PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: Through this information collection, ACF is gathering information to assess and evaluate whether a State TANF program meets statutorily required participation rates. Public reporting burden for this collection of information is estimated to average 8,804 hours per grantee per year, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (42 U.S.C. § 611). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0338 and the expiration date is 10/31/2026. If you have any comments on this collection of information, please contact the Office of Family Assistance by email at TANFdata@acf.hhs.gov. |
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TANF & SSP DATA REPORT LAYOUTS |
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1. TANF SECTION 1 FAMILY |
2. TANF SECTION 1 ADULT |
3. TANF SECTION 1 CHILD |
4. TANF SECTION 2 FAMILY |
5. TANF SECTION 2 PERSON |
6. TANF SECTION 3 AGGREGATED |
7. TANF SECTION 4 STRATIFIED |
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8. SSP SECTION 1 FAMILY |
9. SSP SECTION 1 ADULT |
10. SSP SECTION 1 CHILD |
11. SSP SECTION 2 FAMILY |
12. SSP SECTION 2 PERSON |
13. SSP SECTION 3 AGGREGATED |
14. SSP SECTION 4 STRATIFIED |
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File Names; |
ADS.E2J.NDMn.TSxx (C:D) |
ADS.E2J.FTPn.TSxx (FTP) |
n - section, xx-fips code |
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General Instructions: Each item (i.e. data element) needs to hold a certain number of spaces in the flat file. If your system does not automatically hold the spaces, this file layout describes the number of spaces (length) that need to be held. All items should be right-adjusted (e.g. case number = 00000012345). If an item is not applicable or no longer in use, enter the number of digits (zeros or blanks) according to the file format. For example: Tribal Code is 3 digits but is not applicable to states and territories. Therefore, you would need to enter 000 to hold the correct number of spaces. Throughout the instructions you will see the direction “Enter 000.” This indicates that you must enter zeros to fill the correct amount of spaces as referenced in this workbook. |
States that use an FTANF tool will need to continue to input legacy in-range values on some data items to avoid "fatal" errors and rejected cases while preparing their TANF or SSP-MOE data files. These items are marked in the layouts with an asterisk (*). Legacy in-range values can be found under FTANF legacy edit codes here: https://www.acf.hhs.gov/ofa/policy-guidance/final-tanf-ssp-moe-data-reporting-system-transmission-files-layouts-and-edits. |
TANF |
LAYOUT FOR SECTION 1 DISAGGREGATED |
FAMILY LEVEL DATA |
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ITEM # |
DESCRIPTION |
LENGTH |
FROM |
TO |
COMMENTS (DATA TYPE) |
Example of Contents (If BOLD & Blue = fixed value) |
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RECORD TYPE |
2 |
1 |
2 |
"T1" - SECTION 1 |
T |
1 |
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4 |
REPORTING MONTH |
6 |
3 |
8 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
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6 |
CASE NUMBER |
11 |
9 |
19 |
Alphanumeric |
A |
B |
C |
1 |
2 |
3 |
A |
B |
C |
4 |
5 |
2 |
COUNTY FIPS CODE |
3 |
20 |
22 |
Numeric |
1 |
2 |
3 |
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5 |
STRATUM |
2 |
23 |
24 |
Numeric |
1 |
2 |
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7 |
ZIP CODE |
5 |
25 |
29 |
Alphanumeric |
1 |
2 |
3 |
4 |
5 |
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8 |
FUNDING STREAM |
1 |
30 |
30 |
Numeric |
1 |
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9 |
DISPOSITION |
1 |
31 |
31 |
Numeric |
1 |
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10 |
NEW APPLICANT |
1 |
32 |
32 |
Numeric |
1 |
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11 |
# FAMILY MEMBERS |
2 |
33 |
34 |
Numeric |
1 |
2 |
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12 |
TYPE OF FAMILY FOR WORK PARTICIPATION |
1 |
35 |
35 |
Numeric |
1 |
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13 |
RECEIVES SUBSIDIZED HOUSING |
1 |
36 |
36 |
Numeric |
1 |
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14 |
RECEIVES MEDICAL ASSISTANCE |
1 |
37 |
37 |
Numeric |
1 |
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15 |
RECEIVES SNAP - NO LONGER IN USE |
1 |
38 |
38 |
Numeric |
0 |
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16 |
AMOUNT OF SNAP |
4 |
39 |
42 |
Numeric |
1 |
2 |
3 |
4 |
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17 |
RECEIVES SUBSIDIZED CHILD CARE - NO LONGER IN USE |
1 |
43 |
43 |
Numeric |
0* |
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18 |
AMOUNT OF SUBSIDIZED CHILD CARE |
4 |
44 |
47 |
Numeric |
1 |
2 |
3 |
4 |
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19 |
AMOUNT OF CHIILD SUPPORT |
4 |
48 |
51 |
Numeric |
1 |
2 |
3 |
4 |
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20 |
AMOUNT OF FAMILY'S CASH RESOURCES |
4 |
52 |
55 |
Numeric |
1 |
2 |
3 |
4 |
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21 |
CASH & CASH EQUIVALENTS |
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ITEM21A_AMOUNT |
4 |
56 |
59 |
Numeric |
1 |
2 |
3 |
4 |
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ITEM21B_NBR_MONTH |
3 |
60 |
62 |
Numeric |
1 |
2 |
3 |
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22 |
TANF CHILD CARE |
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ITEM22A_AMOUNT |
4 |
63 |
66 |
Numeric |
1 |
2 |
3 |
4 |
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ITEM22B_CHILDREN_COVERED |
2 |
67 |
68 |
Numeric |
1 |
2 |
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ITEM22C_NBR_MONTHS |
3 |
69 |
71 |
Numeric |
1 |
2 |
3 |
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23 |
TRANSPORTATION AND OTHER SUPPORTIVE SERVICE |
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ITEM23A_AMOUNT |
4 |
72 |
75 |
Numeric |
1 |
2 |
3 |
4 |
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ITEM23B_NBR_MONTHS |
3 |
76 |
78 |
Numeric |
1 |
2 |
3 |
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24 |
TRANSITIONAL SERVICES - NO LONGER IN USE |
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ITEM24A_AMOUNT |
4 |
79 |
82 |
Numeric |
0 |
0 |
0 |
0 |
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ITEM24B_NBR_MONTHS |
3 |
83 |
85 |
Numeric |
0 |
0 |
0 |
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25 |
OTHER - NO LONGER IN USE |
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ITEM25A_AMOUNT |
4 |
86 |
89 |
Numeric |
0 |
0 |
0 |
0 |
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ITEM25B_NBR_MONTHS |
3 |
90 |
92 |
Numeric |
0 |
0 |
0 |
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26 |
REASON FOR & AMOUNT OF ASSISTANCE REDUCTION |
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ITEM26A_I_SANCTIONS REDUCTION_AMOUNT |
4 |
93 |
96 |
Numeric |
1 |
2 |
3 |
4 |
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ITEM26A_II_WORK REQUIREMENTS SANCTION |
1 |
97 |
97 |
Alphanumeric |
1 |
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ITEM26A_III - NO LONGER IN USE |
1 |
98 |
98 |
Alphanumeric |
0 |
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ITEM26A_IV_SANCTION FOR TEEN PARENT NOT ATTENDING SCHOOL |
1 |
99 |
99 |
Alphanumeric |
1 |
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ITEM26A_V_NON-COOPERATION WITH CHILD SUPPORT |
1 |
100 |
100 |
Alphanumeric |
1 |
