new immigrant survey section g - income part 1 - nis · 2006. 11. 14. · new immigrant survey...

New Immigrant Survey Section G - Income Part 1

Section G: Income Part 1 (OS) SECTIONS G, H, AND I TO BE ADMINISTERED TO R MOST KNOWLEDGEABLE ABOUT HH FINANCES (MAIN IMMIGRANT, OR SPOUSE IN HH AND A140 NOT EQUAL TO 2) ‘WHOKNOW’ Who is most knowledgeable about your household finances, you or your husband/wife? 1. RESPONDENT 2. SPOUSE Time Stamp and Date Stamp G1. We are interested in how people are getting along financially these days. The next questions are about income you {Text fill IF A52=1 OR 2: or your husband/wife/partner/spouse or partner} receive. Let's start with income from work. Did you (Text fill – IF A52=1 OR 2: or your husband/wife/partner/spouse or partner) do any work for pay in the last twelve months? 1. YES [G2; If not married/partnered (A52 not = 1,2): G3] 2. NO [G21] -2. DK [G21] -1. RF [G21] G2. Which one of you worked for pay during the last twelve months? 1. RESPONDENT ONLY [G3] 2. SPOUSE/PARTNER ONLY [G13] 3. BOTH [G3] -2. DK [G3] -1. RF [G3] G3. {IF C22_X=1, AUTOMATICALLY ASSIGN 1 FOR G3 AND CONTINUE WITH G4} Were you ever self-employed during the last twelve months? 1. YES [G4] 2. NO [G7] -2. DK [G7] -1. RF [G7] G4. (Text fill - IF A52=1 OR 2: First I will ask about your earnings from work, and then about your husband’s/wife’s/partner’s/spouse or partner’s.) Did any of your earnings from work in the last twelve months come from self-employment? 1. YES [G5] 2. NO [G7] -2. DK [G7] -1. RF [G7] G5. Before taxes and other deductions, about how much did your self-employment income amount to in the last twelve months, including any profits left in the business? [IWER: DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G5A]

NIS-2003-1 1 November 10, 2005

-2. DK [ASSIGN RANDOM #1-3: G6A/APPROPRIATE RANDOM ASSIGNMENT]


-1. RF [ASSIGN RANDOM #1-3: G6A/APPROPRIATE RANDOM ASSIGNMENT] G5A. CURRENCY: ___________ {Pick list, US$ first} [G7; IF G5A="OTHER": G5B] G5B. OTHER SPECIFY: ___________ {30 characters} [G7] RANDOM ASSIGNMENT 1: G6A. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G7] 3. ABOUT $5,000 [G7] 5. MORE THAN $5,000 [G6B] -2. DK [G7] -1. RF [G7] G6B. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G7] 3. ABOUT $10,000 [G7] 5. MORE THAN $10,000 [G6C] -2. DK [G7] -1. RF [G7] G6C. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G7] 3. ABOUT $25,000 [G7] 5. MORE THAN $25,000 [G6D] -2. DK [G7] -1. RF [G7] G6D. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G7] 3. ABOUT $100,000 [G7] 5. MORE THAN $100,000 [G7] -2. DK [G7] -1. RF [G7] RANDOM ASSIGNMENT 2: G6B. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G6A] 3. ABOUT $10,000 [G7] 5. MORE THAN $10,000 [G6C] -2. DK [G7] -1. RF [G7] G6C. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G7] 3. ABOUT $25,000 [G7] 5. MORE THAN $25,000 [G6D]

NIS-2003-1 2 November 10, 2005

-2. DK [G7]


-1. RF [G7] G6D. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G7] 3. ABOUT $100,000 [G7] 5. MORE THAN $100,000 [G7] -2. DK [G7] -1. RF [G7] G6A. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G7] 3. ABOUT $5,000 [G7] 5. MORE THAN $5,000 [G7] -2. DK [G7] -1. RF [G7] RANDOM ASSIGNMENT 3: G6C. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G6B] 3. ABOUT $25,000 [G7] 5. MORE THAN $25,000 [G6D] -2. DK [G7] -1. RF [G7] G6D. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G7] 3. ABOUT $100,000 [G7] 5. MORE THAN $100,000 [G7] -2. DK [G7] -1. RF [G7] G6B. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G6A] 3. ABOUT $10,000 [G7] 5. MORE THAN $10,000 [G7] -2. DK [G7] -1. RF [G7] G6A. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G7] 3. ABOUT $5,000 [G7] 5. MORE THAN $5,000 [G7] -2. DK [G7] -1. RF [G7] G7. (Text fill - IF A52=1 OR 2 AND G3 DOES NOT =1: First I will ask about your earnings from work, and then about your husband’s/wife’s/partner’s/spouse or partner’s.) (Text fill – IF G4=1: Aside from any self-employment income, did) (Text fill – IF G3 DOES NOT =1 OR IF G4 DOES NOT =1: Did) any of your earnings in the last twelve months come from wages and salaries?

NIS-2003-1 3 November 10, 2005


1. YES [G7A] 2. NO [G9] -2. DK [G9] -1. RF [G9] G7A. Before taxes and other deductions, about how much wage and salary income did you receive in the last twelve months? [IWER: DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G7B] -2. DK [ASSIGN RANDOM #1-3: G8A/APPROPRIATE RANDOM ASSIGNMENT] -1. RF [ASSIGN RANDOM #1-3: G8A/APPROPRIATE RANDOM ASSIGNMENT] G7B. CURRENCY: ___________ {Pick list, US$ first} [G9; IF G7B="OTHER": G7C] G7C. OTHER SPECIFY: ___________ {30 characters} [G9] RANDOM ASSIGNMENT 1: G8A. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G9] 3. ABOUT $5,000 [G9] 5. MORE THAN $5,000 [G8B] -2. DK [G9] -1. RF [G9] G8B. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G9] 3. ABOUT $25,000 [G9] 5. MORE THAN $25,000 [G8C] -2. DK [G9] -1. RF [G9] G8C. Did it amount to less than $50,000, more than $50,000, or what? 1. LESS THAN $50,000 [G9] 3. ABOUT $50,000 [G9] 5. MORE THAN $50,000 [G8D] -2. DK [G9] -1. RF [G9] G8D. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G9] 3. ABOUT $100,000 [G9] 5. MORE THAN $100,000 [G9] -2. DK [G9] -1. RF [G9] RANDOM ASSIGNMENT 2: G8B. Did it amount to less than $25,000, more than $25,000, or what?

NIS-2003-1 4 November 10, 2005

1. LESS THAN $25,000 [G8A]


3. ABOUT $25,000 [G9] 5. MORE THAN $25,000 [G8C] -2. DK [G9] -1. RF [G9] G8C. Did it amount to less than $50,000, more than $50,000, or what? 1. LESS THAN $50,000 [G9] 3. ABOUT $50,000 [G9] 5. MORE THAN $50,000 [G8D] -2. DK [G9] -1. RF [G9] G8D. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G9] 3. ABOUT $100,000 [G9] 5. MORE THAN $100,000 [G9] -2. DK [G9] -1. RF [G9] G8A. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G9] 3. ABOUT $5,000 [G9] 5. MORE THAN $5,000 [G9] -2. DK [G9] -1. RF [G9] RANDOM ASSIGNMENT 3: G8C. Did it amount to less than $50,000, more than $50,000, or what? 1. LESS THAN $50,000 [G8B] 3. ABOUT $50,000 [G9] 5. MORE THAN $50,000 [G8D] -2. DK [G9] -1. RF [G9] G8D. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G9] 3. ABOUT $100,000 [G9] 5. MORE THAN $100,000 [G9] -2. DK [G9] -1. RF [G9] G8B. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G8A] 3. ABOUT $25,000 [G9] 5. MORE THAN $25,000 [G9] -2. DK [G9] -1. RF [G9]

NIS-2003-1 5 November 10, 2005

G8A. Did it amount to less than $5,000, more than $5,000, or what?


