SIPP 1991 WAVE 3 TOPICAL MODULE DD March 16, 1993 D SUSEQNUM 5 1 Sequence number of sample unit Primary sort key Range=(00001:60000) 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 1 .Interviewed V .Type A noninterview V 2 .No one home V 3 .Temporarily absent V 4 .Refused V 5 .Unable to locate V 6 .Other Type A V .Type B noninterview (Wave 1) V 9 .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 0 .Less than 1 full year V 1 .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 ******************************************* * Part A. Work Schedule * ******************************************* D TM8000 1 61 Check Item T1 Is "Worked" (code 170) marked on the ISS? U Persons 15 years old or older V 0 .Not applicable V 1 .Yes V 2 .No - skip to Check Item T2 ******************************************* * COMMENT * * You said ... worked during reference * * period months. These next few * * questions ask about ...'s work * * schedule during a typical week that * * ... worked during that four month * * period. * ******************************************* D TM8002 1 62 During that four month period, how many employers did ... work for during a typical week? U All persons with job during reference period V 0 .Not applicable V 1 .One V 2 .Two V 3 .Three or more D TM8004 3 63 1 How many hours per day did ... work that week for first employer? This field contains one implied decimal place U All persons with job during reference period V 000 .Not applicable V 001 - 999 .Number of hours D TM8006 3 66 1 How many hours per day did ... work that week for second employer? This field contains one implied decimal place U All persons with second job during reference period V 000 .Not applicable V 001 - 999 .Number of hours D TM8008 1 69 How many days did ... work that week for first employer? U All persons with job during reference period V 0 .Not applicable V 1 - 7 .Number of days D TM8010 1 70 How many days did ... work that week for second employer U All persons with second job during reference period V 0 .Not applicable V 1 - 7 .Number of days D TM8012 1 71 Which days of the week were these for first employer? U All persons with job during reference period V 0 .Not applicable V 1 .Monday through Friday V .(First employer) D TM8014 1 72 Which days of the week were these for second employer? U All persons with second job during reference period V 0 .Not applicable V 1 .Monday through Friday V .(Second employer) D TM8016 1 73 Which days of the week were these for first employer? U All persons with job during reference period V 0 .Not applicable V 1 .Sunday D TM8018 1 74 Which days of the week were these for second employer? U All persons with second job during reference period V 0 .Not applicable V 1 .Sunday D TM8020 1 75 Which days of the week were these for first employer? U All persons with job during reference period V 0 .Not applicable V 1 .Monday D TM8022 1 76 Which days of the week were these for second employer? U All persons with second job during reference period V 0 .Not applicable V 1 .Monday D TM8024 1 77 Which days of the week were these for first employer? U All persons with job during reference period V 0 .Not applicable V 1 .Tuesday D TM8026 1 78 Which days of the week were these for second employer? U All persons with second job during reference period V 0 .Not applicable V 1 .Tuesday D TM8028 1 79 Which days of the week were these for first employer? U All persons with job during reference period V 0 .Not applicable V 1 .Wednesday D TM8030 1 80 Which days of the week were these for second employer? U All persons with second job during reference period V 0 .Not applicable V 1 .Wednesday D TM8032 1 81 Which days of the week were these for first employer? U All persons with first job during reference period V 0 .Not applicable V 1 .Thursday D TM8034 1 82 Which days of the week were these for second employer? U All persons with second job during reference period V 0 .Not applicable V 1 .Thursday D TM8036 1 83 Which days of the week were these for first employer? U All persons with job during reference period V 0 .Not applicable V 1 .Friday D TM8038 1 84 Which days of the week were these for second employer? U All persons with second job during reference period V 0 .Not applicable V 1 .Friday D TM8040 1 85 Which days of the week were these for first employer? U All persons with job during reference period V 0 .Not applicable V 1 .Saturday D TM8042 1 86 Which days of the week were these for second employer? U All persons with second job during reference period V 0 .Not applicable V 1 .Saturday D TM8044 2 87 Which days of the week were these for first employer? U All persons with job during reference period V 00 .Not applicable V -5 .All days (First employer) D TM8046 2 89 Which days of the week were these for second employer? U All persons with second job during reference period V 00 .Not applicable V -5 .All days (Second employer) D TM8048 4 91 During that week, at what time of day did ... begin work most days for first employer? U All persons with job during reference period V 0000 .Not applicable V 1 - 2400 .Time (possibly military) D TM8050 1 95 During that week, did ... begin work most days either A.M. or P.M. for first employer? U All persons with job during reference period V 0 .Not applicable V 1 .A.M. V 2 .P.M. D TM8052 4 96 During that week, at what time of day did ... begin work most days for second employer? U All persons with second job during reference period V 0000 .Not applicable V 1 - 2400 .Time (possibly military) D TM8054 1 100 During that week, did ... begin work most days either A.M. or P.M. for second job? U All persons with second job during reference period V 0 .Not applicable V 1 .A.M. V 2 .P.M. D TM8056 4 101 During that week, at what time of day did ... end work most days for first employer? U All persons with job during reference period V 0000 .Not applicable V 1 - 2400 .Time (possibly military) D TM8058 1 105 During that week, did ... end work most days either A.M. or P.M. for first employer? U All persons with job during reference period V 0 .Not applicable V 1 .A.M. V 2 .P.M. D TM8060 4 106 During that week, at what time of day did ... end work most days for second employer? U All persons with second job during reference period V 0000 .Not applicable V 1 - 2400 .Time (possibly military) D TM8062 1 110 During that week, did ... end work most days either A.M. or P.M. for second employer? U All persons with second job during reference period V 0 .Not applicable V 1 .A.M. V 2 .P.M. D TM8064 1 111 Which of the following best describes ...'s work schedule for first employer U All persons with job during reference period V 0 .Not applicable V 1 .Regular daytime schedule V 2 .Regular evening shift V 3 .Regular night shift V 4 .Rotating shift (one that V .changes regularly from days V .to evenings or nights) V 5 .Split shift (one consisting of V .two distinct periods each day) V 6 .Irregular schedule (one that V .changes from day to day) V 7 .Other D TM8066 1 112 Which of the following best describes ...'s work schedule for second employer? U All persons with second job during reference period V 0 .Not applicable V 1 .Regular daytime schedule V 2 .Regular evening shift V 3 .Regular night shift V 4 .Rotating shift (one that V .changes regularly from days V .to evenings or nights) V 5 .Split shift (one consisting of V .two distinct periods each day) V 6 .Irregular schedule (one that V .changes from day to day) V 7 .Other D TM8068 1 113 What is the main reason ... works for first employer? U All persons with job during reference period Voluntary reasons V 0 .Not applicable V 1 .Better child care arrangements V 2 .Better pay V 3 .Better arrangements for care V .of other family members V 4 .Allows time for school V 5 .Other voluntary reasons Involuntary reasons V 6 .Could not get any other job V 7 .Requirements of the job V 8 .Other involuntary reasons D TM8070 1 114 What is the main reason ... works for second employer? U All persons with second job during reference period Voluntary reasons V 0 .Not applicable V 1 .Better child care arrangements V 2 .Better pay V 3 .Better arrangements for care V .of other family members V 4 .Allows time for school V 5 .Other voluntary reasons Involuntary reasons V 6 .Could not get any other job V 7 .Requirement of the job V 8 .Other involuntary reasons D TM8072 1 115 Check Item T1.1 Refer to Item 1A (TM8002) Is box 2 or 3 marked? U All persons with two jobs V 0 .Not applicable V 1 .Yes - ask Items 1B through V .1H for next job (TM8006-TM8070) V .- Go to Check Item T2 (TM8100). V 2 .No - go to Check Item T2 V .(TM8100) ********************************************* * COMMENT * * Part A Work Schedule Imputation Flags * * (1-18) * * * * The following 18 fields are imputation * * flags of the form TM-IFAXX, where XX is * * the number of the flag. * * In all cases the range of values is * * (0:1). * * 0 = Not Imputed * * 1 = Imputed * * * ********************************************* D TM-IFA1 1 116 Imputation of 'TM8004' D TM-IFA2 1 117 Imputation of 'TM8008' and imputation of 'TM8016' through 'TM8040' D TM-IFA3 1 118 Imputation of 'TM8016' through 'TM8040' D TM-IFA4 1 119 Imputation of 'TM8048, TM8050, TM8056, TM8058' D TM-IFA5 1 120 Imputation of 'TM8048' and 'TM8050' D TM-IFA6 1 121 Imputation of 'TM8050' D TM-IFA7 1 122 Imputation of 'TM8056' and 'TM8058' D TM-IFA8 1 123 Imputation of 'TM8064' D TM-IFA9 1 124 Imputation of 'TM8068' D TM-IFA10 1 125 Imputation of 'TM8006' D TM-IFA11 1 126 Imputation of 'TM8010' and imputation of 'TM8018' through 'TM8042' D TM-IFA12 1 127 Imputation of 'TM8018' through 'TM8042' D TM-IFA13 1 128 Imputation of 'TM8052, TM8054, TM8060, TM8062' D TM-IFA14 1 129 Imputation of 'TM8052' and 'TM8054' D TM-IFA15 1 130 Imputation of 'TM8054' D TM-IFA16 1 131 Imputation of 'TM8060' and 'TM8062' D TM-IFA17 1 132 Imputation of 'TM8066' D TM-IFA18 1 133 Imputation of 'TM8070' D WK-FILL 3 134 Filler ******************************************* * Part B. Child Care * ******************************************* D TM8100 1 137 Check Item T2 Is ... the designated parent or guardian of children under 15 years of age who live in this household U Persons 15 years old or older V 0 .Not applicable V 1 .Yes V 2 .No - skip to Check Item T12 