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ITEM26A_VI_FAILURE TO COMPLY WITH INDIVIDUAL RESPONSIBILITY PLAN |
1 |
101 |
101 |
Alphanumeric |
1 |
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ITEM26A_VII_OTHER SANCTION |
1 |
102 |
102 |
Alphanumeric |
1 |
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ITEM26B_RECOUPMENT OF PRIOR OVERPAYMENT |
4 |
103 |
106 |
Alphanumeric |
1 |
2 |
3 |
4 |
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ITEM26C_I_OTHER TOTAL REDUCTION AMOUNT |
4 |
107 |
110 |
Alphanumeric |
1 |
2 |
3 |
4 |
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ITEM26C_II_FAMILY CAP |
1 |
111 |
111 |
Alphanumeric |
1 |
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ITEM26C_III_REDUCTION BASED ON LENGTH OF RECEIPT OF ASSISTANCE |
1 |
112 |
112 |
Alphanumeric |
1 |
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ITEM26C_IV_OTHER, NON-SANCTION |
1 |
113 |
113 |
Alphanumeric |
1 |
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27 |
WAIVER_EVALUATION_CONTROL_GRPS - NO LONGER IN USE |
1 |
114 |
114 |
Alphanumeric |
0 |
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28 |
TANF FAMILY EXEMPT FROM TIME_LIMITS |
2 |
115 |
116 |
Numeric |
1 |
2 |
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29 |
TANF FAMILY NEW CHILD ONLY FAMILY - NO LONGER IN USE |
1 |
117 |
117 |
Numeric |
0 |
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BLANK |
39 |
118 |
156 |
Spaces |
39 SPACES |
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OMB #0970-0338, expires 10/31/2026 |
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TANF |
LAYOUT FOR SECTION 1 DISAGGREGATED |
ADULT CHARACTERISTIC DATA |
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ITEM # |
DESCRIPTION |
LENGTH |
FROM |
TO |
COMMENTS (DATA TYPE) |
Example of Contents (If BOLD & Blue = fixed value) |
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RECORD TYPE |
2 |
1 |
2 |
UP TO 10 RECORD TYPES 3
"T2" UP TO 6 ADULT RECORDS |
T |
2 |
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4 |
REPORTING MONTH |
6 |
3 |
8 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
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6 |
CASE NUMBER |
11 |
9 |
19 |
Alphanumeric |
A |
B |
C |
1 |
2 |
3 |
A |
B |
C |
4 |
5 |
30 |
FAMILY AFFILIATION |
1 |
20 |
20 |
Numeric |
1 |
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31 |
NONCUSTODIAL PARENT |
1 |
21 |
21 |
Numeric |
1 |
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32 |
DATE OF BIRTH |
8 |
22 |
29 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
D |
D |
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33 |
SOCIAL SECURITY NUMBER |
9 |
30 |
38 |
Alphanumeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
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34 |
RACE/ETHNICITY |
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ITEM34A_HISPANIC OR LATINO |
1 |
39 |
39 |
Alphanumeric |
1* |
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ITEM34B_AMERICAN INDIAN OR ALASKA NATIVE |
1 |
40 |
40 |
Alphanumeric |
1* |
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ITEM34C_ASIAN |
1 |
41 |
41 |
Alphanumeric |
1* |
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ITEM34D_BLACK OR AFRICAN AMERICAN |
1 |
42 |
42 |
Alphanumeric |
1* |
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ITEM34E_NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER |
1 |
43 |
43 |
Alphanumeric |
1* |
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ITEM34F_WHITE |
1 |
44 |
44 |
Alphanumeric |
1* |
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35 |
GENDER |
1 |
45 |
45 |
Numeric |
1 |
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36 |
RECEIVES FEDERAL DISABILITY BENEFITS |
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ITEM36A_RECEIVES FEDERAL DISABILITY INSURANCE OASDI PROGRAM |
1 |
46 |
46 |
Alphanumeric |
1 |
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ITEM36B_RECEIVES BENEFITS BASED ON FEDERAL DISABILITY STATUS |
1 |
47 |
47 |
Alphanumeric |
1 |
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ITEM36C_RECEIVES AID TO THE PERMANENTLY AND TOTALLY DISABLED UNDER TITLE XIV-APDT |
1 |
48 |
48 |
Alphanumeric |
1 |
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ITEM36D - NO LONGER IN USE |
1 |
49 |
49 |
Alphanumeric |
0 |
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ITEM36E_RECEIVES SUPPLEMENTAL SECURITY INCOME UNDER TITLE XVI-SSI |
1 |
50 |
50 |
Alphanumeric |
1 |
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37 |
MARITAL STATUS |
1 |
51 |
51 |
Alphanumeric |
1* |
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38 |
RELATIONSHIP TO HEAD OF HOUSEHOLD |
2 |
52 |
53 |
Numeric |
1 |
2 |
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39 |
PARENT WITH MINOR CHILD |
1 |
54 |
54 |
Alphanumeric |
1* |
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40 |
NEEDS OF A PREGNANT WOMAN - NO LONGER IN USE |
1 |
55 |
55 |
Alphanumeric |
0 |
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41 |
EDUCATIONAL LEVEL |
2 |
56 |
57 |
Alphanumeric |
1 |
2 |
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42 |
CITIZENSHIP/IMMIGRATION STATUS |
1 |
58 |
58 |
Alphanumeric |
1 |
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43 |
COOPERATED WITH CHILD SUPPORT |
1 |
59 |
59 |
Alphanumeric |
1 |
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44 |
NUMBER OF COUNTABLE MONTHS TOWARD FEDERAL TIME-LIMIT |
3 |
60 |
62 |
Alphanumeric |
1 |
2 |
3 |
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45 |
REMAINING UNDER STATE TIME LIMIT -NO LONGER IN USE |
2 |
63 |
64 |
Alphanumeric |
0 |
0 |
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46 |
EXEMPT FROM STATE TIME LIMIT -NO LONGER IN USE |
1 |
65 |
65 |
Alphanumeric |
0* |
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47 |
EMPLOYMENT STATUS |
1 |
66 |
66 |
Alphanumeric |
1* |
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48 |
WORK ELIGIBLE INDIVIDUAL INDICATOR |
2 |
67 |
68 |
Alphanumeric |
1 |
2 |
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49 |
WORK PARTICIPATION STATUS |
2 |
69 |
70 |
Alphanumeric |
1 |
2 |
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50 |
UNSUBSIDIZED EMPLOYMENT HOURS |
2 |
71 |
72 |
Alphanumeric |
1 |
2 |
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51 |
SUBSIDIZED PRIVATE EMPLOYMENT HOURS |
2 |
73 |
74 |
Alphanumeric |
1 |
2 |
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52 |
SUBSIDIZED PUBLIC EMPLOYMENT HOURS |
2 |
75 |
76 |
Alphanumeric |
1 |
2 |
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53 |
WORK EXPERIENCE HOURS OF |
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ITEM53A_PARTICIPATION |
2 |
77 |
78 |
Alphanumeric |
1 |
2 |
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ITEM53B_EXCUSED ABSENCES |
2 |
79 |
80 |
Alphanumeric |
1 |
2 |
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ITEM53C_HOLIDAYS |
2 |
81 |
82 |
Alphanumeric |
1 |
2 |
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54 |
ON THE JOB TRAINING HOURS |
2 |
83 |
84 |
Alphanumeric |
1 |
2 |
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55 |
JOB SEARCH & JOB READINESS HOURS OF |
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ITEM55A_PARTICIPATION |
2 |
85 |
86 |
Alphanumeric |
1 |
2 |
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ITEM55B_EXCUSED ABSENCES |
2 |
87 |
88 |
Alphanumeric |
1 |
2 |
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ITEM55C_HOLIDAYS |
2 |
89 |
90 |
Alphanumeric |
1 |
2 |
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56 |
