Retirement Expectations and Pension Plan Coverage Topical Module

1996 Panel SIPP Wave 7 Retirement and Pension Plan Coverage Topical Module User Note

____________________________________________________________________
PRINTRO

These next questions concern [your/respondent's] retirement expectations and pension
plan coverage.

____________________________________________________________________
>PR1_PR090<

Was [YOUR/HIS/HER] primary source of work related income during the last 4 months
from [YOUR/HIS/HER] job or from [YOUR/HIS/HER] business?

(1) Job
(2) Business

____________________________________________________________________
>PR2_PR100<

Does [NAME OF JOB OR BUSINESS] operate in more than one location?

(1) Yes
(2) No

____________________________________________________________________
>PR3_PR110<

Thinking about the location where [YOU/HE/SHE] [WORK/WORKS], about how many people are employed there by [NAME OF JOB OR BUSINESS]?

(1) less than 10
(2) 10 to 24
(3) 25 to 49
(4) 50 to 99
(5) 100 to 249
(6) 250 to 499
(7) 500 to 999
(8) 1,000 or more

____________________________________________________________________
>PR4_PR120<

About how many people are employed by [NAME OF JOB OR BUSINESS] [at all locations]?

(1) less than 10
(2) 10 to 24
(3) 25 to 49
(4) 50 to 99
(5) 100 to 249
(6) 250 to 499
(7) 500 to 999
(8) 1,000 or more

____________________________________________________________________
>PR5_PR130<

How many weeks during the year [DO/DOES] [YOU/HE/SHE] usually work at this [JOB/BUSINESS]. Include paid vacation and sick leave as work time.

___ Weeks

____________________________________________________________________
>PR6_PR140<

How many years [HAVE/HAS][YOU/HE/SHE] been working for [NAME OF JOB OR BUSINESS]?

__ _ Number

ENTER "1" FOR MONTHS OR "2" FOR YEARS.

(1) Months
(2) Years

____________________________________________________________________

____________________________________________________________________
>PR7_PR150<

Now I'd like to ask about retirement plans offered on this job, not Social Security, but
plans that are sponsored by [YOUR/HIS/HER] [EMPLOYER OR UNION/BUSINESS].
This includes regular pension plans as well as other kinds of retirement plans like thrift
and savings plans, 401(k) or 403(b) plans, and deferred profit-sharing and stock plans.

Does [YOUR/HIS/HER] [EMPLOYER OR UNION/BUSINESS] have any kinds of
pension or retirement plans for anyone in [YOUR/HIS/HER] company or organization?

(1) Yes
(2) No

____________________________________________________________________
>PR8_PR160<

[ARE/IS] [YOU/HE/SHE] included in such a plan?

(1) Yes
(2) No

____________________________________________________________________

____________________________________________________________________
>PR9_PR170<

Why [ARE/IS] [YOU/HE/SHE] not included?

ENTER ALL THAT APPLY

ENTER"N" AFTER LAST ENTRY.

(01) No one in my type of job is allowed (8) Employer doesn't contribute, or in the plan contribute enough
(02) Don't work enough hours, weeks or (9) Don't plan to be in job long enough months per year
(03) Haven't worked long enough for this (10) Don't need it
employer
(04) Started job too close to retirement date (11) Have an IRA or other pension plan coverage
(05) Too young (12) Spouse has pension plan
(06) Can't afford to contribute (13) Haven't thought about it
(07) Don't want to tie up money (14) Some other reason

___ ___ ___ ___ ___
___ ___ ___ ___ ___
___ ___ ___ ___

____________________________________________________________________
>PR10_PR180<

Is the plan something like a 401(k) plan, where workers contribute to the plan and their contributions are tax deferred?

(1) Yes
(2) No

____________________________________________________________________
>PR11_PR190<

Some workers participate in more than one retirement plan. For example, they might
have a regular pension plan and also have some kind of retirement savings plan.

How many different pension or retirement plans [DO/DOES] [YOU/HE/SHE] have on this [JOB/BUSINESS]?

__ Number of plans

____________________________________________________________________

____________________________________________________________________
>PR12_PR200<

[THE FOLLOWING QUESTION IS ABOUT THE PLAN [YOU/HE/SHE]WOULD
CONSIDER TO BE [YOUR/HIS/HER] MOST IMPORTANT RETIREMENT PLAN
ON THIS JOB.] There are two basic types of retirement plans. In the first type,
[YOUR/HIS/HER] benefit is defined by a formula usually involving [YOUR/HIS/HER]
earnings and years on the job. In the second type of plan, contributions made by
[YOU/HIM/HER] and/or [YOUR/HIS/HER] employer go into an individual account for
[YOU/HIM/HER].

