SIPP WAVE 6 1990 TOPICAL MODULE DATA DICTIONARY D SUSEQNUM 5 1 Sequence number of sample unit Primary sort key U All persons D ID 9 6 Sample unit identifier This identifier is created by scrambling together the PSU, segment and serial of the original sample address. It may be used in matching sample units from different waves. Range = (000000000:999999999) U All persons D ROTATION 1 15 Rotation Range = (1:4) U All persons D STATE 2 16 FIPS state code from the MST/GRIN file U All persons 01 .Alabama 04 .Arizona 05 .Arkansas 06 .California 08 .Colorado 09 .Connecticut 10 .Delaware 11 .District Of Columbia 12 .Florida 13 .Georgia 15 .Hawaii 17 .Illinois 18 .Indiana 20 .Kansas 21 .Kentucky 22 .Louisiana 24 .Maryland 25 .Massachusetts 26 .Michigan 27 .Minnesota 28 .Mississippi 29 .Missouri 31 .Nebraska 32 .Nevada 33 .New Hampshire 34 .New Jersey 35 .New Mexico 36 .New York 37 .North Carolina 39 .Ohio 40 .Oklahoma 41 .Oregon 42 .Pennsylvania 44 .Rhode Island 45 .South Carolina 47 .Tennessee 48 .Texas 49 .Utah 51 .Virginia 53 .Washington 54 .West Virginia 55 .Wisconsin 61 .Maine, Vermont 62 .Iowa, North Dakota, South Dakota 63 .Alaska, Idaho, Montana, Wyoming D PINX 2 18 Person index from core D ADDID 2 20 Address ID - This field differentiates households within the same PSU, segment and serial, that is, households which originate out of an original sample household U All households D ITEM36B 2 22 Control card item 36B - interview status code U All households V 01 .Interviewed V .Type A noninterview V 02 .No one home V 03 .Temporarily absent V 04 .Refused V 05 .Unable to locate V 06 .Other Type A V .Type B noninterview (Wave 1) V 09 .Vacant V 10 .Occupied by persons with URE V 11 .Unfit or to be demolished V 12 .Under construction, not ready V 13 .Converted to temporary business V .or storage V 14 .Unoccupied site for mobile home, V .trailer, or tent V 15 .Permit granted, construction not V .started V 16 .Other Type B V .Type B noninterview (Wave 2+) V 16 .Entire hh institutionalized V .or temporarily ineligible V .Type C noninterview (Wave 1) V 17 .Demolished V 18 .House or trailer moved V 19 .Converted to permanent business V .or storage V 20 .Merged V 21 .Condemned V 22 .Other Type C V .Type C noninterview (Wave 2+) V 22 .Deleted (sample adjustment, V .error) V 23 .Entire household deceased, V .moved out of country, or V .living in armed forces barracks V .Type D noninterview (Wave 2+) V 24 .Moved, address unknown V 25 .Moved within country beyond V .limit V 26 .All sample persons relisted on V .new control card(s) D INTVW 1 24 Person's interview status U All persons, including children V 0 .Not applicable (children V .under 15) V 1 .Interview (self) V 2 .Interview (proxy) V 3 .Noninterview - Type Z refusal V 4 .Noninterview - Type Z other D ENTRY 2 25 Edited entry address ID Address of the household that this person belonged to at the time this person first became part of the sample U All persons, including children D PNUM 3 27 Edited person number U All persons, including children D FINALWGT 12 30 'STAGE1WT' * second stage factor. U All persons, including children D RRP 1 42 Edited relationship to reference person U All persons, including children V 0 .Not a sample person in this V .month V 1 .Household reference person, V .living with relatives V 2 .Household reference person V .living alone or with only V .non-relatives (primary V .individual) V 3 .Spouse of household reference V .person V 4 .Child of household reference V .person V 5 .Other relative of household V .reference person V 6 .Non-relative of household V .reference person but related V .to others in the household - V .member of an unrelated V .sub(secondary) family V 7 .Non-relative of household V .reference person and not V .related to anyone else V .in the household(secondary V .individual) D AGE 3 43 Edited and imputed age as of last birthday. U All persons, including children V 000 .Less than 1 full year V 001 .1 year V .etc. D SEX 1 46 Sex of this person Edited and imputed U All persons, including children V 1 .Male V 2 .Female D Race 1 47 Race of this person Edited and imputed U All persons, including children V 1 .White V 2 .Black V 3 .American Indian, Eskimo or Aleut V 4 .Asian or Pacific Islander D MS 1 48 Marital status If marital status changed during any month, the marital status shown is the status maintained for the greatest part of the month - edited and imputed U Persons 15 years old or older V 0 .Not a sample person in this .month V 1 .Married, spouse present V 2 .Married, spouse absent V 3 .Widowed V 4 .Divorced V 5 .Separated V 6 .Never married D PNSP 3 49 Person number of spouse U Persons 15 years old or older V 000 .Not a sample person in this V .month V 999 .Not applicable D PNPT 3 52 Person number of parent U Persons 15 years old or older V 000 .Not a sample person in this V .month V 999 .Not applicable D HIGRADE 2 55 What is the highest grade or year of regular school this person attended? U Persons 15 years old or older V 00 .Not applicable if under 15, V .did not attend or attended only V .kindergarten V 01 - 08 .Elementary V 09 - 12 .High school V 21 - 26 .College D GRD-CMPL 1 57 Did he/she complete that grade U Persons 15 years old or older V 0 .Not applicable V 1 .Yes V 2 .No D ETHNICTY 2 58 Ethnic origin U All persons, including children V 01 .German V 02 .English V 03 .Irish V 04 .French V 05 .Italian V 06 .Scottish V 07 .Polish V 08 .Dutch V 09 .Swedish V 10 .Norwegian V 11 .Russian V 12 .Ukrainian V 13 .Welsh V 14 .Mexican-American V 15 .Chicano V 16 .Mexican V 17 .Puerto Rican V 18 .Cuban V 19 .Central or South American V .(Spanish speaking) V 20 .Other Spanish V 21 .Afro-American (Black or Negro) V 30 .Another group not listed V 39 .Don't know D WAVE 1 60 Wave number within Panel D TM8000 1 61 Is ... 21 years of age or over? U All persons V 0 .Not applicable V 1 .Yes V 2 .No - skip to Check Item T2 .(TM8400) D TM8002 4 62 In what year did ... first work six straight months or longer at a paid job or business? (Consider either full or part-time jobs.) U Persons 21 years of age or over V 0000 .Not applicable V -003 .Never worked 6 straight V .months at a job or V .business V 1901-1992 .Year worked - skip to V .TM8006 D TM8004 2 66 What is the main reason ... never worked six straight months or longer at a paid job or business? U Persons 21 years of age or over who never worked 6 straight months or don't know if they worked 6 straight months V 00 .Not applicable V 01 .Taking care of home or family V 02 .Ill or disabled V 03 .Going to school V 04 .Couldn't find work V 05 .Didn't want to work V 06 .Other V .Skip to Check Item T2 (TM8400) D TM8006 2 68 Since (year entered in TM8002) how many years have there been when ... worked at least 6 straight months during the year? U Persons 21 years of age or over who worked 6 straight months at a job or business V -5 .All years V 00 .Not applicable V 01-99 .Number of years worked D TM8008 1 70 During the time that ... has generally worked full time or part time? U Persons 21 years of age or over who worked 6 straight months at a job or business V 0 .Not applicable V 1 .Full time V 2 .Part time D TM8010 1 71 People spend time not working at a paid job or business for various reasons, such as taking care of a home or family, illness, going to school, or other reasons. Since ... was 21 years of age, have there been any periods lasting 6 months or longer when ... did not work at a paid job or business? U Persons 21 years of age or over who worked 6 straight months at a job or business V 0 .Not applicable V 1 .Yes V 2 .No - skip to Check Item T2 V .(TM8400) D TM8012 4 72 From the time ... was 21 years old, when was the first time that ... went 6 months or longer without working at a paid job or business? From U Persons 21 years of age or over who have had periods of 6 months or longer when they did not work at a paid job or business V 0000 .Not applicable V 1901-1992 .Went 6 months or longer V .without working at a V .paid job or business D TM8014 4 76 From the time ... was 21 years old, when was the first time that ... went 6 months or longer without working at a paid job or business? U Persons 21 years of age or over who have had periods of 6 months or longer when they did not work at a paid job or business V 0000 .Not applicable V 1901-1992 .Went 6 months or longer V .without working at a V .paid job or business D TM8016 2 80 From the time ... was 21 years old, when was the first time that ... went 6 months or longer without working at a paid job or business? From U Persons 21 years of age or over who have had periods of 6 months or longer when they did not work at a paid job or business V -1 .Don't know (DK) V 00 .Not applicable D TM8017 2 82 From the time ... was 21 years old, when was the first time that ... went 6 months or longer without working at a paid job or business? To U Persons 21 years of age or over who have had periods of 6 months or longer when they did not work at a paid job or business V -1 .Don't know (DK) V 00 .Not applicable D TM8018 2 84 What was the main reason ... did not work at a paid job or business during that time? U Persons 21 years of age or over who have had periods of 6 months or longer when they did not work at a paid job or business V 00 .Not applicable V 01 .Taking care of a minor child V 02 .Taking care of an elderly V .family member V 03 .Taking care of a disabled but V .non-elderly family member V 04 .Other family or home responsi- V .bilities V 05 .Own illness or disability V 06 .Retirement or old age V 07 .Could not find work V 08 .Did not want to work V 09 .Going to school V 10 .Other D TM8020 1 86 After this first time were there any other periods of 6 months or longer when ... did not work at a paid job or business? U Persons 21 years of age or over who have had periods of 6 months or longer when they did not work at a paid job or business V 0 .Not applicable V 1 .Yes V 2 .No - skip to Check Item T2 V .