1. LESS THAN $5,000 [G9] 3. ABOUT $5,000 [G9] 5. MORE THAN $5,000 [G9] -2. DK [G9] -1. RF [G9] G9. Other than what you may have already told me about, did any of your income in the last twelve months come from a professional practice or trade? 1. YES [G9A] 2. NO [G11] -2. DK [G11] -1. RF [G11] G9A. Before taxes and other deductions, about how much did you receive from a professional practice or trade in the last twelve months? [IWER: DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G9B] -2. DK [G10A] -1. RF [G10A] G9B. CURRENCY: ___________ {Pick list, US$ first} [G11; IF G9B="OTHER": G9C] G9C. OTHER SPECIFY: ___________ {30 characters} [G11] G10A. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G10D] 2. ABOUT $25,000 [G11] 3. MORE THAN $25,000 [G10B] -2. DK [G11] -1. RF [G11] G10B. Did it amount to less than $50,000, more than $50,000, or what? 1. LESS THAN $50,000 [G11] 2. ABOUT $50,000 [G11] 3. MORE THAN $50,000 [G10C] -2. DK [G11] -1. RF [G11] G10C. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G11] 2. ABOUT $100,000 [G11] 3. MORE THAN $100,000 [G11] -2. DK [G11] -1. RF [G11] G10D. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G11]

NIS-2003-1 6 November 10, 2005

2. ABOUT $5,000 [G11]


3. MORE THAN $5,000 [G11] -2. DK [G11] -1. RF [G11] G11. Other than what you may have already told me about, did any of your income in the last twelve months come from tips, bonuses, commissions, etc? 1. YES [G11A] 2. NO [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] -2. DK [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] -1. RF [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] G11A. Before taxes and other deductions, about how much did your last twelve months of income from tips, bonuses, commissions, etc. amount to? [IWER: DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G11B] -2. DK [G11D] -1. RF [G11D] G11B. CURRENCY: ___________ {Pick list, US$ first} [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21; IF G11B="OTHER": G11C] G11C. OTHER SPECIFY: ___________ {30 characters} [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] G11D. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G11G] 2. ABOUT $5,000 [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] 3. MORE THAN $5,000 [G11E] -2. DK [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] -1. RF [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] G11E. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] 2. ABOUT $25,000 [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] 3. MORE THAN $25,000 [G11F] -2. DK [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] -1. RF [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] G11F. Did it amount to less than $50,000, more than $50,000, or what? 1. LESS THAN $50,000 [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] 2. ABOUT $50,000 [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] 3. MORE THAN $50,000 [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] -2. DK [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] -1. RF [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] G11G. Did it amount to less than $2,500, more than $2,500, or what? 1. LESS THAN $2,500 [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] 2. ABOUT $2,500 [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] 3. MORE THAN $2,500 [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21]

NIS-2003-1 7 November 10, 2005

-2. DK [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21]


-1. RF [G13: IF NOT MARRIED/PARTNERED OR G2=1: G21] G13. Now I want to ask about your (Text fill IF A52=1 OR 2: husband’s/wife’s/partner’s/spouse or partner’s) income. In the last twelve months, did any of your (Text fill IF A52=1 OR 2: husband’s/wife’s/partner’s/spouse or partner’s) income come from self-employment? 1. YES [G14] 2. NO [G15] -2. DK [G15] -1. RF [G15] G14. Before taxes and other deductions, about how much did your (Text fill IF A52=1 OR 2: husband’s/wife’s/partner’s/spouse or partner’s) employment income amount to in the last twelve months, including any profits left in the business? {Text fill: IF G3=3, -2, -1: Do not count profits that you have already assigned to yourself} [IWER: DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G14A] -2. DK [ASSIGN RANDOM #1-3: G14C/APPROPRIATE RANDOM ASSIGNMENT] -1. RF [ASSIGN RANDOM #1-3: G14C/APPROPRIATE RANDOM ASSIGNMENT] G14A. CURRENCY: ___________ {Pick list, US$ first} [G15; IF G14A="OTHER": G14B] G14B. OTHER SPECIFY: ___________ {30 characters} [G15] RANDOM ASSIGNMENT 1: G14C. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G15] 3. ABOUT $5,000 [G15] 5. MORE THAN $5,000 [G14D] -2. DK [G15] -1. RF [G15] G14D. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G15] 3. ABOUT $10,000 [G15] 5. MORE THAN $10,000 [G14E] -2. DK [G15] -1. RF [G15] G14E. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G15] 3. ABOUT $25,000 [G15] 5. MORE THAN $25,000 [G14F] -2. DK [G15] -1. RF [G15] G14F. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G15] 3. ABOUT $100,000 [G15]

NIS-2003-1 8 November 10, 2005

5. MORE THAN $100,000 [G15]


-2. DK [G15] -1. RF [G15] RANDOM ASSIGNMENT 2: G14D. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G14C] 3. ABOUT $10,000 [G15] 5. MORE THAN $10,000 [G14E] -2. DK [G15] -1. RF [G15] G14E. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G15] 3. ABOUT $25,000 [G15] 5. MORE THAN $25,000 [G14F] -2. DK [G15] -1. RF [G15] G14F. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G15] 3. ABOUT $100,000 [G15] 5. MORE THAN $100,000 [G15] -2. DK [G15] -1. RF [G15] G14C. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G15] 3. ABOUT $5,000 [G15] 5. MORE THAN $5,000 [G15] -2. DK [G15] -1. RF [G15] RANDOM ASSIGNMENT 3: G14E. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G14D] 3. ABOUT $25,000 [G15] 5. MORE THAN $25,000 [G14F] -2. DK [G15] -1. RF [G15] G14F. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G15] 3. ABOUT $100,000 [G15] 5. MORE THAN $100,000 [G15] -2. DK [G15] -1. RF [G15]

NIS-2003-1 9 November 10, 2005

G14D. Did it amount to less than $10,000, more than $10,000, or what?


1. LESS THAN $10,000 [G14C] 3. ABOUT $10,000 [G15] 5. MORE THAN $10,000 [G15] -2. DK [G15] -1. RF [G15] G14C. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G15] 3. ABOUT $5,000 [G15] 5. MORE THAN $5,000 [G15] -2. DK [G15] -1. RF [G15] G15. (Text fill – IF G13=1: Aside from any self-employment income, did) (Text fill – IF G13 DOES NOT =1: Did) any of your (Text fill IF A52=1 OR 2: husband’s/wife’s/partner’s/spouse or partner’s) earnings in the last twelve months come from wages and salaries? 1. YES [G16] 2. NO [G17] -2. DK [G17] -1. RF [G17] G16. Before taxes and other deductions, about how much wage and salary income did your (Text fill IF A52=1 OR 2: husband/wife/partner/spouse or partner) receive in the last twelve months? [IWER: DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G16A] -2. DK [ASSIGN RANDOM #1-3: G16C/APPROPRIATE RANDOM ASSIGNMENT] -1. RF [ASSIGN RANDOM #1-3: G16C/APPROPRIATE RANDOM ASSIGNMENT] G16A. CURRENCY: ___________ {Pick list, US$ first} [G17; IF G16A="OTHER": G16B] G16B. OTHER SPECIFY: ___________ {30 characters} [G17] RANDOM ASSIGNMENT 1: G16C. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G17] 3. ABOUT $5,000 [G17] 5. MORE THAN $5,000 [G16D] -2. DK [G17] -1. RF [G17] G16D. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G17] 3. ABOUT $10,000 [G17] 5. MORE THAN $10,000 [G16E] -2. DK [G17] -1. RF [G17]

NIS-2003-1 10 November 10, 2005

G16E. Did it amount to less than $25,000, more than $25,000, or what?


1. LESS THAN $25,000 [G17] 3. ABOUT $25,000 [G17] 5. MORE THAN $25,000 [G16F] -2. DK [G17] -1. RF [G17] G16F. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G17] 3. ABOUT $100,000 [G17] 5. MORE THAN $100,000 [G17] -2. DK [G17] -1. RF [G17] RANDOM ASSIGNMENT 2: G16D. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G16C] 3. ABOUT $10,000 [G17] 5. MORE THAN $10,000 [G16E] -2. DK [G17] -1. RF [G17] G16E. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G17] 3. ABOUT $25,000 [G17] 5. MORE THAN $25,000 [G16F] -2. DK [G17] -1. RF [G17] G16F. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G17] 3. ABOUT $100,000 [G17] 5. MORE THAN $100,000 [G17] -2. DK [G17] -1. RF [G17] G16C. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G17] 3. ABOUT $5,000 [G17] 5. MORE THAN $5,000 [G17] -2. DK [G17] -1. RF [G17] RANDOM ASSIGNMENT 3: G16E. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G16D] 3. ABOUT $25,000 [G17]

NIS-2003-1 11 November 10, 2005

5. MORE THAN $25,000 [G16F]


-2. DK [G17] -1. RF [G17] G16F. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G17] 3. ABOUT $100,000 [G17] 5. MORE THAN $100,000 [G17] -2. DK [G17] -1. RF [G17] G16D. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G16C] 3. ABOUT $10,000 [G17] 5. MORE THAN $10,000 [G17] -2. DK [G17] -1. RF [G17] G16C. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G17] 3. ABOUT $5,000 [G17] 5. MORE THAN $5,000 [G17] -2. DK [G17] -1. RF [G17] G17. Other than what you may have already told me about, did any of your (Text fill IF A52=1 OR 2: husband’s/wife’s/partner’s/spouse or partner’s) income in the last twelve months come from a professional practice or trade? 1. YES [G18] 2. NO [G19] -2. DK [G19] -1. RF [G19] G18. Before taxes and other deductions, about how much did your (Text fill IF A52=1 OR 2: husband/wife/partner/spouse or partner) receive from a professional practice or trade in the last twelve months? [IWER: DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G18A] -2. DK [G18C] -1. RF [G18C] G18A. CURRENCY: ___________ {Pick list, US$ first} [G19; IF G18A="OTHER": G18B] G18B. OTHER SPECIFY: ___________ {30 characters} [G19] G18C. Did it amount to less than $25,000, more than $25,000, or what? 1. LESS THAN $25,000 [G18F] 2. ABOUT $25,000 [G19] 3. MORE THAN $25,000 [G18D] -2. DK [G19] -1. RF [G19]