Which type of plan [ARE/IS] [YOU/HE/SHE] in?

(1) Plan based on earnings and years on the job
(2) Individual account plan

____________________________________________________________________
>H_PR12_PR200<

Individual account plans may also be called the following: Defined contribution plans, Thrift or savings plans; Deferred profit sharing; Stock plan or ESOP; 401(K), 403(b) or 457 plans; Simplified Employee Pensions (SEP); or Money purchase plans.

PRESS ENTER

____________________________________________________________________
>PR13_PR210<

What is [YOUR/HIS/HER] second most important plan on this job?

(1) Plan based on earnings and years on the job.
(2) Individual account plan
(H) Help

____________________________________________________________________
H_PR13_PR210

Individual account plans may also be called the following: Defined contribution plans, Thrift or savings plans; Deferred profit sharing; Stock plan or ESOP; 401(k), 403(b) or 457 plans; Simplified Employee Pensions (SEP); or Money purchase plans.

PRESS ENTER

____________________________________________________________________

____________________________________________________________________
>PR14_PR220<

The following series of questions refer to [YOUR/HIS/HER] [MOST IMPORTANT] plan.

[DO/DOES] [YOU/HE/SHE] contribute any money to this plan, for example, through payroll deductions?

(1) Yes
(2) No

____________________________________________________________________
>PR14A_PR220A<

In some plans like 401(k) plans the money
[YOU/HE/SHE][CONTRIBUTE/CONTRIBUTES] is tax-deferred. Are
[YOUR/HIS/HER] contributions to this plan tax-deferred?

(1) Yes
(2) No

____________________________________________________________________
>PR14B_PR220B<

If [YOU/HE/SHE] [WAS/WERE] to leave [YOUR/HIS/HER] employer now or within the next few months, could [YOU/HE/SHE] eventually receive some benefits from this
plan when [YOU/HE/SHE] [REACH/REACHES] retirement age?

(1) Yes
(2) No

____________________________________________________________________

____________________________________________________________________
>PR14C_PR220C<

If [YOU/HE/SHE] left [YOUR/HIS/HER] employer now, could [YOU/HE/SHE] get a lump-sum payment from this plan when [YOU/HE/SHE] left?

(1) Yes
(2) No

____________________________________________________________________
>PR15_PR230<

How many years [HAVE/HAS] [YOU/HE/SHE] been included in this plan?

__ __ Years

____________________________________________________________________
>PR16_PR231<

Will [YOUR/HIS/HER] benefits from this plan be either increased or decreased because
[YOU/HE/SHE] [PARTICIPATE/PARTICIPATES] in the Social Security program?

(1) Yes
(2) No
(3) Do not participate in Social Security

____________________________________________________________________
>PR17_PR232<

How much has [YOUR/HIS/HER] [EMPLOYER/BUSINESS] contributed to
[YOUR/HIS/HER] plan within the last year?

$_______________________

____________________________________________________________________
>PR18_PR233<

As of the end of [MONTH4], what was the total amount of money in
[YOUR/HIS/HER] account?

$_______________________

____________________________________________________________________

____________________________________________________________________
>PR19_PR234<

What is [YOUR/HIS/HER] best estimate of the amount in [YOUR/HIS/HER] account?

READ ALL CATEGORIES:

(1) Less than $5,000
(2) $5,000 to $10,000
(3) $10,001 to $25,000
(4) $25,001 to $50,000
(5) $50,001 to $75,000
(6) $75,001 or more

____________________________________________________________________
>PR20_PR240<

The following series of questions refer to [YOUR/HIS/HER] second most important pension plan.

[DO/DOES] [YOU/HE/SHE] contribute any money to this plan, for example, through payroll deductions?

(1) Yes
(2) No

____________________________________________________________________
>PR20A_PR240A<

In some plans like 401(k) plans the money [YOU/HE/SHE]
[CONTRIBUTE/CONTRIBUTES] is tax-deferred. Are [YOUR/HIS/HER] contributions
to this plan tax-deferred?

(1) Yes
(2) No

____________________________________________________________________
>PR20B_PR240B

If [YOU/HE/SHE] [WAS/WERE] to leave [YOUR/HIS/HER] employer now or within the next few months, could [YOUR/HE/SHE] eventually receive some benefits from this
plan when [YOU/HE/SHE] [REACH/REACHES] retirement age?