D TM8102 1 138 Check Item T3 Is 'worked' marked on the ISS for ... U Parent or guardian of children under 15 years of age who live in this household V 0 .Not applicable V 1 .Yes - skip to Check Item T6 V 2 .No D TM8103 1 139 Check Item T4 Was ...enrolled in school during the reference period U Working parent or guardian of children under 15 years of age who live in this household V 0 .Not applicable V 1 .Yes V 2 .No - skip to Check Item T5 D TM8104 2 140 Check Item T6 About how many hours per week did ... usually spend in school last month? U Persons 15 years old or older V 00 .Not applicable V 01 - 99 .Number of hours - skip to V -1 .Hours varied - skip to Check V .Item T6 V -2 .DK - Skip to Check Item T6 V -3 .Not enrolled last month D TM8106 1 142 Check Item T5 Did ... spend any time looking for work or on layoff from a job during the reference period? U Persons 15 years old or older V 0 .Not applicable V 1 .Yes V 2 .No - skip to Check Item T12 D TM8108 2 143 About how many hours per week did ... usually spend looking for a job last month? U Persons 15 years old or older V 00 .Not applicable V 01 - 99 .Number of hours V -1 .Hours varied V -2 .Don't know V -3 .Did not look for a job last V .month - skip to Check Item T12 ********************************************* * Beginning with the youngest child enter * * person numbers of children under 15, who * * are household members, for whom the person* * is a parent or guardian * ********************************************* D TM8114 3 145 Check Item T6 Person number of youngest child Answers to TM8120, TM8126, TM8132, TM8138, TM8144, TM8146, TM8152, TM8158, TM8164, TM8170, TM8176, TM8182, TM8188, TM8194, TM8196, TM8202, TM8208, TM8214, TM8220, TM8226, TM8232, TM8238, TM8244, TM8250, TM8256, TM8262, TM8268, TM8274, TM8280, TM8286, TM8292, TM8298, TM8304, TM8310, and TM8316 refer to this person U Working (school) parent or guardian of children under 15 years of age who live in this household V 000 .Not applicable V 001 - 999 .Person number D TM8116 3 148 Person number of second youngest child Answers for TM8122, TM8128, TM8134, TM8140,TM8148, TM8154, TM8160, TM8166, TM8172, TM8178, TM8184, TM8190, TM8198, TM8204, TM8210, TM8216, TM8222, TM8228, TM8234, TM8240, TM8246, TM8252, TM8258, TM8264, TM8270, TM8276, TM8282, TM8288, TM8294, TM8300, TM8306, TM8312, and TM8318 refer to this person U Working (school) parent or guardian of children under 15 years of age who live in this household V 000 .Not applicable V 001 - 999 .Person number D TM8118 3 151 Person number of third youngest child under 15. The following source codes are applicable to the third youngest child: TM8124, TM8130, TM8136, TM8142, TM8150, TM8156, TM8162, TM8168, TM8174, TM8180, TM8186, TM8192, TM8200, TM8206, TM8212, TM8218, TM8224, TM8230, TM8236, TM8242, TM8248, TM8254, TM8260, TM8272, TM8278, TM8284, TM8290, TM8296, TM8302, TM8308, TM8314, and TM8320 refer to this person U Working (school) parent or guardian of children under 15 years of age who live in this household V 000 .Not applicable V 001 - 999 .Person number ********************************************* * Now we have some questions about how the * * children in this household were cared for * * while ... was working (in school/looking * * for a job). * ********************************************* D TM8120 2 154 During (last month) what was (name of child) usually doing or how was (name of child) usually cared for during most of the hours that ... worked (was enrolled in school/looking for a job)? Mark the arrangement in which the child spent the most hours in a typical week last month. Youngest child U Parent or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household V 00 .Not applicable V 01 .Child's other parent/ V .stepparent V 02 .Child's brother/sister V 03 .Child's grandparent V 04 .Other relative of child V 05 .Nonrelative of child V .If 6 thru 12 skip to TM8132 V 06 .Child in day/group care V .center V 07 .Child in nursery/preschool V 08 .Child in organized school-based V .activity (before/after school) V 09 .Child in kindergarten, V .elementary or secondary V .school V 10 .Child cares for self V 11 ....works at home V 12 ....cares for child at work V .(in class/while job hunting) V 13 .Child not born as of last V .month - skip to next child or V .TM8400 V 14 ....did not work (not enrolled V .in school last month - V .skip to TM8400 D TM8122 2 156 During (last month) what was (name of child) usually doing or how was (name of child) usually cared for during most of the hours that ... worked (was enrolled in school/looking for a job). Mark the arrangement in which the child spent the most hours in a typical week last month. Second youngest child U Parent or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household V 00 .Not applicable V 01 .Child's other parent/ V .stepparent V 02 .Child's brother/sister V 03 .Child's grandparent V 04 .Other relative of child V 05 .Nonrelative of child V .If 6 thru 12 skip to TM8134 V 06 .Child in day/group care V .center V 07 .Child in nursery/preschool V 08 .Child in organized school-based V .activity (before/after school) V 09 .Child in kindergarten, V .elementary or secondary V .school V 10 .Child cares for self V 11 ....works at home V 12 ....cares for child at work V .(in class/while job hunting) V 13 .Child not born as of last V .month - skip to next child or V .TM8400 D TM8124 2 158 During (last month) what was (name of child) usually doing or how was (name of child) usually cared for during most of the hours that ... worked (was enrolled in school/looking for a job) Mark the arrangement in which the child spent the most hours in a typical week last month. Third youngest child U Parent or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household V 00 .Not applicable V 01 .Child's other parent/ V .stepparent V 02 .Child's brother/sister V 03 .Child's grandparent V 04 .Other relative of child V 05 .Nonrelative of child V .If 6 thru 12 skip to TM8136 V 06 .Child in day/group care V .center V 07 .Child in nursery/preschool V 08 .Child in organized school-based V .activity (before/after school) V 09 .Child in kindergarten, V .elementary or secondary V .school V 10 .Child cares for self V 11 ....works at home V 12 ....cares for child at work V .(in class/while job hunting) V 13 .Child not born as of last V .month - skip to next child or V .TM8400 D TM8126 1 160 Was name of child) usually cared for at his/her home, at someone else's home, or at some other place? Youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household but cared for during work hours by other parent, sibling, grandparent, other relative, or nonrelative V 0 .Not applicable V 1 .Child's home V 2 .Other private home V 3 .Other place D TM8128 1 161 Was (name of child) usually cared for at his/her home, at someone else's home, or at some other place? Second youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household but cared for during work hours by other parent, sibling, grandparent, other relative, or nonrelative V 0 .Not applicable V 1 .Child's home V 2 .Other private home V 3 .Other place D TM8130 1 162 Was (name of child) usually cared for at his/her home, at someone else's home or at some other place? Third youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household but cared for during work hours by other parent, sibling, grandparent, other relative, or nonrelative V 0 .Not applicable V 1 .Child's home V 2 .Other private home V 3 .Other place D TM8132 1 163 Check Item T7 Is box 3-8 marked in TM8120 Youngest child U Persons 15 years old or older V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8158 D TM8134 1 164 Is box 3-8 marked in TM8122 Second youngest child U Persons 15 years old or older V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8160 D TM8136 1 165 Is box 3-8 marked in TM8124 Third youngest child U Persons 15 years old or older V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8162 D TM8138 1 166 Was any money payment usually made for this arrangement? Youngest child U Persons with child care arrangement V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8158 D TM8140 1 167 Was any money payment usually made for this arrangement? Second youngest child U Persons with child care arrangement V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8160 D TM8142 1 168 Was any money payment usually made for this arrangement? Third youngest child U Persons with child care arrangement V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8162 D TM8144 1 169 Check Item T8 Are there 2 or more children listed in Check Item T6? U Persons wtih child care arrangement V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8152 D TM8146 1 170 Does ... (or ...'s family) pay for (name of child)'s child care separately, or does the payment for the care you just described also cover some other child? U Persons with child care arrangement for 2 or more children V 0 .Not applicable V 1 .Payment for youngest child V .separately V 2 .Includes another child D TM8148 1 171 Does ... (or ...'s family) pay for (name of child)'s child care separately, or does the payment for the care you just described also cover some other child? Second youngest child U Persons with child care arrangement for 2 or more children V 0 .Not applicable V 1 .Payment for second youngest V .child separately V 2 .Includes another child D TM8150 1 172 Does ... (or ...'s family) pay for (name of child)'s child care separately, or does the payment for the care you just described also cover some other child? Third youngest child U Persons with child care arrangement for 3 or more children V 0 .Not applicable V 1 .Payment for third youngest V .child separately V 2 .Includes another child D TM8152 3 173 In a typical week, how much did ... (or ...'s family) usually pay in this arrangement for (name of child). Youngest child Range = -01:999 U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household and paid cash for child care received V -01 .Don't know V 000 .Not applicable V 001-999 .Amount paid per week D TM8154 3 176 In a typical week, how much did ... (or ...'s family) usually pay in this arrangement for (name of child). Second youngest child Range = -02:999 U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household