NIS-2003-1 12 November 10, 2005


G18D. Did it amount to less than $50,000, more than $50,000, or what? 1. LESS THAN $50,000 [G19] 2. ABOUT $50,000 [G19] 3. MORE THAN $50,000 [G18E] -2. DK [G19] -1. RF [G19] G18E. Did it amount to less than $100,000, more than $100,000, or what? 1. LESS THAN $100,000 [G19] 2. ABOUT $100,000 [G19] 3. MORE THAN $100,000 [G19] -2. DK [G19] -1. RF [G19] G18F. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G19] 2. ABOUT $5,000 [G19] 3. MORE THAN $5,000 [G19] -2. DK [G19] -1. RF [G19] G19. Other than what you may have already told me about, did any of your (Text fill IF A52=1 OR 2: husband’s/wife’s/partner’s/spouse or partner’s) income in the last twelve months come from tips, bonuses, commissions, etc? 1. YES [G19A] 2. NO [G21] -2. DK [G21] -1. RF [G21] G19A. Before taxes and other deductions, about how much did your (Text fill IF A52=1 OR 2: husband’s/wife’s/partner’s/spouse or partner’s) last twelve months of income from tips, bonuses, commissions, etc. amount to? [IWER: DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G19B] -2. DK [G19D] -1. RF [G19D] G19B. CURRENCY: ___________ {Pick list, US$ first} [G21; IF G19B="OTHER": G19C] G19C. OTHER SPECIFY: ___________ {30 characters} [G21] G19D. Did it amount to less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G19G] 2. ABOUT $5,000 [G21] 3. MORE THAN $5,000 [G19E] -2. DK [G21] -1. RF [G21] G19E. Did it amount to less than $25,000, more than $25,000, or what?

NIS-2003-1 13 November 10, 2005

1. LESS THAN $25,000 [G21]


2. ABOUT $25,000 [G21] 3. MORE THAN $25,000 [G19F] -2. DK [G21] -1. RF [G21] G19F. Did it amount to less than $50,000, more than $50,000, or what? 1. LESS THAN $50,000 [G21] 2. ABOUT $50,000 [G21] 3. MORE THAN $50,000 [G21] -2. DK [G21] -1. RF [G21] G19G. Did it amount to less than $2,500, more than $2,500, or what? 1. LESS THAN $2,500 [G21] 2. ABOUT $2,500 [G21] 3. MORE THAN $2,500 [G21] -2. DK [G21] -1. RF [G21] Time Stamp G21. Did you (Text fill – IF A52=1 OR 2: or your husband/wife/partner/spouse or partner) receive any income in the last twelve months from Unemployment Compensation, that is, income you receive from a government because you are unemployed or out of work? 1. YES [G21A] 2. NO [G33] -2. DK [G33] -1. RF [G33] G21A. Was this income received from the United States government, a foreign government or both? 1. US GOVERNMENT ONLY [G22] 2. FOREIGN GOVERNMENT ONLY [G22] 3. BOTH [G22] -2. DK [G22] -1. RF [G22] G22. {IF A52 IS NOT 1 OR 2, PROGRAM SHOULD AUTOMATICALLY ASSIGN 1 FOR G22 AND CONTINUE WITH G23} Who received that? 1. RESPONDENT ONLY [G23] 2. SPOUSE/PARTNER ONLY [G28] 3. BOTH [G23] -2. DK [G23] -1. RF [G23] G23. Before taxes and other deductions, how much did you {Text fill - IF G22 = 3, -2, or -1: yourself) receive in the last twelve months? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS.] ENTER AMOUNT: $______________ {15 digits} [G23A]

NIS-2003-1 14 November 10, 2005

-2. DK [G28; IF G22=1: G33]


-1. RF [G28; IF G22=1: G33] G23A. CURRENCY: ___________ {Pick list, US$ first} [G28; IF G22=1: G33; IF G23A="OTHER": G23B] G23B. OTHER SPECIFY: ___________ {30 characters} [G28; IF G22=1: G33] G28. Before taxes and other deductions, how much did your (Text fill IF A52=1 OR 2: husband/wife/partner/spouse or partner) receive in the last twelve months? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS.] ENTER AMOUNT: $______________ {15 digits} [G28A] -2. DK [G33] -1. RF [G33] G28A. CURRENCY: ___________ {Pick list, US$ first} [G33; IF G28A="OTHER": G28B] G28B. OTHER SPECIFY: ___________ {30 characters} [G33] G33. Did you (Text fill – IF A52=1 OR 2: or your husband/wife/partner/spouse or partner) receive any income in the last twelve months due to an injury at work or from a workman’s compensation program? 1. YES [G33A] 2. NO [G45] -2. DK [G45] -1. RF [G45] G33A. Was this income received from the United States government, a foreign government or foreign source, or both? 1. US GOVERNMENT [G34] 2. FOREIGN GOVERNMENT OR FOREIGN SOURCE [G34] 3. BOTH [G34] -2. DK [G34] -1. RF [G34] G34. {IF A52 IS NOT 1 OR 2, PROGRAM SHOULD AUTOMATICALLY ASSIGN 1 FOR G34 AND CONTINUE WITH G35} Who received that? 1. RESPONDENT ONLY [G35] 2. SPOUSE/PARTNER ONLY [G40] 3. BOTH [G35] -2. DK [G35] -1. RF [G35] G35. Before taxes and other deductions, how much did you {Text fill - IF G34 = 3, -2, or -1: yourself) receive in the last twelve months? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS.] ENTER AMOUNT: $______________ {15 digits} [G35A] -2. DK [G40; IF G34=1: G45] -1. RF [G40; IF G34=1: G45] G35A. CURRENCY: ___________ {Pick list, US$ first} [G40; IF G34=1: G45; IF G35A="OTHER": G35B]

NIS-2003-1 15 November 10, 2005

G35B. OTHER SPECIFY: ___________ {30 characters} [G40; IF G34=1: G45]


G40. Before taxes and other deductions, how much did your (Text fill IF A52=1 OR 2: husband/wife/partner/spouse or partner) receive in the last twelve months? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS.] ENTER AMOUNT: $______________ {15 digits} [G40A] -2. DK [G45] -1. RF [G45] G40A. CURRENCY: ___________ {Pick list, US$ first} [G45: IF G40A="OTHER": G40B] G40B. OTHER SPECIFY: ___________ {30 characters} [G45] G45. Do you (Text fill – IF A52=1 OR 2: or your husband/wife/partner/spouse or partner) currently receive any income from the Social Security program in the United States? 1. YES [G46] 2. NO [G51] -2. DK [G51] -1. RF [G51] G46. {IF A52 IS NOT 1 OR 2, PROGRAM SHOULD AUTOMATICALLY ASSIGN 1 FOR G46 AND CONTINUE WITH G47} Who receives that? 1. RESPONDENT ONLY [G47] 2. SPOUSE/PARTNER ONLY [G50] 3. BOTH [G47] -2. DK [G47] -1. RF [G47] G47. About the Social Security benefits that you {Text fill: IF G46=3, -1, or –2: “yourself”} receive, how much was that Social Security check, or the amount deposited directly into an account, last month? [IWER: WE WANT THE AMOUNT AFTER ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$3,000} [G48] -2. DK [G47A] -1. RF [G47A] G47A. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G47C] 2. ABOUT $1,000 [G48] 3. MORE THAN $1,000 [G47B] -2. DK [G48] -1. RF [G48] G47B. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G48] 2. ABOUT $1,500 [G48] 3. MORE THAN $1,500 [G48] -2. DK [G48] -1. RF [G48]

NIS-2003-1 16 November 10, 2005


G47C. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G48] 2. ABOUT $500 [G48] 3. MORE THAN $500 [G48] -2. DK [G48] -1. RF [G48] G48. In what year did you start to receive Social Security benefits?

