Attachment AC: HPOG 2.0 Long-Term Survey Sources

Attachment AC_HPOG 2.0 Long-Term Survey Sources.docx

OPRE Evaluation - National and Tribal Evaluation of the 2nd Generation of the Health Profession Opportunity Grants [descriptive evaluation, impact evaluation, cost-benefit analysis study, pilot study]

Attachment AC: HPOG 2.0 Long-Term Survey Sources

OMB: 0970-0462

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Attachment AC : HPOG 2.0 Long-Term Survey Sources OMB # 0970-0462

Expiration Date XX/XX/XXXX



            1. #
            1. Domain/Topic
            1. Sources
  1. Current Education History and Credentials

A1

Highest level of educational attainment

American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936)

A2

Current enrollment status

PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397; OMB No. 0970-0394).). Original sources: based on the Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA) and the 2005 National Household Education Survey (OMB No. 1850-0768). Modified to have wording training provider specific.

A2a

Enrolled in training during the follow-up period

HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (OMB No. 0970-0397).

A2b

Cost of training program

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/Workforce Incentives Act (WIA) Gold Standard Evaluation 15-month Follow up Survey (OMB No. 1205-0504). Minor modifications.

A2c

Amount respondent paid to take classes

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)

A2d

Student Loan Respondent Debt

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).

A2e

Student Loan Respondent Debt

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).

A3

Part or full-time status

PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397; OMB No. 0970-0394).) Original sources: based on the Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA) and the Education Longitudinal Survey (OMB No. 1850-0652).

A3a

Type of place attended

PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397; OMB No. 0970-0394).

A3b

Name of place attended

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).


A3c

Location of Place

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)

A3d

Training start date

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397.

A3e

Training end date

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).

A4

Were courses taken to prepare for work in particular occupation?

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).

A4a

Was that occupation in the field of healthcare

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).

Credentials

A5-A5f

Academic degrees or diplomas receipt


A5, A5a, A5c-f: HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/ PACE 15- and 36- and 72-Month Follow-Up Surveys (OMB No. 0970-0397). Original sources: based on the Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA), the 2005 National Household Education Survey (OMB No. 1850-0768), and the National Community College Survey of Student Engagement (CCSSE).


A5b: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768).


A6-A6i


Academic certificate receipt


A6-a-c: HPOG 2.0 Intermediate and Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Modified to follow the format of the Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768).


A6d, A6g: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Original sources: based on the Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA), the 2005 National Household Education Survey (OMB No. 1850-0768), and the National Community College Survey of Student Engagement (CCSSE).


A6e, A6i: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15- 36-, and 72-Month Follow-Up Surveys (OMB No. 0970-0397).


A6h: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768).


A6f: HPOG 2.0 Intermediate Follow-up Survey (OMB No. 0970-0462)/


A7-A7











Professional certification or state/industry license receipt

A7: HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Modified to include introductory text to follow format of the Adult Training and Education Survey , Part of the 2016 National Household Education Survey (OMB No. 1850-0768)


A7a, A7h: HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (OMB No. 0970-0397).


A7b, A7e, and A7g: HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Original sources: based on the Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA), the 2005 National Household Education Survey (OMB No. 1850-0768), and the National Community College Survey of Student Engagement (CCSSE).


A7d: HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768). Modified


A7f, HPOG 2.0 Intermediate Follow-up Survey (OMB No. 0970-0462)/

A8


Work-based training

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Original source Adult Training and Education Survey, Part of the 2016 National Household Education Survey (OMB No. 1850-0768). Modified to capture any work-based training, not most recent one.

A9a


Progress toward long-range education goals

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Original sources: based on the Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA) and the 2005 National Household Education Survey (OMB No. 1850-0768).

A9b-c

Self-perception of career track progress

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/PACE and HPOG 1.0 15-and 36-Month Follow-Up Surveys (OMB No. 0970-0397; OMB No. 0970-0394).