COMMUNITY SVS PROG. HOURS OF |
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ITEM56A_PARTICIPATION |
2 |
91 |
92 |
Alphanumeric |
1 |
2 |
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ITEM56B_EXCUSED ABSENCES |
2 |
93 |
94 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM56C_HOLIDAYS |
2 |
95 |
96 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
57 |
VOCATIONAL EDUCATION TRAINING HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM57A_PARTICIPATION |
2 |
97 |
98 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM57B_EXCUSED ABSENCES |
2 |
99 |
100 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM57C_HOLIDAYS |
2 |
101 |
102 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
58 |
JOB SKILLS TRAINING RELATED EMPLOYMENT HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM58A_PARTICIPATION |
2 |
103 |
104 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM58B_EXCUSED ABSENCES |
2 |
105 |
106 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM58C_HOLIDAYS |
2 |
107 |
108 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
59 |
ED. RELATED TO EMPLOYMENT W/O HS DIPLOMA HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM59A_PARTICIPATION |
2 |
109 |
110 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM59B_EXCUSED ABSENCES |
2 |
111 |
112 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM59C_HOLIDAYS |
2 |
113 |
114 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
60 |
SATISFACTORY SCHOOL ATTENDENCE HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM59A_PARTICIPATION |
2 |
115 |
116 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM59B_EXCUSED ABSENCES |
2 |
117 |
118 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM59C_HOLIDAYS |
2 |
119 |
120 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
61 |
PROVIDING CHILD CARE HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM59A_PARTICIPATION |
2 |
121 |
122 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM59B_EXCUSED ABSENCES |
2 |
123 |
124 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM59C_HOLIDAYS |
2 |
125 |
126 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
62 |
OTHER WORK ACTIVITIES |
2 |
127 |
128 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
63 |
NUMBER OF DEEMED CORE HOURS FOR OVERALL RATE |
2 |
129 |
130 |
Alphanumeric |
0 |
0 |
|
|
|
|
|
|
|
|
|
64 |
NUMBER OF DEEMED CORE HOURS FOR THE TWO-PARENT RATE |
2 |
131 |
132 |
Alphanumeric |
0 |
0 |
|
|
|
|
|
|
|
|
|
65 |
AMOUNT OF EARNED INCOME |
4 |
133 |
136 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
66 |
AMOUNT OF UNEARNED INCOME |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM66A_EARNED INCOME TAX CREDIT - NO LONGER IN USE |
4 |
137 |
140 |
Alphanumeric |
0 |
0 |
0 |
0 |
|
|
|
|
|
|
|
|
ITEM66B_SOCIAL SECURITY |
4 |
141 |
144 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
ITEM66C_SSI |
4 |
145 |
148 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
ITEM66D_WORKER'S COMPENSATION |
4 |
149 |
152 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
ITEM66E_OTHER UNEARNED INCOME |
4 |
153 |
156 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
OMB #0970-0338, expires 10/31/2026 |
|
|
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|
|
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|
|
|
|
|
|
TANF |
LAYOUT FOR SECTION 1 DISAGGREGATED |
CHILD CHARACTERISTIC DATA |
|
|
|
|
|
|
|
|
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|
|
|
|
|
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|
|
ITEM # |
DESCRIPTION |
LENGTH |
FROM |
TO |
COMMENTS (DATA TYPE) |
Example of Contents (If BOLD & Blue = fixed value) |
|
|
|
|
|
|
|
|
|
|
|
RECORD TYPE |
2 |
1 |
2 |
"T3" - UP TO 10 CHILDREN |
T |
3 |
|
|
|
|
|
|
|
|
|
4 |
REPORTING MONTH |
6 |
3 |
8 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
|
|
|
|
|
6 |
CASE NUMBER |
11 |
9 |
19 |
Alphanumeric |
A |
B |
C |
1 |
2 |
3 |
A |
B |
C |
4 |
5 |
67 |
FAMILY AFFILIATION-1 |
1 |
20 |
20 |
Numeric,Child 1,3,5,7,9 |
1 |
|
|
|
|
|
|
|
|
|
|
68 |
DATE OF BIRTH |
8 |
21 |
28 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
D |
D |
|
|
|
69 |
SOCIAL SECURITY NUMBER |
9 |
29 |
37 |
Alphanumeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
|
|
70 |
RACE/ETHNICITY |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM70A_HISPANIC OR LATINO |
1 |
38 |
38 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM70B_AMERICAN INDIAN OR ALASKA NATIVE |
1 |
39 |
39 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM70C_ASIAN |
1 |
40 |
40 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM70D_BLACK OR AFRICAN AMERICAN |
1 |
41 |
41 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM70E_NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER |
1 |
42 |
42 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM70F_WHITE |
1 |
43 |
43 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
71 |
GENDER |
1 |
44 |
44 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
72 |
RECEIVES FEDERAL DISABILITY BENEFITS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM72A_RECEIVES BENEFITS BASED ON FEDERAL DISABILITY STATUS UNDER NON-SSA PROGRAMS |
1 |
45 |
45 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM72B_RECEIVES SSI UNDER TITLE XVI-SSI |
1 |
46 |
46 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
73 |
RELATIONSHIP TO HEAD OF HOUSEHOLD |
2 |
47 |
48 |
Numeric |
1* |
2* |
|
|
|
|
|
|
|
|
|
74 |
PARENT WITH MINOR CHILD |
1 |
49 |
49 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
75 |
EDUCATIONAL LEVEL |
2 |
50 |
51 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
76 |
CITIZENSHIP/IMMIGRATION STATUS |
1 |
52 |
52 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
77 |
AMOUNT OF UNEARNED INCOME |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM77A_SSI |
4 |
53 |
56 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
ITEM77B_OTHER UNEARNED INCOME |
4 |
57 |
60 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
67 |
FAMILY AFFILIATION-2 |
1 |
61 |
61 |
Numeric; Child 2,4,6,8,10 |
1 |
|
|
|
|
|
|
|
|
|
|
68 |
DATE OF BIRTH |
8 |
62 |
69 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
D |
D |
|
|
|
69 |
SOCIAL SECURITY NUMBER |
9 |
70 |
78 |
Alphanumeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
|
|
70 |
RACE/ETHNICITY |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM70A_HISPANIC OR LATINO |
1 |
79 |
79 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM70B_AMERICAN INDIAN OR ALASKA NATIVE |
1 |
80 |
80 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM70C_ASIAN |
1 |
81 |
81 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM70D_BLACK OR AFRICAN AMERICAN |
1 |
82 |
82 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM70E_NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER |
1 |
83 |
83 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM70F_WHITE |
1 |
84 |
84 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
71 |
GENDER |
1 |
85 |
85 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
72 |
RECEIVES FEDERAL DISABILITY BENEFITS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM72A_RECEIVES BENEFITS BASED ON FEDERAL DISABILITY STATUS UNDER NON-SSA PROGRAMS |
1 |
86 |
86 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM72B_RECEIVES SSI UNDER TITLE XVI-SSI |
1 |
87 |
87 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
73 |
RELATIONSHIP TO HEAD OF HOUSEHOLD |
2 |
88 |
89 |
Numeric |
1* |
2* |
|
|
|
|
|
|
|
|
|
74 |
PARENT WITH MINOR CHILD |
1 |
90 |
90 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