and paid cash for child care received V -02 .Previously recorded for V .youngest child V -01 .Don't know V 000 .Not applicable V 001 - 999 .Amount paid per week D TM8156 3 179 In a typical week, how much did ... (or ...'s family) usually pay in this arrangement for (name of child). Third youngest child Range = -03:999 U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household and paid cash for child care received V -03 .Previously recorded for V .second youngest child V -02 .Previously recorded for V .youngest child V -01 .Don't know V 000 .Not applicable V 001 - 999 .Amount paid per week D TM8158 2 182 About how many hours per week was (name of child) usually cared for under this arrangement while ... worked (was in school/was looking for work) last month? Youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had at least one child under 15 years of age living in the household for which care arrangements were made V 00 .Not applicable V 01-99 .Child care/hours per week D TM8160 2 184 About how many hours per week was (name of child) usually cared for under this arrangement while ... worked (was in school/was looking for work) last month? Second youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had at least two chidren under 15 years of age living in the household for which care arrangements were made V 00 .Not applicable V 01-99 .Youngest child care/ V .hours per week D TM8162 2 186 About how many hours per week was (name of child) usually cared for under this arrangement while ... worked (was in school/was looking for work) last month? Third youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household for which care arrangements were made V 00 .Not applicable V 01-99 .Youngest child care/ V .hours per week D TM8164 1 188 Check Item T11 Was any other arrangement usually used for (name of child) in a typical week last month Youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had at least one child under 15 years of age living in the household for which care arrangements were made V 0 .Not applicable V 1 .Yes V 2 .No - skip to next child or V .Check Item T11 D TM8166 1 189 Was any other arrangement usually used for (name of child) in a typical week last month Second youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had at least two children under 15 years of age living in the household for which care arrangements were made V 0 .Not applicable V 1 .Yes V 2 .No - skip to next child or V .Check Item T11 D TM8168 1 190 Was any other arrangement usually used for (name of child) in a typical week last month Third youngest U Parents or guardians who worked or were enrolled in school during the reference period and had at least three children under 15 years of age living in the household for which care arrangements were made V 0 .Not applicable V 1 .Yes V 2 .No - skip to Check Item T11 D TM8170 2 191 What did (name of child) do or how was (name of child) cared for during most of the other hours that ... worked (was in school/was looking for a job). Mark the arrangement in which the child spent the second most hours in a typical week. Youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household where more than one child care arrangement was made V 00 .Not applicable V 01 .Child's other parent/step- V .parent V 02 .Child's brother/sister V 03 .Child's grandparent V 04 .Other relative of child V 05 .Nonrelative of child V .If 6 thru 12 skip to TM8182 V 06 .Child in day/group care V .center V 07 .Child in nursery/preschool V 08 .Child in organized school- V .based activity (before/after V .school) V 09 .Child in kindergarten, V .elementary or secondary V .school V 10 .Child cares for self V 11 ... .works at home V 12 ....cares for child at work V .(in class/while job hunting) D TM8172 2 193 What did (name of child) do or how was (name of child) cared for during most of the other hours that ... worked (was in school) Mark the arrangement in which the child spent the second most hours in a typical week. Second youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household where more than one child care arrangement was made V 00 .Not applicable V 01 .Child's other parent/step- V .parent V 02 .Child's brother/sister V 03 .Child's grandparent V 04 .Other relative of child V 05 .Nonrelative of child V .If 6 thru 12 skip to TM8184 V 06 .Child in day/group care V .center V 07 .Child in nursery/preschool V 08 .Child in organized school- V .based activity (before/after V .school) V 09 .Child in kindergarten, V .elementary or secondary V .school V 10 .Child cares for self V 11 ....works at home V 12 ....cares for child at work V .(in class/while job hunting) D TM8174 2 195 What did (name of child) do or how was (name of child) cared for during most of the other hours that ... worked (was in school) Mark the arrangement in which the child spent the second most hours in a typical week. Third youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household where more than one child care arrangement was made V 00 .Not applicable V 01 .Child's other parent/step- V .parent V 02 .Child's brother/sister V 03 .Child's grandparent V 04 .Other relative of child V 05 .Nonrelative of child V .If 6 thru 12 skip to TM8186 V 06 .Child in day/group care V .center V 07 .Child in nursery/preschool V 08 .Child in organized school- V .based activity (before/after V .school) V 09 .Child in kindergarten, V .elementary or secondary V .school V 10 .Child cares for self V 11 ....works at home V 12 ....cares for child at work V .(in class/while job hunting) D TM8176 1 197 Was (name of child) usually cared for at his/her home, at someone else's home, or at some other place? Youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household but cared for during work (school) hours by other parent, sibling, grandparent, other relative, or nonrelative V 0 .Not applicable V 1 .Child's home V 2 .Other private home V 3 .Other place D TM8178 1 198 Was (name of child) usually cared for at his/her home, at someone else's home, or at some other place? Second youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household but cared for during work (school) hours by other parent, sibling, grandparent, other relative, or nonrelative V 0 .Not applicable V 1 .Child's home V 2 .Other private home V 3 .Other place D TM8180 1 199 Was (name of child) usually cared for at his/her home, at someone else's home, or at some other place? Third youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household but cared for during work (school) hours by other parent, sibling, grandparent, other relative, or nonrelative V 0 .Not applicable V 1 .Child's home V 2 .Other private home V 3 .Other place D TM8182 1 200 Check Item T9 Are any of the children cared for by a 'grandparent', 'other relative of child', nonrelative of child', 'day/group care center', nursery or preschool', or 'organized school- based activity' (codes 3, 4, 5, 6, or 7 marked in TM8170) Youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household who were cared for during work (school) hours by more than one type of arrangement V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8208 D TM8184 1 201 Are any of the children cared for by a 'grandparent', 'other relative of child', nonrelative of child', 'day/group care center', nursery or preschool', or 'organized school- based activity' (codes 3, 4, 5, 6, or 7 marked in TM8172) Second youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household who were cared for by more than one type of arrangement V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8210 D TM8186 1 202 Are any of the children cared for by a 'grandparent', 'other relative of child', nonrelative of child', 'day/group care center', nursery or preschool', or 'organized school- based activity' (codes 3, 4, 5, 6, or 7 marked in TM8174) Third youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household who were cared for by more than one type of arrangement V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8212 D TM8188 1 203 Was any money payment usually made for this arrangement? Youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household who were cared for by other than immediate family V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8208 D TM8190 1 204 Was any money payment usually made for this arrangement? Second youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household who were cared by other than immediate family V 0 .Not applicable V 1 .Yes - skip to TM8198 V 2 .No - skip to TM8210 D TM8192 1 205 Was any money payment usually made for this arrangement? Third youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household who were cared for by other than immediate family V 0 .Not applicable V 1 .Yes - skip to TM8200 V 2 .No - skip to TM8212 D TM8194 1 206 Check Item T10 Are there 2 or more children listed in Check Item T6 U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household who were cared for by other than immediate family and money payment was made for care of youngest child V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8202 D TM8196 1 207 Does ... (or ...'s family) pay for (name of child)'s child care separately, or does the payment for the care you just described also cover some other child? Youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had two or more children under 15 years of age living in the household who were cared for by other than immediate family for money payment V 0 .Not applicable V 1 .Payment for youngest child V .separately V 2 .Includes another child D TM8198 1 208 Does ... (or ...'s family) pay for (name of child)'s child care separately, or does the payment for the care you just described also cover some other child? Second youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household who were cared for by other than immediate family for money payment V 0 .Not applicable V 1 .Payment for second youngest V .child separately V 2 .Includes another child D TM8200 1 209 Does ... (or ...'s family) pay for (name of child)'s child care separately, or does the payment for the care you just described also cover some other child? Third youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household who were cared for by other than immediate family for money