A10

Knowledge of additional training needs to advance in career

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)

A11

Plans to pursue training for next level of occupation

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)

  1. Barriers to Long-Term Credential

B1-B8a

Barriers to Long-Term Credential Receipt

New. This battery of questions was newly developed for this instrument. The evaluation team also drew on feedback provided by participants as part of the in-depth participant interviews (Instrument #17, previously approved under this OMB #0970-0462)

  1. Employment Progress

Advancement in Career Pathway

C1

Employment status 3 years prior to interview (for 36-month non-responders)

HPOG 72-month Follow-Up Survey (OMB No. 0970-0394)..

C2

Employer name and self-employment 3years prior to interview

HPOG 72-month Follow-Up Survey (OMB No. 0970-0394).

C3-C4a

Industry of Employer 3 years prior to interview

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Original source American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936).

C5

Occupation at Employer 3 years prior to interview

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Original source the American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936).

C6

Job activities at Employer 3 years prior to interview

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Original source the American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936).

C7

Job title at Employer 3 years prior to interview

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Original source the American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936).

C8-C8a

Occupation related to healthcare at Employer 3 years prior to interview

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394).

C9

Still working at job held 3 years prior to interview?

HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (OMB No. 0970-0397).

C10

Date stopped working at job held 3 years prior to interview

HPOG 36-month Follow-Up Survey (OMB No. 0970-0394). Modified to focus only on job held 3 years prior to interview.

C11- C12a

Wage rate/Self-employment earnings at job held 3 years prior to interview

PACE and HPOG 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397; OMB No. 0970-0394) and the PACE BIF (OMB No. 0970–0343). Modified to ask for the wage at the time of employment 3 years prior to interview.

C13

Hours per week at job held 3 years prior to interview

PACE and HPOG 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397; OMB No. 0970-0394) and the PACE BIF (OMB No. 0970–0343). Modified to ask for the hours worked at the time of employment 3 years prior to interview.

C14

Current employment

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/HPOG 1.0 36 and 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Survey (0970-0397).

C15

Employed within the past three years

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/HPOG 1.0 36 and 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Survey (0970-0397).

C16

Name of current/most recent employer

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/HPOG 1.0 36 and 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Survey (0970-0397).

C17

Start date of current/most recent job

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/HPOG 1.0 36 and 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Survey (0970-0397).

C18-C19a

Job pay (hourly earnings/weekly pay for self-employed) for current/ most recent job

HPOG 2.0 Intermediate and Short-Term Follow-up Surveys (OMB No. 0970-0462)/HPOG 1.0 36 and 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Survey (0970-0397).

C20

Hours worked per week at current/ most recent job

Surveys (OMB No. 0970-0462)/HPOG 1.0 36 and 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Survey (0970-0397).

Current / Most Recent Job

C21-C22a


Industry

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Original source American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936).

C23


Occupation

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Original source the American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936).

C24


Job activities

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Original source the American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936).

C25


Job title

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397). Original source the American Community Survey (OMB No. 0607-0810 and OMB No. 0607-0936).

C26-C26c

Occupation related to healthcare

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394).


C26b-C26c: New to capture any employment in healthcare

C27-C27c

Requirement for shift work

8 and 8a: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 1.0 15- 36- and 72-Month Follow-Up Surveys (OMB No. 0970-0397; OMB No. 0970-0394).Originally taken n from Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA).


8b: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 1.0 72-Month Follow-Up Surveys (OMB No. 0970-0397/0970-0394).


8c: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)

C28a-c

Job flexibility (hours and schedules)

9a: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-month Follow-Up Surveys (OMB No. 0970-0394). Originally modified question from the Education Longitudinal Study (OMB No. 1850-0652). Modified to change scale from numeric ranking to level of agreement.


9b-c: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-and 72-month Follow-Up Surveys (OMB No. 0970-0394).

C29a-f

Available benefits

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-month Follow-Up Survey (OMB No. 0970-0394). Originally a modified question from Green Jobs 15-Month Follow-Up Survey (OMB No. 1205-0481NOA). Modified to eliminate follow-up sub-items. Added item to capture personal time off, also referred to as earned time or paid time off.