(1) Yes
(2) No

____________________________________________________________________

____________________________________________________________________
>PR20C_PR240C<

If [YOU/HE/SHE] left [YOUR/HIS/HER] employer now, could [YOU/HE/SHE] get a lump-sum payment from this plan when [YOU/HE/SHE] left?

(1) Yes
(2) No

____________________________________________________________________
>PR21_PR250<

How many years [HAVE/HAS] [YOU/HE/SHE] been included in this plan?

__ __ Years

____________________________________________________________________
>PR22_PR251<

Will [YOUR/HIS/HER] benefits from this plan be either increased or decreased because [YOU/HE/SHE] [PARTICIPATE/PARTICIPATES] in the Social Security program?

(1) Yes
(2) No
(3) Do not participate in Social Security

____________________________________________________________________
>PR23_PR252<

How much has [YOUR/HIS/HER] [EMPLOYER/BUSINESS] contributed to
[YOUR/HIS/HER] plan within the last year?

$___________________________

____________________________________________________________________
>PR24_PR253<

As of the end of [MONTH4], what was the total amount of money in [YOUR/HIS/HER] account?

$___________________________

____________________________________________________________________

____________________________________________________________________
>PR25_PR254<

What is [YOUR/HIS/HER] best estimate of the amount in [YOUR/HIS/HER] account?

READ ALL CATEGORIES:

(1) Less than $5,000
(2) $5,000 to $10,000
(3) $10,001 to $25,000
(4) $25,001 to $50,000
(5) $50,001 to $75,000
(6) $75,001 or more

____________________________________________________________________
>PR26_PR260<

I'd like to make sure about a particular type of retirement plan that allows workers to make tax deferred contributions to the plan. For example, [YOU/HE/SHE]
might choose to have [YOUR/HIS/HER] employer put part of [YOUR/HIS/HER] salary
into a retirement savings account and [YOU/HE/SHE] [DO/DOES] not have to pay taxes
on this money until [YOU/HE/SHE] [TAKE IT OUT OR RETIRE/TAKES IT OUT OR
RETIRES]. These plans are called by different names, including 401(k) plans, pre-tax
plans, salary reduction plans and 403(b) plans.

Does [YOUR/HIS/HER] [EMPLOYER/BUSINESS] offer a plan like this to anyone in
[YOUR/HIS/HER] company or organization?

(1) Yes
(2) No

____________________________________________________________________
>PR27_PR270<

[ARE/IS] [YOU/HE/SHE] participating in this plan?

(1) Yes
(2) No

____________________________________________________________________

____________________________________________________________________
>PR28_PR280<

Why [ARE/IS] [YOU/HE/SHE] not included?

ENTER ALL THAT APPLY

ENTER "N" AFTER LAST ENTRY.

(01) No one in my type of job is allowed (8) Employer doesn't contribute or contribute in the plan enough
(02) Don't work enough hours, weeks or (9) Don't plan to be in job long enough
months per year
(03) Haven't worked long enough for (10) Don't need it
this employer
(04) Started job too close to retirement (11) Have an IRA or other pension plan coverage
date
(05) Too young (12) Spouse has pension plan
(06) Can't afford to contribute (13) Haven't thought about it
(07) Don't want to tie up money (14) Some other reason

___ ___ ___ ___ ___
___ ___ ___ ___ ___
___ ___ ___ ___

____________________________________________________________________
>PR29_PR290<

[DO/DOES] [YOU/HE/SHE] expect to start participating in this plan within the next few years?

(1) Yes
(2) No

____________________________________________________________________

____________________________________________________________________
>PR30_PR300<

[REFERRING TO YOUR/HIS/HER MOST IMPORTANT PLAN] How much
[DO/DOES] [YOU/HE/SHE] contribute toward this plan?

ENTER "N" IF RESPONDENT MAKES NO CONTRIBUTIONS.

$________________

Per: (1) Week
(2) Biweekly
(3) Month
(4) Quarter
(5) Year
___

OR __ __ . __ Percent of Salary

____________________________________________________________________
>PR31_PR310<

Does [YOUR/HIS/HER] [EMPLOYER/BUSINESS] also make contributions into this
plan?

(1) Yes
(2) No

____________________________________________________________________
>PR32_PR320<

Does the amount that [YOUR/HIS/HER] [EMPLOYER/BUSINESS] contributes to the
plan depend entirely, partly, or not at all on the amount [YOU/HE/SHE] [PUT IN/PUTS
IN]?

(1) Depends entirely
(2) Depends partly
(3) Not at all

____________________________________________________________________

____________________________________________________________________
>PR33_PR330<

How much does [YOUR/HIS/HER] [EMPLOYER/BUSINESS] actually contribute to the
plan?