payment V 0 .Not applicable V 1 .Payment for third youngest V .child separately V 2 .Includes another child D TM8202 3 210 In a typical week, how much did ... (or ...'s family) usually pay in this arrangement for (name of child). Youngest child Range = -01:999 U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household and paid for child care received by other than immediate family V -01 .Don't know V 000 .Not applicable V 001-999 .Amount paid per week D TM8204 3 213 In a typical week, how much did ... (or ...'s family) usually pay in this arrangement for (name of child). Second youngest child Range = -02:999 U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household and paid for child care received by other than immediate family V -01 .Don't know V -02 .Previously recorded for V .youngest child V 000 .Not applicable V 001-999 .Amount paid per week D TM8206 3 216 In a typical week, how much did ... (or ...'s family) usually pay in this arrangement for (name of child). Third youngest child Range = -03:999 U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household and paid for child care received by other than immediate family V -03 .Previously recorded for V .second youngest child V -02 .Previously recorded for V .youngest child V -01 .Don't know V 000 .Not applicable V 001-999 .Amount paid per week D TM8208 2 219 About how many hours per week was (name of child) usually cared for in the arrangement while ... worked (was in school/was looking for a job)? Youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household and paid for child care received by other than immediate family V 00 .Not applicable V 01 - 99 .Number of hours D TM8210 2 221 About how many hours per week was (name of child) usually cared for in the arrangement while ... worked (was in school/was looking for a job)? Second youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household and paid for child care received by other than immediate family V 00 .Not applicable V 01 - 99 .Number of hours D TM8212 2 223 About how many hours per week was (name of child) usually cared for in the arrangement while ... worked (was in school/was looking for a job)? Third youngest child U Parents or guardians who worked or were enrolled in school during the reference period and had children under 15 years of age living in the household and paid for child care received by other than immediate family V 00 .Not applicable V 01 - 99 .Number of hours D TM8214 1 225 Check Item T11 Is (name of child) less than 5 years old U Designated parent or guardian of children under 15 years of age who live in this household V 0 .Not applicable V 1 .Less than 5 years old V 2 .5 or more years old - skip V .to TM8226 D TM8216 1 226 Check Item T11 Is (name of child) less than 5 years old U Designed parent or guardian of children under 15 years old who live in this household V 0 .Not applicable V 1 Less than 5 years old V 2 .5 or more years old - skip V .to TM8228 D TM8218 1 227 Check Item T11 Is (name of child) less than 5 years old U Designed parent or guardian of children under 15 years old who live in this household V 0 .Not applicable V 1 .Less than 5 years V 2 .5 or more years old - skip V .to TM8230 D TM8220 1 228 During the past 12 months, did ... make any changes in the arrangements used for (Name of child) for 1 week or more during the time ... was working (at school/looking for a job)? U Designed parent or guardian of children less than 5 years old who live in this household V 0 .Not applicable V 1 .Yes - skip to TM8236 V 2 .No - skip to next child or V .TM8322 V 3 .Stopped working (attending V .school/looking) - skip to next V .child or TM8322 D TM8222 1 229 During the past 12 months, did ... make any changes in the arrangements used for (name of child) for 1 week or more during the time ... was working (at school/looking for a job)? U Designated parent or guardian of child less than 5 years old living in this household V 0 .Not applicable V 1 .Yes - skip to TM8236 V 2 .No - skip to next child or V .TM8322 V 3 .Stopped working (attending V .school/looking) - skip to next V .child or TM8322 D TM8224 1 230 During the past 12 months, did ... make any changes in the arrangements used for (name of child) for 1 week or more during the time ... was working (at school/looking for a job)? U Designated parent or guardian of child less than 5 years old living in household V 0 .Not applicable V 1 .Yes - skip to TM8236 V 2 .No - skip to next child or V .TM8322 V 3 .Stopped working (attending V .school/looking for work) when V .arrangement ended - skip to V .next child or TM8322 D TM8226 1 231 During the past 12 months, did ... make any changes in the arrangements used for (name of child) during the time ... was working (at school/looking for a job)? Consider only changes that lasted for one week or more, including changes over the summer or between (name of child's) school terms. U Designated parent or guardian of children 5 or more years of age who live in this household V 0 .Not applicable V 1 .Yes - skip to TM8232 V 2 .No - skip to next child or V .TM8322 V 3 .Stopped working (attending V .school/looking for work) when V .arrangement ended - skip to V .next child or TM8322 D TM8228 1 232 During the past 12 months, did ... make any changes in the arrangements used for (name of child) during the time ... was working (at school/looking for a job)? Consider only changes that lasted for one week or more, including changes over the summer or between (name of child's) school terms. U Designated parent or guardian of children 5 or more years of age who live in this household V 0 .Not applicable V 1 .Yes - skip to TM8234 V 2 .No - skip to next child or V .TM8322 V 3 .Stopped working (attending V .school/looking for work) when V .arrangement ended - skip to V .next child or TM8322 D TM8230 1 233 During the past 12 months, did ... make any changes in the arrangements used for (name of child) during the time ... was working (at school/looking for a job)? Consider only changes that lasted for one week or more, including changes over the summer or between (name of child's) school terms. U Designated parent or guardian of children 5 or more years of age who live in this household V 0 .Not applicable V 1 .Yes - skip to TM8236 V 2 .No - skip to next child or V .TM8322 V 3 .Stopped working (attending V .school/looking for work) when V .arrangement ended - skip to V .next child or TM8322 D TM8232 2 234 Excluding any time spent in kindergarten or grade school, how many different arrangements did (name of child) use in the last 12 months. Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 00 .Not applicable V 99 .Arrangement(s) D TM8234 2 236 Excluding any time spent in kindergarten or grade school, how many different arrangements did (name of child) use in the last 12 months. Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 00 .Not applicable V 99 .Arrangement(s) D TM8236 2 238 Excluding any time spent in kindergarten or grade school, how many different arrangements did (name of child) use in the last 12 months. Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 00 .Not applicable V 01 - 99 .Arrangements(s) D TM8238 1 240 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Beginning/ending/changes in V .child's school enrollment D TM8240 1 241 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Beginning/ending/changes in V .child's school enrollment D TM8242 1 242 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Beginning/ending/changes in .child's school enrollment D TM8244 1 243 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Beginning/ending/changes V .in ...'s job D TM8246 1 244 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Beginning/ending/changes V .in ...'s job D TM8248 1 245 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Beginning/ending/changes V .in ...'s job D TM8250 1 246 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Beginning/ending/changes V .in ...'s school enrollment D TM8252 1 247 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Beginning/ending/changes in V ....'s school enrollment D TM8254 1 248 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Beginning/ending/changes in V ....'s school enrollment D TM8256 1 249 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Cost D TM8258 1 250 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Cost D TM8260 1 251 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Cost D TM8262 1 252 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Availability or hours of V .care provider D TM8264 1 253 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Availability or hours of V .care provider D TM8266 1 254 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Availability or hours of V .care provider D TM8268 1 255 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Reliability of care provider D TM8270 1 256 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Reliability of care provider D TM8272 1 257 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Reliability of care provider D TM8274 1 258 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Quality of care provided D TM8276 1 259 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 Not applicable V 1 .Quality of care provided D TM8278 1 260 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Quality of care provided D TM8280 1 261 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Location or accessability V .to care provider D TM8282 1 262 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Location or accessability V .to care provider D TM8284 1 263 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Location or accessability V .to care provider D TM8286 1 264 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Found better/less expensive/ V .more convenient provider D TM8288 1 265 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Found better/less expensive/ V .more convenient provider D TM8290 1 266 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Found better/less expensive/ V .more convenient provider D TM8292 1 267 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Never had any regular arrange- V .ment D TM8294 1 268 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Never had any