(TM8400) D TM8022 1 87 How many other times did this happen? U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V 0 .Not applicable V 1 .One time V 2 .Two times V 3 .Three times ********************************************* * Ask for each "other" time indicated above* * - maximum of three. Proceed from the * * earliest "other" occurrence to the most * * recent. * ********************************************* D TM8024 4 88 When was the second time that ... went 6 months or longer without working at a paid job or business? (Consider either full- or part-time jobs.) From U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V 0000 .Not applicable V 1901-1992 .Second time D TM8026 2 92 What was the main reason ... did not work at a paid job or business during that time? U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V 00 .Not applicable V 01 .Taking care of a minor child V 02 .Taking care of an elderly family V .member V 03 .Taking care of a disabled but V .non-elderly family member V 04 .Other family or home responsi- V .bilities V 05 .Own illness or disability V 06 .Retirement or old age V 07 .Could not find work V 08 .Did not want to work V 09 .Going to school V 10 .Other D TM8027 2 94 When was the second time that ... went 6 months or longer without working at a paid job or business? (Consider either full- or part-time jobs.) From U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V -1 .Don't know (DK) V 00 .Not applicable D TM8028 4 96 When was the second time that ... went 6 months or longer without working at a paid job or business? (Consider either full- or part-time jobs.) To U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V 0000 .Not applicable V 1901-1992 .Second time D TM8030 2 100 When was the second time that ... went 6 months or longer without working at a paid job or business? (Consider either full- or part-time jobs.) To U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V -1 .Don't know (DK) V 00 .Not applicable D TM8032 4 102 When was the third time that ... went 6 months or longer without working at a paid job or business? (Consider either full- or part-time jobs.) From U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V 0000 .Not applicable V 1901-1992 .Third time D TM8034 2 106 What was the main reason ... did not work at a paid job or business during that time? U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V 00 .Not applicable V 01 .Taking care of a minor V 02 .Taking care of an elderly family V .member V 03 .Taking care of a disabled but V .non-elderly family member V 04 .Other family or home responsi- V .bilities V 05 .Own illness or disability V 06 .Retirement or old age V 07 .Could not find work V 08 .Did not want to work V 09 .Going to school V 10 .Other D TM8035 2 108 When was the third time that ... went 6 months or longer without working at a paid job or business? (Consider either full- or part-time jobs.) From U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V -1 .Don't know (DK) V 00 .Not applicable D TM8036 4 110 When was the third time that ... went 6 months or longer without working at a paid job or business? (Consider either full- or part-time jobs.) To U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V 0000 .Not applicable V 1901-1992 .Third time D TM8038 2 114 When was the third time that ... went 6 months or longer without working at a paid job or business? (Consider either full- or part-time jobs.) To U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V -1 .Don't know (DK) V 00 .Not applicable D TM8040 4 116 When was the fourth time that ... went 6 months or longer without working at a paid job or business? (Consider either full- or part-time jobs.) From U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V 0000 .Not applicable V 1901-1992 .Fourth time c: D TM8042 2 120 What was the main reason ... did not work at a paid job or business during that time? U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V 00 .Not applicable V 01 .Taking care of a minor V 02 .Taking care of an elderly family V .member V 03 .Taking care of a disabled but V .non-elderly family member V 04 .Other family or home responsi- V .bilities V 05 .Own illness or disability V 06 .Retirement or old age V 07 .Could not find work V 08 .Did not want to work V 09 .Going to school V 10 .Other D TM8043 2 122 When was the fourth time that ... went 6 months or longer without working at a paid job or business? (Consider either full- or part-time jobs.) From U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V -1 .Don't know (DK) V 00 .Not applicable D TM8044 4 124 When was the fourth time that ... went 6 months or longer without working at a paid job or business? (Consider either full- or part-time jobs.) To U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V 0000 .Not applicable V 1901-1992 .Fourth time D TM8046 2 128 When was the fourth time that ... went 6 months or longer without working at a paid job or business? (Consider either full- or part-time jobs.) To U Persons 21 years of age or over who have had more than one period of not working at a job or business for 6 months or more V 00 .Not applicable V -1 .Don't know (DK) ********************************************* * Part A - Time spent outside the work force* * imputation flags (1-20) * ********************************************* ********************************************* * The following 20 fields are flags of the * * form TM-IFAXX, where XX is the number of * * the flag. * * * * In imputation cases the range of values * * is (0:1). This represents: * * V 0 .Not imputed * * V 1 .Imputed * * * * In computation cases the range of values * * is (0:3). This represents: * * V 0 .No, the date was not changed * * V 1 .Yes, both the date and the * * .don't know entries were blank * * V 2 .Yes, date was inconsistent * * .with the birth year or the * * .interview year * * V 3 .Yes, date was inconsistent * * .with the previous date * ********************************************** D IM8000 1 130 Imputation of 'TM8000' D IM8002 1 131 Imputation of 'TM8002' D IM8004 1 132 Imputation of 'TM8004' D IM8006 1 133 Imputation of 'TM8006' D IM8008 1 134 Imputation of 'TM8008' D IM8010 1 135 Imputation of 'TM8010' D IM8012 1 136 Imputation of 'TM8012' D IM8014 1 137 Imputation of 'TM8014' D IM8018 1 138 Imputation of 'TM8018' D IM8020 1 139 Imputation of 'TM8020' D IM8022 1 140 Imputation of 'TM8022' D IM8024 1 141 Computation of 'TM8024' D IM8026 1 142 Imputation of 'TM8026' D IM8028 1 143 Computation of 'TM8028' D IM8032 1 144 Computation of 'TM8032' D IM8034 1 145 Imputation of 'TM8034' D IM8036 1 146 Computation of 'TM8036' D IM8040 1 147 Computation of 'TM8040' D IM8042 1 148 Imputation of 'TM8042' D IM8044 1 149 Computation of 'TM8044' D FILLER 3 150 ******************************************* * Part B - Child Support Agreements * ******************************************* D TM8400 1 153 Check Item T2 Is ... the parent of children under 21 years of age who live in this household U Designated parent or guardian of children who live in this household V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8700 D TM8402 1 154 Does ... have any children in this household under 21 years of age who have a parent living elsewhere? (Do not include stepparents or parents who would be living at home except for military or other related absences.) U Designated parent or guardian of children under 21 years of age who live in this household V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8700 ********************************************* * These next few questions concern child * * support * ********************************************* D TM8404 1 155 Have child support payments ever been agreed to or awarded for (any of) ...'s children living here U Designated parent or guardian of children under 21 years of age who live in this household V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8520 D TM8406 2 156 For how many children? U Persons with child support agreement V 00 .Not applicable V 01-99 .Children ******************************************** * In some cases, child support agree- * * ments are made and then later modified * * or revised. The following questions * * relate to the most recent initial * * agreement and any subsequent modifi- * * cation of that agreement. * ******************************************** D TM8408 1 158 Was this agreement a voluntary written agreement ratified by the court, a court-ordered agreement, or some other type of written agreement or a non- written (verbal) agreement? U Persons with child support agreement V 0 .Not applicable V 1 .Voluntary written agreement V .ratified by the court V 2 .Court-ordered agreement V 3 .Other type of written agreement V 4 .Non-written agreement - skip V .to TM8492 D TM8410 2 159 Which children living here are covered by that agreement? U Persons with written child support agreement V 00 .Not applicable V -5 .All D TM8411 2 161 Which children living here are covered by that agreement? U Persons with written child support agreement? V 00 .Not applicable V -3 .None D TM8412 3 163 Which children living here are covered by that agreement? U Persons with written child support agreement V 000 .Not applicable V 101 - 399 .Person number V 999 .Person number unknown D TM8414 3 166 Which children living here are covered by that agreement? U Persons with written child support agreement V 000 .Not applicable V 101 - 399 .Person number V 999 .Person number unknown D TM8416 3 169 Which children living here are covered by that agreement? U Persons with written child support agreement V 000 .Not applicable V 101 - 399 .Person number V 999 .Person number unknown D TM8418 4 172 In what year was this agreement first reached U Persons with written child support agreement V 0000 .Not applicable V -001 .Don't know V 1901-1992 .Year D TM8420 6 176 What was the dollar amount of that agreement? U Persons with written child support agreement V 000000 .Not applicable V 1-999999 .Dollars per week D TM8422 6 182 What was the dollar amount of that agreement? U Persons with written child support agreement V 000000 .Not applicable V 1-999999 .Dollars biweekly D TM8424 6 188 What was the dollar amount of that agreement? U Persons with written child support agreement V 000000 .Not applicable V 1-999999 .Dollars per month D TM8426 6 194 What was the dollar amount of that agreement? U Persons with written child support agreement V 000000 .Not applicable V 1-999999 .Dollars per year D TM8428 2 200 What was the dollar amount of that agreement? U Persons with written child support agreement V 00 .Not applicable V -1 .Don't know D TM8430 1 202 Has the dollar amount ever been changed U Persons with written child support agreement V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8444 D TM8432 4 203 In what year was the amount last changed U Persons with written child support agreement V 0000 .Not applicable V -001 .Don't know V 1901-1992 .Year D TM8434 6 207 What was the dollar amount for the agreement after the last change? U Persons with written child support agreement V 000000 .Not applicable V 1-999999 .Dollars per week D TM8436 6 213 What was the dollar amount for the agreement after the last change? U Persons with written child support agreement V 000000 .Not applicable V 1-999999 .Dollars biweekly D TM8438 6 219 What was the dollar amount for the agreement after the last change? U Persons with written child support agreement V 000000 .Not applicable V 1-999999 .Dollars per month D TM8440 6 225 What was the dollar amount for the agreement after the last change? U Persons with written child support agreement V 000000 .Not applicable V 1-999999 dollars per year D TM8442 2 231 What was the dollar amount for the agreement after the last change? U Persons with written child support agreement V 00 .Not applicable -1 .Don't know D TM8444 1 233 Were any payments due in the last 12 months? U Persons with written child support agreement V 0 .Not applicable V 1 .Yes - skip to TM8448 V 2 .No D TM8446 1 234 Why not? U Persons with written child support agreement V 0 .Not applicable V 1 .Child(ren) over the age limit - V .skip to TM8458 V 2 .Other parent not working - V .skip to TM8458 V 3 .Other parent deceased - skip V .to TM8458 V 4 .Other - skip to TM8458 D TM8448 6 235 What is the total amount that ... was supposed to have received in child support payments during the past 12 months (from the most recent agreement) U Persons with written child support agreement V 000000 .Not applicable V 1-999999 .Amount supposed to have V .received V -00001 .Don't know D TM8450 6 241 What is the total amount that ... actually received in child support payments under that agreement, during the past 12 month U Persons with written child support agreement V -00001 .Don't know V -00003 .None V 000000 .Not applicable V 1-999999 .Amount actually received D TM8452 2 247 How are the payments