$______________

Per: (1) Week
(2) Biweekly
(3) Month
(4) Quarter
(5) Year
___

OR __ __ . __ Percent of Salary

OR (6) Contributions out of profits
(7) Contribution varies

____________________________________________________________________
>PR34_PR340<

[ARE/IS] [YOU/HE/SHE] able to choose how any of the money in the plan is invested?

(1) Yes
(2) No

____________________________________________________________________
>PR35_PR350<

[ARE/IS] [YOU/HE/SHE] able to choose how all of the money is invested, or just part of
it?

(1) All of the money
(2) Part of the money

____________________________________________________________________

____________________________________________________________________
>PR36_PR360<

How are the current contributions to this account being invested?

READ ALL CATEGORIES. ENTER ALL THAT APPLY.

ENTER "N" AFTER LAST ENTRY.

(1) Company stock of [YOUR/HIS/HER] employer
(2) Stock funds
(3) Corporate bonds or bond funds
(4) Long term interest bearing securities
(5) Diversified stock and bond funds
(6) Government securities
(7) Money market funds
(8) Other investments

____________________________________________________________________
>PR37_PR370<

Of the types of investments just mentioned, which type is where the largest share of current contributions are being invested?

(1) Employer company stock
(2) Stock funds
(3) Corporate bonds or bond funds
(4) Long term interest bearing securities
(5) Diversified stock and bond funds
(6) Government securities
(7) Money market funds
(8) Other investments
(9) Evenly split between types reported

____________________________________________________________________
>PR38_PR380<

As of the end of [LAST MONTH OF REFERENCE PERIOD], what was the total
amount of money in [YOUR/HIS/HER] account?

$______________________

____________________________________________________________________

____________________________________________________________________
>PR39_PR390<

What is [YOUR/HIS/HER] best estimate of the amount in [YOUR/HIS/HER] account?

READ ALL CATEGORIES.

(1) Less than $5,000
(2) $5,000 to $10,000
(3) $10,001 to $25,000
(4) $25,001 to $50,000
(5) $50,001 to $75,000
(6) $75,001 or more

____________________________________________________________________
>PR40_PR391<

[HAVE/HAS] [YOU/HE/SHE] ever taken out any money from [YOUR/HIS/HER] plan in the form of a loan?

(1) Yes
(2) No

____________________________________________________________________
>PR41_PR392<

Does [YOUR/HIS/HER] plan permit [YOU/HIM/HER] to take out a loan?

(1) Yes
(2) No

____________________________________________________________________

____________________________________________________________________
>PR42_PR393<

What is the current outstanding balance due from that loan?

$__________________________

____________________________________________________________________
>PR43_PR394<

What is [YOUR/HIS/HER] best estimate of the amount of the loan?

READ ALL CATEGORIES.

(1) Less than $2,500
(2) $2,500 to $5,000
(3) $5,001 to $10,000
(4) $10,001 to $25,000
(5) $25,001 to $50,000
(6) $50,001 or more

____________________________________________________________________
>PR44_PR400<

[ARE/IS] [YOU/HE/SHE] participating in any pension or retirement plans offered on any
other jobs or businesses [YOU/HE/SHE] currently [HAVE/HAS]?

(1) Yes
(2) No

____________________________________________________________________

____________________________________________________________________
>PR45_PR410<

[THE NEXT QUESTIONS ARE ABOUT PENSION OR RETIREMENT PLANS
OFFERED BY EMPLOYERS OR UNIONS. THIS INCLUDES REGULAR PENSION
OR RETIREMENT PLANS OFFERED BY EMPLOYERS OR UNIONS. THIS
INCLUDES REGULAR PENSION PLANS AS WELL AS OTHER KINDS OF
RETIREMENT PLANS, LIKE THRIFT AND SAVINGS PLANS, 401(K) OR 403(b)
PLANS, AND DEFERRED PROFIT-SHARING AND STOCK PLANS
EXCLUDING/OTHER THAN THE PLANS WE HAVE ALREADY TALKED
ABOUT,EXCLUDING] Social Security, [HAVE/HAS] [YOU/HE/SHE] ever been
covered by a pension or retirement plan on any previous jobs or businesses?

(1) Yes
(2) No

____________________________________________________________________
>PR46_PR420<

Are there any previous plans from which [YOU/HE/SHE] [HAVE/HAS] not yet received
any benefits, but expect to receive them in the future?

