill TEMPNAME+] receive in [fill MONTH1++]?
(N) None
@
------------------------------------------------------------------------------
-AFDCCOV- Who [fill TEMP2++] [fill PTEMPNAME+] [fill TEMP3++] Public
Assistance payment cover?
ENTER LINE NUMBER OF PERSON COVERED
ENTER (N) FOR NO ONE/NO MORE
ENTER (A) FOR ALL
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
@11 @12 @13 @14 @15 @16 @17 @18 @19 @20
------------------------------------------------------------------------------
-WICMNTH-
[fill C_HAVHAS+] [fill TEMPNAME+] received any WIC
in [fill MONTH5++]?
(1) Yes
(2) No
@5
In [fill MONTH4++]? @4
In [fill MONTH3++]? @3
In [fill MONTH2++]? @2
In [fill MONTH1++]? @1
------------------------------------------------------------------------------
-WYSTOP21-
What set of circumstances caused [fill TEMPNAME+]
to stop receiving
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH4++]?
(1) Became ineligible because of increased income
(2) Became ineligible because of family changes
(family member left, over age limit, etc.)
(3) Still eligible but could not/chose not to collect
(4) Other, specify
@
------------------------------------------------------------------------------
-OTHSWS21-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-WYBEG21- What set of circumstances led [fill TEMPNAME+] to apply for
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH4++]? Anything else?
MARK ALL THAT APPLY; ENTER "N" AFTER LAST RESPONSE
NOTE TO FR: THE FIRST RESPONSE "NEEDED THE MONEY" IS NOT
ACCEPTABLE AS THE ONLY RESPONSE, YOU MUST PROBE FOR A SECOND REASON
(1) Needed the money
(2) Pregnancy/birth of child
(3) Began receiving for another dependent (e.g. grandchild)
(4) Separated or divorced from spouse/partner
(5) Loss of job/wages/other income (own or partner's)
(6) Loss of other support income
(7) Just learned about the program
(8) Just got around to applying
(9) Became disabled
(10) Other, specify
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
------------------------------------------------------------------------------
-OTHSWB21-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-WYSTOP22-
What set of circumstances caused [fill TEMPNAME+]
to stop receiving
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH3++]?
(1) Became ineligible because of increased income
(2) Became ineligible because of family changes
(family member left, over age limit, etc.)
(3) Still eligible but could not/chose not to collect
(4) Other, specify
@
------------------------------------------------------------------------------
-OTHSWS22-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-WYBEG22- What set of circumstances led [fill TEMPNAME+] to apply for
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH3++]? Anything else?
MARK ALL THAT APPLY; ENTER "N" AFTER LAST RESPONSE
NOTE TO FR: THE FIRST RESPONSE "NEEDED THE MONEY" IS NOT
ACCEPTABLE AS THE ONLY RESPONSE, YOU MUST PROBE FOR A SECOND REASON
(1) Needed the money
(2) Pregnancy/birth of child
(3) Began receiving for another dependent (e.g. grandchild)
(4) Separated or divorced from spouse/partner
(5) Loss of job/wages/other income (own or partner's)
(6) Loss of other support income
(7) Just learned about the program
(8) Just got around to applying
(9) Became disabled
(10) Other, specify
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
------------------------------------------------------------------------------
-OTHSWB22-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-WYSTOP23-
What set of circumstances caused [fill TEMPNAME+]
to stop receiving
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH2++]?
(1) Became ineligible because of increased income
(2) Became ineligible because of family changes
(family member left, over age limit, etc.)
(3) Still eligible but could not/chose not to collect
(4) Other, specify
@
------------------------------------------------------------------------------
-OTHSWS23-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-WYBEG23- What set of circumstances led [fill TEMPNAME+] to apply for
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH2++]? Anything else?
MARK ALL THAT APPLY; ENTER "N" AFTER LAST RESPONSE
NOTE TO FR: THE FIRST RESPONSE "NEEDED THE MONEY" IS NOT
ACCEPTABLE AS THE ONLY RESPONSE, YOU MUST PROBE FOR A SECOND REASON
(1) Needed the money
(2) Pregnancy/birth of child
(3) Began receiving for another dependent (e.g. grandchild)
(4) Separated or divorced from spouse/partner
(5) Loss of job/wages/other income (own or partner's)
(6) Loss of other support income
(7) Just learned about the program
(8) Just got around to applying
(9) Became disabled
(10) Other, specify
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
------------------------------------------------------------------------------
-OTHSWB23-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-WYBEG220- What set of circumstances led [fill TEMPNAME+] to apply for
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH1++]? Anything else?
MARK ALL THAT APPLY; ENTER "N" AFTER LAST RESPONSE
NOTE TO FR: THE FIRST RESPONSE "NEEDED THE MONEY" IS NOT
ACCEPTABLE AS THE ONLY RESPONSE, YOU MUST PROBE FOR A SECOND REASON
(1) Needed the money
(2) Pregnancy/birth of child
(3) Began receiving for another dependent (e.g. grandchild)
(4) Separated or divorced from spouse/partner
(5) Loss of job/wages/other income (own or partner's)
(6) Loss of other support income
(7) Just learned about the program
(8) Just got around to applying
(9) Became disabled
(10) Other, specify
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
------------------------------------------------------------------------------
-OTSPW220-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-WICPER-
Who [fill TEMP2++] WIC cover in [fill TEMP3++]
ENTER LINE NUMBER OF PERSON COVERED
ENTER (N) FOR NO ONE/NO MORE
ENTER (A) FOR ALL
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
@11 @12 @13 @14 @15 @16 @17 @18 @19 @20
------------------------------------------------------------------------------
-FSMTHYN-
Did [fill TEMPNAME+] receive Food Stamps
in [fill MONTH5++]?
