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Section 21, Part B - Work Experience and Income - Second Quarter, Fifth Quarter, or New Households Only - Ask for entire household as a groupSection 21, Part B deals with income earned by the household as a whole, including interest income, dividends, rental income, pension income, unemployment and workers' compensation, alimony and child support, tax refunds, inheritance or estate tax, money from food stamps and other government assistance, and other income. Up until this point, we have discussed earnings for individual members. Now, I would like to talk to you about your household as a whole. DURING THE PAST 12 MONTHS – ,b> did you or any member of your household receive any interest or dividends? Report even small amounts credited to an account. What was the total amount earned by all household members? [enter value] ______________ Could you tell me which range on CARD C best reflects the amount you or any member of your household received in interest or dividends during the PAST 12 MONTHS?
For definitions Information Booklet » DURING THE PAST 12 MONTHS – * Net rental income is the total amount after expenses. What was the total amount earned by all household members? [enter value] ______________ Could you tell me which range on CARD C best reflects the total net rental income or loss during the PAST 12 MONTHS?
For definitions Information Booklet » DURING THE PAST 12 MONTHS – What was the amount? [enter value] ______________ Could you tell me which range on CARD C best reflects the total amount received in royalty income or income from estates and trusts during PAST 12 MONTHS?
For definitions Information Booklet » DURING THE PAST 12 MONTHS – What was the amount? [enter value] ______________ Could you tell me which range on CARD C best reflects the total amount received in retirement, survivor, or disability pensions during the PAST 12 MONTHS?
For definitions Information Booklet » DURING THE PAST 12 MONTHS – What was the amount from all sources? [enter value] ______________ Could you tell me which range on CARD C best reflects the total amount received in Veteran’s Administration (VA) payments, unemployment compensation, child support, or alimony during the PAST 12 MONTHS?
For definitions Information Booklet » DURING THE PAST 12 MONTHS - What was the total amount received by all household members? [enter value] ______________ Could you tell me which range on CARD C best reflects the total lump sum payments during the PAST 12 MONTHS?
For definitions Information Booklet » DURING THE PAST 12 MONTHS - What was the total amount received by all household members? [enter value] ______________ Could you tell me which range on CARD C best reflects the total amount of other money income received during the PAST 12 MONTHS?
For definitions Information Booklet » DURING THE PAST 12 MONTHS - Federal income tax in addition to that withheld from earnings? What was the total amount received by ALL household members? [enter value] ______________ DURING THE PAST 12 MONTHS - State and local income tax? What was the total amount received by ALL household members? [enter value] ______________ The Earned Income Tax Credit is a benefit for certain people who work and have low to moderate wages. A tax credit means more money in your pocket. It reduces the amount of tax you owe and may also give you a refund. During the past 12 months, did you or any member of your household claim an Earned Income Tax Credit on your federal income tax return? DURING THE PAST 12 MONTHS - Federal income tax in addition to that withheld from earnings? >What was the total amount paid by ALL household members? [enter value] ______________ did you or any member of your household PAY any – State and local income tax in addition to that withheld from earnings? What was the total amount paid by ALL household members? [enter value] ______________ DURING THE PAST 12 MONTHS - Other taxes such as inheritance or estate taxes? What was the total amount PAID by ALL household members? [enter value] ______________ DURING THE PAST 12 MONTHS - In how many of the last 12 months were food stamps or EBTs received? [enter value] ______________ What was the dollar value of the last food stamps or EBT received? [enter value] ______________ DURING THE PAST 12 MONTHS - Please include even if only for one month. Do NOT include benefits from food, energy, or rental assistance programs. What was the amount for the PAST 12 MONTHS? [enter value] ______________ Could you tell me which range on CARD C best reflects the total amount of income from cash assistance from state or local government welfare programs during the PAST 12 MONTHS?
For definitions Information Booklet » DURING THE PAST 12 MONTHS – About what was the WEEKLY dollar value of these meals? [enter value] ______________ How many weeks did members of your household receive such meals during the last 12 months? [enter value] ______________ End of Section 21B Go to Section 22 - Assets and Liabilities - Fifth Quarter Only » Go to CE CAPI Survey Instrument Home Page »
Last Modified Date: April 3, 2013 |