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Section 3, Part B - Work Experience and Income - Week 2 Diary Pick-up - Ask for entire household as a groupSection 3, Part B deals with income received by the household as a whole, including interest income, dividends, pension income, unemployment and workers' compensation, money from food stamps and other government assistance, rental income, alimony and child support, tax refunds, 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. What was the amount? [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 What was the amount? [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?
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?
DURING THE PAST 12 MONTHS What was the total amount received by all CU members?
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?
Could you tell me which range on CARD C best reflects the total amount received in Veterans 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] ______________ Do not know the exact amountCould 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 What was the total amount received by ALL household members? [enter value] ______________ DURING THE PAST 12 MONTHS 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 What was the total amount paid by ALL household members? [enter value] ______________ DURING THE PAST 12 MONTHS What was the total amount paid by ALL household members? [enter value] ______________ DURING THE PAST 12 MONTHS What was the total amount paid by ALL household members? [enter value] ______________ DURING THE PAST 12 MONTHS What was the total amount of these occupational expenses? [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 What was the amount for the PAST 12 MONTHS? [enter value] ______________ Do not know the exact amountCould 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 such meals? [enter value] ______________ How many weeks did you or any member of your household receive such meals during the last 12 months? [enter value] ______________ DURING THE PAST 12 MONTHS What is the rental charge to another tenant for a similar unit? [enter value] ______________ What period of time does this cover? * Specify: [enter text] ______________ End of Section 3B Go to CE Diary Household Characteristics Questionnaire Home Page »
Last Modified Date: January 2, 2013 |