_____________________ YEAR {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF IM,CP:A7 AND SP:A147}

[IF G48=2002 OR 2003: G49; IF G48 DOES NOT =2002 OR 2003 AND G46=1: G51; IF G48 DOES NOT =2002 OR 2003 AND G46 DOES NOT =1: G50] -2. DK [G50; IF G46=1: G51] -1. RF [G50; IF G46=1: G51] G49. Which month was that? 1. JAN [G50; IF G46=1: G51] 2. FEB [G50; IF G46=1: G51] 3. MAR [G50; IF G46=1: G51] 4. APR [G50; IF G46=1: G51] 5. MAY [G50; IF G46=1: G51] 6. JUN [G50; IF G46=1: G51] 7. JUL [G50; IF G46=1: G51] 8. AUG [G50; IF G46=1: G51] 9. SEP [G50; IF G46=1: G51] 10. OCT [G50; IF G46=1: G51] 11. NOV [G50; IF G46=1: G51] 12. DEC [G50; IF G46=1: G51] -2. DK [G50; IF G46=1: G51] -1. RF [G50; IF G46=1: G51] G50. Now let me ask about your (Text fill IF A52=1 OR 2: husband’s/wife’s/partner’s/spouse or partner’s) Social Security benefits. How much was that Social Security check, or the amount deposited directly into an account, last month? [IWER: WE WANT THE AMOUNT AFTER ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$3,000} [G50D] -2. DK [G50A] -1. RF [G50A] G50A. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G50C] 2. ABOUT $1,000 [G50D] 3. MORE THAN $1,000 [G50B] -2. DK [G50D] -1. RF [G50D] G50B. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G50D]

NIS-2003-1 17 November 10, 2005

2. ABOUT $1,500 [G50D]


3. MORE THAN $1,500 [G50D] -2. DK [G50D] -1. RF [G50D] G50C. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G50D] 2. ABOUT $500 [G50D] 3. MORE THAN $500 [G50D] -2. DK [G50D] -1. RF [G50D] G50D. In what year did your (Text fill IF A52=1 OR 2: husband/wife/partner/spouse or partner) start to receive Social Security benefits? _____________________ YEAR [G51; IF G50D=2002 OR 2003: G50E] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF A7 AND A147} -2. DK [G51] -1. RF [G51] G50E. What month was that? 1. JAN [G51] 2. FEB [G51] 3. MAR [G51] 4. APR [G51] 5. MAY [G51] 6. JUN [G51] 7. JUL [G51] 8. AUG [G51] 9. SEP [G51] 10. OCT [G51] 11. NOV [G51] 12. DEC [G51] -2. DK [G51] -1. RF [G51] G51. Do you (Text fill – IF A52=1 OR 2: or your husband/wife/partner/spouse or partner) currently receive any retirement income from a pension from a foreign government? Do not include income from pensions you may receive if you were an employee of a foreign government. 1. YES [G52] 2. NO [G59] -2. DK [G59] -1. RF [G59] G52. {IF A52 IS NOT 1 OR 2, PROGRAM SHOULD AUTOMATICALLY ASSIGN 1 FOR G52 AND CONTINUE WITH G53} Who receives that? 1. RESPONDENT ONLY [G53_1] 2. SPOUSE/PARTNER ONLY [G55_1] 3. BOTH [G53_1] -2. DK [G53_1] -1. RF [G53_1]

NIS-2003-1 18 November 10, 2005

G53_X. What foreign government or governments do you (Text fill - IF G52 = 3, -2, -1: yourself) receive it from?


_______________COUNTRY {SELECT UP TO 3; IF DK/RF: G54}

[G54: IF G53="OTHER": G53A] 995 NO MORE MENTIONED -2. DK -1. RF

{IM, SP: Pick list, country of origin first, IM last residence second} G53A_X. OTHER SPECIFY: ___________ {30 characters} [G54] G54. About the pension benefits from the foreign (Text fill - IF G53_X HAS ONLY ONE GOVERNMENT: government} (Text fill - If G53_X HAS MORE THAN ONE GOVERNMENT: governments) that you {Text fill: IF G52=3, -1, or –2: “yourself”} receive, how much was that pension check, or the amount deposited directly into an account, last month? [IWER: WE WANT THE AMOUNT AFTER ANY DEDUCTIONS] [IWER: CONVERT THE TIME PERIOD TO MONTH FOR CASES WHERE THE CHECK IS NOT RECEIVED MONTHLY] [IWER: DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G54A] -2. DK [G54C] -1. RF [G54C] G54A. CURRENCY: ___________ {Pick list, US$ first} [G55_1; IF G54A="OTHER": G54B; IF G52=1: G59] G54B. OTHER SPECIFY: ___________ {30 characters} [G55_1; IF G52=1: G59] G54C. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G54E] 2. ABOUT $1,000 [G55_1; IF G52=1: G59] 3. MORE THAN $1,000 [G54D] -2. DK [G55_1; IF G52=1: G59] -1. RF [G55_1; IF G52=1: G59] G54D. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G55_1; IF G52=1: G59] 2. ABOUT $1,500 [G55_1; IF G52=1: G59] 3. MORE THAN $1,500 [G55_1; IF G52=1: G59] -2. DK [G55_1; IF G52=1: G59] -1. RF [G55_1; IF G52=1: G59] G54E. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G55_1; IF G52=1: G59] 2. ABOUT $500 [G55_1; IF G52=1: G59] 3. MORE THAN $500 [G55_1; IF G52=1: G59] -2. DK [G55_1; IF G52=1: G59] -1. RF [G55_1; IF G52=1: G59] G55_X. What foreign government or governments does your (Text fill IF A52=1 OR 2: husband/wife/partner/spouse or partner) receive it from?

NIS-2003-1 19 November 10, 2005


_______________COUNTRY {SELECT UP TO 3; IF DK/RF: G56} [G56: IF G55="OTHER": G55A]

{Pick list, IM, SP: country of origin first (SP: A145 on top), IM last residence second}

G55A_X. OTHER SPECIFY: ___________ {30 characters} [G56] G56. About the pension benefits from the foreign (Text fill - If G55_X HAS ONLY ONE GOVERNMENT: government} (Text fill - If G55_X: HAS MORE THAN ONE GOVERNEMNT: governments) that your (Text fill: husband/wife/partner/spouse or partner) receives, how much was that pension check, or the amount deposited directly into an account, last month? [IWER: WE WANT THE AMOUNT AFTER ANY DEDUCTIONS, DO NOT PROBE DK] [IWER: CONVERT THE TIME PERIOD TO MONTH FOR CASES WHERE THE CHECK IS NOT RECEIVED MONTHLY] ENTER AMOUNT: $______________ {15 digits} [G56A] -2. DK [G56C] -1. RF [G56C] G56A. CURRENCY: ___________ {Pick list, US$ first} [G59; IF G56A="OTHER": G56B] G56B. OTHER SPECIFY: ___________ {30 characters} [G59] G56C. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G56E] 2. ABOUT $1,000 [G59] 3. MORE THAN $1,000 [G56D] -2. DK [G59] -1. RF [G59] G56D. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G59] 2. ABOUT $1,500 [G59] 3. MORE THAN $1,500 [G59] -2. DK [G59] -1. RF [G59] G56E. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G59] 2. ABOUT $500 [G59] 3. MORE THAN $500 [G59] -2. DK [G59] -1. RF [G59] G59. Did you (Text fill – IF A52=1 OR 2: or your husband/wife/partner/spouse or partner} receive any income last month from Supplemental Security Income, also called SSI, in the United States? {QxQ: SSI is a program administered by the Social Security Administration which makes assistance payments to low income, blind, disabled, and aged persons. A person may be receiving either or both SSI and Social Security checks.} 1. YES [G60] 2. NO [G59A]

NIS-2003-1 20 November 10, 2005

-2. DK [G59A]


-1. RF [G59A] G59A. Did you receive any Supplemental Security Income, SSI, during the last twelve months? 1. YES [G60] 2. NO [G63] -2. DK [G63] -1. RF [G63] G60. {IF A52 IS NOT 1 OR 2, PROGRAM SHOULD AUTOMATICALLY ASSIGN 1 FOR G60 AND CONTINUE WITH G61} Which one of you received income from SSI? 1. RESPONDENT ONLY [IF G59A=1: G60A; IF G59=1: G61] 2. SPOUSE/PARTNER ONLY [IF G59A=1: G60A; IF G59=1: G61] 3. BOTH [IF G59A=1: G60A; IF G59=1: G61] -2. DK [IF G59A=1: G60A; IF G59=1: G61] -1. RF [IF G59A=1: G60A; IF G59=1: G61] G60A. How much did (Text fill - IF G60=1: you) (Text fill - IF G60=2: your husband/wife/partner/spouse or partner) (Text fill: If G60 = 3, -2, or -1: you and your husband/wife/partner/spouse or partner) receive from SSI in the last twelve months?" [IWER: DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$36,000}[G63] -2. DK [G60B] -1. RF [G60B] G60B. Did it amount to less than $5000, more than $5000, or what? 1. LESS THAN $5000 [G60D] 2. ABOUT $5000 [G63] 3. MORE THAN $5000 [G60C] -2. DK [G63] -1. RF [G63] G60C. (Did it amount to) less than $7500, more than $7500, or what? 1. LESS THAN $7500 [G63] 2. ABOUT $7500 [G63] 3. MORE THAN $7500 [G63] -2. DK [G63] -1. RF [G63] G60D. (Did it amount to) less than $2500, more than $2500, or what? 1. LESS THAN $2500 [G63] 2. ABOUT $2500 [G63] 3. MORE THAN $2500 [G63] -2. DK [G63] -1. RF [G63] G61. How much did (Text fill – IF G60=1: you) (Text fill – IF G60=2: your husband/wife/partner/spouse or partner) (Text fill: If G60 = 3, -2, or -1: you and your husband/wife/partner/spouse or partner) receive from SSI last month? [IWER: DO NOT PROBE DK]