(1) Yes
(2) No

____________________________________________________________________
>PR47_PR430<

How many years did [YOU/HE/SHE] work on the job from which [YOU/HE/SHE]
[EXPECT/EXPECTS] to receive this pension?

___ Years

____________________________________________________________________
>PR48_PR440<

Will the amount of [YOUR/HIS/HER] retirement benefits from that plan be determined by a formula such as one based on [YOUR/HIS/HER] earnings and years of service or
will [YOUR/HIS/HER] benefits be based on the total amount of money held in an
individual account for [YOU/HIM/HER]?

(1) Based on a formula
(2) Based on the amount of money in account

____________________________________________________________________

____________________________________________________________________
>PR49_PR450<

As of the end of [LAST MONTH OF THE REFERENCE PERIOD], what was the total
amount of money in [YOUR/HIS/HER] account?

$___________________________

____________________________________________________________________
>PR50_PR460<

What is [YOUR/HIS/HER] best estimate of the amount of money in [YOUR/HIS/HER] account?

READ ALL CATEGORIES.

(1) Less than $5,000
(2) $5,000 to $10,000
(3) $10,001 to $25,000
(4) $25,001 to $50,000
(5) $50,001 to $75,000
(6) $75,001 or more

____________________________________________________________________
>PR51_PR461<

Could [YOU/HE/SHE] withdraw this money now, or will [YOU/HE/SHE] have to wait until retirement age to get the money?

(1) Could withdraw money now
(2) Must wait until retirement

____________________________________________________________________
>PR52_PR470<

[HAVE/HAS] [YOU/HE/SHE] ever received a lump-sum payment from a pension or retirement plan from a previous job, including any lump sums that may have been directly rolled over to another plan or to an IRA?

(1) Yes
(2) No

____________________________________________________________________

____________________________________________________________________
>PR53_PR480<

[HAVE/HAS] [YOU/HE/SHE] ever received survivor benefits in the form of a lump-sum
payment from someone else's pension or retirement plan?

(1) Yes
(2) No

____________________________________________________________________
>PR54_PR490<

Over the years, how many of these lump sum distributions, including rollovers, [HAVHAS][YOU/HE/SHE] received?

___ Number

____________________________________________________________________
>PR55_PR500<

[PLEASE ANSWER THE FOLLOWING QUESTIONS ABOUT YOUR/HIS/HER
MOST RECENT LUMP SUM OR ROLLOVER.] In what year did [YOU/HE/SHE]
receive this lump sum or rollover?

___ Year

____________________________________________________________________
>PR56_PR510<

Did [YOU/HE/SHE] also receive any lump sum payments in 1997?

(1) Yes
(2) No

____________________________________________________________________
>PR57_PR520<

Was the lump sum [(YOU/HE/SHE) RECEIVED IN 1997/(YOU/HE/SHE) RECEIVED
IN 1998] from a private employer or union plan, from the military, from other Federal
employee plans, or from a State or Local government plan?

(1) Private employer or union plan
(2) Military plan
(3) Other federal plans
(4) State or local government
(5) Other

____________________________________________________________________

____________________________________________________________________
>PR58_PR521<

Did [YOU/HE/SHE] withdraw the money voluntarily, or did the plan require
[YOU/HIM/HER] to withdraw it?

(1) Voluntarily
(2) Required to withdraw

____________________________________________________________________
>PR59_PR530<

What was the total amount of the lump sum or rollover?

$_______________________________

____________________________________________________________________
>PR60_PR540<

What is [YOUR/HIS/HER] best estimate of the lump sum or rollover amount?

READ ALL CATEGORIES.

(1) Less than $5,000
(2) $5,000 to $10,000
(3) $10,001 to $25,000
(4) $25,001 to $50,000
(5) $50,001 to $75,000
(6) $75,001 or more

____________________________________________________________________
>PR61_PR550<

Did [YOU/HE/SHE] actually receive the money, or was it directly rolled over into another plan or to an IRA?

(1) Actually received
(2) Directly rolled over

____________________________________________________________________

____________________________________________________________________
>PR62_PR560<

After receiving the lump sum payment, did [YOU/HE/SHE] then roll any of the money
over into another retirement plan or into an IRA?

(1) Yes
(2) No

____________________________________________________________________
>PR63_PR570<

Did [YOU/HE/SHE] roll it over into another plan on [YOUR/HIS/HER] job, an
individual annuity, an IRA, or some other type of plan?

(1) Plan on job
(2) Individual annuity
(3) IRA
(4) Other

____________________________________________________________________
>PR64_PR571<

Did [YOU/HE/SHE] roll over the entire amount or just part of it?