now received? Are they received-- U Persons with written child support agreement V 00 .Not applicable V -1 .Dont know V 01 .Directly from the other parent V 02 .Through a court V 03 .Through the welfare or child V .support agency V 04 .Some other method D TM8454 1 249 How regularly are child support payments received U Persons with written child support agreement V 0 .Not applicable V 1 .All of the time V 2 .Most of the time V 3 .Some of the time V 4 .None of the time D TM8456 1 250 During the past 12 months, how many child support payments were paid within 30 days of when they were due U Persons with written child support agreement V 0 .Not applicable V 1 .All V 2 .Most V 3 .Some V 4 .None D TM8458 1 251 What kinds of provisions for health care costs are included in the child support agreement U Persons with written child support agreement V 0 .Not applicable V 1 .Non-custodial parent to provide V .health insurance D TM8460 1 252 What kinds of provisions for health care costs are included in the child support agreement U Persons with written child support agreement V 0 .Not applicable V 1 .Custodial parent to provide V .health insurance D TM8462 1 253 What kinds of provisions for health care costs are included in the child support agreement U Persons with written child support agreement V 0 .Not applicable V 1 .Non-custodial parent to pay V .medical costs directly D TM8464 1 254 What kinds of provisions for health care costs are included in the child support agreement U Persons with written child support agreement V 0 .Not applicable V 1 .Child support payments to V .include cash medical support D TM8466 1 255 What kinds of provisions for health care costs are included in the child support agreement U Persons with written child support agreement V 0 .Not applicable V 1 .None D TM8468 1 256 What kinds of provisions for health care costs are included in the child support agreement U Persons with written child support agreement V 0 .Not applicable V 1 .Other D TM8470 1 257 What child custody arrangements does the most recent agreement specify U Persons with written child support agreement V 0 .Not applicable V 1 .Joint legal and physical V .custody V 2 .Joint legal with mother V .physical custody V 3 .Joint legal with father V .physical custody V 4 .Mother legal and physical V .custody V 5 .Father legal and physical V .custody V 6 .Split custody V 7 .Other D TM8472 1 258 Does the child support agreement specify the visitation arrangement between the child(ren) and the other parent U Persons with written child support agreement V 0 .Not applicable V 1 .Yes V 2 .No D TM8474 1 259 Check Item T3 Is more than one child covered by the most recent agreement U Persons with written child support agreement V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8478 D TM8476 1 260 Did all the children visit the other parent about the same number of days in the last 12 months U Persons with written child support agreement V 0 .Not applicable V 1 .Yes V 2 .No D TM8478 3 261 What is the total amount of time (the oldest) (all) child(ren) spent visiting the other parent in the last 12 months U Persons with written child support agreement V 000 .Not applicable V 001 - 365 .Days D TM8480 2 264 What is the total amount of time (the oldest) (all) child(ren) spent visiting the other parent in the last 12 months U Persons with written child support agreement V 00 .Not applicable V 01 - 52 .Weeks D TM8482 2 266 What is the total amount of time (the oldest) (all) child(ren) spent visiting the other parent in the last 12 months U Persons with written child support agreement V 00 .Not applicable V 01 -12 .Months D TM8484 2 268 What is the total amount of time (the oldest) (all) child(ren) spent visiting the other parent in the last 12 months U Persons with written child support agreement V -3 .None V 00 .Not applicable D TM8486 2 270 What is the total amount of time (the oldest) (all) child(ren) spent visiting the other parent in the last 12 months U Persons with written child support agreement V -1 .Don't know V 00 .Not applicable D TM8488 2 272 Where does the other parent (for this agreement now live U Persons with written child support agreement V -1 .Don't know V 00 .Not applicable V 01 .Same county/city V 02 .Same state (different county V ./city) V 03 .Different state V 04 .Other parent now deceased - .skip to TM8492 V 05 .Other D TM8490 1 274 If ... had to contact the other parent, how would ... do so? Would ... contact the other parent-- U Persons with written child support agreement V 0 .Not applicable V 1 .Directly V 2 .Through a friend V 3 .Through a relative V 4 .Other V 5 .No way of contacting the other .parent D TM8492 1 275 Check Item T4 Does ... have any children living in this household not covered by the most recent child support agreement U Persons 15 years of age and over V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8520 D TM8494 1 276 (Other than the support agreement discussed above), are any of ...'s other children in this household covered by another written child support agreement U Parents with children living in household not covered by most recent child support agreement V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8520 D TM8496 1 277 How many other agreements U Parents with children living in household covered by another written child support agreement V 0 .Not applicable V 1 - 9 .Number of agreements ********************************************* * The following questions relate to the * * most recent of these agreements. * ********************************************* D TM8498 1 278 Was this agreement a voluntary written agreement ratified by the court, a court-ordered agreement, or some other type of written agreement U Parents with children living in household covered by another written child support agreement V 0 .Not applicable V 1 .Voluntary written agreement V .ratified by the court V 2 .Court-ordered agreement V 3 .Other type of written agreement D TM8500 3 279 Which children living here are covered by this agreement U Parents with children living in household covered by another written child support agreement V 000 .Not applicable V 101 - 399 .Person number V 999 .Person number unknown D TM8502 3 282 Which children living here are covered by this agreement U Parents with children living in household covered by another written child support agreement V 000 .Not applicable V 101 - 399 .Person number V 999 .Person number unknown D TM8504 3 285 Which children living here are covered by this agreement U Parents with children living in household covered by another written child support agreement V 000 .Not applicable V 101 - 399 .Person number V 999 .Person number unknown D TM8506 6 288 What is the total amount that ... was supposed to have received in child support payments under this agreement, during the last 12 months U Parents with children living in household covered by another written child support agreement V 000000 .Not applicable V 1-999999 .Amount per week D TM8508 6 294 What is the total amount that .... was supposed to have received in child support payments under this agreement, during the last 12 months U Parents with children living in household covered by another written child support agreement V 000000 .Not applicable V 1-999999 .Amount weekly D TM8510 6 300 What is the total amount that ... was supposed to have received in child support payments under this agreement, during the last 12 months U Parents with children living in household covered by another written child support agreement V 000000 .Not applicable V 1-999999 .Amount per month D TM8512 6 306 What is the total amount that ... was supposed to have received in child support payments under this agreement, during the last 12 months U Parents with children living in household covered by another written child support agreement V 000000 .Not applicable V 1-999999 .Amount per year D TM8513 2 312 What is the total amount that ... was supposed to have received in child support payments under this agreement, during the last 12 months U Parents with children living in household covered by another written child support agreement V -1 .Don't know V -3 .None V 00 .Not applicable D TM8516 6 314 What is the total amount that ... actually received in child support payments under this agreement, during the last 12 months U Parents with children living in household covered by another written child support agreement V -00001 .Don't know V -00003 .None V 000000 .Not applicable V 1-999999 .Amount actually received D TM8518 2 320 Where does the other parent (for this agreement) now live U Parents with children living in household covered by another written child support agreement V -1 .Don't know V 00 .Not applicable V 01 .Same county/city V 02 .Same state (different county/ V .city) V 03 .Different state V 04 .Other parent now deceased V 05 .Other D TM8520 1 322 For any of ...'s children, has ... ever asked a public agency (such as the child support enforcement office or welfare agency) for help in obtaining child support U Parents with children living in household covered by another written child support agreement V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8554 D TM8522 4 323 In what year did ... last ask for help U Parents asking for help in obtaining child support from a public agency V -001 .Don't know V 0000 .Not applicable V 1900-1992 .Year last asked for help D TM8524 1 327 What type of help did ... ask for U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Locate the other parent D TM8526 1 328 What type of help did ... ask for U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Establish paternity/maternity D TM8528 1 329 What type of help did ... ask for U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Establish support obligation D TM8530 1 330 What type of help did ... ask for U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Establish medical support D TM8532 1 331 What type of help did ... ask for U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Enforce support order D TM8534 1 332 What type of help did ... ask for U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Modify an order D TM8536 1 333 What type of help did ... ask for U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Other D TM8538 1 334 Did ... receive any help from the agency U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8554 D TM8540 1 335 What kind of help did ... receive (last contact) U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Locate the other parent D TM8542 1 336 What kind of help did ... receive (last contact) U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Establish paternity/maternity D TM8544 1 337 What kind of help did ... receive (last contact) U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Establish support obligation D TM8546 1 338 What kind of help did ... receive (last contact) U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Establish medical support D TM8548 1 339 What kind of help did ... receive (last contact) U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Enforce support order D TM8550 1 340 What kind of help did ... receive (last contact) U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Modify an order D TM8552 1 341 What kind of help did ... receive (last contact) U Parents asking for help in obtaining child support from a public agency V 0 .Not applicable V 1 .Other D