C30


Quality of work life

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 72-month Follow-Up Survey (OMB No. 0970-0397).

C31


Self-perception of opportunities for career advancement

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397).). Original source: Project Quest 6-Year Follow-Up Survey (the evaluation of Project Quest is being conducted by the Economic Mobility Corporation with a grant from the Charles Stuart Mott Foundation).

C32

Employer provided financial support for education and training

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).

C33

Employer provided non-financial support for education and training

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).

C34

Received any promotion in since last interview?

HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Originally modified from National Longitudinal Survey of Youth (NLSY) 79-1990 Questionnaire (OMB No. 1220-0109) Modified to change focus from promotions at this employer to any promotions over the follow-up period.

C35

Number of promotions received

HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).

C36

Changes resulting from promotions

HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Originally NLSY 79-1990 Questionnaire (OMB No. 1220-0109) and New questions.

C37

Additional skill or training requirements required by promotion.

HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397). Originally NLSY 79-1990 Questionnaire (OMB No. 1220-0109 )

  1. Earnings From Informal Employment

D1-D11

Earnings from Informal Employment

New Module. Questions in this module are about work not reported in the employment history.

D1-D7 are based on the Joint Program in Survey Methodology module by Abraham and Amaya. 12

D8-D11 9are New. intended to collect employee perceptions of how compliant their employers are with requirements that employers pay employment taxes and with employee taxes (income tax withholding, Social Security payroll tax, and Medicare payroll tax





.

  1. Household Composition

E1

Household composition including marital status

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Original sources: Slight modification of American Community Survey (ACS) and the Supporting Healthy Marriages (SHM) baseline (OMB No. 0970-0299).

E2

How long respondent has been married or living with a romantic partner

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).

E2a

Ever been married or lived with a romantic partner during follow-up period

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).

E3

Number of adults in the household

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).

E4

Number of children in the household

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 15-, 36-, and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 15-, 36-, and 72-Month Follow-up Surveys (0970-0397). Original source: based on the Supporting Healthy Marriages (SHM) baseline (OMB No. 0970-0299).

E5

Number of dependents in the household

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Original source: Employment, Retention, Advancement (ERA) Study (OMB No. 0970-0285). Modified 36-month language to shift from legal guardian to primary caregiver.

E6

Current fertility

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-, 36-, and 72-Month Follow-up Surveys (0970-0397). Modified wording for male respondents.

E7

Recent fertility

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE 15-, 36-, and 72-Month Follow-up Surveys (0970-0397). Modified wording for male respondents.

E8

Number of new births

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 72-Month Follow-up Survey (OMB No. 0970-0394)/PACE 72-Month Follow-up Survey (0970-0397).

  1. Income and Adult Well Being

F1a-e

Life challenges


PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394) and PACE 15-Month Survey (OMB No. 0970-0397) and HPOG Supplemental Baseline (OMB No. 0970-0394). Original sources: based on the Composite International Diagnostic Interview (CIDI) Short Form, the Prime-MD scale, and the Employment, Retention, and Advancement (ERA) (OMB No. 0970-0285). This question uses the exact sub-items from the HPOG 15-Month and Supplemental Baseline, which eliminated some of the more sensitive questions from the PACE 15 question. But the question uses the 5-point scale used in the PACE 15-Month (as opposed to the 3-point scale in the HPOG15).

F2a-d

Perceived stress scale


PACE and HPOG 15- and 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original sources: Cohen et al. (1983).

F3

Physical health

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/National Health and Nutrition Examination Survey (OMB No. 0920-0237).

F4a-h



Receipt of public benefits

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Original source: Supporting Healthy Marriages (SHM) baseline (OMB No. 0970-0299). Modified to ask for respondent and other household members in same question rather than separately and to revise child support question.

F5-F5a


Total personal income in prior month

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 15-, 36-, and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 15-, 36-, and 72-Month Follow-up Surveys (0970-0397). Original sources: based on the PACE Baseline intake form (BIF) (OMB No. 0970–0343).