NIS-2003-1 21 November 10, 2005


ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$3,000} [G62] -2. DK [G61A] -1. RF [G61A] G61A. Did it amount to less than $500, more than $500, or what? 1. LESS THAN $500 [G61C] 2. ABOUT $500 [G62] 3. MORE THAN $500 [G61B] -2. DK [G62] -1. RF [G62] G61B. (Did it amount to) less than $750, more than $750, or what? 1. LESS THAN $750 [G62] 2. ABOUT $750 [G62] 3. MORE THAN $750 [G62] -2. DK [G62] -1. RF [G62] G61C. (Did it amount to) less than $250, more than $250, or what? 1. LESS THAN $250 [G62] 2. ABOUT $250 [G62] 3. MORE THAN $250 [G62] -2. DK [G62] -1. RF [G62] G62. In what year did (Text fill – IF G60=1: you) (Text fill – IF G60=2: your husband/wife/partner/spouse or partner) (Text fill: If G60 = 3, -2, or -1: you and your husband/wife/partner/spouse or partner) start to receive SSI? _____________________ YEAR [G63; IF G62=2002 OR 2003: G62B] {4-digits, SOFT CHECK: DOB - PRESENT EARLIER YEAR OF A7 AND A147} -2. DK [G63] -1. RF [G63] G62B. What month was that? 1. JAN [G63] 2. FEB [G63] 3. MAR [G63] 4. APR [G63] 5. MAY [G63] 6. JUN [G63] 7. JUL [G63] 8. AUG [G63] 9. SEP [G63] 10. OCT [G63] 11. NOV [G63] 12. DEC [G63] -2. DK [G63] -1. RF [G63] G63. Apart from any income you may have already told us about, are you (Text fill – IF A52=1 OR 2: or your husband/wife/partner/spouse or partner) currently receiving any disability income from government or a private source?

NIS-2003-1 22 November 10, 2005


1. YES [G64] 2. NO [G63A] -2. DK [G63A] -1. RF [G63A] G63A. Did you (Text fill – IF A52=1 OR 2: or your husband/wife/partner/spouse or partner) receive any disability income from government or a private source in the last twelve months? 1. YES [G64] 2. NO [G73] -2. DK [G73] -1. RF [G73] G64. {IF A52 IS NOT 1 OR 2, PROGRAM SHOULD AUTOMATICALLY ASSIGN 1 FOR G64 AND CONTINUE WITH G65} Who {Text fill: IF G63=1: “receives”}{Text fill: IF G63A=1: “received”} that? 1. RESPONDENT ONLY [G65] 2. SPOUSE/PARTNER ONLY [G68] 3. BOTH [G65] -2. DK [G65] -1. RF [G65] G65. {Text fill: IF G63=1: “Is”}{Text fill: IF G63A=1: “Was”} this income received from the United States government, a foreign government or foreign source, or both? 1. US GOVERNMENT ONLY [G66; IF G63A=1: G65A] 2. FOREIGN GOVERNMENT OR FOREIGN SOURCE ONLY [G67; IF G63A=1: G67H] 3. BOTH [G66; IF G63A=1: G65A] -2. DK [G66; IF G63A=1: G65A] -1. RF [G66; IF G63A=1: G65A] G65A. How much did you (Text fill - IF G64 = 3, -2, -1: yourself) receive in the last twelve months from the United States government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$36,000} [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73] -2. DK [G66F] -1. RF [G66F] G66. How much did you (Text fill - IF G64 = 3, -2, -1: yourself) receive last month from the United States government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$3,000} [G66D] -2. DK [G66A] -1. RF [G66A] G66A. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G66C] 2. ABOUT $1,000 [G66D] 3. MORE THAN $1,000 [G66B] -2. DK [G66D]

NIS-2003-1 23 November 10, 2005

-1. RF [G66D]


G66B. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G66D] 2. ABOUT $1,500 [G66D] 3. MORE THAN $1,500 [G66D] -2. DK [G66D] -1. RF [G66D] G66C. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G66D] 2. ABOUT $500 [G66D] 3. MORE THAN $500 [G66D] -2. DK [G66D] -1. RF [G66D] G66D. In what year did you start to receive these benefits? _____________________ YEAR [G67; IF G66D=2002 OR 2003: G66E; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF IM,CP:A7 AND SP:A147} -2. DK [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] -1. RF [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] G66E. What month was that? 1. JAN [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] 2. FEB [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] 3. MAR [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] 4. APR [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] 5. MAY [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] 6. JUN [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] 7. JUL [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] 8. AUG [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] 9. SEP [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] 10. OCT [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] 11. NOV [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] 12. DEC [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] -2. DK [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] -1. RF [G67; IF G65=1 AND G64=3, -2, -1: G68; IF G65=1 AND G64=1: G73] G66F. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G66H] 2. ABOUT $10,000 [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73] 3. MORE THAN $10,000 [G66G] -2. DK [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73] -1. RF [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73] G66G. (Did it amount to) less than $15,000, more than $15,000, or what? 1. LESS THAN $15,000 [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73] 2. ABOUT $15,000 [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73] 3. MORE THAN $15,000 [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73]

NIS-2003-1 24 November 10, 2005

-2. DK [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73]


-1. RF [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73] G66H. (Did it amount to) less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73] 2. ABOUT $5,000 [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73] 3. MORE THAN $5,000 [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73] -2. DK [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73] -1. RF [G67H; IF G65=1 AND G64=3,-2,-1: G68; IF G65=1 AND G64=1: G73] G67. How much did you {Text fill - IF G64 = 3, -2, -1: yourself} receive last month from a foreign government or foreign source? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G67A] -2. DK [G67C] -1. RF [G67C] G67A. CURRENCY: ___________ {Pick list, US$ first} [G67F; IF G67A="OTHER": G67B] G67B. OTHER SPECIFY: ___________ {30 characters} [G67F] G67C. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G67E] 2. ABOUT $1,000 [G67F] 3. MORE THAN $1,000 [G67D] -2. DK [G67F] -1. RF [G67F] G67D. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G67F] 2. ABOUT $1,500 [G67F] 3. MORE THAN $1,500 [G67F] -2. DK [G67F] -1. RF [G67F] G67E. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G67F] 2. ABOUT $500 [G67F] 3. MORE THAN $500 [G67F] -2. DK [G67F] -1. RF [G67F] G67F In what year did you start to receive these benefits? _____________________ YEAR [G68; IF G67F=2002 OR 2003: G67G; IF G67F DOES NOT =2002 OR 2003 AND G64=1: G73] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF IM,CP:A7 AND SP:A147} -2. DK [G68; IF G64=1: G73] -1. RF [G68; IF G64=1: G73]

NIS-2003-1 25 November 10, 2005

G67G What month was that?


1. JAN [G68; IF G64=1: G73] 2. FEB [G68; IF G64=1: G73] 3. MAR [G68; IF G64=1: G73] 4. APR [G68; IF G64=1: G73] 5. MAY [G68; IF G64=1: G73] 6. JUN [G68; IF G64=1: G73] 7. JUL [G68; IF G64=1: G73] 8. AUG [G68; IF G64=1: G73] 9. SEP [G68; IF G64=1: G73] 10. OCT [G68; IF G64=1: G73] 11. NOV [G68; IF G64=1: G73] 12. DEC [G68; IF G64=1: G73] -2. DK [G68; IF G64=1: G73] -1. RF [G68; IF G64=1: G73] G67H. How much did you {Text fill - IF G64 = 3, -2, -1: yourself} receive in the last twelve months from a foreign government or foreign source? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G67I] -2. DK [G67K] -1. RF [G67K] G67I. CURRENCY: ___________ {Pick list, US$ first} [G68; IF G64=1: G73; IF G67I=”OTHER”: G67J] G67J. OTHER SPECIFY: ___________ {30 characters} [G68; IF G64=1: G73] G67K. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G67M] 2. ABOUT $10,000 [G68; IF G64=1: G73] 3. MORE THAN $10,000 [G67L] -2. DK [G68; IF G64=1: G73] -1. RF [G68; IF G64=1: G73] G67L. (Did it amount to) less than $15,000, more than $15,000, or what? 1. LESS THAN $15,000 [G68; IF G64=1: G73] 2. ABOUT $15,000 [G68; IF G64=1: G73] 3. MORE THAN $15,000 [G68; IF G64=1: G73] -2. DK [G68; IF G64=1: G73] -1. RF [G68; IF G64=1: G73] G67M. (Did it amount to) less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G68; IF G64=1: G73] 2. ABOUT $5,000 [G68; IF G64=1: G73] 3. MORE THAN $5,000 [G68; IF G64=1: G73] -2. DK [G68; IF G64=1: G73] -1. RF [G68; IF G64=1: G73]