TM8554 1 342 Check Item T5 Are all children in household covered by the most recent agreement U Parents with children living in household covered by most recent child support agreement V 0 .Not applicable V 1 .Yes - skip to TM8620 V 2 .No D TM8556 2 343 How many children living in ...'s household do not have a child support award from an absent parent U Persons without written child support agreement for children under 21 V 00 .Not applicable V 01 - 99 .Number of children V -3 .None - skip to TM8620 D TM8558 1 345 Do all of ...'s children without a child support award have the same absent parent U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Yes V 2 .No D TM8560 3 346 Youngest child Why were child support payments not agreed to or awarded for ...'s youngest child without an award U Persons without written child support agreement for children under 21 V 000 .Not applicable V 101 - 399 .Person number V 999 .Person number unknown D TM8562 3 349 Oldest child Why were child support payments not agreed to or awarded for ...'s oldest child without an award U Persons without written child support agreement for children under 21 V 000 .Not applicable V 101 - 399 .Person number V 999 .Person number unknown D TM8564 1 352 Youngest child Why were child support payments not agreed to or awarded for ...'s youngest child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Paternity not established D TM8566 1 353 Oldest child Why were child support payments not agreed to or awarded for ...'s oldest child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Paternity not established D TM8568 1 354 Youngest child Why were child support payments not agreed to or awarded for ...'s youngest child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Unable to locate parent D TM8570 1 355 Oldest child Why were child support payments not agreed to or awarded for ...'s oldest child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Unable to locate parent D TM8572 1 356 Youngest child Why were child support payments not agreed to or awarded for ...'s youngest child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Father unable to pay D TM8574 1 357 Oldest child Why were child support payments not agreed to or awarded for ...'s (oldest) child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Father unable to pay D TM8576 1 358 Youngest child Why were child support payments not agreed to or awarded for ...'s (youngest) child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Final agreement pending D TM8578 1 359 Oldest child Why were child support payments not agreed to or awarded for ...'s (oldest) child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Final agreement pending D TM8580 1 360 Youngest child Why were child support payments not agreed to or awarded for ...'s (youngest) child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Accepted property settlement in V .lieu of child support D TM8582 1 361 Oldest child Why were child support payments not agreed to or awarded for ...'s (youngest) child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Accepted property settlement in V .lieu of child support D TM8584 1 362 Youngest child Why were child support payments not agreed to or awarded for ...'s youngest child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Do not want child support D TM8586 1 363 Oldest child Why were child support payments not agreed to or awarded for ...'s oldest child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Do not want child support D TM8588 1 364 Youngest child Why were child support payments not agreed to or awarded for ...'s youngest child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Did not pursue award D TM8590 1 365 Oldest child Why were child support payments not agreed to or awarded for ...'s oldest child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Did not pursue award D TM8592 1 366 Youngest child Why were child support payments not agreed to or awarded for ...'s youngest child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Other D TM8594 1 367 Oldest child Why were child support payments not agreed to or awarded for ...'s oldest child without an award U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Other ********************************************* * Where does the other parent for this * * (youngest) (oldest) child now live. * ********************************************* D TM8596 1 368 Youngest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Same county/city D TM8598 1 369 Oldest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Same county/city D TM8600 1 370 Youngest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Same state (different V .county/city) D TM8602 1 371 Oldest child U Persons without written child support agreement for children under 21 V 0 .Not applicable v 1 .Same state (different V .county/city) D TM8604 1 372 Youngest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Different state D TM8606 1 373 Oldest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Different state D TM8608 1 374 Youngest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Other parent deceased D TM8610 1 375 Oldest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Other parent deceased D TM8612 2 376 Youngest child U Persons without written child support agreement for children under 21 V -1 .DK V 00 .Not applicable V 01 .Other D TM8614 2 378 Oldest child U Persons without written child support agreement for children under 21 V -1 .DK V 00 .Not applicable V 01 .Other D TM8616 1 380 Youngest child If ... had to contact the other parent for youngest child, (without an award), how would ... do so? Would contact the other parent-- U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Directly V 2 .Through a friend V 3 .Through a relative V 4 .Other V 5 .No way of contacting other V .parent D TM8618 1 381 Oldest child If ... had to contact the other parent for oldest child, (without an award), how would ... do so? Would contact the other parent-- U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Directly V 2 .Through a friend V 3 .Through a relative V 4 .Other V 5 .No way of contacting other V .parent D TM8620 1 382 Were any child support payments received in the last 12 months without a written child support agreement for any of ...'s children under age 21 living here U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8624 D TM8622 6 383 What is the total amount that ... received in child support payments under this arrangement in the past 12 months V 000000 .Not applicable V 1-999999 .Total amount received V -00001 .Don't know D TM8624 1 389 Were any non-cash items or services for child support received for any of ...'s children V 0 .Not applicable V 1 .Yes V 2 .No ********************************************* * Part B - Child support imputation flags * * The following 44 fields are imputation * * flags of the form IMXXXX, where XXXX is * * the source code number. * * * * In all cases the range of values is (0:1)* * 0. Not imputed * * 1. Imputed * ********************************************* D IM8402 1 390 Imputation of 'TM8402 D IM8404 1 391 Imputation of 'TM8404' D IM8406 1 392 Imputation of 'TM8406' D IM8408 1 393 Imputation of 'TM8408' D IM8418 1 394 Imputation of 'TM8418' D IM2026 1 395 Imputation of 'TM8420 thru TM8426 D IM8430 1 396 Imputation of 'TM8430' D IM8432 1 397 Imputation of 'TM8432' D IM3440 1 398 Imputation of 'TM8434 thru TM8440' D IM8444 1 399 Imputation of 'TM8444' D IM8446 1 400 Imputation of 'TM8446' D IM8448 1 401 Imputation of 'TM8448' D IM8450 1 402 Imputation of 'TM8450' D IM8452 1 403 Imputation of 'TM8452' D IM8454 1 404 Imputation of 'TM8454' D IM8456 1 405 Imputation of 'TM8456' D IM5868 1 406 Imputation of 'TM8458 thru TM8468 D IM8470 1 407 Imputation of 'TM8470' D IM8472 1 408 Imputation of 'TM8472' D IM8476 1 409 Imputation of 'TM8476' D IM7884 1 410 Imputation of 'TM8478 thru TM8484' D IM8488 1 411 Imputation of 'TM8488' D IM8490 1 412 Imputation of 'TM8490' D IM8494 1 413 Imputation of 'TM8494' D IM8498 1 414 Imputation of 'TM8498' D IM0613 1 415 Imputation of 'TM8506 thru TM8513 D IM8516 1 416 Imputation of 'TM8516' D IM8518 1 417 Imputation of 'TM8518' D IM8520 1 418 Imputation of 'TM8520' D IM8522 1 419 Imputation of 'TM8522' D IM2436 1 420 Imputation of 'TM8524 thru TM8536' D IM8538 1 421 Imputation of 'TM8538' D IM4052 1 422 Imputation of 'TM8540 thru TM8552' D IM8556 1 423 Imputation of 'TM8556' D IM8558 1 424 Imputation of 'TM8558' D IM6492 1 425 Imputation of 'TM8564-TM8592 by 4' D IM9612 1 426 Imputation of 'TM8596-TM8612 by 4' D IM8616 1 427 Imputation of 'TM8616' D IM6694 1 428 Imputation of 'TM8566-TM8594 by 4' D IM9814 1 429 Imputation of 'TM8598-TM8614 by 4' D IM8618 1 430 Imputation of 'TM8618' D IM8620 1 431 Imputation of 'TM8620' D IM8622 1 432 Imputation of 'TM8622' D IM8624 1 433 Imputation of 'TM8624' D FILLER 3 434 Filler ********************************************* * Part C - Support For Nonhousehold Members * ********************************************* D TM8700 1 437 During the past 12 months did ... make any regular or lump-sum payments for the support of someone who did not live in ...'s household. Exclude payments for a child who is away at school but who is considered part of the household. Do not include payments already reported by another household member U Persons 15 years old or older V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8800 D TM8702 1 438 Did ... make regular payments,lump-sum payments,or both U Persons 15 years old or older making support payments for nonhousehold members V 0 .Not applicable V 1 .Regular V 2 .Lump-sum V 3 .Both D TM8704 2 439 Were any of these payments for the support of ...'s child or children under 21 years of age U Persons 15 years old or older making regular support payments for someone not living in the household V -1 .Don't know - skip to TM8748 V 00 .Not applicable V 01 .Yes V 02 .No - skip to TM8748 D TM8706 2 441 For how many children did ... make support payments U Parents making support payments for children under 21 years of age not living in the household V -1 .Don't know V 00 .Not applicable V 01-04 .The number of children V . ... made support payments V .for D TM8708 1 443 Were any of these payments the result of a court-order or some other kind of written agreement? U Parents making support payments for children under 21 years of age not living in the household V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8744 ********************************************* * COMMENT * * These nest few questions relate to the * * most recent child support agreement * * for ...'s children. * ********************************************* D TM8710 2 444 How many children are covered by that agreement U Persons 15 years old or older making support payments for children under 21 years of age not living in household V -1 .Don't know V 00 .Not applicable V 01 - 99 .Number of children D TM8712 1 446 Was this agreement a voluntary written agreement ratified by the court, a court-ordered agreement, some other type of written agreement, or a non- written (verbal) agreement U Persons older making support payments for nonhousehold member under 21 years of age V 0 .Not applicable V 1 .Voluntary written agreement V .ratified by the court V 2 .Court-ordered agreement V 3 .Other type of written agreement V 4 .Non-written agreement - skip to V .TM8738 D TM8714 