CE801 Record of Your Daily Expenses - Paper Diary Form

Consumer Expenditure Surveys: Quarterly Interview and Diary

Attachment C - CE801_2025

The Diary

OMB: 1220-0050

Document [pdf]
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88

OMB No. 1220-0050
U.S. DEPARTMENT OF COMMERCE

ENT OF C
TM
OM
AR

R

EA
EN
UO
F TH E C

S

BU

US

RCE
ME

U.S.
DE
P

U.S. CENSUS BUREAU

Acting as a collecting agent for
U.S. Department of Labor
Bureau of Labor Statistics

Your Daily Expenses
Help us learn about the buying habits of people in the United States

Lady using
credit card

dollar bills
curled

Man internet
shopping

older couple
gift

friends out to
lunch

stack of
receipts

mug credit
card
& phone

couple
walking store
front

family of 4
unpacking
groceries

father
daughter pet
store

When you write down what you purchase in this diary, you will help
provide a bigger picture of how U.S. consumers spend their money.
By law (Title 13, U.S. Code), we must keep your information confidential;
we use it for statistical purposes only.

Please record your expenses and purchases
for the following period
Day

Date

1
2
3
4
5
6
7

I will return on: _______________________________________
If you have any questions, please call:
Field representative’s name:

Telephone:

Field representative supervisor’s name:

Telephone:

FORM CE-801 (01-2025)

Black (100%); Pantone purple #258 (40% and 80%)

General Instructions
■

Fill out this diary for an entire week, writing
down everything you and the people on
your list spend money on each day – the
products you buy, the services you use, the
household expenses you have during the
week – no matter how large or small they
are.

■

We recommend that you record your
expenses each day. Think about where you
went and what you did.

■

Talk to the people on your list every day
to find out how they spent their money.

■

Include payments by:
Cash
Check
SNAP Card
Credit/Debit Card
Money Order
Venmo
Paypal

WIC Voucher
Automatic Withdrawal
Payroll Deduction
Store Charge Card
Gift Card
Cash App

Keep receipts and other records so that you
will remember to record what you bought
or paid for. Use the pocket at the back of the
diary to store them.

■

Some record types include:
Receipts
Bills
Pay Stubs
Bank Statements
Internet/Catalog Purchases
Credit Card Statements
■

Include items that you bought for people
who are not on your list, such as gifts.

■

Please use a blue or black pen when filling
out the diary.

Do NOT record
■

Expenses of people on your list while
they were away from home overnight

■

Business or farm operating expenses

■

Sales tax, except for Meals, Snacks, and
Drinks Away from Home

FORM CE-801 (01-2025)

FRONT OF FRONT FLAP-ATTACH TO COVER/TITLE PAGE,
Black Ink (100%)
FOLD IN

How to Fill Out
Your Diary
The diary is divided into 7 days and each
day is divided into 4 parts.
Enter each item in the appropriate part
for each day.
1. Food and Drinks for Home Consumption
■ Describe the item.
■

Mark whether the item was fresh, frozen,
bottled/canned, or other.

■

Enter the cost without tax and deduct any
discounts or coupons.

■

Enter the name of the store, business, or
website where the item was purchased.

2. Meals, Snacks, and Drinks Away from
Home
■ Enter the name of the restaurant, vendor, or
cafeteria where you made this purchase.
■

Mark one of the four choices that best
describes where you made the purchase.

■

Enter the total cost with tax, tip, and fees.
Include any delivery fees in the total cost.

■

Check whether alcoholic beverages were
included or not, and if yes, enter the cost of
the alcoholic beverages.

3. Clothing, Shoes, Jewelry, and Accessories
■ Describe the item and enter the cost without
tax.
■

Mark the appropriate sex and age range of
the person for whom the item was bought.

■

Enter the name of the store, business, or
website where the item was purchased.

4. All Other Products, Services, and
Expenses
■

Describe the item and enter the total cost
without tax.

■

Enter the name of the store, business, or
website where the item was purchased.

See back fiap for answers to
Frequently Asked Questions
There is an Additional Pages section
on pages 18–23 in case you run out of
lines on any particular day.
If you are unsure about whether to
include an item or where to record an
item, write it down wherever it seems
best or make a note and ask your field
representative.

FORM CE-801 (01-2025)

BACK SIDE OF FRONT FLAP, ATTACH TO RECORD DAILY EXPENSES PAGE
Black Ink (100%) & purple Pantone 258 (100%)

Record Your Daily Expenses
The people on your list:
Record the purchases and expenses made by ALL of these people.

Notes

FORM CE-801 (01-2025)

CE-801 Black Ink (100%)

Thank you for agreeing to fill out this diary.
We understand that this task takes time; however, your information is
very important to us and will be used for many purposes that affect all
households in the U.S. Among the most important, it is used to help
calculate the Consumer Price Index, or CPI. The CPI is one of the most
important tools used to measure how fast consumer prices are rising
or declining.
Here are some of the uses of the Consumer Price Index:
♦ Provide cost-of-living wage adjustments for millions of American workers
♦ Adjust Social Security payments
♦ Adjust Federal income-tax brackets

For more information about the survey, visit: www.bls.gov/cex and www.census.gov/programs-surveys/ce.html

Office Use: Place the barcode label here

Questions?
Some Frequently Asked Questions are answered on the fiap attached to the back cover.
If you still have questions after reviewing these, please call your field representative.