regular arrange- V .ment D TM8296 1 269 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Never had any regular arrange- V .ment D TM8298 1 270 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Child outgrew arrangement D TM8300 1 271 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Child outgrew arrangement D TM8302 1 272 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Child outgrew arrangement D TM8304 1 273 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .No longer eligible for V .assistance D TM8306 1 274 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .No longer eligible for V .assistance D TM8308 1 275 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .No longer eligible for V .assistance D TM8310 1 276 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Arrangement no longer available D TM8312 1 277 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Arrangement no longer available D TM8314 1 278 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Arrangement no longer available D TM8316 1 279 For what reason(s) did this/these child care arrangement(s) change? Youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Other - skip to next child V .TM8322 D TM8318 1 280 For what reason(s) did this/these child care arrangement(s) change? Second youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Other - skip to next child V .or TM8322 D TM8320 1 281 For what reason(s) did this/these child care arrangement(s) change? Third youngest child U Parents or guardians whose child care arrangements changed during the past 12 months V 0 .Not applicable V 1 .Other - skip to TM8322 D TM8322 1 282 Check Item T11.1 Is ... the designated parent or guardian of 4 or more children under 15 years of age who live in this household? U Designated parent or guardian of children who live in in this household V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8326 D TM8324 6 283 Considering all of ...'s children under 15 in the household, even those not previously mentioned, how much did ... (or ...'s family) pay for child care for all of ...'s children for all arrange- ments used in a typical week last month? (Exclude the cost of school tuition for kindergarten, elementary, or secondary school.) U Designated parent or guardian of 4 or more children under 15 years of age who live in this household V 000000 .Not applicable V 1-999999 .Per week V -00002 .All costs already recorded for V .the three youngest children D TM8326 1 289 During (last month) were any changes made in the child care arrangements use for any of your children because the child care provider who usually took care of the child(ren) was not available? U Designated parent or guardian of children under 15 years of age who live in this household V 0 .Not available V 1 .Yes V 2 .No - skip to TM8400 D TM8328 2 290 When these changes in arrangements occurred (last month) did ... (or ...'s spouse) lose any time from work (school/ job hunting)? U Designated parent or guardian of children under 15 years of age who live in this household and changes were made in child care arrangements used because child provider was not available V 00 .Not applicable V 01 .Yes, respondent lost time V 02 .Yes, spouse lost time V 03 .Both, respondent and spouse V .lost time V 04 .No V -1 .Don't know ********************************************* * Part B - Child care imputation flags * * * * The following 47 fields are imputation* * flags of the form IMPXXXX where XXXX * * is the number of the flag. * * * * In all cases the range of values * * is (0:1): * * 0 .Not imputed * * 1 .Imputed * ********************************************* D IMP8104 1 292 Imputation of 'TM8104' Hours spent in school D IMP8108 1 293 Imputation of 'TM8108' Hours spent looking for work D IMP8120 1 294 Imputation of 'TM8120' Primary child care Who provides care D IMP8122 1 295 Imputation of 'TM8122' Primary child care Who provides care D IMP8124 1 296 Imputation of 'TM8124' Primary child care Who provides care D IMP8126 1 297 Imputation of 'TM8126' Primary child care Where care is provided D IMP8128 1 298 Imputation of 'TM8128' Primary child care Where care is provided D IMP8130 1 299 Imputation of 'TM8130' Primary child care Where care is provided D IMP8138 1 300 Imputation of 'TM8138' Any money payment made for primary arrangement D IMP8140 1 301 Imputation of 'TM8140' Any money payment made for primary arrangement D IMP8142 1 302 Imputation of 'TM8142' Any money payment made for primary arrangement D IMP8146 1 303 Imputation of 'TM8146' Payment separately for youngest child, primary care D IMP8148 1 304 Imputation of 'TM8148' Payment separately for second child, primary care D IMP8150 1 305 Imputation of 'TM8150' Payment separately for third child, primary care D IMP8152 1 306 Imputation of 'TM8152' Amounts for youngest child for primary care D IMP8154 1 307 Imputation of 'TM8154' Amounts for second child for primary care D IMP8156 1 308 Imputation of 'TM8156' Amounts for third child for primary care D IMP8158A 1 309 Imputation of 'TM8158' Hours of primary care for persons in school or unemployed D IMP8160A 1 310 Imputation of 'TM8160' Hours of primary care for persons in school or unemployed D IMP8162A 1 311 Imputation of 'TM8162' Hours of primary care for persons in school or unemployed D IMP8158B 1 312 Imputation of 'TM8158' Hours of primary care for persons in school or unemployed D IMP8160B 1 313 Imputation of 'TM8160' Hours of primary care for persons in school or unemployed D IMP8162B 1 314 Imputation of 'TM8162' Hours of primary care for persons in school or unemployed D IMP8170 1 315 Imputation of 'TM8170' Secondary child care Who provides care D IMP8172 1 316 Imputation of 'TM8172' Secondary child care Who provides care D IMP8174 1 317 Imputation of 'TM8174' Secondary child care Who provides care D IMP8176 1 318 Imputation of 'TM8176' Secondary child care Where care if provided D IMP8178 1 319 Imputation of 'TM8178' Secondary child care Where care is provided D IMP8180 1 320 Imputation of 'TM8180' Secondary child care Where care is provided D IMP8188 1 321 Imputation of 'TM8188' Any money payment made for secondary arrangement D IMP8190 1 322 Imputation of 'TM8190' Any money payment made for secondary arrangement D IMP8192 1 323 Imputation of 'TM8192' Any money payment made for secondary arrangement D IMP8196 1 324 Imputation of 'TM8196' Payment separately for youngest child, secondary care D IMP8198 1 325 Imputation of 'TM8198' Payment separately for second child, secondary care D IMP8200 1 326 Imputation of 'TM8200' Payment separately for third child, secondary care D IMP8202 1 327 Imputation of 'TM8202' Amounts for youngest child, secondary care D IMP8204 1 328 Imputation of 'TM8204' Amounts for second child, secondary care D IMP8206 1 329 Imputation of 'TM8206' Amounts for third child Secondary care D IMP8208A 1 330 Imputation of 'TM8208' hours of secondary care for persons in school or unemployed D IMP8210A 1 331 Imputation of 'TM8210' Hours of secondary care for persons in school or unemployed D IMP8212A 1 332 Imputation Of 'TM8212' Hours of secondary care for persons in school or unemployed D IMP8208B 1 333 Imputation of 'TM8208' Hours of secondary care for persons employed D IMP8210B 1 334 Imputation of 'TM8210' Hours of secondary care for persons employed D IMP8212B 1 335 Imputation of 'TM8212' Hours of secondary care for persons employed D IMP8220 1 336 Imputation of 'TM8220' Any changes in arrangements D IMP8222 1 337 Imputation of 'TM8222' Stopped working when arrangement ended D IMP8224 1 338 Imputation of 'TM8224' Stopped working when arrangment ended D IMP8226 1 339 Imputation of 'TM8226' Stopped working when arrangement ended D IMP8228 1 340 Imputation of 'TM8228' Stopped working when arrangement ended D IMP8230 1 341 Imputation of 'TM8230' Stopped working when arrangement ended D IMP8232 1 342 Imputaton of 'TM8232' Arrangements D IMP8234 1 343 Imputation of 'TM8234' Arrangements D IMP8236 1 344 Imputation of 'TM8236' Arrangements D IMP8324 1 345 Imputation of 'TM8324' Amount paid for child care D IMP8326 1 346 Imputation of 'TM8326' Child care provider unavailable D IMP8328 1 347 Imputation of 'TM8328' Lose anytime from work D CC-FILL 1 348 Filler ******************************************* * Part C - Child Support Agreements * ******************************************* D TM8400 1 349 Check Item T12 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 1 350 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 1 351 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 2 352 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 1 354 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 2 355 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 2 357 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 3 359 Which children living here are covered by that agreement? U Persons with written child support agreement V 000 .Not applicable V 101 - 999 .Person no. D TM8414 3 362 Which children living here are covered by that agreement? U Persons with written child support agreement V 000 .Not applicable V 101 - 999 .Person no. D TM8416 3 365 Which children living here are covered by that agreement? U Persons with written child support agreement V 000 .Not applicable V 101 - 999 .Person no. D TM8418 4 368 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 6 372 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 6 378 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 6 384 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 6 390 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 2 396 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 1 398 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 4 399 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 6 403 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 6 409 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 6 415 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 6 421 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 2 427 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 1 429 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 1 430 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 6 431 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 6 437 