75 |
EDUCATIONAL LEVEL |
2 |
91 |
92 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
76 |
CITIZENSHIP/IMMIGRATION STATUS |
1 |
93 |
93 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
77 |
AMOUNT OF UNEARNED INCOME |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM77A_SSI |
4 |
94 |
97 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
ITEM77B_OTHER UNEARNED INCOME |
4 |
98 |
101 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
BLANK |
55 |
102 |
156 |
Spaces |
55 SPACES |
|
|
|
|
|
|
|
|
|
|
OMB #0970-0338, expires 10/31/2026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TANF |
LAYOUT FOR SECTION 2 DISAGGREGATED |
PERSON LEVEL DATA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM # |
DESCRIPTION |
LENGTH |
FROM |
TO |
COMMENTS (DATA TYPE) |
Example of Contents (If BOLD & Blue = fixed value) |
|
|
|
|
|
|
|
|
|
|
|
RECORD TYPE |
2 |
1 |
2 |
"T5" SECTION 2 |
T |
5 |
|
|
|
|
|
|
|
|
|
4 |
REPORTING MONTH |
6 |
3 |
8 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
|
|
|
|
|
6 |
CASE NUMBER |
11 |
9 |
19 |
Alphanumeric |
A |
B |
C |
1 |
2 |
3 |
A |
B |
C |
4 |
5 |
14 |
FAMILY AFFILIATION |
1 |
20 |
20 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
15 |
DATE OF BIRTH |
8 |
21 |
28 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
D |
D |
|
|
|
16 |
SOCIAL SECURITY NUMBER |
9 |
29 |
37 |
Alphanumeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
|
|
17 |
RACE/ETHNICITY |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM17A_HISPANIC OR LATINO |
1 |
38 |
38 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM17B_AMERICAN INDIAN OR ALASKA NATIVE |
1 |
39 |
39 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM17C_ASIAN |
1 |
40 |
40 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM17D_BLACK OR AFRICAN AMERICAN |
1 |
41 |
41 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM17E_NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER |
1 |
42 |
42 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM17F_WHITE |
1 |
43 |
43 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
18 |
GENDER |
1 |
44 |
44 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
19 |
RECEIVES DISABILITY BENEFITS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM19A_RECEIVED FEDERAL DISABILITY INSURANCE BENEFITS UNDER THE OASDI PROGRAM |
1 |
45 |
45 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM19B_RECEIVES BENEFITS BASED ON FEDERAL DISABILITY STATUS UNDER NON-SSA PROGRAMS |
1 |
46 |
46 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM19C_RECEIVED AID TO THE PERMANENTLY & TOTALLY DISABLED UNDER TITLE XIV-APDT |
1 |
47 |
47 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM19D - NO LONGER IN USE |
1 |
48 |
48 |
Alphanumeric |
0 |
|
|
|
|
|
|
|
|
|
|
|
ITEM19E_RECEIVED SSI UNDER TITLE XVI-SSI |
1 |
49 |
49 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
20 |
MARITAL STATUS |
1 |
50 |
50 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
21 |
RELATIONSHIP TO HEAD OF HOUSEHOLD |
2 |
51 |
52 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
22 |
PARENT WITH MINOR CHILD IN THE FAMILY |
1 |
53 |
53 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
23 |
NEEDS OF A PREGNANT WOMAN -NO LONGER IN USE |
1 |
54 |
54 |
Alphanumeric |
0 |
|
|
|
|
|
|
|
|
|
|
24 |
EDUCATIONAL LEVEL |
2 |
55 |
56 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
25 |
CITIZENSHIP/IMMIGRATION STATUS |
1 |
57 |
57 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
26 |
NUMBER OF COUNTABLE MONTHS TOWARD FEDERAL TIME LIMIT |
3 |
58 |
60 |
Alphanumeric |
1 |
2 |
3 |
|
|
|
|
|
|
|
|
27 |
NUMBER OF COUNTABLE MONTHS REMAINING UNDER STATE/TRIBE TIME LIMIT - NO LONGER IN USE |
2 |
61 |
62 |
Alphanumeric |
0 |
0 |
|
|
|
|
|
|
|
|
|
28 |
EMPLOYMENT STATUS |
1 |
63 |
63 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
29 |
AMOUNT OF EARNED INCOME |
4 |
64 |
67 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
30 |
AMOUNT OF UNEARNED INCOME |
4 |
68 |
71 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
OMB #0970-0338, expires 10/31/2026 |
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TANF |
LAYOUT FOR SECTION 3 AGGREGATED DATA |
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ITEM # |
DESCRIPTION |
LENGTH |
FROM |
TO |
COMMENTS (DATA TYPE) |
Example of Contents (If BOLD & Blue = fixed value) |
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RECORD TYPE |
2 |
1 |
2 |
"T6" ONE PER QUARTER |
T |
6 |
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3 |
CALENDAR QUARTER |
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CALENDAR YEAR |
4 |
3 |
6 |
Numeric |
2 |
0 |
2 |
3 |
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CALENDAR QUARTER |
1 |
7 |
7 |
Numeric |
1 |
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4 |
TOTAL NUMBER OF APPLICATIONS |
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ITEM_4_FIRST_MONTH |
8 |
8 |
15 |
Numeric; First month, sum(item5+item6) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_4_SECOND_MONTH |
8 |
16 |
23 |
Numeric; Second month, sum(item5+item 6) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_4_THIRD_MONTH |
8 |
24 |
31 |
Numeric; Third month, sum(item5+item6) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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5 |
TOTAL NUMBER OF APPROVED APPLICATIONS |
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ITEM_5_FIRST_MONTH |
8 |
32 |
39 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_5_SECOND_MONTH |
8 |
40 |
47 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_5_THIRD_MONTH |
8 |
48 |
55 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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6 |
TOTAL NUMBER OF DENIED APPLICATIONS |
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ITEM_6_FIRST_MONTH |
8 |
56 |
63 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_6_SECOND_MONTH |
8 |
64 |
71 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_6_THIRD_MONTH |
8 |
72 |
79 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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7 |
TOTAL AMOUNT OF ASSISTANCE |
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ITEM_7_FIRST_MONTH |
12 |
80 |
91 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
0 |
1 |
2 |
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ITEM_7_SECOND_MONTH |
12 |
92 |
103 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
0 |
1 |
2 |
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ITEM_7_THIRD_MONTH |
12 |
104 |
115 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
0 |
1 |
2 |
8 |
TOTAL NUMBER OF FAMILIES |
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ITEM_8_FIRST_MONTH |
8 |
116 |
123 |
Numeric; First month sum(item9+item10+item11) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_8_SECOND_MONTH |
8 |
124 |
131 |
Numeric; Second month, sum(item9+item10+item11) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_8_THIRD_MONTH |
8 |
132 |
139 |
Numeric; Third month, sum(item9+item10+item11) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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9 |
TOTAL NUMBER OF 2 PARENT FAMILES |
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ITEM_9_FIRST_MONTH |
8 |
140 |
147 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_9_SECOND_MONTH |
8 |
148 |
155 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_9_THIRD_MONTH |
8 |
156 |
163 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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10 |