4 447 In what year was this agreement first reached? U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V -001 .Don't know V 0000 .Not applicable V 1901-1992 .Year D TM8716 2 451 Has the dollar amount ever been changed? U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V -1 .Don't know - skip to TM8720 V 00 .Not applicable V 01 .Yes V 02 .No - skip to TM8720 D TM8718 4 453 In what year was the amount last changed? U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age with change in original amount of agreement V -001 .Don't know V 0000 .Not applicable V 1901-1992 .Year D TM8720 1 457 Is ... still supposed to pay child support? U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V 0 .Not applicable V 1 .Yes V 2 .No D TM8722 6 458 How much did ... pay for the support of this person during the past 12 months U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V -00001 .DK V 000000 .Not applicable V 1 - 999999 .The amount ... paid for V .the support of this V .person during the past V .12 months D TM8724 2 464 Are these payments made-- U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V -1 .DK V 00 .Not applicable V 01 .Through employment related wage V .withholding V 02 .Directly to the other parent V 03 .Directly to the court V 04 .Directly to a child support V .agency V 05 .Other D TM8726 1 466 What kinds of provisions for health care costs were included in the child support agreement U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V 0 .Not applicable V 1 .Non-custodial parent to provide V .health insurance D TM8728 1 467 What kinds of provisions for health care costs were included in the child support agreement U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V 0 .Not applicable V 1 .Custodial parent to provide V .health insurance D TM8730 1 468 What kinds of provisions for health care costs were included in the child support agreement U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V 0 .Not applicable V 1 .Non custodial parent to pay V .medical costs directly D TM8732 1 469 What kinds of provisions for health care costs were included in the child support agreement U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V 0 .Not applicable V 1 .Child support payments to V .include cash medical support D TM8734 1 470 What kinds of provisions for health care costs were included in the child support agreement U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V 0 .Not applicable V 1 .Other D TM8736 2 471 What kinds of provisions for health care costs were included in the child support agreement U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V 00 .Not applicable V -3 .None D TM8738 1 473 (Other than the most recent support agreement discussed above), were any of ...'s other children outside of this household under age 21 covered by any other court-ordered and/or written child support agreement U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8742 D TM8740 6 474 How much did ... pay in child support for this/these agreement(s) during the past 12 months U Persons with more than one court-ordered and/or written child support agreement for nonhousehold member V -00001 .DK V 000000 .Not applicable V 1-999999 .Amount paid D TM8742 1 480 Were any child support payments made without a written child support agreement for ...'s children under age 21 U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8746 D TM8744 6 481 How much did ... pay for child support under this arrangement during the past 12 months U Persons who made child support payment without written agreement V -00001 .DK V 000000 .Not applicable V 1-999999 .The amount of child support ... V .paid during the past 12 months D TM8746 1 487 During the past 12 months, did ... make regular payments for the support of any other person not living in ...'s household U Persons with written or court-ordered support agreement for nonhousehold member under 21 years of age V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8800 D TM8748 2 488 For how many (other) persons did ... make support payments U Persons making payment for the support of any other person not living in household V -1 .DK V 00 .Not applicable V 01-99 .The number of other persons ... V .did make support payments for ********************************************* * TM8750 thru TM8760 for the first two * * persons mentioned * ********************************************* D TM8750 1 490 First person How is this person related to ... U Persons making payment for the support of any other person not living in household V 0 .Not applicable V 1 .Parent V 2 .Spouse V 3 .Ex-spouse V 4 .Child under 21 V 5 .Child 21 or older V 6 .Other relative v 7 .Not related D TM8752 1 491 Second person How is this person related to ... U Persons making payment for the support of any other person not living in household V 0 .Not applicable V 1 .Parent V 2 .Spouse V 3 .Ex-spouse V 4 .Child under 21 V 5 .Child 21 or older V 6 .Other relative V 7 .Not related D TM8754 1 492 First person Where was this person most often living during the past 12 months was it in a private home or apartment, a nursing home, or someplace else U Persons making payment for the support of any other person not living in household V 0 .Not applicable V 1 .Private home or apartment V 2 .Nursing home V 3 .Someplace else D TM8756 1 493 Second person Where was this person most often living during the past 12 months. Was it in a private home or apartment, a nursing home, or someplace else U Persons making payment for the support of any other person not living in household V 0 .Not applicable V 1 .Private home or apartment V 2 .Nursing home V 3 .Someplace else D TM8758 6 494 First person How much did ... pay for the support of this person during the past 12 months U Persons making payment for the support of any other person not living in household V -00001 .DK V 000000 .Not applicable V 1-999999 .The amount ... paid for V .the support of this V .person during the past V .12 months D TM8760 6 500 Second person How much did ... pay for the support of this person during the past 12 months U Persons making payment for the support of any other person not living in household V -00001 .DK V 000000 .Not applicable V 1-999999 .The amount ... paid for V .the support of this V .person during the past V .12 months D TM8762 1 506 Check item T6 Is the entry in TM8748 '03' or more U Persons making payment for the support of any other person not living in household V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8800 D TM8764 6 507 How much did ... pay during the past 12 months for the support of the other persons that we have not talked about already U Persons making payments for the support of more than two persons not living in household V -00001 .DK V 000000 .Not applicable V 1-999999 .The amount ... paid V .during the past 12 V .months for the V .support of the other persons ********************************************* * Part C - Support for Nonhousehold Members * * Imputation Flags (0-27) * * * * The following 27 fields are imputation * * flags of the form IMPXXXX, where XX is the* * source code number. * * * * In all cases the range of values is * * (0:1). * * V 0 .Not imputed * * V 1 .Imputed * ********************************************* D IMP8700 1 513 Imputation of 'TM8700' D IMP8702 1 514 Imputation of 'TM8702' D IMP8704 1 515 Imputation of 'TM8704' D IMP8706 1 516 Imputation of 'TM8706' D IMP8708 1 517 Imputation of 'TM8708' D IMP8710 1 518 Imputation of 'TM8710' D IMP8712 1 519 Imputation of 'TM8712' D IMP8714 1 520 Imputation of 'TM8714' D IMP8716 1 521 Imputation of 'TM8716' D IMP8718 1 522 Imputation of 'TM8718' D IMP8720 1 523 Imputation of 'TM8720' D IMP8722 1 524 Imputation of 'TM8722' D IMP8724 1 525 Imputation of 'TM8724' D IMP26-36 1 526 Imputation of 'TM8726 thru TM8736' D IMP8738 1 527 Imputation of 'TM8738' D IMP8740 1 528 Imputation of 'TM8740' D IMP8742 1 529 Imputation of 'TM8742' D IMP8744 1 530 Imputation of 'TM8744' D IMP8746 1 531 Imputation of 'TM8746' D IMP8748 1 532 Imputation of 'TM8748' D IMP8750 1 533 Imputation of 'TM8750' D IMP8752 1 534 Imputation of 'TM8752' D IMP8754 1 535 Imputation of 'TM8754' D IMP8756 1 536 Imputation of 'TM8756' D IMP8758 1 537 Imputation of 'TM8758' D IMP8760 1 538 Imputation of 'TM8760' D IMP8764 1 539 Imputation of 'TM8764' D FILLER 1 540 Filler ********************************************* * Part D - Functional Limitations and * * Disability * ********************************************* D TM8800 1 541 These next few questions are about ...'s health. Would you say ...'s health in general is excellent, very good, good, fair or poor? U Persons 15 years of age and over V 0 .Not applicable V 1 .Excellent V 2 .Very good V 3 .Good V 4 .Fair V 5 .Poor D TM8802 1 542 Does ... use any of the following aids to get around? U Persons 15 years of age and over V A .A cane,crutches or a walker V 0 .Not applicable V 1 .Yes V 2 .No D TM8804 1 543 Does ... use any of the following aids to get around? U Persons 15 years of age and over V B .A Wheelchair V 0 .Not applicable V 1 .Yes V 2 .No D TM8806 1 544 Is "yes" marked in TM8802 or TM8804 above? Check item T7 U Persons 15 years of age and over V 0 .Not applicable V 1 .Yes V 2 .No - Skip to TM8810 D TM8808 1 545 Has ... used (aid mentioned in TM8802 or TM8804) for six months or longer? U Persons who use aid to get around V 0 .Not applicable V 1 .Yes V 2 .No D TM8810 1 546 Does ... have any difficulty seeing words and letters in ordinary newspaper print even when wearing glasses or contact lenses if ... usually wears them? U Persons 15 years of age and over V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty- skip to TM8814 D TM8812 1 547 Is ... able to see the words and letters in ordinary newsprint at all? U Persons who have difficulty seeing words and letters in ordinary newspaper print when wearing glasses V 0 .Not applicable V 1 .Yes V 2 .No D TM8814 1 548 Does...have any difficulty hearing another person? (using a hearing aid if...usually wears one.) U Persons 15 years of age and over V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty- skip to TM8818 D TM8816 1 549 Is...able to hear what is said in a normal conversation at all? U Persons who have difficulty hearing what is said in a normal conversation using a hearing aid if normally wears one V 0 .Not applicable V 1 .Yes V 2 .No D TM8818 1 550 Because of a health condition or a problem, does .... have any trouble having his/her speech understood? U Persons 15 years of age and over V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty - skip To TM8822 D TM8820 1 551 Is ... able to have his/her speech understood at all? U Persons who have difficulty having speech understood V 0 .Not applicable V 1 .Yes V 2 .No D TM8822 1 552 Does...have any difficuly lifting and carrying something as heavy as 10 lbs., such as a full bag of groceries? U Persons 15 years of age and over V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty- skip to TM8826 D TM8824 1 553 Is...able to lift and carry this much weight at all? U Persons who have difficulty lifting and carrying something as heavy as 10 lbs. V 0 .Not applicable V 1 .Yes V 2 .No D TM8826 1 554 Does...have any difficulty walking up a flight of stairs without resting? U Persons 15 years of age and over V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty- skip to TM8830 D TM8828 1 555 Is...able to walk up a flight of stairs without