(1) Yes
(2) No
@5
In [fill MONTH4++]? @4
In [fill MONTH3++]? @3
In [fill MONTH2++]? @2
In [fill MONTH1++]? @1
------------------------------------------------------------------------------
-FYSTOP21-
What set of circumstances caused [fill TEMPNAME+]
to stop receiving
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH4++]?
(1) Became ineligible because of increased income
(2) Became ineligible because of family changes
(family member left, over age limit, etc.)
(3) Still eligible but could not/chose not to collect
(4) Other, specify
@
------------------------------------------------------------------------------
-OTHSFS21-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-FYBEG21- What set of circumstances led [fill TEMPNAME+] to apply for
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH4++]? Anything else?
MARK ALL THAT APPLY; ENTER "N" AFTER LAST RESPONSE
NOTE TO FR: THE FIRST RESPONSE "NEEDED THE MONEY" IS NOT
ACCEPTABLE AS THE ONLY RESPONSE, YOU MUST PROBE FOR A SECOND REASON
(1) Needed the money
(2) Pregnancy/birth of child
(3) Began receiving for another dependent (e.g. grandchild)
(4) Separated or divorced from spouse/partner
(5) Loss of job/wages/other income (own or partner's)
(6) Loss of other support income
(7) Just learned about the program
(8) Just got around to applying
(9) Became disabled
(10) Other, specify
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
------------------------------------------------------------------------------
-OTHSFB21-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-FYSTOP22-
What set of circumstances caused [fill TEMPNAME+]
to stop receiving
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH3++]?
(1) Became ineligible because of increased income
(2) Became ineligible because of family changes
(family member left, over age limit, etc.)
(3) Still eligible but could not/chose not to collect
(4) Other, specify
@
------------------------------------------------------------------------------
-OTHSFS22-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-FYBEG22- What set of circumstances led [fill TEMPNAME+] to apply for
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH3++]? Anything else?
MARK ALL THAT APPLY; ENTER "N" AFTER LAST RESPONSE
NOTE TO FR: THE FIRST RESPONSE "NEEDED THE MONEY" IS NOT
ACCEPTABLE AS THE ONLY RESPONSE, YOU MUST PROBE FOR A SECOND REASON
(1) Needed the money
(2) Pregnancy/birth of child
(3) Began receiving for another dependent (e.g. grandchild)
(4) Separated or divorced from spouse/partner
(5) Loss of job/wages/other income (own or partner's)
(6) Loss of other support income
(7) Just learned about the program
(8) Just got around to applying
(9) Became disabled
(10) Other, specify
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
------------------------------------------------------------------------------
-OTHSFB22-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-FYSTOP23-
What set of circumstances caused [fill TEMPNAME+]
to stop receiving
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH2++]?
(1) Became ineligible because of increased income
(2) Became ineligible because of family changes
(family member left, over age limit, etc.)
(3) Still eligible but could not/chose not to collect
(4) Other, specify
@
------------------------------------------------------------------------------
-OTHSFS23-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-FYBEG23- What set of circumstances led [fill TEMPNAME+] to apply for
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH2++]? Anything else?
MARK ALL THAT APPLY; ENTER "N" AFTER LAST RESPONSE
NOTE TO FR: THE FIRST RESPONSE "NEEDED THE MONEY" IS NOT
ACCEPTABLE AS THE ONLY RESPONSE, YOU MUST PROBE FOR A SECOND REASON
(1) Needed the money
(2) Pregnancy/birth of child
(3) Began receiving for another dependent (e.g. grandchild)
(4) Separated or divorced from spouse/partner
(5) Loss of job/wages/other income (own or partner's)
(6) Loss of other support income
(7) Just learned about the program
(8) Just got around to applying
(9) Became disabled
(10) Other, specify
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
------------------------------------------------------------------------------
-OTHSFB23-
What reason was that?
@1
@2
------------------------------------------------------------------------------
-FYBEG220- What set of circumstances led [fill TEMPNAME+] to apply for
[fill INCTYP1]
[fill INCTYP2]
in [fill MONTH1++]? Anything else?
MARK ALL THAT APPLY; ENTER "N" AFTER LAST RESPONSE
NOTE TO FR: THE FIRST RESPONSE "NEEDED THE MONEY" IS NOT
ACCEPTABLE AS THE ONLY RESPONSE, YOU MUST PROBE FOR A SECOND REASON
(1) Needed the money
(2) Pregnancy/birth of child
(3) Began receiving for another dependent (e.g. grandchild)
(4) Separated or divorced from spouse/partner
(5) Loss of job/wages/other income (own or partner's)
(6) Loss of other support income
(7) Just learned about the program
(8) Just got around to applying
(9) Became disabled
(10) Other, specify
@1 @2 @3 @4 @5 @6 @7 @8 @9 @10
------------------------------------------------------------------------------
-OTSPF220-
What reason was that?
@1
@2
------------------------------------------------------------------------------
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Page Last Modified: May 12, 2006