(1) Entire amount
(2) Partial amount

____________________________________________________________________

____________________________________________________________________
>PR65_PR580<

People who receive lump sums may spend or invest the money in many different ways. How did [YOU/HE/SHE] use the money from the lump sum [YOU/HE/SHE] received?

ENTER ALL THAT APPLY.

ENTER "N" AFTER LAST ENTRY.

(01) Invested in an IRA, annuity, or (11) Moving or relocation expenses
other retirement program
(02) Put it into a savings account or (12) Medical or dental expenses
CDs
(03) Invested in other financial (13) Paid or saved for education
instruments (stocks, mutual funds,
bonds, money market funds)
(04) Invested in land, other real (14) General or everyday expenses
properties
(05) Invested in own or family (15) Gave to family members or charities business or farm
(06) Used for housing (purchase, paid (16) Paid taxes
off mortgage, home
improvements/repairs)
(07) Paid bills, loans, or other debts (17) Saved for retirement expenses
(08) Bought a car, boat, furniture, or (18) Saved or invested in other ways
other consumer items
(09) Vacation, travel, or recreation (19) Spent in other ways
(10) Paid expenses while laid off

___ ___ ___ ___ ___ ___
___ ___ ___ ___ ___ ___
___ ___ ___ ___ ___

____________________________________________________________________

____________________________________________________________________
>PR66_PR600<

Earlier [YOU/HE/SHE] said [YOU/HE/SHE] received some pension or retirement
income other than Social Security during the period from [MONTH1 through MONTH4].
Will [YOU/HE/SHE] continue to receive these benefits for the rest of [YOUR/HIS/HER]
life, or will it be just a limited number of payments, or was it just a single lump sum
payment?

ENTER ALL THAT APPLY.

ENTER "N" AFTER LAST ENTRY.

(1) Rest of life
(2) Limited number of payments
(3) Lump-sum payment

____________________________________________________________________
>PR67_PR610<

Did [YOU/HE/SHE] receive this income from more than one pension plan?

(1) Yes
(2) No

____________________________________________________________________
>PR68_PR620<

How many different plans did [YOU/HE/SHE] receive this income from?

____________________________________________________________________

____________________________________________________________________
>PR69_PR640<

[THE FOLLOWING QUESTIONS REFER TO THE BENEFITS (YOU/HE/SHE)
ARE/IS RECEIVING IN A LIMITED NUMBER OF PAYMENTS./THE FOLLOWING
QUESTIONS REFER TO THE BENEFITS YOU/HE/SHE RECEIVED AS A LUMP-SUM PAYMENT./THE FOLLOWING QUESTIONS REFER TO THE PENSION OR
RETIREMENT PLAN THAT PAYS THE LARGEST AMOUNT OF LIFETIME
BENEFITS.] Does this pension benefit come from a job or business that [YOU/HE/SHE]
held in the past, or does it come from a job or business held by [YOUR/HIS/HER] former
spouse?

(1) Respondent's job
(2) Respondent's former spouse's job
(3) Other

_________________________________________________________________________
>PR70_PR650<

In what year did [YOU/HE/SHE] begin receiving this pension?

@___ Year

____________________________________________________________________
>PR71_PR660<

Was the amount of this pension payment based on years of service and pay, or on the amount of money held in an individual account for [YOU/HIM/HER]?

(1) Years of service and pay
(2) Amount in individual account

____________________________________________________________________
>PR72_PR670<

Were reduced benefits taken in order to elect a survivor's option?

(1) Yes
(2) No
(3) No survivor's option offered

____________________________________________________________________

____________________________________________________________________
>PR73_PR680<

Has the amount of [YOUR/HIS/HER] pension ever increased for any reason?

(1) Yes
(2) No

____________________________________________________________________
>PR74_PR690<

Does [YOUR/HIS/HER] pension plan provide for automatic cost-of-living adjustments known as COLA's?

(1) Yes
(2) No

____________________________________________________________________
>PR75_PR700<

Did the amount of [YOUR/HIS/HER] pension payment ever decrease for any reason ?

(1) Yes
(2) No

____________________________________________________________________
>PR76_PR710<

How much did [YOU/HE/SHE] receive from this plan each month when [YOU/HE/SHE]
first began receiving the pension payment?

$______________________

____________________________________________________________________
>PR77_PR720<

How much [DO/DOES] [YOU/HE/SHE] currently receive EACH MONTH from this
plan?