resting at all? U Persons who have difficulty walking up a up a flight of stairs without resting V 0 .Not applicable V 1 .Yes V 2 .No D TM8830 1 556 Does...have any difficulty walking for a quarter of a mile - about 3 city blocks? U Persons 15 years of age and over V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty-skip to TM8834 D TM8832 1 557 Is ... able to walk a quarter of a mile at all? U Persons who have difficulty walking a quarter of a mile V 0 .Not applicable V 1 .Yes V 2 .No D TM8834 1 558 Does ... have any difficulty using the telephone? U Persons 15 years of age and over V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty-skip to TM8838 D TM8836 1 559 Is ... able to use the telephone at all? U Persons who have difficulty using the telephone V 0 .Not applicable V 1 .Yes V 2 .No ********************************************* * Because of a physical or mental health * * condition, does ... have difficulty * * doing any of the following by himself/ * * herself(exclude the effects of temporary * * conditions)? * ********************************************* D TM8838 1 560 Does ... have any difficulty getting around inside the home? U Persons 15 years of age or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8839 1 561 Does...need the help of another person in order to get around inside the house? U Persons with difficulty getting around inside the house V 0 .Not applicable V 1 .Yes V 2 .No D TM8840 1 562 Does...have any difficulty getting around outside the the home, for example to shop or visit a doctor's office? U Persons 15 years of age or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8841 1 563 Does...need the help of another person in order to get around outside the home U Persons with difficulty going outside the home V 0 .Not applicable V 1 .Yes V 2 .No D TM8842 1 564 Does ... have any difficulty getting into and out of bed or a chair? U Persons 15 years of age or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8843 1 565 Does ... need the help of another person in order to get in and out of bed or a chair? U Persons with difficulty getting in and out of bed or a chair V 0 .Not applicable V 1 .Yes V 2 .No D TM8844 1 566 Does ... have any difficulty taking a bath or a shower? U Persons 15 years of age or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8845 1 567 Does ... need the help of another person in order to take a bath? U Persons with difficulty taking a bath or shower V 0 .Not applicable V 1 .Yes V 2 .No D TM8846 1 568 Does ... have any difficulty getting dressed? U Persons 15 years of age or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8847 1 569 Does ... need the help of another person in order to get dressed? U Persons who have difficulty getting dressed V 0 .Not applicable V 1 .Yes V 2 .No D TM8848 1 570 Does ... have any difficulty walking? U Persons 15 years of age or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8849 1 571 Does ... need the help of another person in order to walk? U Persons who have difficulty walking V 0 .Not applicable V 1 .Yes V 2 .No D TM8850 1 572 Does ... have any difficulty eating? U Persons 15 years of age or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8851 1 573 Does ... need the help of another person in order to eat? U Persons with difficulty eating V 0 .Not applicable V 1 .Yes V 2 .No D TM8852 1 574 Does ... have any difficulty using the toilet including getting to the toilet U Persons 15 years of age or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8853 1 575 Does...need the help of another person in order to use the toilet? U Persons with difficulty using the toilet including getting to the toilet V 0 .Not applicable V 1 .Yes V 2 .No D TM8854 1 576 Does ... have any difficulty keeping track of money and bills? U Persons 15 years of age or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8855 1 577 Does ... need the help of another person in order to keep track of money and bills U Person with difficulty keeping track of money and bills V 0 .Not applicable V 1 .Yes V 2 .No D TM8856 1 578 Does ... have any difficulty preparing meals? U Persons 15 years or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8857 1 579 Does ... need the help of another person in order to prepare meals? U Persons with difficulty preparing meals V 0 .Not applicable V 1 .Yes V 2 .No D TM8858 1 580 Does ... have any difficulty doing light housework, such as washing dishes or sweeping a floor? U Persons 15 years of age or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8859 1 581 Does ... need the help of another person in order to do light housework U Persons who have difficulty doing light housework V 0 .Not applicable V 1 .Yes V 2 .No D TM8860 1 582 Check item T8 Is "Yes" marked for needing another person to help for any of the activities listed before? U Persons 15 years older or older V 0 .Not applicable V 1 .Yes - go to TM8876 V 2 .No - skip to TM8890 D TM8876 1 583 You have said that ... needs the help of another person with one or more activities. Who helps ... with these activities? Anyone else? U Persons who need help of another person with one or more activities V First helper V 0 .Not applicable V 1 .Son V 2 .Daughter V 3 .Spouse V 4 .Parent V 5 .Other relative V Nonrelative V 6 .Friend or neighbor V 7 .Paid help V 8 .Other nonrelative V 9 .Did not receive help - skip to V .TM8892 D TM8878 1 584 You have said that ... needs the help of another person with one or more activities. Who helps ... with these activities? Anyone else? U Persons who need help of another person with one or more activities V Second helper V 0 .Not applicable V 1 .Son V 2 .Daughter V 3 .Spouse V 4 .Parent V 5 .Other relative V Nonrelative V 6 .Friend or neighbor V 7 .Paid help V 8 .Other nonrelative D TM8880 1 585 Is (person mentioned before) a household member? First Helper U Persons who need help of another person with one or more activities V 0 .Not applicable V 1 .Yes D TM8882 1 586 Is (person mentioned before) a household member? Second Helper U Persons who need help of another person with one or more activities V 0 .Not applicable V 1 .Yes D TM8883 3 587 Is (person mentioned before) a household member? First Helper U Persons who need help of another person with one or more activities V 000 .Not applicable V 101 - 999 .Person number D TM8884 3 590 Is (person mentioned before) a household member? Second Helper U Persons who need help of another person with one or more activities V 000 .Not applicable V 101 - 999 .Person number D TM8885 1 593 Is (person mentioned before) a household member? First Helper U Persons who need help of another person with one or more activities V 0 - 1 .Not applicable V 2 .No D TM8886 1 594 Is (person mentioned before) a household member? Second Helper U Persons who need help of another person with one or more activities V 0 - 1 .Not applicable V 2 .No D TM8887 1 595 For how long has ... needed the help of another person? U Persons who need help of another person with one or more activities V 0 .Not applicable V 1 .Less than 6 months V 2 .6 to 11 months V 3 .1 to 2 years V 4 .3 to 5 years V 5 .More than 5 years D TM8888 2 596 During the past month did ... (or ...'s) family pay for any of that ... received? U Persons who need help of another person with one or more activities V -1 .Don't know - skip to TM8892 V 00 .Not applicable V 01 .Yes V 02 .No - skip to TM8892 D TM8889 6 598 How much was paid for such help in last month? U Persons or families who paid for help received V -00001 .Don't know V 000000 .Not applicable V 1-999999 .Dollars D TM8890 1 604 Check item T9 Is "Has difficulty" marked in TM8822, TM8826, TM8830, TM8834, TM8838 for any activity U Persons 15 years of age and over V 0 .Not appicable V 1 .Yes V 2 .No - skip to TM8902 D TM8892 2 605 I have recorded that ... has difficulty with certain activities. Which condition or conditions on this card cause this difficulty? Any other? U Persons having difficulty with any activity V 00 .Not applicable V 01 - 99 .First condition D TM8894 2 607 I have recorded that ... has difficulty with certain activities. Which condition or conditions on this card cause this difficulty? Any other? U Persons having difficulty with any activity V 00 .Not applicable V 01 - 99 .Second condition D TM8896 2 609 I have recorded that ... has difficulty with certain activities. Which condition or conditions on this card cause this difficulty? Any other? U Persons having difficulty with any activity V 00 .Not applicable V 01 - 99 .Third condition D TM8898 1 611 Check item T10 Are two or more conditions entered in TM8892 -TM8896? U Persons having difficulty with any activity V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8902 D TM8900 2 612 Which if the conditions do you consider to be the main reason for ...'s difficulty? U Persons with two or more conditions causing difficulty with activities V 00 .Not applicable V 01 - 99 .Main condition D TM8902 1 614 Does ... have a learning disability such as dyslexia? U Persons with two or more conditions causing difficulty with activities V 0 .Not applicable V 1 .Yes V 2 .No D TM8904 1 615 Does ... have a mental retardation? U Persons with two or more conditions causing difficulty with activities V 0 .Not applicable V 1 .Yes V 2 .No D TM8906 1 616 Does ... have a a developmental dis- ability such as autism or cerebral palsy? U Persons with two or more conditions causing difficulty with activities V 0 .Not applicable V 1 .Yes V 2 .No D TM8908 1 617 Does ... have Alzheimer's disease, senility or dementia? U Persons with two or more conditions causing difficulty with activities V 0 .Not applicable V 1 .Yes V 2 .No D TM8910 1 618 Does ... have a any other mental or emotional condition? U Persons with two or more conditions causing difficulty with activities V 0 .Not applicable V 1 .Yes V 2 .No D TM8912 1 619 Check Item T11 What is ....'s age? U Persons 15 years of age or older V 0 .Not applicable V 1 .15 years old - skip to TM8942 V 2 .16 to 67 years old V 3 .68 years old or older - skip V .to TM8926 D TM8914 1 620 Check Item T12 Is "disabled" (code 171) marked on the control card for ...? U Persons 16 to 67 years of age V 0 .Not applicable V 1 .Yes - skip to TM8918 V 2 .No D TM8916 1 621 Check item T13 Is "disabled" (code 171) marked on the ISS? U Persons 16 to 67 years of age with disabled not marked on the control card V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8920 D TM8918 1 622 We have recorded that ...'s health or condition limits the kind or amount of work ... can do. Is that correct? U Persons with disabled marked on ISS V 0 .Not applicable V 1 .Yes - skip to TM8922 V 2 .No - skip to TM8926 D TM8920 1 623 Does ... have a physical, mental or other health condition which limits the kind or amount of work ... can do? U Persons with disabled marked on control card or ISS V 0 .Not applicable V 1 .Yes - Mark "171" on ISS V 2 .No - Skip to TM8926 D TM8922 1 624 Check item T14 Is "Worked" (code 170) marked on ISS? U Persons 16 to 67 years of age with dis- ability V 0 .Not applicable V 1 .Yes - skip to TM8926 V 2 .No D TM8924 1 625 Does ...'s health or condition prevent .. from working at a job or business? U Persons 16 to 67 years of age with disability and with worked marked on ISS V 0 .Not applicable V 1 .Yes V 2 .No D TM8926 1 626 Does ... have a physical, mental or other health condition which limits the kind or amount of work ... can do