TOTAL NUMBER OF 1 PARENT FAMILIES |
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ITEM_10_FIRST_MONTH |
8 |
164 |
171 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_10_SECOND_MONTH |
8 |
172 |
179 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_10_THIRD_MONTH |
8 |
180 |
187 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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11 |
TOTAL NUMBER OF NO PARENT FAMILIES |
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ITEM_11_FIRST_MONTH |
8 |
188 |
195 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_11_SECOND_MONTH |
8 |
196 |
203 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_11_THIRD_MONTH |
8 |
204 |
211 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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12 |
TOTAL NUMBER OF RECIPIENTS |
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ITEM_12_FIRST_MONTH |
8 |
212 |
219 |
Numeric; First month, sum(item13+item14) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_12_SECOND_MONTH |
8 |
220 |
227 |
Numeric; Second month, sum(item13+item14) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_12_THIRD_MONTH |
8 |
228 |
235 |
Numeric; Third month, sum(item13+item14) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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13 |
TOTAL NUMBER OF ADULT RECIPIENTS |
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ITEM_13_FIRST_MONTH |
8 |
236 |
243 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_13_SECOND_MONTH |
8 |
244 |
251 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_13_THIRD_MONTH |
8 |
252 |
259 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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14 |
TOTAL NUMBER OF CHILD RECIPIENTS |
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ITEM_14_FIRST_MONTH |
8 |
260 |
267 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_14_SECOND_MONTH |
8 |
268 |
275 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_14_THIRD_MONTH |
8 |
276 |
283 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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15 |
TOTAL NUMBER OF NONCUSTODIAL RECIPIENTS |
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ITEM_15_FIRST_MONTH |
8 |
284 |
291 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_15_SECOND_MONTH |
8 |
292 |
299 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_15_THIRD_MONTH |
8 |
300 |
307 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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16 |
TOTAL NUMBER OF BIRTHS |
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ITEM_16_FIRST_MONTH |
8 |
308 |
315 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_16_SECOND_MONTH |
8 |
316 |
323 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_16_THIRD_MONTH |
8 |
324 |
331 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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17 |
TOTAL NUMBER OF OUT OF WEDLOCK BIRTHS |
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ITEM_17_FIRST_MONTH |
8 |
332 |
339 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_17_SECOND_MONTH |
8 |
340 |
347 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_17_THIRD_MONTH |
8 |
348 |
355 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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18 |
TOTAL NUMBER OF CLOSED CASES |
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ITEM_18_FIRST_MONTH |
8 |
356 |
363 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_18_SECOND_MONTH |
8 |
364 |
371 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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ITEM_18_THIRD_MONTH |
8 |
372 |
379 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
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OMB #0970-0338, expires 10/31/2026 |
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SSP |
LAYOUT FOR SECTION 1 DISAGGREGATED |
FAMILY LEVEL DATA |
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ITEM # |
DESCRIPTION |
LENGTH |
FROM |
TO |
COMMENTS (DATA TYPE) |
Example of Contents (If BOLD & Blue = fixed value) |
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RECORD TYPE |
2 |
1 |
2 |
M1 |
M |
1 |
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3 |
REPORTING MONTH |
6 |
3 |
8 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
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5 |
CASE NUMBER |
11 |
9 |
19 |
Alphanumeric |
A |
B |
C |
1 |
2 |
3 |
A |
B |
C |
4 |
5 |
2 |
COUNTY FIPS CODE |
3 |
20 |
22 |
Numeric |
1 |
2 |
3 |
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4 |
STRATUM |
2 |
23 |
24 |
Numeric |
1 |
2 |
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6 |
ZIP CODE |
5 |
25 |
29 |
Alphanumeric |
1 |
2 |
3 |
4 |
5 |
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7 |
DISPOSITION |
1 |
30 |
30 |
Numeric |
1 |
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8 |
# FAMILY MEMBERS |
2 |
31 |
32 |
Numeric |
1 |
2 |
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9 |
TYPE OF FAMILY FOR WORK PARTICIPATION |
1 |
33 |
33 |
Numeric |
1 |
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10 |
HAS FAMILY RECEIVED ASSISTANCE UNDER TANF WITHIN PAST 6 MONTHS |
1 |
34 |
34 |
Numeric |
1 |
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11 |
RECEIVES SUBSIDIZED HOUSING |
1 |
35 |
35 |
Numeric |
1 |
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12 |
RECEIVES MEDICAL ASSISTANCE |
1 |
36 |
36 |
Numeric |
1 |
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13 |
RECEIVES SNAP - NO LONGER IN USE |
1 |
37 |
37 |
Numeric |
0 |
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14 |
AMOUNT OF SNAP |
4 |
38 |
41 |
Numeric |
1 |
2 |
3 |
4 |
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15 |
RECEIVES SUBSIDIZED CHILD CARE - NO LONGER IN USE |
1 |
42 |
42 |
Numeric |
0* |
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16 |
AMOUNT OF SUBSIDIZED CHILD CARE |
4 |
43 |
46 |
Numeric |
1 |
2 |
3 |
4 |
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17 |
AMOUNT OF CHILD SUPPORT |
4 |
47 |
50 |
Numeric |
1 |
2 |
3 |
4 |
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18 |
AMT OF FAMILY'S CASE RESOURCES |
4 |
51 |
54 |
Numeric |
1 |
2 |
3 |
4 |
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19 |
CASH & CASH EQUIVALENTS |
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ITEM_19A_AMOUNT |
4 |
55 |
58 |
Numeric |
1 |
2 |
3 |
4 |
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ITEM_19B_MONTHS |
3 |
59 |
61 |
Numeric |
1 |
2 |
3 |
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20 |
TANF CHILD CARE |
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ITEM_20A_AMOUNT |
4 |
62 |
65 |
Numeric |
1 |
2 |
3 |
4 |
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ITEM_20B_CHILDREN-COVERED |
2 |
66 |
67 |
Numeric |
1 |
2 |
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ITEM_20C_NBR_MONTHS |
3 |
68 |
70 |
Numeric |
1 |
2 |
3 |
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21 |
TRANSPORTATION |
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ITEM_21A_AMOUNT |
4 |
71 |
74 |
Numeric |
1 |
2 |
3 |
4 |
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ITEM_21B_MONTHS |
3 |
75 |
77 |
Numeric |
1 |
2 |
3 |
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22 |
TRANSITIONAL SERVICES - NO LONGER IN USE |
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ITEM_22A_AMOUNT |
4 |
78 |
81 |
Numeric |
0 |
0 |
0 |
0 |