$______________________

____________________________________________________________________

____________________________________________________________________
>PR78_PR730<

Now I have some questions about [YOUR/HIS/HER] most recent lump sum payment.
Did this payment come from a job or business [YOU/HE/SHE] held in the past, or did it
come from a job or business held by [YOUR/HIS/HER] former spouse?

(1) Respondent's former job
(2) Respondent's former spouse's job
(3) Other

____________________________________________________________________
>PR79_PR740<

[HAVE/HAS] [YOU/HE/SHE] ever retired from a job or business?

(1) Yes
(2) No

____________________________________________________________________
>PR80_PR750<

[HAVE/HAS] [YOU/HE/SHE] ever worked for pay as much as five years or more?

(1) Yes
(2) No

____________________________________________________________________
>PR81_PR751<

[DID (YOU/HE/SHE) RETIRE FROM A JOB OR FROM A BUSINESS?/WAS
(YOUR/HIS/HER) LONGEST EMPLOYMENT ON A JOB OR IN A BUSINESS?/DID
THIS PENSION BENEFIT COME FROM A JOB OR FROM A BUSINESS?]

(1) Job
(2) Business

____________________________________________________________________

____________________________________________________________________
>PR82_PR760<

[THE NEXT QUESTIONS ARE ABOUT THE JOB FROM WHICH (YOU/HE/SHE)
RECEIVED THIS PENSION OR RETIREMENT INCOME./THE NEXT QUESTIONS
ARE ABOUT THE JOB FROM WHICH (YOU/HE/SHE) RECEIVED THIS MOST
RECENT LUMP-SUM PAYMENT./THE NEXT QUESTIONS ARE ABOUT THE JOB
FROM WHICH (YOU/HE/SHE) RETIRED./THE NEXT QUESTIONS ARE ABOUT
THE JOB ON WHICH (YOU/HE/SHE) WORKED THE LONGEST.]

What type of organization was that?

(1) A Government organization (including Armed Forces)
(2) A Private for profit Company
(3) A non-profit organization including tax-exempt and charitable organizations
(4) A family business or farm?

____________________________________________________________________
>PR83_PR770<

Was that Federal Government, State Government, Local Government, or active duty Armed Forces?

(1) Federal Government (civilian)
(2) State Government
(3) Local Government (county, city, township)
(4) Active duty Armed Forces

____________________________________________________________________
>PR84_PR780<

What was the main function or activity of the government organization that
[YOU/HE/SHE] worked for?

___________________________________________

____________________________________________________________________
>PR85_PR781<

Did [YOU/HE/SHE] work as a paid or unpaid employee for the family business or farm?

(1) For pay
(2) Unpaid worker

____________________________________________________________________

____________________________________________________________________
>PR86_PR790<

What kind of business or industry was that?

READ IF NECESSARY: What did they make or do where [YOU/HE/SHE] worked?

____________________________________

____________________________________________________________________
>PR87_PR810<

Was it mainly?

(1) Manufacturing
(2) Wholesale Trade
(3) Retail Trade
(4) Service
(5) Some other kind of business?

____________________________________________________________________
>PR88_PR820<

What kind of work [WAS/WERE] [YOU/HE/SHE] doing on that job, that is, what was [YOUR/HIS/HER] occupation?

For example: Bookkeeper, Plumber, Press operator

_____________________________________________

____________________________________________________________________
>PR89_PR830<

What were [YOUR/HIS/HER] usual activities or responsibilities on that job?

For example: Keeping account books, repairing pipes, operating printing presses

_______________________________________________

____________________________________________________________________

____________________________________________________________________
>PR90_PR840<

Did [YOUR/HIS/HER] employer operate in more than one location?

(1) Yes
(2) No

____________________________________________________________________
>PR91_PR850<

How many people were employed at the location where [YOU/HE/SHE] worked?

(1) less than 10
(2) 10 to 24
(3) 25 to 49
(4) 50 to 99
(5) 100 to 249
(6) 250 to 499
(7) 500 to 999
(8) 1,000 or more

____________________________________________________________________
>PR92_PR860<

About how many people were employed by that employer [AT ALL LOCATIONS]?

(1) less than 10
(2) 10 to 24
(3) 25 to 49
(4) 50 to 99
(5) 100 to 249
(6) 250 to 499
(7) 500 to 999
(8) 1,000 or more

____________________________________________________________________

____________________________________________________________________
>PR93_PR870<

When [YOU/HE/SHE] worked for that employer, [WAS/WERE] [YOU/HE/SHE] covered under a union or employee association contract?

(1) Yes
(2) No

____________________________________________________________________
>PR94_PR880<

How many hours per week did [YOU/HE/SHE] usually work at that job?