NIS-2003-1 26 November 10, 2005


G68. {Text fill: IF G63=1: “Is”}{Text fill: IF G63A=1: “Was”} the income your (Text fill IF A52=1 OR 2: husband/wife/partner/spouse or partner) {Text fill: IF G63=1: “receives”}{Text fill: G63A=1: “received”} from the United States government, a foreign government or foreign source, or both? 1. US GOVERNMENT ONLY [G69; IF G63A=1: G68A] 2. FOREIGN GOVERNMENT OR FOREIGN SOURCE ONLY [G70; IF G63A=1: G70H] 3. BOTH [G69; IF G63A=1: G68A] -2. DK [G69; IF G63A=1: G68A] -1. RF [G69; IF G63A=1: G68A] G68A. How much did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) receive in the last twelve months from the United States government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$36,000} [G70H; IF G68=1: G73] -2. DK [G68B] -1. RF [G68B] G68B. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G68D] 2. ABOUT $10,000 [G70H; IF G68=1: G73] 3. MORE THAN $10,000 [G68C] -2. DK [G70H; IF G68=1: G73] -1. RF [G70H; IF G68=1: G73] G68C. (Did it amount to) less than $15,000, more than $15,000, or what? 1. LESS THAN $15,000 [G70H; IF G68=1: G73] 2. ABOUT $15,000 [G70H; IF G68=1: G73] 3. MORE THAN $15,000 [G70H; IF G68=1: G73] -2. DK [G70H; IF G68=1: G73] -1. RF [G70H; IF G68=1: G73] G68D. (Did it amount to) less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G70H; IF G68=1: G73] 2. ABOUT $5,000 [G70H; IF G68=1: G73] 3. MORE THAN $5,000 [G70H; IF G68=1: G73] -2. DK [G70H; IF G68=1: G73] -1. RF [G70H; IF G68=1: G73] G69. How much did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) receive last month from the United States government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$3,000} [G69D] -2. DK [G69A] -1. RF [G69A] G69A. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G69C]

NIS-2003-1 27 November 10, 2005

2. ABOUT $1,000 [G69D]


3. MORE THAN $1,000 [G69B] -2. DK [G69D] -1. RF [G69D] G69B. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G69D] 2. ABOUT $1,500 [G69D] 3. MORE THAN $1,500 [G69D] -2. DK [G69D] -1. RF [G69D] G69C. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G69D] 2. ABOUT $500 [G69D] 3. MORE THAN $500 [G69D] -2. DK [G69D] -1. RF [G69D] G69D. In what year did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) start to receive these benefits? _____________________ YEAR [G70; IF G69D=2002 OR 2003: G69E; IF G68=1: 73] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF A7 AND A147} -2. DK [G70; IF G68=1: 73] -1. RF [G70; IF G68=1: 73] G69E. What month was that? 1. JAN [G70; IF G68=1: 73] 2. FEB [G70; IF G68=1: 73] 3. MAR [G70; IF G68=1: 73] 4. APR [G70; IF G68=1: 73] 5. MAY [G70; IF G68=1: 73] 6. JUN [G70; IF G68=1: 73] 7. JUL [G70; IF G68=1: 73] 8. AUG [G70; IF G68=1: 73] 9. SEP [G70; IF G68=1: 73] 10. OCT [G70; IF G68=1: 73] 11. NOV [G70; IF G68=1: 73] 12. DEC [G70; IF G68=1: 73] -2. DK [G70; IF G68=1: 73] -1. RF [G70; IF G68=1: 73] G70. How much did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) receive last month from a foreign government or foreign source? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G70A] -2. DK [G70C] -1. RF [G70C] G70A. CURRENCY: ___________ {Pick list, US$ first} [G70F; IF G70A="OTHER": G70B]

NIS-2003-1 28 November 10, 2005


G70B. OTHER SPECIFY: ___________ {30 characters} [G70F] G70C. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G70E] 2. ABOUT $1,000 [G73] 3. MORE THAN $1,000 [G70D] -2. DK [G73] -1. RF [G73] G70D. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G73] 2. ABOUT $1,500 [G73] 3. MORE THAN $1,500 [G73] -2. DK [G73] -1. RF [G73] G70E. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G73] 2. ABOUT $500 [G73] 3. MORE THAN $500 [G73] -2. DK [G73] -1. RF [G73] G70F. In what year did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) start to receive these benefits? _____________________ YEAR [G73; IF G70F=2002 OR 2003: G70G] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF A7 AND A147} -2. DK [G73] -1. RF [G73] G70G. What month was that? 1. JAN [G73] 2. FEB [G73] 3. MAR [G73] 4. APR [G73] 5. MAY [G73] 6. JUN [G73] 7. JUL [G73] 8. AUG [G73] 9. SEP [G73] 10. OCT [G73] 11. NOV [G73] 12. DEC [G73] -2. DK [G73] -1. RF [G73] G70H. How much did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) receive in the last twelve months from a foreign government or foreign source? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK]

NIS-2003-1 29 November 10, 2005

ENTER AMOUNT: $______________ {15 digits} [G70I]


-2. DK [G70K] -1. RF [G70K] G70I. CURRENCY: ___________ {Pick list, US$ first} [G73; IF G70I=”OTHER”: G70J] G70J. OTHER SPECIFY: ___________ {30 characters} [G73] G70K. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G70M] 2. ABOUT $10,000 [G73] 3. MORE THAN $10,000 [G70L] -2. DK [G73] -1. RF [G73] G70L. (Did it amount to) less than $15,000, more than $15,000, or what? 1. LESS THAN $15,000 [G73] 2. ABOUT $15,000 [G73] 3. MORE THAN $15,000 [G73] -2. DK [G73] -1. RF [G73] G70M. (Did it amount to) less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G73] 2. ABOUT $5,000 [G73] 3. MORE THAN $5,000 [G73] -2. DK [G73] -1. RF [G73] G73. Did you (Text fill – IF A52=1 OR 2: or your husband/wife/partner/spouse or partner) receive any income from welfare or monetary assistance from any government in the last month (Text fill – IF G59=1 OR G59A=1: not including SSI)? Do not include any income you have already told us about. 1. YES [G74] 2. NO [G73A] -2. DK [G73A] -1. RF [G73A] G73A. Did you (Text fill – IF A52=1 OR 2: or your husband/wife/partner/spouse or partner) receive any income from welfare or monetary assistance from any government in the last twelve months (Text fill – IF G59=1 or IF G59A=1: not including SSI)? 1. YES [G74] 2. NO [G83] -2. DK [G83] -1. RF [G83] G74. {IF A52 IS NOT 1 OR 2, PROGRAM SHOULD AUTOMATICALLY ASSIGN 1 FOR G74 AND CONTINUE WITH G75} Who received that? 1. RESPONDENT ONLY [G75] 2. SPOUSE/PARTNER ONLY [G78] 3. BOTH [G75]

NIS-2003-1 30 November 10, 2005

-2. DK [G75]


-1. RF [G75] G75. Was the income you (Text fill - IF G74 = 3, -2, -1: yourself) received from the United States government, a foreign government, or both? 1. US GOVERNMENT ONLY [G76; IF G73A=1: G75A] 2. FOREIGN GOVERNMENT ONLY [G77; IF G73A=1: G77H] 3. BOTH [G76; IF G73A=1: G75A] -2. DK [G76; IF G73A=1: G75A] -1. RF [G76; IF G73A=1: G75A] G75A. How much did you (Text fill - IF G74 = 3, -2, -1: yourself) receive in the last twelve months from the United States government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$36,000} [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] -2. DK [G76F] -1. RF [G76F] G76. How much did you (Text fill - IF G74 = 3, -2, -1: yourself) receive last month from the United States government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$3,000} [G76D] -2. DK [G76A] -1. RF [G76A] G76A. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G76C] 2. ABOUT $1,000 [G76D] 3. MORE THAN $1,000 [G76B] -2. DK [G76D] -1. RF [G76D] G76B. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G76D] 2. ABOUT $1,500 [G76D] 3. MORE THAN $1,500 [G76D] -2. DK [G76D] -1. RF [G76D] G76C. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G76D] 2. ABOUT $500 [G76D] 3. MORE THAN $500 [G76D] -2. DK [G76D] -1. RF [G76D] G76D. In what year did you start to receive these benefits?