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 000000 .Not applicable V 1 -999999 .Amount actually received V -00001 .Don't know V -00003 .None D TM8452 2 443 How are the payments now received? Are they received-- U Persons with written child support agreement V 00 .Not applicable V -1 .Don't 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 1 445 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 1 446 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 1 447 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 1 448 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 1 449 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 1 450 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 1 451 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 1 452 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 1 453 What child custody arrangement 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 1 454 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 1 455 Check Item T13 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 1 456 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 3 457 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 2 460 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 2 462 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 2 464 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 2 466 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 2 468 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 1 470 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 1 471 Check Item T14 Does ... have any children living in this household not covered by the most recent child support agreement U Persons 15 years old or older V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM8520 D TM8494 1 472 (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 1 473 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 1 474 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 3 475 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 - 999 .Person number D TM8502 3 478 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 - 999 .Person number D TM8504 3 481 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 - 999 .Person number D TM8506 6 484 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 6 490 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 6 496 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 6 502 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 2 508 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 00 .Not applicable V -1 .Don't know V -3 .None D TM8516 6 510 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 000000 .Not applicable V 1-999999 .Amount actually received V -00001 .Don't know V -00003 .None D TM8518 2 516 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 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 V -1 .Don't know D TM8520 1 518 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 4 519 In what year did ... last ask for help U Parents asking for help in obtaining child support from a public agency V 0000 .Not applicable V 1900-1992 .Year last asked for help V -001 .Don't know D TM8524 1 523 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 1 524 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 1 525 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 1 526 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 1 527 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 1 528 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 1 529 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 1 530 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 1 531 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 1 532 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 1 533 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 1 534 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 1 535 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 1 536 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 1 537 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 1 538 Check Item T15 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 2 539 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 1 541 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 3 542 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 - 999 .Person number V 999 .Person no. unknown D TM8562 3 545 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 - 999 .Person number D TM8564 1 548 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 1 549 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 1 550 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 1 551 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 1 552 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 1 553 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 1 554 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 1 555 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 1 556 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 1 557 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 1 558 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 1 559 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 1 560 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 1 561 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 1 562 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 1 563 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 1 564 Youngest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Same county/city D TM8598 1 565 Oldest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Same county/city D TM8600 1 566 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 1 567 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 1 568 Youngest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Different state D TM8606 1 569 Oldest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Different state D TM8608 1 570 Youngest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Other parent deceased D TM8610 1 571 Oldest child U Persons without written child support agreement for children under 21 V 0 .Not applicable V 1 .Other parent deceased D TM8612 2 572 Youngest child U Persons without written child support agreement for children under 21 V 00 .Not applicable V 01 .Other V -1 .DK D TM8614 2 574 Oldest child U Persons without written child support agreement for children under 21 V 00 .Not applicable V 01 .Other V -1 .DK D TM8616 1 576 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 1 577 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 1 578 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 6 579 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 1 585 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 C - Child support imputation flags * * The following 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 1 586 Imputation of 'TM8402' D IM8404 1 587 Imputation of 'TM8404' D IM8406 1 588 Imputation of 'TM8406' D IM8408 1 589 Imputation of 'TM8408' D IM8418 1 590 Imputation of 'TM8418' D IM2026 1 591 Imputation of 'TM8420 thru TM8426' D IM8430 1 592 Imputation of 'TM8430' D IM8432 1 593 Imputation of 'TM8432' D IM3440 1 594 Imputation of 'TM3440' D IM8444 1 595 Imputation of 'TM8444' D IM8446 1 596 Imputation of 'TM8446' D IM8448 1 597 Imputation of 'TM8448' D IM8450 1 598 Imputation of 'TM8450' D IM8452 1 599 Imputation of 'TM8452' D IM8454 1 600 Imputation of 'TM8454' D IM8456 1 601 Imputation of 'TM8456' D IM5868 1 602 Imputation of 'TM5868' D IM8470 1 603 Imputation of 'TM8470' D IM8472 1 604 Imputation of 'TM8472' D IM8476 1 605 Imputation of 'TM8476' D IM7884 1 606 Imputation of 'TM7884' D IM8488 1 607 Imputation of 'TM8488' D IM8490 1 608 Imputation of 'TM8490' D IM8494 1 609 Imputation of 'TM8494' D IM8498 1 610 Imputation of 'TM8498' D IM0613 1 611 Imputation of '8506-13' D IM8516 1 612 Imputation of 'TM8516' D IM8518 1 613 Imputation of 'TM8518' D IM8520 1 614 Imputation of 'TM8520' D IM8522 1 615 Imputation of 'TM8522' D IM2436 1 616 Imputation of 'TM8524-36' D IM8538 1 617 Imputation of 'TM8538' D IM4052 1 618 Imputation of 'TM8540-52 D IM8556 1 619 Imputation of 'TM8556' D IM8558 1 620 Imputation of 'TM8558' D IM6492 1 621 Imputation of 'TM8564-8592 by 4' D IM9612 1 622 Imputation of '8596-8612 by 4' D IM8616 1 623 Imputation of 'TM8616' D IM6694 1 624 Imputation of '8566-8594 by 4' D IM9814 1 625 Imputation of '8598-8614 by 4' D IM8618 1 626 Imputation of 'TM8618' D IM8620 1 627 Imputation of 'TM8620' D IM8622 1 628 Imputation of 'TM8622' D IM8624 1 629 Imputation of 'TM8624' D CS-FILL 3 630 Filler ********************************************* * Part D - Support For Nonhousehold Members * ********************************************* D TM8700 1 633 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 Check Item T16 D TM8702 1 634 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 2 635 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 00 .Not applicable V 01 .Yes V 02 .No - skip to TM8736 D TM8706 2 637 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 00 .Not applicable V 01-04 .The number of children V . ... made support payments V .for D TM8708 1 639 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 TM8730 D TM8710 2 640 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 00 .Not applicable V 01 - 99 .Number of children V -1 .Don't know D TM8712 1 642 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 ********************************************* * COMMENT * * These nest few questions relate to the * * most recent court-ordered and/or written* * child support agreement for ...'s * * child(ren). * ********************************************* D TM8714 4 643 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 0000 .Not applicable V 1900-1992 .Year D TM8716 2 647 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 4 649 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 1900-1992 .Year D TM8720 1 653 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 6 654 How much did ... pay for the support of this person during the past 12 months Range = 000000:100000 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 2 660 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 1 662 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 1 663 