F6-F6a

Total household income in prior month

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 15-, 36-, and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 15-, 36-, and 72-Month Follow-up Surveys (0970-0397). Original sources: based on the PACE BIF (OMB No. 0970–0343).

F7

EITC

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397).

F7a

Child Tax Credit

Census Bureau’s Phase3.2 Household Pulse Survey Modified to expandthe reference period to be 3 months instead of 4 weeks.

F8a-d

Assets that respondent or respondent’s spouse/romantic partner may have

2015 National Finance Capability Study State by State Survey (No OMB control number as it was privately funded.) Modified to reduce the number of items asked about.

F6

Started loan repayment yet?

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)

F9

Total debt

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397).

F10


Material hardship

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Original source was modified question from Assets for Independence (AFI) Experiment: 12-Month Follow-Up Survey (OMB No. 0970-0414).

F11

Hunger, food insecurity

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Original source was exact question from Assets for Independence (AFI) Experiment 12-Month Follow-Up Survey (OMB No. 0970-0414).

F12

Making ends meet

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397) Original source was from PACE 15-Month Follow-Up Survey (OMB No. 0970-0397) and based on the PACE Self-administered questionnaire (SAQ (OMB No. 0970–0343).

F13


Ability to meet emergency expenses

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/Survey on Household Economics and Decision-Making (OMB No. 7100-0359).

F14-F15


Health Insurance through employer or non-employer

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Modified to first capture whether those employed have insurance through employer and whether those unemployed have insurance through another source.

F16


Current housing

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36- and 72-Month Follow-up Surveys (OMB No. 0970-0394)/PACE 36- and 72-Month Follow-up Surveys (0970-0397). Original source Moving to Opportunity (MTO) Adult Survey (OMB No. 2528-0218).

F17-F17a


Whether respondent was doubled-up or living with friends or relatives and if so, for how long

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/Family Options Study 36-Month Follow-Up Survey (OMB No. 2528-0259).




  1. 21st Century Skills/Cognitive Skills

G1a-3

Computer skills utilization in everyday life

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PIAAC Background Questionnaire (OMB Control No. 1850-0870). Modified to include only a subset of items.

G2a-e

Self-directed learning

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)

  1. Parent Report: Child Module

Child screener

Respondent and Secondary Contact Information

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/HPOG 1.0 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).

CS1-CS3

Confirm focal child

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394).

H1

Confirm focal child is dependent (lives with parent least half time)

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394).

H1a

If not with parent at least half time, where does child live

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)

H2

Current enrollment,

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)

H3-H3c

Grade clarification, school status, and reasons for leaving school

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source for 3a-3b: Moving to Opportunity (MTO) Interim Survey of Households (OMB No. 2528-0218).

H3d

Did child graduate or receive a GED

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/

H4-4a

Adults present before school

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, modified question from the Moving to Opportunity (MTO) Interim Survey of Households (OMB No. 2528-0218). Modification kept question wording except that we made it focal child specific and added “Both you and another adult” response option.

H5-5a

Adults present after school

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source was modified question from the Moving to Opportunity (MTO) Interim Survey of Households (OMB No. 2528-0218).

H6-6a

Adults present after dinner

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source was modified question from the Moving to Opportunity (MTO) Interim Survey of Households (OMB No. 2528-0218)..

H7-7a

Adults present on weekends

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394).

H8a and 8b

Family routines

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source was modified wording from the Community Action Project (CAP) Family Life Study, Wave 1 Parent Survey. Original sources: based on the Fragile Families Study.

H9

Prediction of actual child educational achievement

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, Community Action Project (CAP) Family Life Study, Wave 1 Parent Survey, which was based on the Early Childhood Longitudinal Study-Birth (ECLS-B), Preschool Parent Interview (OMB No. 1850-0756).

H10

Child’s wish for educational achievement

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, National Longitudinal Survey of Labor Force Behavior. Youth Survey. Child Supplement. Children 10 Years and Older. 1988.