NIS-2003-1 31 November 10, 2005


_____________________ YEAR [G77; IF G76D=2002 OR 2003: G76E; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF IM,CP:A7 AND SP:A147} -2. DK [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] -1. RF [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] G76E. What month was that? 1. JAN [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] 2. FEB [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] 3. MAR [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] 4. APR [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] 5. MAY [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] 6. JUN [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] 7. JUL [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] 8. AUG [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] 9. SEP [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] 10. OCT [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] 11. NOV [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] 12. DEC [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] -2. DK [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] -1. RF [G77; IF G75=1 AND G74=3, -2, -1: G78; IF G75=1 AND G74=1: G83] G76F. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G76H] 2. ABOUT $10,000 [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] 3. MORE THAN $10,000 [G76G] -2. DK [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] -1. RF [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] G76G. (Did it amount to) less than $15,000, more than $15,000, or what? 1. LESS THAN $15,000 [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] 2. ABOUT $15,000 [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] 3. MORE THAN $15,000 [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] -2. DK [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] -1. RF [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] G76H. (Did it amount to) less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] 2. ABOUT $5,000 [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] 3. MORE THAN $5,000 [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] -2. DK [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] -1. RF [G77H; IF G75=1 AND G74=3,-2,-1: G78; IF G75=1 AND G74=1: G83] G77. How much did you {Text fill - IF G74 = 3, -2, -1: yourself} receive last month from a foreign government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G77A] -2. DK [G77C] -1. RF [G77C]

NIS-2003-1 32 November 10, 2005


G77A. CURRENCY: ___________ {Pick list, US$ first} [G77F; IF G77A="OTHER": G77B] G77B. OTHER SPECIFY: ___________ {30 characters} [G77F] G77C. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G77E] 2. ABOUT $1,000 [G77F] 3. MORE THAN $1,000 [G77D] -2. DK [G77F] -1. RF [G77F] G77D. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G77F] 2. ABOUT $1,500 [G77F] 3. MORE THAN $1,500 [G77F] -2. DK [G77F] -1. RF [G77F] G77E. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G77F] 2. ABOUT $500 [G77F] 3. MORE THAN $500 [G77F] -2. DK [G77F] -1. RF [G77F] G77F In what year did you start to receive these benefits? _____________________ YEAR [G78; IF G77F=2002 OR 2003: G77G; IF G77F DOES NOT =2002 OR 2003 AND G74=1: G83] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF IM,CP:A7 AND SP:A147} -2. DK [G78; IF G74=1: G83] -1. RF [G78; IF G74=1: G83] G77G What month was that? 1. JAN [G78; IF G74=1: G83] 2. FEB [G78; IF G74=1: G83] 3. MAR [G78; IF G74=1: G83] 4. APR [G78; IF G74=1: G83] 5. MAY [G78; IF G74=1: G83] 6. JUN [G78; IF G74=1: G83] 7. JUL [G78; IF G74=1: G83] 8. AUG [G78; IF G74=1: G83] 9. SEP [G78; IF G74=1: G83] 10. OCT [G78; IF G74=1: G83] 11. NOV [G78; IF G74=1: G83] 12. DEC [G78; IF G74=1: G83] -2. DK [G78; IF G74=1: G83] -1. RF [G78; IF G74=1: G83] G77H. How much did you {Text fill - IF G74 = 3, -2, -1: yourself} receive in the last twelve months from a foreign government?

NIS-2003-1 33 November 10, 2005

[IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK]


ENTER AMOUNT: $______________ {15 digits} [G77I] -2. DK [G77K] -1. RF [G77K] G77I. CURRENCY: ___________ {Pick list, US$ first} [G78; IF G74=1: G83; IF G77I="OTHER": G77J] G77J. OTHER SPECIFY: ___________ {30 characters} [G78; IF G74=1: G83] G77K. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G77M] 2. ABOUT $10,000 [G78; IF G74=1: G83] 3. MORE THAN $10,000 [G77L] -2. DK [G78; IF G74=1: G83] -1. RF [G78; IF G74=1: G83] G77L. (Did it amount to) less than $15,000, more than $15,000, or what? 1. LESS THAN $15,000 [G78; IF G74=1: G83] 2. ABOUT $15,000 [G78; IF G74=1: G83] 3. MORE THAN $15,000 [G78; IF G74=1: G83] -2. DK [G78; IF G74=1: G83] -1. RF [G78; IF G74=1: G83] G77M. (Did it amount to) less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G78; IF G74=1: G83] 2. ABOUT $5,000 [G78; IF G74=1: G83] 3. MORE THAN $5,000 [G78; IF G74=1: G83] -2. DK [G78; IF G74=1: G83] -1. RF [G78; IF G74=1: G83] G78. Was the income your (Text fill IF A52=1 OR 2: husband/wife/partner/spouse or partner) received from the United States government, a foreign government, or both? 1. US GOVERNMENT ONLY [G79; IF G73A=1: G78A] 2. FOREIGN GOVERNMENT ONLY [G80; IF G73A=1: G80H] 3. BOTH [G79; IF G73A=1: G78A] -2. DK [G79; IF G73A=1: G78A] -1. RF [G79; IF G73A=1: G78A] G78A. How much did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) receive in the last twelve months from the United States government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$36,000} [G80H; IF G78=1: G83] -2. DK [G78B] -1. RF [G78B] G78B. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G78D]

NIS-2003-1 34 November 10, 2005

2. ABOUT $10,000 [G80H; IF G78=1: G83]


3. MORE THAN $10,000 [G78C] -2. DK [G80H; IF G78=1: G83] -1. RF [G80H; IF G78=1: G83] G78C. (Did it amount to) less than $15,000, more than $15,000, or what? 1. LESS THAN $15,000 [G80H; IF G78=1: G83] 2. ABOUT $15,000 [G80H; IF G78=1: G83] 3. MORE THAN $15,000 [G80H; IF G78=1: G83] -2. DK [G80H; IF G78=1: G83] -1. RF [G80H; IF G78=1: G83] G78D. (Did it amount to) less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G80H; IF G78=1: G83] 2. ABOUT $5,000 [G80H; IF G78=1: G83] 3. MORE THAN $5,000 [G80H; IF G78=1: G83] -2. DK [G80H; IF G78=1: G83] -1. RF [G80H; IF G78=1: G83] G79. How much did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) receive last month from the United States government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$3,000} [G79D] -2. DK [G79A] -1. RF [G79A] G79A. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G79C] 2. ABOUT $1,000 [G79D] 3. MORE THAN $1,000 [G79B] -2. DK [G79D] -1. RF [G79D] G79B. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G79D] 2. ABOUT $1,500 [G79D] 3. MORE THAN $1,500 [G79D] -2. DK [G79D] -1. RF [G79D] G79C. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G79D] 2. ABOUT $500 [G79D] 3. MORE THAN $500 [G79D] -2. DK [G79D] -1. RF [G79D] G79D. In what year did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) start to receive these benefits?

NIS-2003-1 35 November 10, 2005


_____________________ YEAR [G80; IF G79D=2002 OR 2003: G79E; IF G79D DOES NOT=2002 OR 2003 AND G78=1: G83] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF A7 AND A147} -2. DK [G80; IF G78=1: G83] -1. RF [G80; IF G78=1: G83] G79E. What month was that? 1. JAN [G80; IF G78=1: G83] 2. FEB [G80; IF G78=1: G83] 3. MAR [G80; IF G78=1: G83] 4. APR [G80; IF G78=1: G83] 5. MAY [G80; IF G78=1: G83] 6. JUN [G80; IF G78=1: G83] 7. JUL [G80; IF G78=1: G83] 8. AUG [G80; IF G78=1: G83] 9. SEP [G80; IF G78=1: G83] 10. OCT [G80; IF G78=1: G83] 11. NOV [G80; IF G78=1: G83] 12. DEC [G80; IF G78=1: G83] -2. DK [G80; IF G78=1: G83] -1. RF [G80; IF G78=1: G83] G80. How much did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) receive last month from a foreign government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G80A] -2. DK [G80C] -1. RF [G80C] G80A. CURRENCY: ___________ {Pick list, US$ first} [G80F; IF G80A="OTHER": G80B] G80B. OTHER SPECIFY: ___________ {30 characters} [G80F] G80C. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G80E] 2. ABOUT $1,000 [G80F] 3. MORE THAN $1,000 [G80D] -2. DK [G80F] -1. RF [G80F] G80D. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G80F] 2. ABOUT $1,500 [G80F] 3. MORE THAN $1,500 [G80F] -2. DK [G80F] -1. RF [G80F] G80E. (Did it amount to) less than $500, more than $500, or what?

NIS-2003-1 36 November 10, 2005

1. LESS THAN $500 [G80F]


2. ABOUT $500 [G80F] 3. MORE THAN $500 [G80F] -2. DK [G80F] -1. RF [G80F] G80F. In what year did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) start to receive these benefits? _____________________ YEAR [G83; IF G80F=2002 OR 2003: G80G] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF A7 AND A147} -2. DK [G83] -1. RF [G83] G80G. What month was that? 1. JAN [G83] 2. FEB [G83] 3. MAR [G83] 4. APR [G83] 5. MAY [G83] 6. JUN [G83] 7. JUL [G83] 8. AUG [G83] 9. SEP [G83] 10. OCT [G83] 11. NOV [G83] 12. DEC [G83] -2. DK [G83] -1. RF [G83] G80H. How much did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) receive in the last twelve months from a foreign government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G80I] -2. DK [G80K] -1. RF [G80K] G80I. CURRENCY: ___________ {Pick list, US$ first} [G83; IF ‘OTHER’: G80J] G80J. OTHER SPECIFY: ___________ {30 characters} [G83] G80K. Did it amount to less than $10,000, more than $10,000, or what? 1. LESS THAN $10,000 [G80M] 2. ABOUT $10,000 [G83] 3. MORE THAN $10,000 [G80L] -2. DK [G83] -1. RF [G83] G80L. (Did it amount to) less than $15,000, more than $15,000, or what? 1. LESS THAN $15,000 [G83] 2. ABOUT $15,000 [G83]