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 1 664 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 1 665 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 1 666 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 2 667 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 1 669 (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 6 670 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 1 676 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 6 677 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 1 683 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 2 684 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 1 686 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 1 687 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 1 688 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 1 689 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 6 690 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 6 696 Check Item T16 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 1 702 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 6 703 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 D - Support for Nonhousehold Members * * Imputation Flags. The following 28 fields* * are imputation flags of the form IMPXXXX, * * where XXXX is the source code number of * * the flag * ********************************************* D IMP8700 1 709 Imputation of 'TM8700' D IMP8702 1 710 Imputation of 'TM8702' D IMP8704 1 711 Imputation of 'TM8704' D IMP8706 1 712 Imputation of 'TM8706' D IMP8708 1 713 Imputation of 'TM8708' D IMP8710 1 714 Imputation of 'TM8710' D IMP8712 1 715 Imputation of 'TM8712' D IMP8714 1 716 Imputation of 'TM8714' D IMP8716 1 717 Imputation of 'TM8716' D IMP8718 1 718 Imputation of 'TM8718' D IMP8720 1 719 Imputation of 'TM8720' D IMP8722 1 720 Imputation of 'TM8722' D IMP8724 1 721 Imputation of 'TM8724' D IMP26-36 1 722 Imputation of 'TM8726-36' D IMP8738 1 723 Imputation of 'TM8738' D IMP8740 1 724 Imputation of 'TM8740' D IMP8742 1 725 Imputation of 'TM8742' D IMP8744 1 726 Imputation of 'TM8744' D IMP8746 1 727 Imputation of 'TM8746' D IMP8748 1 728 Imputation of 'TM8748' D IMP8750 1 729 Imputation of 'TM8750' D IMP8752 1 730 Imputation of 'TM8752' D IMP8754 1 731 Imputation of 'TM8754' D IMP8756 1 732 Imputation of 'TM8756' D IMP8758 1 733 Imputation of 'TM8758' D IMP8760 1 734 Imputation of 'TM8760' D IMP8764 1 735 Imputation of 'TM8764' D FILLER 1 736 Filler ********************************************* * Part E - Functional Limitations and * * Disability * ********************************************* D TM8800 1 737 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 old or older V 0 .Not applicable V 1 .Excellent V 2 .Very good V 3 .Good V 4 .Fair V 5 .Poor D TM8802 1 738 Does ... use any of the following aids to get around? U Persons 15 years old or older V A .A cane,crutches or a walker V 0 .Not applicable V 1 .Yes V 2 .No D TM8804 1 739 Check Item T17 Does ... use any of the following aids to get around? U Persons 15 years old or older V B .A Wheelchair V 0 .Not applicable V 1 .Yes D TM8806 1 740 Is "yes" marked in TM8802 or TM8804 above? U Persons 15 years old or older V 0 .Not applicable V 1 .Yes V 2 .No - Skip to TM8810 D TM8808 1 741 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 1 742 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 old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty- skip to TM8814 D TM8812 1 743 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 1 744 Does...have any difficulty hearing another person? (using a hearing aid if...usually wears one.) U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty- Skip to TM8818 D TM8816 1 745 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 1 746 Because of a health condition or a problem, does .... have any trouble having his/her speech understood? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty - Skip To TM8822 D TM8820 1 747 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 1 748 Does...have any difficuly lifting and carrying something as heavy as 10 lbs., such as a full bag of groceries? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty- skip to TM8826 D TM8824 1 749 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 1 750 Does...have any difficulty walking up a flight of stairs without resting? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty- skip to TM8830 D TM8828 1 751 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 1 752 Does...have any difficulty walking for a quarter of a mile - about 3 city blocks? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty-skip to TM8834 D TM8832 1 753 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 1 754 Does ... have any difficulty using the telephone? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty-skip to TM8838 D TM8836 1 755 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 * * condittion, does ... have difficulty * * doing any of the following by himself/ * * herself(exclude the effects of temporary * * conditions)? * ********************************************* D TM8838 1 756 Does ... have any difficulty getting around inside the home? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8839 1 757 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 1 758 Does...have any difficulty getting around outside the the home, for example to shop or visist a doctor's office? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No Difficulty D TM8841 1 759 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 1 760 Does ... have any difficulty getting into and out of bed or a chair? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8843 1 761 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 1 762 Does ... have any difficulty taking a bath or a shower? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8845 1 763 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 1 764 Does ... have any difficulty getting dressed? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8847 1 765 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 1 766 Does ... have any difficulty walking? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8849 1 767 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 1 768 Does ... have any difficulty eating? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8851 1 769 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 1 770 Does ... have any difficulty using the toilet, including getting to the toilet U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8853 1 771 Does...need the help of another person in order to use the toilet? U Persons with difficulty using the toilet V 0 .Not applicable V 1 .Yes V 2 .No D TM8854 1 772 Does ... have any difficulty keeping track of money and bills? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8855 1 773 Does ... need the help of another person in order to keep track of money and bills? U Persons 15 years old or older V 0 .Not applicable V 1 .Yes V 2 .No D TM8856 1 774 Does ... have any difficulty preparing meals? U Persons 15 years old or older V 0 .Not applicable V 1 .Has difficulty V 2 .No difficulty D TM8857 1 775 Does ... need the help of another person in order to prepare meals? U Persons 15 years old or older V 0. Not applicable V 1. Yes V 2. D TM8858 1 776 Does ... have any difficulty doing light househwork, such as washing dishes or sweeping a floor U Persons 15 years old or older V 0. Not applicable V 1. Has difficulty V 2. No difficulty D TM8859 1 777 Does ... need the help of another person in order to do light housework? U Persons with difficulty doing light house- work V 0 .Not applicable V 1 .Yes V 2 .No D TM8860 1 778 Is "yes" marked in TM8850 for any of the activities listed? U Persons 15 years old or older V 0 .Not applicable V 1 .Yes - Go to TM8876 V 2 .No - skip to TM8890 D TM8876 1 779 You have said that ... needs the help of another person with one or more activities. Who helps ... with these activities? Anyone else? First Helper U Persons who need help of another person with one or more activities V 0 .Not applicable V 1 .Son V 2 .Daughter V 3 .Spouse V 4 .Parent V 5 .Other relative Nonrelative V 6 .Friend or neighbor V 7 .Paid help V 8 .Other nonrelative V 9 .Did not receive help - V .skip to TM8892 D TM8878 1 780 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 1 781 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 1 782 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 3 783 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 3 786 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 1 789 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 .No D TM8886 1 790 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 .No D TM8887 1 791 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 2 792 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 6 794 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 1 800 Check Item T19 Is "Has difficulty" marked in TM8822, TM8826, TM8830, TM8834, TM8838 for any activity U Persons 15 years old or older V 0 .Not appicable V 1 .Yes V 2 .No - skip to TM8902 D TM8892 2 801 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 2 803 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 2 805 Check Item T20 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 1 807 Check Item T20 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 2 808 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 1 810 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 1 811 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 1 812 Does ... have a a developmental dis- ability such as autism or celebral palsy? U Persons with two or more conditions causing difficulty with activities V 0 .Not applicable V 1 .Yes V 2 .No D TM8908 1 813 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 1 814 Check Item T21 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 1 815 Check Item T21 What is ....'s age? U Persons 15 years old 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 1 816 Check Item T22 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 1 817 Check Item T23 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 1 818 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 1 819 Check Item T24 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 1 820 Check Item T24 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 1 821 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 1 822 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 1 823 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 1 824 Check Item T25 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 2 825 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 2 827 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 2 829 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 1 831 Check Item T26 Are two or more conditions entered in TM8932? 