H11

Discuss homework or what child learning in school

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, modified question from the Project on Human Development in Chicago Neighborhoods Home life Survey.

H12

Help child with homework

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, early Childhood Longitudinal Study-Kindergarten Class of 1998-99 (ECLS-K), Third Grade Spring Parent Interview (OMB No. 1850-0750). Modification: The question refers to help with all homework subjects (opposed to asking separate questions for homework in reading, language arts, or spelling and homework in math).

H13

Discuss grades

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, modified question from the Early Childhood Longitudinal Study-Kindergarten Class of 1998-99 (ECLS-K), Eighth Grade Spring Parent Interview (OMB No. 1850-0750).

H14

Reading skills

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, the Indiana Welfare Reform Evaluation Child Survey.

H15

Math skills

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, the Indiana Welfare Reform Evaluation Child Survey.

H16

Repeated grades

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, Indiana Welfare Reform Evaluation Child Survey and the Florida Family Transition Program Child Survey.

H17

School absences

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, Indiana Welfare Reform Evaluation Child Survey and the Florida Family Transition Program Child Survey.

H18

School tardiness

PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, Indiana Welfare Reform Evaluation Child Survey and the Florida Family Transition Program Child Survey.

H19

School reported behavioral problems

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, modified question from the Early Childhood Longitudinal Study-Kindergarten Class of 2010-11 (ECLS-K: 2011), Spring Parent Interview (OMB No. 1850-0750). Modification: Question wording is exact but added close-ended response categories (opposed to allowing for open-ended responses).

H20

School reported school work problems

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, the Early Childhood Longitudinal Study-Kindergarten Class of 2010-11 (ECLS-K:2011), Spring Parent Interview (OMB No. 1850-0750). Modification: original question in ECLS-K:2011 is shortened (“How about any problems {he/she} is having with school work?”), whereas question in survey mirrors format of item S1 in 36-Month survey. Additionally, we added close-ended response categories (opposed to allowing for open-ended responses).

H21

Suspended or expelled

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, Indiana Welfare Reform Evaluation.

H22 and 22a

Grades / Child compared to class

H22: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, modified question from Moving to Opportunity (MTO) Interim Survey of Households (OMB No. 2528-0218). Modification: added response category options “Mostly A’s,” “Mostly A’s and B’s,” “Mostly B’s,” and “Not applicable.”


H22a: HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, National Longitudinal Survey of Labor Force Behavior. Youth Survey. Child Supplement. Children 10 Years and Older. 1988.

H23a-c

College preparation tests

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394). Original source, modified question from Moving to Opportunity (MTO) Interim Survey of Households (OMB No. 2528-0218).Modification: Specified the question refers to tests “as part of college preparation” and added the PSAT test sub-item.

H24

Child’s employment status (14-17 years of age)

HPOG 2.0 Short-Term Follow-up Survey (OMB No. 0970-0462)/

H25-H29e

Transition to adulthood questions for children over 18 years of age

PACE and HPOG 36-Month Follow-Up Surveys (OMB No. 0970-0397 and 0970-0394)/Family Options Study 36-Month Follow-Up Survey (OMB No. 2528-0259). Original Sources:


25: New

26: NLSY 97 Parent Questionnaire (OMB No. 1220-0157)

27: NLSY 97 Parent Questionnaire –modified(OMB No. 1220-0157)

28: New

29: CPS –modified (OMB No. 1220-0100)

29a: New







  1. Contact Information

I1 – I3

Respondent and Secondary Contact Information

HPOG 36-month Follow-Up Survey (OMB No. 0970-0394)/PACE 36-month Follow-Up Survey (OMB No. 0970-0397).



1 There are three different versions of Q1. Which version is asked will vary with the respondent’s employment history (as reported earlier in the survey).

2 Abraham, Katharine G., and Ashley Amaya. 2018.“Probing for Informal Work Activity.” NBER working paper no. 24880, Revised in 2019. Cambridge, Mass.: National Bureau of Economic Research.


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