around the house? U Persons 16 to 67 years of age with dis- ability and with worked marked on ISS V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8930 D TM8928 1 627 Does ...'s health or condition completely prevent ... from doing work around the house? U Persons 16 years of age or older with health condition that limits amount of work can do around the house V 0 .Not applicable V 1 .Yes V 2 .No D TM8930 1 628 Check item T15 Is "yes" marked in TM8918, TM8920 or TM8926? U Persons 16 years of age or older with health condition that limits amount of work can do around the house V 0 .Not applicable V 1 .Yes V 2 .No - Skip to TM8942 D TM8932 2 629 I have marked that ... is limited in working at a job or around the house - which condition or conditions on this card are the cause of this limitation? U Persons 16 years of age or over with health condition that limits amount of work V 00 .Not applicable V 01 - 99 .First condition D TM8934 2 631 I have marked that ... is limited in working at a job or around the house - which condition or conditions on this card are the cause of this limitation? U Persons 16 years of age or over with health condition that limits amount of work V 00 .Not applicable V 01 - 99 .Second condition D TM8936 2 633 I have marked that ... is limited in working at a job or around the house - which condition or conditions on this card are the cause of this limitation? U Persons 16 years of age or over with health condition that limits amount of work V 00 .Not applicable V 01 - 99 .Third condition D TM8938 1 635 Check item T16 Are two or more conditions entered in TM8932, TM8934, and TM8936 U Persons 16 years of age or over with health condition that limits amount of work V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8942 D TM8940 2 636 Which of the conditions do you consider the main reason for the limitation? U Persons 16 years of age or over with two or limiting health conditions V 00 .Not applicable V 01 - 99 .Main condition D TM8942 1 638 Check item T17 Is ...the designated parent or guardian of children under the age of 6 who live in this household? U Persons 16 years of age or over with two or limiting health conditions V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8960 D TM8944 1 639 Because of a physical,learning or mental health condition, do any of ...'s children under 6 years of age have any limitations at all in the usual kind of activities done by most children their age? U Designated parent or guardian of children under the age of 6 who live in this house- hold V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8952 D TM8946 3 640 Which children have activity limitations? U Designated parent or guardian with children under 6 years of age with limitations in usual kind of activities V 000 .Not applicable V 101 - 999 .Person number D TM8948 3 643 Which children have activity limitations? U Designated parent or guardian with children under 6 years of age with limitations in usual kind of activities V 000 .Not applicable V 101 - 999 .Person number D TM8950 3 646 Which children have activity limitations? U Designated parent or guardian with children under 6 years of age with limitations in usual kind of activities V 000 .Not applicable V 101 - 999 .Person number D TM8952 1 649 Have any of ...'s children under the age of 6 received therapy or diagnostic services designed to meet their developmental needs? U Designated parent or guardian with children under 6 years of age with limitations in usual kind of activities V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8960 D TM8954 3 650 Which children have received these services? U Parent or guardian with children under age 6 who have received therapy or diagnostic services designed to meet their develop- mental needs V 000 .Not applicable V 101 - 999 .Person number D TM8956 3 653 Which children have received these services? U Parent or guardian with children under age 6 who have received therapy or diagnostic services designed to meet their develop- mental needs V 000 .Not applicable V 101 - 999 .Person number D TM8958 3 656 Which children have received these services? U Parent or guardian with children under age 6 who have received therapy or diagnostic services designed to meet their develop- mental needs V 000 .Not applicable V 101 - 999 .Person number D TM8960 1 659 Check item T18 Is ... the designated parent or guardian of children between the ages of 6 and 21 who live in this household? U Parent or guardian with children under age 6 who have received therapy or diagnostic services designed to meet their develop- mental needs V 0 .Not appilcable V 1 .Yes V 2 .No - skip to TM8986 D TM8962 1 660 Because of a physical, learning or mental health condition, do any of ...'s children between the ages of 6 and 21 have limitations in their ability to do regular school work? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8970 D TM8964 3 661 Which children have difficulty doing regular school work? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household with limitations in their ability to do regular school work V 000 .Not applicable V 101 - 999 .Person number D TM8966 3 664 Which children have difficulty doing regular school work? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household with limitations in their ability to do regular school work V 000 .Not applicable V 101 - 999 .Person number D TM8968 3 667 Which children have difficulty doing regular school work? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household with limitations in their ability to do regular school work V 000 .Not applicable V 101 - 999 .Person number D TM8970 1 670 Have any of ...'s children between the ages of 6 and 21 ever received any special education services? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household with limitations in their ability to do regular school work V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8986 D TM8972 3 671 Which children have received special education services? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household and have received special education services V 000 .Not applicable V 101 - 999 .Person number D TM8974 3 674 Which children have received special education services? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household and have received special education services V 000 .Not applicable V 101 - 999 .Person number D TM8976 3 677 Which children have received special education services? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household and have received special education services V 000 .Not applicable V 101 - 999 .Person number D TM8978 1 680 Are any of ...'s children between the ages of 6 and 21 currently receiving special education services? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household and have received special education services V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8986 D TM8980 3 681 Which children are currently receiving special education services? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household and are receiving special education services V 000 .Not applicable V 101 - 999 .Person number D TM8982 3 684 Which children are currently receiving special education services? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household and are receiving special education services V 000 .Not applicable V 101 - 999 .Person number D TM8984 3 687 Which children are currently receiving special education services? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household and are receiving special education services V 000 .Not applicable V 101 - 999 .Person number D TM8986 1 690 Check item T19 Is ... the designated parent or guardian of children between the ages of 3 and 14 who live in this household? U Designated parent or guardian of children between the ages of 6 and 21 who live in this household and are receiving special education services V 0 .Not appilcable V 1 .Yes V 2 .No - skip to TM8996 D TM8988 1 691 Do any of ...'s children between the age of 3 and 14 have a long lasting condition that limits their ability to walk, run or use stairs? U Designated parent or guardian of children between the ages of 3 and 14 who live in this household V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8996 D TM8990 3 692 Which children have difficulty with these activities? U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have a long lasting condition that limits their ability to walk, run, or use stairs V 000 .Not applicable V 101 - 999 .Person number D TM8992 3 695 Which children have difficulty with these activities? U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have a long lasting condition that limits their ability to walk, run, or use stairs V 000 .Not applicable V 101 - 999 .Person number D TM8994 3 698 Which children have difficulty with these activities? U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have a long lasting condition that limits their ability to walk, run, or use stairs V 000 .Not applicable V 101 - 999 .Person number D TM8996 1 701 Check item T20 Are any person numbers recorded in TM8946 through TM8994? U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have a long lasting condition that limits their ability to walk, run, or use stairs V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM9022 D TM8998 3 702 I have recorded that (read the name of children identified in TM8946 through TM8996) have difficulty(ies) with certain activities? Which conditiion or conditions are responsible for these difficulties? First child U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 000 .Not applicable V 101 - 999 .Person number D TM9000 2 705 Which conditiion or conditions are responsible for these difficulties? First child U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 00 .Not applicable V 01 - 99 .First condition D TM9002 2 707 Which conditiion or conditions are responsible for these difficulties? First child U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 00 .Not applicable V 01 - 99 .Second Condition D TM9004 2 709 Which conditiion or conditions are responsible for these difficulties? First child U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 00 .Not applicable V 01 - 99 .Third condition D TM9006 3 711 Which conditiion or conditions are responsible for these difficulties? Second child U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 000 .Not applicable V 101 - 999 .Person number D TM9008 2 714 Which conditiion or conditions are responsible for these difficulties? Second child U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 00 .Not applicable V 01 - 99 .First condition D TM9010 2 716 Which conditiion or conditions are responsible for these difficulties? Second child U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 00 .Not applicable V 01 - 99 .Second condition D TM9012 2 718 Which conditiion or conditions are responsible for these difficulties? Second child U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 00 .Not applicable V 01 - 99 .Third condition D TM9014 3 720 Which conditiion or conditions are responsible for these difficulties? Third child U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 000 .Not applicable V 101 - 999 .Person number D TM9016 2 723 Which conditiion or conditions are responsible for these difficulties? Third child U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 00 .Not applicable V 01 - 99 .First condition