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ITEM_22B_NBR_MONTHS |
3 |
82 |
84 |
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0 |
0 |
0 |
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23 |
OTHER |
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ITEM_23A_AMOUNT |
4 |
85 |
88 |
Numeric |
1 |
2 |
3 |
4 |
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ITEM_23B_MONTHS |
3 |
89 |
91 |
Numeric |
1 |
2 |
3 |
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24 |
REASON FOR & AMOUNT OF ASSISTANCE REDUCTIONS |
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ITEM24A_I_SANCTIONS REDUCTION AMOUNT |
4 |
92 |
95 |
Alphanumeric |
1 |
2 |
3 |
4 |
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ITEM24A_II_WORK REQUIREMENTS SANCTION |
1 |
96 |
96 |
Alphanumeric |
1 |
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ITEM24A_III - NO LONGER IN USE |
1 |
97 |
97 |
Alphanumeric |
0 |
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ITEM24A_IV_SANCTION FOR TEEN PARENT NOT ATTENDING SCHOOL |
1 |
98 |
98 |
Alphanumeric |
1 |
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ITEM24A_V_NON-COOPERATION WITH CHILD SUPPORT |
1 |
99 |
99 |
Alphanumeric |
1 |
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ITEM24A_VI_FAILURE TO COMPLY WITH INDIVIDUAL RESPONSIBILTY PLAN |
1 |
100 |
100 |
Alphanumeric |
1 |
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ITEM24A_VII_OTHER SANCTIONS |
1 |
101 |
101 |
Alphanumeric |
1 |
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ITEM24B_RECOUPMENT OF PRIOR OVERPAYMENT |
4 |
102 |
105 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
ITEM24C_I_OTHER TOTAL REDUCTION AMOUNT |
4 |
106 |
109 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
ITEM24C_II_FAMILY CAP |
1 |
110 |
110 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM24C_III_REDUCTION BASED ON LENGTH OF RECEIPT OF ASSISTANCE |
1 |
111 |
111 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM24C_IV_OTHER, NON-SANCTION |
1 |
112 |
112 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
25 |
WAIVER EVALUATION/CONTROL GROUPS |
1 |
113 |
113 |
Alphanumeric |
0 |
|
|
|
|
|
|
|
|
|
|
|
BLANK |
37 |
114 |
150 |
Spaces |
37 SPACES |
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|
OMB #0970-0338, expires 10/31/2026 |
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|
SSP |
LAYOUT FOR SECTION 1 DISAGGREGATED |
ADULT CHARACTERISTIC DATA |
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|
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|
ITEM # |
DESCRIPTION |
LENGTH |
FROM |
TO |
COMMENTS (DATA TYPE) |
Example of Contents (If BOLD & Blue = fixed value) |
|
|
|
|
|
|
|
|
|
|
|
RECORD TYPE |
2 |
1 |
2 |
VALUE = M2 (6 ADULTS) |
M |
2 |
|
|
|
|
|
|
|
|
|
3 |
REPORTING MONTH |
6 |
3 |
8 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
|
|
|
|
|
5 |
CASE NUMBER |
11 |
9 |
19 |
Alphanumeric |
A |
B |
C |
1 |
2 |
3 |
A |
B |
C |
4 |
5 |
26 |
FAMILY AFFILIATION |
1 |
20 |
20 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
27 |
NONCUSTODIAL PARENT |
1 |
21 |
21 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
28 |
DATE OF BIRTH ADULT |
8 |
22 |
29 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
D |
D |
|
|
|
29 |
SOCIAL SECURITY NUMBER |
9 |
30 |
38 |
Alphanumeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
|
|
30 |
RACE/ETHNICITY |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM30A_HISPANIC OR LATINO |
1 |
39 |
39 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM30B_AMERICAN INDIAN OR ALASKA NATIVE |
1 |
40 |
40 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM30C_ASIAN |
1 |
41 |
41 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM30D_BLACK OR AFRICAN AMERICAN |
1 |
42 |
42 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM30E_NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER |
1 |
43 |
43 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM30F WHITE |
1 |
44 |
44 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
31 |
GENDER |
1 |
45 |
45 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
32 |
RECEIVES DISABILITY BENEFITS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM32A_RECEIVES FEDERAL DISABILITY INSURANCE BENEFITS UNDER OASDI PROGRAM |
1 |
46 |
46 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM32B_RECEIVES BENEFTIS BASED ON FEDERAL DISABILITY STATUS UNDER ON-SSA PROGRAMS |
1 |
47 |
47 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM32C_RECEIVES AID TO THE PERMANENTLY AND TOTALLY DISABLED UNDER TITLE XIV-APDT |
1 |
48 |
48 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM32D - NO LONGER IN USE |
1 |
49 |
49 |
Alphanumeric |
0 |
|
|
|
|
|
|
|
|
|
|
|
ITEM32E_RECEIVES SSI UNDER TITLE XVI-SSI |
1 |
50 |
50 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
33 |
MARITAL STATUS |
1 |
51 |
51 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
34 |
RELATIONSHIP TO HEAD OF HOUSEHOLD |
2 |
52 |
53 |
Numeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
35 |
PARENT WITH MINOR CHILD |
1 |
54 |
54 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
36 |
NEEDS OF A PREGNANT WOMAN - NO LONGER IN USE |
1 |
55 |
55 |
Alphanumeric |
0 |
|
|
|
|
|
|
|
|
|
|
37 |
EDUCATIONAL LEVEL |
2 |
56 |
57 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
38 |
CITIZENSHIP/IMMIGRATION STATUS |
1 |
58 |
58 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
39 |
COOPERATION WITH CHILD SUPPORT |
1 |
59 |
59 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
40 |
EMPLOYMENT STATUS |
1 |
60 |
60 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
41 |
WORK ELIGIBLE INDIVIDUAL INDICATOR |
2 |
61 |
62 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
42 |
WORK PARTICIPATION STATUS |
2 |
63 |
64 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
43 |
UNSUBSIDIZED EMPLOYMENT HOURS |
2 |
65 |
66 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
44 |
SUBSIDIZED PRIVATE EMPLOYMENT HOURS |
2 |
67 |
68 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
45 |
SUBSIDIZED PUBLIC EMPLOYMENT HOURS |
2 |
69 |
70 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
46 |
WORK EXPERIENCE HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM46A_PARTICIPATION |
2 |
71 |
72 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM46B_EXCUSED ABSENCES |
2 |
73 |
74 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM46C_HOLIDAYS |
2 |
75 |
76 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
47 |
ON THE JOB TRAINING HOURS |
2 |
77 |
78 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
48 |
JOB SEARCH & JOB READINESS HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM48A_PARTICIPATION |
2 |
79 |
80 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM48B_EXCUSED ABSENCES |
2 |
81 |
82 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM48C_HOLIDAYS |
2 |
83 |
84 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
49 |
COMMUNITY SERVICE PROGRAMS HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM49A_PARTICIPATION |
2 |
85 |
86 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM49B_EXCUSED ABSENCES |
2 |
87 |
88 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM49C_HOLIDAYS |
2 |
89 |
90 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
50 |
VOCATIONAL EDUCATION TRAINING HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM50A_PARTICIPATION |
2 |
91 |
92 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM50B_EXCUSED ABSENCES |
2 |
93 |
94 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM50C_HOLIDAYS |
2 |
95 |
96 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