___ Hours

____________________________________________________________________
>PR95_PR890<

How many weeks during the year did [YOU/HE/SHE] usually work at that job? Include
paid vacation and sick leave as work time.

__ __ WEEKS

____________________________________________________________________
>PR96_PR900<

How many years did [YOU/HE/SHE] work at that job?

___ Years

____________________________________________________________________
>PR97_PR910<

In what year did [YOU/HE/SHE] leave that job?

___ Year

____________________________________________________________________

____________________________________________________________________
>PR98_PR920<

When [YOU/HE/SHE] left that job, how much [WAS/WERE] [YOU/HE/SHE] earning before deductions for taxes, etc?

$______________________

Per: (1) Week
(2) Biweekly
(3) Month
(4) Year
___

____________________________________________________________________
>PR99_PR940<

[ARE/IS] [YOU/HE/SHE] now covered by a health plan provided through
[YOUR/HIS/HER] former employer?

(1) Yes
(2) No

____________________________________________________________________
>PR100_PR950<

[THE NEXT QUESTIONS ARE ABOUT THE BUSINESS FROM WHICH
(YOU/HE/SHE) RECEIVED THIS PENSION OR RETIREMENT INCOME./THE
NEXT QUESTIONS ARE ABOUT THE BUSINESS FROM WHICH (YOU/HE/SHE)
RECEIVED THIS MOST RECENT LUMP-SUM PAYMENT./THE NEXT
QUESTIONS ARE ABOUT THE BUSINESS FROM WHICH (YOU/HE/SHE)
RETIRED./THE NEXT QUESTIONS ARE ABOUT THE BUSINESS WHICH
(YOU/HE/SHE) OPERATED FOR THE LONGEST TIME.]

What kind of business was that?

READ IF NECESSARY: What did the business do or make?

________________________________

____________________________________________________________________

____________________________________________________________________
>PR101_PR951<

Was this business mainly...

(1) Manufacturing
(2) Wholesale Trade
(3) Retail Trade
(4) Service
(5) Some other kind of business?

____________________________________________________________________
>PR102_PR952<

What kind of work [WAS/WERE] [YOU/HE/SHE] doing at that business, that is, what was [YOUR/HIS/HER] occupation?

For example: Sales manager, dentist, farmer

______________________________________________

____________________________________________________________________
>PR103_PR953<

What were [YOUR/HIS/HER] usual activities or responsibilities at that business?

For example: Managing sales, repairing teeth, farming

_______________________________________________

____________________________________________________________________
>PR104_PR954<

What was the maximum number of people [YOU/HE/SHE] employed, including
[YOURSELF/HIMSELF/HERSELF], who worked at this business at any one time?

(1) less than 10
(2) 10 to 24
(3) 25 to 49
(4) 50 to 99
(5) 100 to 249
(6) 250 to 499
(7) 500 to 999
(8) 1,000 or more

____________________________________________________________________

____________________________________________________________________
>PR105_PR955<

Was this business incorporated?

(1) Yes
(2) No

____________________________________________________________________
>PR106_PR956<

How many hours per week did [YOU/HE/SHE] usually work at that business?

__ __ Hours

____________________________________________________________________
>PR107_PR957<

How many weeks during the year did [YOU/HE/SHE] usually work at that business? Include paid vacation and sick leave as work time.

___ WEEKS

____________________________________________________________________
>PR108_PR958<

How many years did [YOU/HE/SHE] work at that business?

___ Years

____________________________________________________________________
>PR109_PR959<

In what year did [YOU/HE/SHE] leave that business?

__ Year

____________________________________________________________________

____________________________________________________________________
>PR110_PR960<

When [YOU/HE/SHE] left that business, how much [WAS/WERE] [YOU/HE/SHE]
earning before deductions for taxes, etc?

$_____________

Per: (1) Week
(2) Biweekly
(3) Month
(4) Year

___
_________________________________________________________________
>PR111_PR970<

[ARE/IS] [YOU/HE/SHE] now covered by a health plan provided through
[YOUR/HIS/HER] former business?

(1) Yes
(2) No

____________________________________________________________________
>PR112_PR980<

Compared to the standard of living [YOU/HE/SHE] had in [YOUR/HIS/HER] early fifties, would [YOU/HE/SHE] say that [YOUR/HIS/HER] currrent standard of living is...

READ ALL CATEGORIES.

(1) Much better
(2) Somewhat better
(3) About the same
(4) Somewhat worse
(5) Much worse end of content rule

Page Last Modified: May 12, 2006

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