D TM9018 2 725 Which conditiion or conditions are responsible for these difficulties? Third child U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 00 .Not applicable V 01 - 99 .Second condition D TM9020 2 727 Which conditiion or conditions are responsible for these difficulties? Third child U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 00 .Not applicable V 01 - 99 .Third condition D TM9022 1 729 In the last 12 months, has ... applied for Social Security disability or SSI for him/herself? U Designated parent or guardian of children between the ages of 3 and 14 who live in this household and have difficult(ies) with certain activities V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM9100 D TM9024 1 730 Is ... receiving Social Security disablility or SSI benefits? U Designated parent or guardian who has ever applied for Social Security disability benefits for him/herself and who has children between the ages of 3 and 14 who live in this household and have diffi- cult(ies) with certain activities V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM9100 D TM9026 4 731 In which of the past 12 months did ... first receive Social Security disablility or SSI benefits? U Designated parent or guardian who has ever applied for Social Security disability benefits for him/herself and who has children between the ages of 3 and 14 who live in this household and have diffi- cult(ies) with certain activities V 0000 .Not applicable V -001 .Don't Know V 0001-0012 .Month ******************************************** * The following 72 fields are imputation * * flags of the form TM-IFXX, where XX is * * the number of the flag. In all cases * * the range of values is (0:1) * * V 0 .Not imputed * * V 1 .Imputed * ******************************************** D IM8800 1 735 Imputation of 'TM8800' D IM8802 1 736 Imputation of 'TM8802' D IM8804 1 737 Imputation of 'TM8804' D IM8808 1 738 Imputation of 'TM8808' D IM8810 1 739 Imputation of 'TM8810' D IM8812 1 740 Imputation of 'TM8812' D IM8814 1 741 Imputation of 'TM8814' D IM8816 1 742 Imputation of 'TM8816' D IM8818 1 743 Imputation of 'TM8818' D IM8820 1 744 Imputation of 'TM8820' D IM8822 1 745 Imputation of 'TM8822' D IM8824 1 746 Imputation of 'TM8824' D IM8826 1 747 Imputation of 'TM8826' D IM8828 1 748 Imputation of 'TM8828' D IM8830 1 749 Imputation of 'TM8830' D IM8832 1 750 Imputation of 'TM8832' D IM8834 1 751 Imputation of 'TM8834' D IM8836 1 752 Imputation of 'TM8836' D IM8838 1 753 Imputation of 'TM8838' D IM8839 1 754 Imputation of 'TM8839' D IM8840 1 755 Imputation of 'TM8840' D IM8841 1 756 Imputation of 'TM8841' D IM8842 1 757 Imputation of 'TM8842' D IM8843 1 758 Imputation of 'TM8843' D IM8844 1 759 Imputation of 'TM8844' D IM8845 1 760 Imputation of 'TM8845' D IM8846 1 761 Imputation of 'TM8846' D IM8847 1 762 Imputation of 'TM8847' D IM8848 1 763 Imputation of 'TM8848' D IM8849 1 764 Imputation of 'TM8849' D IM8850 1 765 Imputation of 'TM8850' D IM8851 1 766 Imputation of 'TM8851' D IM8852 1 767 Imputation of 'TM8852' D IM8853 1 768 Imputation of 'TM8853' D IM8854 1 769 Imputation of 'TM8854' D IM8855 1 770 Imputation of 'TM8855' D IM8856 1 771 Imputation of 'TM8856' D IM8857 1 772 Imputation of 'TM8857' D IM8858 1 773 Imputation of 'TM8858' D IM8859 1 774 Imputation of 'TM8859' D IM8876 1 775 Imputation of 'TM8876' D IM8878 1 776 Imputation of 'TM8878' D IM8887 1 777 Imputation of 'TM8887' D IM8888 1 778 Imputation of 'TM8888' D IM8889 1 779 Imputation of 'TM8889' D IM8892 1 780 Imputation of 'TM8892' D IM8894 1 781 Imputation of 'TM8894' D IM8896 1 782 Imputation of 'TM8896' D IM8902 1 783 Imputation of 'TM8902' D IM8904 1 784 Imputation of 'TM8904' D IM8906 1 785 Imputation of 'TM8906' D IM8908 1 786 Imputation of 'TM8908' D IM8910 1 787 Imputation of 'TM8910' D IM8918 1 788 Imputation of 'TM8918' D IM8924 1 789 Imputation of 'TM8924' D IM8926 1 790 Imputation of 'TM8926' D IM8928 1 791 Imputation of 'TM8928' D IM8932 1 792 Imputation of 'TM8932' D IM8934 1 793 Imputation of 'TM8934' D IM8936 1 794 Imputation of 'TM8936' D IM9000 1 795 Imputation of 'TM9000' D IM9002 1 796 Imputation of 'TM9002' D IM9004 1 797 Imputation of 'TM9004' D IM9008 1 798 Imputation of 'TM9008' D IM9010 1 799 Imputation of 'TM9010' D IM9012 1 800 Imputation of 'TM9012' D IM9016 1 801 Imputation of 'TM9016' D IM9018 1 802 Imputation of 'TM9018' D IM9020 1 803 Imputation of 'TM9020' D IM9022 1 804 Imputation of 'TM9022' D IM9024 1 805 Imputation of 'TM9024' D IM9026 1 806 Imputation of 'TM9026' D FILLER 2 807 Filler ******************************************** * Part E - Utilization of Health Care * * Services * ******************************************** D TM9100 1 809 During the past 12 months, was .... a patient in a hospital overnight or longer? U Persons 15 years of age or older V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM9122 D TM9102 2 810 How many different times did .... stay in a hospital overnight or longer during the past 12 months? U Patients in a hospital overnight or longer during the past 12 months V -1 .Don't know V 00 .Not applicable V 01 - 99 .Times D TM9104 1 812 What was the reason for ...'s last hospital stay? U Patients in a hospital overnight or longer during the past 12 months V 0 .Not applicable V 1 .Child birth D TM9106 1 813 What was the reason for ...'s last hospital stay? U Patients in a hospital overnight or longer during the past 12 months V 0 .Not applicable V 1 .Surgery or operation (incl. bone V .setting or getting stitches) D TM9108 1 814 What was the reason for ...'s last hospital stay? U Patients in a hospital overnight or longer during the past 12 months V 0 .Not applicable V 1 .Other medical D TM9110 1 815 What was the reason for ...'s last hospital stay? U Patients in a hospital overnight or longer during the past 12 months V 0 .Not applicable V 1 .Mental or emotional problem or V .disorder D TM9112 1 816 What was the reason for ...'s last hospital stay? U Patients in a hospital overnight or longer during the past 12 months V 0 .Not applicable V 1 .Drug or alcohol abuse problem V .or disorder D TM9114 1 817 Was ... a patient in a VA or military hospital during (this visit/any of these visits)? U Patients in a hospital overnight or longer during the past 12 months V 0 .Not applicable V 1 .Yes, Military V 2 .Yes, VA V 3 .Yes, both military and VA V 4 .No D TM9116 1 818 Was ... a patient in a psychiatric hospital or a psychiatric unit of a hospital during(this visit/any of these visits)? U Patients in a hospital overnight or longer during the past 12 months V 0 .Not applicable V 1 .Yes V 2 .No D TM9118 3 819 How many nights in all did ... spend in a hospital (of any type) during the past 12 months U Patients in a hospital overnight or longer during the past 12 months V -01 .Dk V 000 .Not applicable V 001-999 .Nights D TM9120 3 822 How many of these nights were in the past 4 months U Patients in a hospital overnight or longer during the past 12 months V -05 .All nights V -03 .None V -01 .Dk V 000 .Not applicable V 001-999 .Nights D TM9122 3 825 During the past 4 months, about how many days did illness or injury keep ... in bed more than half of the day (include days while an overnight patient in a hospital) U Persons 15 years of age or older V -05 .All days V -03 .None V -01 .Dk V 000 .Not applicable V 001-999 .Days D TM9124 2 828 During the past 12 months, how many times did ... see or talk to a medical doctor or assistant (do not count occurrences while an overnight patient in a hospital) U Persons 15 years of age or older V -3 .None - skip to TM9127 V -1 .Dk - skip to TM9127 V 00 .Not applicable V 01-99 .Times D TM9126 2 830 How many of these visits or calls were in the past 4 months U Persons 15 years of age or older V -3 .None V -1 .Dk V 00 .Not applicable V 01-99 .Times D TM9127 2 832 During the past 12 months, how many visits did ... make to a dentist? V -3 .None - skip to TM9129 V -1 .Don't know V 00 .Not applicable V 01-99 .Times D TM9128 2 834 How many of these visits were in the past 4 months? V -3 .None - skip to TM9129 V -1 .Don't know V 00 .Not applicable V 01-99 .Times D TM9129 1 836 Is there a particular clinic, health center, doctor's office, or some other place where ... usually goes if ... is sick or needs advice about ...'s health U Persons 15 years of age or older V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM9132 D TM9130 2 837 To what kind of place does ... usually go U Persons who go to a particular clinic, health center, doctor's office, or some other place when need medical assistance ` 00 .Not applicable V 01 .Doctor's office (or HMO) V 02 .VA hospital V 03 .Military hospital V 04 .Hospital outpatient clinic (not V .VA or military) V 05 .Hospital emergency room V 06 .Company or industry clinic V 07 .Health center (neighborhood V .health center or free or low- V .cost clinic) V 08 .Psychiatric clinic V 09 .Psychiatric hostipal V 10 .Private practice psychiatrist or V .other mental health profession V 11 .Other D TM9132 1 839 Check Item T21 Is ... covered by a health insurance plan U Persons who go to a particular clinic, health center, doctor's office, or some other place when need medical assistance V 0 .Not applicable V 1 .Yes - skip to next record V 2 .No D TM9134 1 840 Check item T22 Is 'Medicare' (code 172) or 'Medicaid' (code 173) marked on the ISS U Persons not covered by a health insurance plan V 0 .Not applicable V 1 .Yes - skip to end V 2 .No D TM9136 1 841 I have recorded that ... is not covered by a health insurance plan. Is that correct U Persons not covered by a health insurance plan and are not covered by Medicare or Medicaid V 0 .Not applicable V 1 .Correct V 2 .Incorrect - covered by some V .other plan - skip to end D TM9138 1 842 Which answer on this card best describes why ... is not covered by health insurance U Persons not covered by a health insurance plan and are not covered by Medicare or Medicaid V 0 .Not applicable V 1 .Job layoff, job loss, or any V .reasons related to unemployment V 2 .Employer does not offer health V .insurance V 3 .Can't obtain health insurance V .because of poor health, illness, V .or age V 4 .Too expensive, can't afford V .health insurance V 5 .Don't believe in health V .insurance V 6 .Have been healthy, not much V .sickness in the family, haven't V .needed health insurance V 7 .Able to go to VA or military V .hospital for medical care V 8 .Covered by some other health V .plan V 9 .Other ********************************************* * Part F - Health Status and Utilization * * of Health Care Services Imputation Flags * * (1-13) * * * * The following 13 fields are imputation * * flags of the form IXXXX, where XXXX is * * the source code number. * * * * In all cases the range of values is (0:1)* * * V 0 .Not imputed * * V 1 .Imputed * ********************************************* D I9102 1 843 Imputation of 'TM9102' D I9104-12 1 844 Imputation of 'TM9104 thru TM9112' D I9114 1 845 Imputation of 'TM9114' D I9116 1 846 Imputation of 'TM9116' D I9118 1 847 Imputation of 'TM9118' D I9120 1 848 Imputation of 'TM9120' D I9122 1 849 Imputation of 'TM9122' D I9124 1 850 Imputation of 'TM9124' D I9126 1 851 Imputation of 'TM9126' D I9127 1 852 Imputation of 'TM9127' D I9128 1 853 Imputation of 'TM9128' D I9129 1 854 Imputation of 'TM9129' D I9130 1 855 Imputation of 'TM9130' D I9136 1 856 Imputation of 'TM9136' D I9138 1 857 Imputation of 'TM9138' D FILLER 3 858 Filler