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 2 832 Check Item T27 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 1 834 Check Item T27 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 1 835 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 3 836 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 3 839 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 3 842 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 1 845 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 3 846 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 3 849 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 3 852 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 1 855 Check Item T28 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 1 856 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 3 857 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 3 860 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 3 863 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 1 866 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 3 867 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 3 870 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 3 873 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 1 876 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 3 877 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 3 880 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 3 883 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 1 886 Check Item T29 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 applicable V 1 .Yes V 2 .No - skip to TM8996 D TM8988 1 887 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 3 888 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 3 891 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 3 894 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 1 897 Check Item T30 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 3 898 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 2 901 Which condition 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 2 903 Which condition 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 2 905 Which condition 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 3 907 Which condition 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 2 910 Which condition 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 2 912 Which condition 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 2 914 Which condition 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 3 916 Which condition 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 2 919 Which condition 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 2 921 Which condition 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 2 923 Which condition 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 1 925 Has ... ever applied for Social Security disability benefits 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 TM9036 D TM9024 1 926 Has ... ever received Social Security disablility 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 TM9038 D TM9026 4 927 In what year did ... start receiving Social Security disablility 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 1901-1992 .Year ******************************************** * The following fields are imputation * * flags of the form IMXXXX, where XXXX is * * the source code of the flag. In all * * the range of values is (0:1) * * V 0 .Not imputed * * V 1 .Imputed * ******************************************** D IM8800 1 931 Imputation of 'TM8800' D IM8802 1 932 Imputation of 'TM8802' D IM8804 1 933 Imputation of 'TM8804' D IM8808 1 934 Imputation of 'TM8808' D IM8810 1 935 Imputation of 'TM8810' D IM8812 1 936 Imputation of 'TM8812' D IM8814 1 937 Imputation of 'TM8814' D IM8816 1 938 Imputation of 'TM8816' D IM8818 1 939 Imputation of 'TM8818' D IM8820 1 940 Imputation of 'TM8820' D IM8822 1 941 Imputation of 'TM8822' D IM8824 1 942 Imputation of 'TM8824' D IM8826 1 943 Imputation of 'TM8826' D IM8828 1 944 Imputation of 'TM8828' D IM8830 1 945 Imputation of 'TM8830' D IM8832 1 946 Imputation of 'TM8832' D IM8834 1 947 Imputation of 'TM8834' D IM8836 1 948 Imputation of 'TM8836' D IM8838 1 949 Imputation of 'TM8838' D IM8839 1 950 Imputation of 'TM8839' D IM8840 1 951 Imputation of 'TM8840' D IM8841 1 952 Imputation of 'TM8841' D IM8842 1 953 Imputation of 'TM8842' D IM8843 1 954 Imputation of 'TM8843' D IM8844 1 955 Imputation of 'TM8844' D IM8845 1 956 Imputation of 'TM8845' D IM8846 1 957 Imputation of 'TM8846' D IM8847 1 958 Imputation of 'TM8847' D IM8848 1 959 Imputation of 'TM8848' D IM8849 1 960 Imputation of 'TM8849' D IM8850 1 961 Imputation of 'TM8850' D IM8851 1 962 Imputation of 'TM8851' D IM8852 1 963 Imputation of 'TM8852' D IM8853 1 964 Imputation of 'TM8853' D IM8854 1 965 Imputation of 'TM8854' D IM8855 1 966 Imputation of 'TM8855' D IM8856 1 967 Imputation of 'TM8856' D IM8857 1 968 Imputation of 'TM8857' D IM8858 1 969 Imputation of 'TM8858' D IM8859 1 970 Imputation of 'TM8859' D IM8860 1 971 Imputation of 'TM8860' D IM8876 1 972 Imputation of 'TM8876' D IM8878 1 973 Imputation of 'TM8878' D IM8887 1 974 Imputation of 'TM8887' D IM8888 1 975 Imputation of 'TM8888' D IM8889 1 976 Imputation of 'TM8889' D IM8892 1 977 Imputation of 'TM8892' D IM8894 1 978 Imputation of 'TM8894' D IM8896 1 979 Imputation of 'TM8896' D IM8902 1 980 Imputation of 'TM8902' D IM8904 1 981 Imputation of 'TM8904' D IM8906 1 982 Imputation of 'TM8906' D IM8908 1 983 Imputation of 'TM8908' D IM8910 1 984 Imputation of 'TM8910' D IM8918 1 985 Imputation of 'TM8918' D IM8924 1 986 Imputation of 'TM8924' D IM8926 1 987 Imputation of 'TM8926' D IM8928 1 988 Imputation of 'TM8928' D IM8932 1 989 Imputation of 'TM8932' D IM8934 1 990 Imputation of 'TM8934' D IM8936 1 991 Imputation of 'TM8936' D IM9000 1 992 Imputation of 'TM9000' D IM9002 1 993 Imputation of 'TM9002' D IM9004 1 994 Imputation of 'TM9004' D IM9008 1 995 Imputation of 'TM9008' D IM9010 1 996 Imputation of 'TM9010' D IM9012 1 997 Imputation of 'TM9012' D IM9016 1 998 Imputation of 'TM9016' D IM9018 1 999 Imputation of 'TM9018' D IM9020 1 1000 Imputation of 'TM9020' D IM9022 1 1001 Imputation of 'TM9022' D IM9024 1 1002 Imputation of 'TM9024' D IM9026 1 1003 Imputation of 'TM9026' D S-FILL 1 1004 Filler ******************************************** * Part F - Utilization of Health Care * * Services * ******************************************** D TM9100 1 1005 During the past 12 months, was .... a patient in a hospital overnight or longer? U Persons 15 years old or older V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM9122 D TM9102 2 1006 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 00 .Not applicable V -1 .Don't know V 01 - 99 .Times D TM9104 1 1008 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 1009 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 1010 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 1011 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 1012 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 1013 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 1014 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 1015 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 1018 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 000 .Not applicable V 001-999 .Nights V -05 .All nights V -03 .None V -01 .Dk D TM9122 3 1021 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 old or older V 000 .Not applicable V 001-999 .Days V -05 .All days V -03 .None V -01 .Dk D TM9124 2 1024 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 old or older V 00 .Not applicable V 01-99 .Times V -3 .None - skip to TM9128 V -1 .Dk - skip to TM9128 D TM9126 2 1026 How many of these visits or calls were in the past 4 months U Persons 15 years old or older V 00 .Not applicable V 01-99 .Times V -3 .None V -1 .Dk D TM9127 2 1028 During the past 12 months, how many visits did ... make to a dentist? (Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists.) U Persons 15 years old or older V -3. None - skip to TM9120 V -1. Don't know - skip to TM9120 V 00. Not applicable V 01-99. Times D TM9128 2 1030 How many of these visits were in the past 4 months? U Persons 15 years old or older V -3. None V -1. Don't know V 00. Not applicable V 01-99. Times V 02. No - skip to TM9132 D TM9129 1 1032 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 old or older V 0 .Not applicable V 1 .Yes V 2 .No - skip to TM9132 D TM9130 2 1033 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 V 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 1035 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 1036 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 1037 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 1038 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 G - Health Status and Utilization * * of Health Care Services Imputation Flags * * (1-13) * * * * The following 13 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)* * V 0 .Not imputed * * V 1 .Imputed * ********************************************* D IM9102 1 1039 Imputation of 'TM9102' D I9104-12 1 1040 Imputation of 'TM9104-12' D IM9114 1 1041 Imputation of 'TM9114' D IM9116 1 1042 Imputation of 'TM9116' D IM9118 1 1043 Imputation of 'TM9118' D IM9120 1 1044 Imputation of 'TM9120' D IM9122 1 1045 Imputation of 'TM9122' D IM9124 1 1046 Imputation of 'TM9124' D IM9126 1 1047 Imputation of 'TM9126' D IM9127 1 1048 Imputation of 'TM9127' D IM9128 1 1049 Imputation of 'TM9128' D IM9129 1 1050 Imputation of 'TM9129' D IM9130 1 1051 Imputation of 'TM9130' D IM9136 1 1052 Imputation of 'TM9136' D IM9138 1 1053 Imputation of 'TM9138' D FILLER 3 1054