51 |
JOB SKILLS TRAINING RELATED EMPLOYMENT HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM51A_PARTICIPATION |
2 |
97 |
98 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM51B_EXCUSED ABSENCES |
2 |
99 |
100 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM51C_HOLIDAYS |
2 |
101 |
102 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
52 |
ED. RELATED TO EMPLOYMENT W/O HS DIPLOMA HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM52A_PARTICIPATION |
2 |
103 |
104 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM52B_EXCUSED ABSENCES |
2 |
105 |
106 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM52C_HOLIDAYS |
2 |
107 |
108 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
53 |
SATISFACTORY SCHOOL ATTENDENCE HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM53A_PARTICIPATION |
2 |
109 |
110 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM53B_EXCUSED ABSENCES |
2 |
111 |
112 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM53C_HOLIDAYS |
2 |
113 |
114 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
54 |
PROVIDING CHILD CARE HOURS OF |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM54A_PARTICIPATION |
2 |
115 |
116 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM54B_EXCUSED ABSENCES |
2 |
117 |
118 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
|
ITEM54C_HOLIDAYS |
2 |
119 |
120 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
55 |
OTHER WORK ACTIVITIES |
2 |
121 |
122 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
56 |
DEEMED CORE HOURS FOR OVERALL RATE |
2 |
123 |
124 |
Alphanumeric |
0 |
0 |
|
|
|
|
|
|
|
|
|
57 |
DEEMED CORE HOURS FOR THE TWO-PARENT RATE |
2 |
125 |
126 |
Alphanumeric |
0 |
0 |
|
|
|
|
|
|
|
|
|
58 |
AMOUNT OF EARNED INCOME |
4 |
127 |
130 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
59 |
AMOUNT OF UNEARNED INCOME |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM59A - NO LONGER IN USE |
4 |
131 |
134 |
Alphanumeric |
0 |
0 |
0 |
0 |
|
|
|
|
|
|
|
|
ITEM59B_SOCIAL SECURITY |
4 |
135 |
138 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
ITEM59C_SSI |
4 |
139 |
142 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
ITEM59D_WORKER'S COMPENSATION |
4 |
143 |
146 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
ITEM59E_OTHER UNEARNED INCOME |
4 |
147 |
150 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
OMB #0970-0338, expires 10/31/2026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SSP |
LAYOUT FOR SECTION 1 DISAGGREGATED |
CHILD CHARACTERISTIC DATA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM # |
DESCRIPTION |
LENGTH |
FROM |
TO |
COMMENTS (DATA TYPE) |
Example of Contents (If BOLD & Blue = fixed value) |
|
|
|
|
|
|
|
|
|
|
|
RECORD TYPE |
2 |
1 |
2 |
VALUE =M3 (MAX 5 PER CASE) |
M |
3 |
|
|
|
|
|
|
|
|
|
3 |
REPORTING MONTH |
6 |
3 |
8 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
|
|
|
|
|
5 |
CASE NUMBER |
11 |
9 |
19 |
Alphanumeric |
A |
B |
C |
1 |
2 |
3 |
A |
B |
C |
4 |
5 |
60 |
FAMILY AFFILIATION -CHILD |
1 |
20 |
20 |
Numeric;CHILD 1,3,5,7,9 |
1 |
|
|
|
|
|
|
|
|
|
|
61 |
DATE OF BIRTH - CHILD |
8 |
21 |
28 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
D |
D |
|
|
|
62 |
SOCIAL SECURITY NUMBER |
9 |
29 |
37 |
Alphanumeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
|
|
63 |
RACE/ETHNICITY |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM63A_HISPANIC OR LATINO |
1 |
38 |
38 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM63B_AMERICAN INDIAN OR ALASKA NATIVE |
1 |
39 |
39 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM63C_ASIAN |
1 |
40 |
40 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM63D_BLACK OR AFRICAN AMERICAN |
1 |
41 |
41 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM63E_NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER |
1 |
42 |
42 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM63F_WHITE |
1 |
43 |
43 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
64 |
GENDER |
1 |
44 |
44 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
65 |
RECEIVES DISABILITY BENEFITS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM65A_RECEIVES BENEFITS BASED ON FEDERAL DISABILITY STATUS UNDER NON-SSI PROGRAMS |
1 |
45 |
45 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM65B_RECEIVES SSI UNDER TITLE XVI-SSI |
1 |
46 |
46 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
66 |
RELATIONSHIP TO HEAD OF HOUSEHOLD |
2 |
47 |
48 |
Numeric |
1* |
2* |
|
|
|
|
|
|
|
|
|
67 |
PARENT WITH MINOR CHILD |
1 |
49 |
49 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
68 |
EDUCATIONAL LEVEL |
2 |
50 |
51 |
Alphanumeric |
1* |
2* |
|
|
|
|
|
|
|
|
|
69 |
CITIZENSHIP/IMMIGRATION STATUS |
1 |
52 |
52 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
70 |
AMOUNT OF UNEARNED INCOME |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM70A_SSI |
4 |
53 |
56 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
ITEM70B_OTHER UNEARNED INCOME |
4 |
57 |
60 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
60 |
FAMILY AFFILIATION - CHILD |
1 |
61 |
61 |
Numeric;CHILD 2,4,6,8,10 |
1 |
|
|
|
|
|
|
|
|
|
|
61 |
DATE OF BIRTH ADULT - CHILD |
8 |
62 |
69 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
D |
D |
|
|
|
62 |
SOCIAL SECURITY NUMBER |
9 |
70 |
78 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
|
|
63 |
RACE/ETHNICITY |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM63A_HISPANIC OR LATINO |
1 |
79 |
79 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM63B_AMERICAN INDIAN OR ALASKA NATIVE |
1 |
80 |
80 |
Alphanumeric |
1* |
|
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|
|
|
|
|
|
|
|
|
ITEM63C_ASIAN |
1 |
81 |
81 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM63D_BLACK OR AFRICAN AMERICAN |
1 |
82 |
82 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM63E_NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER |
1 |
83 |
83 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM63F_WHITE |
1 |
84 |
84 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
64 |
GENDER |
1 |
85 |
85 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
65 |
RECEIVES DISABILITY BENEFITS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM65A_RECEIVES BENEFITS BASED ON FEDERAL DISABILITY STATUS UNDER NON-SSI PROGRAMS |
1 |
86 |
86 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM65B_RECEIVES SSI UNDER TITLE XVI-SSI |
1 |
87 |
87 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
66 |
RELATIONSHIP TO HEAD OF HOUSEHOLD |
2 |
88 |
89 |
Numeric |
1* |
2* |
|
|
|
|
|
|
|
|
|
67 |
PARENT WITH MINOR CHILD |
1 |
90 |
90 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
68 |
EDUCATIONAL LEVEL |
2 |
91 |
92 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
69 |
CITIZENSHIP/IMMIGRATION STATUS |
1 |
93 |
93 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
70 |
AMOUNT OF UNEARNED INCOME |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM70A_SSI |
4 |
94 |
97 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
ITEM70B_OTHER UNEARNED INCOME |
4 |
98 |
101 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
|
BLANK |
49 |
102 |
150 |
Spaces |
49 SPACES |
|
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|
|
OMB #0970-0338, expires 10/31/2026 |
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|
SSP |
LAYOUT FOR SECTION 2 DISAGGREGATED |
PERSON LEVEL DATA |
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|
ITEM # |
DESCRIPTION |
LENGTH |
FROM |
TO |
COMMENTS (DATA TYPE) |