NIS-2003-1 37 November 10, 2005

3. MORE THAN $15,000 [G83]


-2. DK [G83] -1. RF [G83] G80M. (Did it amount to) less than $5,000, more than $5,000, or what? 1. LESS THAN $5,000 [G83] 2. ABOUT $5,000 [G83] 3. MORE THAN $5,000 [G83] -2. DK [G83] -1. RF [G83] G83. Are you (Text fill – IF A52=1 OR 2: or your husband/wife/partner/spouse or partner) currently receiving any income from veteran benefits or a military pension? 1. YES [G84] 2. NO [CP,IM,SP:H1; OS:H166] -2. DK [CP,IM,SP:H1; OS:H166] -1. RF [CP,IM,SP:H1; OS:H166] G84. {IF A52 IS NOT 1 OR 2, PROGRAM SHOULD AUTOMATICALLY ASSIGN 1 FOR G84 AND CONTINUE WITH G85} Who receives that? 1. RESPONDENT ONLY [G85] 2. SPOUSE/PARTNER ONLY [G88] 3. BOTH [G85] -2. DK [G85] -1. RF [G85] G85. Is the income you (Text fill - IF G84 = 3, -2, -1: yourself) receive from the United States government, a foreign government, or both? 1. US GOVERNMENT ONLY [G86] 2. FOREIGN GOVERNMENT ONLY [G87] 3. BOTH [G86] -2. DK [G86] -1. RF [G86] G86. How much did you (Text fill - IF G84 = 3, -2, -1: yourself) receive last month from the United States government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$3,000} [G86D] -2. DK [G86A] -1. RF [G86A] G86A. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G86C] 2. ABOUT $1,000 [G86D] 3. MORE THAN $1,000 [G86B] -2. DK [G86D] -1. RF [G86D] G86B. (Did it amount to) less than $1,500, more than $1,500, or what?

NIS-2003-1 38 November 10, 2005

1. LESS THAN $1,500 [G86D]


2. ABOUT $1,500 [G86D] 3. MORE THAN $1,500 [G86D] -2. DK [G86D] -1. RF [G86D] G86C. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G86D] 2. ABOUT $500 [G86D] 3. MORE THAN $500 [G86D] -2. DK [G86D] -1. RF [G86D] G86D. In what year did you start to receive these benefits? _____________________ YEAR [G87; IF G86D=2002 OR 2003: G86E; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166]] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF IM,CP:A7 AND SP:A147} -2. DK [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166]] -1. RF [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166]] G86E. What month was that? 1. JAN [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166]] 2. FEB [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166]] 3. MAR [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166]] 4. APR [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166]] 5. MAY [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166]] 6. JUN [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166] ] 7. JUL [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166] ] 8. AUG [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166] ] 9. SEP [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166] ] 10. OCT [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166] ] 11. NOV [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166] ] 12. DEC [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166] ] -2. DK [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166] ] -1. RF [G87; IF G85=1 AND G84=3, -2, -1: G88; IF G85=1 AND G84=1: [CP,IM,SP:H1; OS:H166] ] G87. How much did you {Text fill - IF G84 = 3, -2, -1: yourself} receive last month from a foreign government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G87A] -2. DK [G87C] -1. RF [G87C] G87A. CURRENCY: ___________ {Pick list, US$ first} [G87F; IF G87A="OTHER": G87B] G87B. OTHER SPECIFY: ___________ {30 characters} [G87F] G87C. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G87E] 2. ABOUT $1,000 [G87F]

NIS-2003-1 39 November 10, 2005

3. MORE THAN $1,000 [G87D]


-2. DK [G87F] -1. RF [G87F] G87D. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G87F] 4. ABOUT $1,500 [G87F] 5. MORE THAN $1,500 [G87F] -2. DK [G87F] -1. RF [G87F] G87E. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G87F] 2. ABOUT $500 [G87F] 3. MORE THAN $500 [G87F] -2. DK [G87F] -1. RF [G87F] G87F In what year did you start to receive these benefits? _____________________ YEAR [G88; IF G87F=2002 OR 2003: G87G; IF G87F DOES NOT =2002 OR 2003 AND G84=1: [CP,IM,SP:H1; OS:H166] ] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF IM,CP:A7 AND SP:A147} -2. DK [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] -1. RF [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] G87G What month was that? 1. JAN [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] 2. FEB [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] 3. MAR [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] 4. APR [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] 5. MAY [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] 6. JUN [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] 7. JUL [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] 8. AUG [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] 9. SEP [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] 10. OCT [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] 11. NOV [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] 12. DEC [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] -2. DK [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] -1. RF [G88; IF G84=1: [CP,IM,SP:H1; OS:H166] ] G88. Is the income your (Text fill IF A52=1 OR 2: husband/wife/partner/spouse or partner) receives from the United States government, a foreign government, or both? 1. US GOVERNMENT ONLY [G89] 2. FOREIGN GOVERNMENT ONLY [G90] 3. BOTH [G89] -2. DK [G89] -1. RF [G89] G89. How much did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) receive last month from the United States government?

NIS-2003-1 40 November 10, 2005


[IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {5 digits: SOFT CHECK >=$3,000} [G89D] -2. DK [G89A] -1. RF [G89A] G89A. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G89C] 2. ABOUT $1,000 [G89D] 3. MORE THAN $1,000 [G89B] -2. DK [G89D] -1. RF [G89D] G89B. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G89D] 2. ABOUT $1,500 [G89D] 3. MORE THAN $1,500 [G89D] -2. DK [G89D] -1. RF [G89D] G89C. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G89D] 2. ABOUT $500 [G89D] 3. MORE THAN $500 [G89D] -2. DK [G89D] -1. RF [G89D] G89D. In what year did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) start to receive these benefits? _____________________ YEAR [G90; IF G89D=2002 OR 2003: G89E; IF G89D DOES NOT=2002 OR 2003 AND G88=1: [CP,IM,SP:H1; OS:H166] ] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF A7 AND A147} -2. DK [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] -1. RF [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] G89E. What month was that? 1. JAN [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] 2. FEB [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] 3. MAR [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] 4. APR [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] 5. MAY [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] 6. JUN [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] 7. JUL [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] 8. AUG [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] 9. SEP [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] 10. OCT [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] 11. NOV [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] 12. DEC [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] -2. DK [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ] -1. RF [G90; IF G88=1: [CP,IM,SP:H1; OS:H166] ]

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G90. How much did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) receive last month from a foreign government? [IWER: WE WANT THE AMOUNT BEFORE ANY DEDUCTIONS, DO NOT PROBE DK] ENTER AMOUNT: $______________ {15 digits} [G90A] -2. DK [G90C] -1. RF [G90C] G90A. CURRENCY: ___________ {Pick list, US$ first} [G90F; IF G90A="OTHER": G90B] G90B. OTHER SPECIFY: ___________ {30 characters} [G90F] G90C. Did it amount to less than $1,000, more than $1,000, or what? 1. LESS THAN $1,000 [G90E] 2. ABOUT $1,000 [G90F] 3. MORE THAN $1,000 [G90D] -2. DK [G90F] -1. RF [G90F] G90D. (Did it amount to) less than $1,500, more than $1,500, or what? 1. LESS THAN $1,500 [G90F] 6. ABOUT $1,500 [G90F] 7. MORE THAN $1,500 [G90F] -2. DK [G90F] -1. RF [G90F] G90E. (Did it amount to) less than $500, more than $500, or what? 1. LESS THAN $500 [G90F] 2. ABOUT $500 [G90F] 3. MORE THAN $500 [G90F] -2. DK [G90F] -1. RF [G90F] G90F. In what year did your (Text fill IF A52=1 OR 2 – husband/wife/partner/spouse or partner) start to receive these benefits? _____________________ YEAR [[CP,IM,SP:H1; OS:H166] ; IF G90F=2002 OR 2003: G90G] {4-digits, SOFT CHECK: DOB-PRESENT, EARLIER YEAR OF A7 AND A147} -2. DK [[CP,IM,SP:H1; OS:H166] ] -1. RF [[CP,IM,SP:H1; OS:H166] ] G90G. What month was that? 1. JAN [[CP,IM,SP:H1; OS:H166] ] 2. FEB [[CP,IM,SP:H1; OS:H166] ] 3. MAR [[CP,IM,SP:H1; OS:H166] ] 4. APR [[CP,IM,SP:H1; OS:H166] ] 5. MAY [[CP,IM,SP:H1; OS:H166] ] 6. JUN [[CP,IM,SP:H1; OS:H166] ] 7. JUL [[CP,IM,SP:H1; OS:H166] ] 8. AUG [[CP,IM,SP:H1; OS:H166] ]

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9. SEP [[CP,IM,SP:H1; OS:H166] ]


10. OCT [[CP,IM,SP:H1; OS:H166] ] 11. NOV [[CP,IM,SP:H1; OS:H166] ] 12. DEC [[CP,IM,SP:H1; OS:H166] ] -2. DK [[CP,IM,SP:H1; OS:H166] ] -1. RF [[CP,IM,SP:H1; OS:H166] ]

NIS-2003-1 43 November 10, 2005

new immigrant survey section g - income part 1 - nis · 2006. 11. 14. · new immigrant survey...

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