Example of Contents (If BOLD & Blue = fixed value) |
|
|
|
|
|
|
|
|
|
|
|
RECORD TYPE |
2 |
1 |
2 |
VALUE = M5 |
M |
5 |
|
|
|
|
|
|
|
|
|
3 |
REPORTING MONTH |
6 |
3 |
8 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
|
|
|
|
|
5 |
CASE NUMBER |
11 |
9 |
19 |
Alphanumeric |
A |
B |
C |
1 |
2 |
3 |
A |
B |
C |
4 |
5 |
13 |
FAMILY AFFILIATION |
1 |
20 |
20 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
14 |
DATE OF BIRTH |
8 |
21 |
28 |
Numeric |
Y |
Y |
Y |
Y |
M |
M |
D |
D |
|
|
|
15 |
SOCIAL SECURITY NUMBER |
9 |
29 |
37 |
Alphanumeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
|
|
16 |
RACE/ETHNICITY |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM17A_HISPANIC OR LATINO |
1 |
38 |
38 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM17B_AMERICAN INDIAN OR ALASKA NATIVE |
1 |
39 |
39 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM17C_ASIAN |
1 |
40 |
40 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM17D_BLACK OR AFRICAN AMERICAN |
1 |
41 |
41 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM17E_NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER |
1 |
42 |
42 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
|
ITEM17F_WHITE |
1 |
43 |
43 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
17 |
GENDER |
1 |
44 |
44 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
18 |
RECEIVES DISABILITY BENEFITS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM18A_RECEIVED FEDERAL DISABILITY INSURANCE BENEFITS UNDER OASDI PROGRAM |
1 |
45 |
45 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM18B_RECEIVED BENEFITS BASED ON FEDERAL DISABILITY STATUS UNDER NON-SSA PROGRAMS |
1 |
46 |
46 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM18C_RECEIVED AID TO THE PERMANENTLY AND TOTALLY DISABLED UNDER TITLE XIV-APDT |
1 |
47 |
47 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
ITEM18D - NO LONGER IN USE |
1 |
48 |
48 |
Alphanumeric |
0 |
|
|
|
|
|
|
|
|
|
|
|
ITEM18E_RECEIVED SSI UNDER TITLE XVI-SSI |
1 |
49 |
49 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
19 |
MARITAL STATUS |
1 |
50 |
50 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
20 |
RELATIONSHIP TO HEAD OF HOUSEHOLD |
2 |
51 |
52 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
21 |
PARENT WITH MINOR CHILD IN THE FAMILY |
1 |
53 |
53 |
Alphanumeric |
1* |
|
|
|
|
|
|
|
|
|
|
22 |
NEEDS OF A PREGNANT WOMAN - NO LONGER IN USE |
1 |
54 |
54 |
Alphanumeric |
0 |
|
|
|
|
|
|
|
|
|
|
23 |
EDUCATIONAL LEVEL |
2 |
55 |
56 |
Alphanumeric |
1 |
2 |
|
|
|
|
|
|
|
|
|
24 |
CITIZENSHIP/IMMIGRATION STATUS |
1 |
57 |
57 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
25 |
EMPLOYMENT STATUS |
1 |
58 |
58 |
Alphanumeric |
1 |
|
|
|
|
|
|
|
|
|
|
26 |
AMOUNT OF EARNED INCOME |
4 |
59 |
62 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
27 |
AMOUNT OF UNEARNED INCOME |
4 |
63 |
66 |
Alphanumeric |
1 |
2 |
3 |
4 |
|
|
|
|
|
|
|
Up to 16 persons per case |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
OMB #0970-0338, expires 10/31/2026 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SSP |
LAYOUT FOR SECTION 3 AGGREGATED DATA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
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|
|
|
|
|
|
ITEM # |
DESCRIPTION |
LENGTH |
FROM |
TO |
COMMENTS (DATA TYPE) |
Example of Contents (If BOLD & Blue = fixed value) |
|
|
|
|
|
|
|
|
|
|
|
|
RECORD TYPE |
2 |
1 |
2 |
"M6" ONE PER QUARTER |
M |
6 |
|
|
|
|
|
|
|
|
|
|
2 |
CALENDAR QUARTER |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CALENDAR YEAR |
4 |
3 |
6 |
Numeric |
2 |
0 |
2 |
3 |
|
|
|
|
|
|
|
|
|
CALENDAR QUARTER |
1 |
7 |
7 |
Numeric |
1 |
|
|
|
|
|
|
|
|
|
|
|
3 |
TOTAL NUMBER OF SSP-MOE FAMILIES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM_3_FIRST_MONTH |
8 |
8 |
15 |
Numeric; First month sum(item4+item5+item6) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_3_SECOND_MONTH |
8 |
16 |
23 |
Numeric; Second month sum(item4+item5+item6) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_3_THIRD_MONTH |
8 |
24 |
31 |
Numeric; Third month sum(item4+item5+item6) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
4 |
TOTAL NUMBER OF 2 PARENT FAMILES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM_4_FIRST_MONTH |
8 |
32 |
39 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_4_SECOND_MONTH |
8 |
40 |
47 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_4_THIRD_MONTH |
8 |
48 |
55 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
5 |
TOTAL NUMBER OF 1 PARENT FAMILIES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM_5_FIRST_MONTH |
8 |
56 |
63 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_5_SECOND_MONTH |
8 |
64 |
71 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_5_THIRD_MONTH |
8 |
72 |
79 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
6 |
TOTAL NUMBER OF NO PARENT FAMILIES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM_6_FIRST_MONTH |
8 |
80 |
87 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_6_SECOND_MONTH |
8 |
88 |
95 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_6_THIRD_MONTH |
8 |
96 |
103 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
7 |
TOTAL NUMBER OF RECIPIENTS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM_7_FIRST_MONTH |
8 |
104 |
111 |
Numeric; First month sum(item8+item9) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_7_SECOND_MONTH |
8 |
112 |
119 |
Numeric; Second month sum(item8+item9) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_7_THIRD_MONTH |
8 |
120 |
127 |
Numeric; Third month sum(item8+item9) |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
8 |
TOTAL NUMBER OF ADULT RECIPIENTS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM_8_FIRST_MONTH |
8 |
128 |
135 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_8_SECOND_MONTH |
8 |
136 |
143 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_8_THIRD_MONTH |
8 |
144 |
151 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
9 |
TOTAL NUMBER OF CHILD RECIPIENTS |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM_9_FIRST_MONTH |
8 |
152 |
159 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_9_SECOND_MONTH |
8 |
160 |
167 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_9_THIRD_MONTH |
8 |
168 |
175 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
10 |
TOTAL NUMBER OF NONCUSTODIAL PARENTS IN WORK ACTIVITIES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM_10_FIRST_MONTH |
8 |
176 |
183 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_10_SECOND_MONTH |
8 |
184 |
191 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_10_THIRD_MONTH |
8 |
192 |
199 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
11 |
TOTAL AMOUNT OF ASSISTANCE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM_11_FIRST_MONTH |
12 |
200 |
211 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
0 |
1 |
2 |
|
ITEM_11_SECOND_MONTH |
12 |
212 |
223 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
0 |
1 |
2 |
|
ITEM_11_THIRD_MONTH |
12 |
224 |
235 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
0 |
1 |
2 |
12 |
TOTAL NUMBER OF CLOSED CASES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM_12_FIRST_MONTH |
8 |
236 |
243 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_12_SECOND_MONTH |
8 |
244 |
251 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
|
ITEM_12_THIRD_MONTH |
8 |
252 |
259 |
Numeric |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
|
|
|
|
OMB #0970-0338, expires 10/31/2026 |
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|