1

FORM CE-801 (01-2025)

§)""¤
080101

Black Ink (100%)

Examples
Food and Drinks for Home Consumption
Is this item:
Mark (X) one

What did you buy or pay for?
fresh

bread

101

eggs

102

chicken wings

103

apples

104

beer

105

milk

106

orange juice

107

candy

108

vegetable oil

109

baby food

110

potato chips

111

frozen meals

112

ketchup

113

soup

114

soda

115

pork chops

116

shrimp

117

cookies

118

ground beef

119

carbonated water

120

apple pie

121

ground coffee

122

bagels

123

wine

124

juice boxes

125

Cost
other

2

3

4

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

1

2

3

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1
1

dog food

126

frozen

bottled/
canned

X
X
X
X

X

X
X
X

X

X

X

X
X
X
X

X
X
X

X

X

X

4

X

4
4

without tax

1

49

1

50

6

78

2

80

4

29

2

99

3

99

2

50

2

99

4

95

2

79

8

97

1

59

4

96

1

98

6

36

Name of
Store or Website
where purchased

Foodway Grocery Store

11 20
X

3

50

5

87
89

4

99

2

79

NY Bagel Bakery

5

25

"

42

00

Total Wine

X

20

85

Amazon.com

X

21

45

Pets&More.com

X

127
128

Use the pocket on the inside of the back
cover to store your receipts until you’re
ready to record your purchases.

129
130

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

131
132
133
134
135
136

2

FORM CE-801 (01-2025)

§)"#¤
080102

CE-801, Pantone purple #258 (30% 50% 80% 100%) Pantone Yellow 101 (70%), Black (100%)

Examples
Meals, Snacks, and Drinks Away from Home
Mark (X) one that best describes
where you made this purchase

Name of
Restaurant or Vendor

201
202
203
204
205
206

McDonald’s
DoorDash

Fast Food
Take-out
Delivery
Concession

Full
Service
Places

Vending
Machines
or Mobile
Vendors /
Food Trucks
3

4

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

X

1

X

with tax, tip & fees
Yes

X

1

2

1

2

1

2

X

23

15 00
X

YMCA vending machine

1

Millbrook school cafeteria

45

X

X
15

X
1

2

1

2

1

2

00

X

50

X

00

2 09

X

Enter the
total cost of
the alcohol

No

7 25
62

Mister Days sports bar

Starbucks

Total Cost

Employer
or School
Cafeteria

2

1

Were
alcoholic
beverages
included?

X

Clothing, Shoes, Jewelry, and Accessories
Cost

What did you buy or pay for?
301
302
303
304
305
306
307
308

without tax

dress shirts

69 00

wallet

29 00

baseball cap

14 99

bib

3

necklace

Boy
2-15

Girl
2-15

Man
16 &
over

Woman
16 &
over

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

3

4

5

2

3

4

5

1

2

3

4

5

1

2

3

4

5

75 00

running shoes

50

250 00

non-prescription sunglasses
child’s costume (returned for refund)

59 00
15 00

Name of
Store or Website

Was the item for:
Child
Under 2

where purchased

Dillards.com

X

1
1

2

X

X

X

5

Target
Sweet Dreams boutique

X

X

X

Olde Towne jewelry

X

Walmart.com
Partysupply.com

All Other Products, Services, and Expenses
What did you buy or pay for?
401

cold medicine (non-prescription)

402

gasoline

403

highway tolls

404

music

Name of
Store or Website

Cost
without tax

where purchased

6

95

Walmart

12

86

Liberty

2

00

Tri-River bridge

10

99

Spotify

8

99

Jim’s Mart

15

50

Green cleaners

406

cigarettes
dry cleaning (clothes)

407

lottery tickets

1

00

Jim’s Mart

408

bus fare

1

50

MetroCounty transit

409

piano lessons

410

electric drill

65

00

Village Hardware

411

Netfiix subscription
veterinarian fees

15
85

49
00

Netfiix
Bay County Vets

405

412

150 00

Private Individual

3

FORM CE-801 (01-2025)

§)"$¤
080103

CE-801, Pantone purple #258 (30%, 50%, 80% & 100%), Black (100%)

ENTER
DAY AND
DATE

DAY 1

See pages 2-3 for examples. If you need additional space, use pages 18-23.
Please PRINT in blue or black ink.

Food and Drinks for Home Consumption
Is this item:
Mark (X) one

What did you buy or pay for?

fresh

frozen

Cost

bottled/
canned

other

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

without tax

Name of
Store or Website
where purchased

101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136

4

FORM CE-801 (01-2025)

§)"%¤
080104

Black Ink (30% & 100%), Pantone purple #258 (30% 50%, 80% and 100%)

FR USE:

DAY 1

None
VC

Meals, Snacks, and Drinks Away from Home
Mark (X) one that best describes
where you made this purchase

Name of
Restaurant or Vendor

Fast Food
Take-out
Delivery
Concession

Full
Service
Places

Vending
Machines
or Mobile
Vendors /
Food Trucks

Employer
or School
Cafeteria

Total Cost

Were
alcoholic
beverages
included?

with tax, tip & fees
Yes

Enter the
total cost of
the alcohol

No

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

201
202
203
204
205
206

Clothing, Shoes, Jewelry, and Accessories
What did you buy or pay for?

Cost
without tax

Was the item for:
Child
Under 2

Boy
2-15

Girl
2-15

Man
16 &
over

Woman
16 &
over

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Name of
Store or Website
where purchased

301
302
303
304
305
306
307
308

All Other Products, Services, and Expenses
What did you buy or pay for?

Cost
without tax

Name of
Store or Website
where purchased

401
402
403
404
405
406
407
408
409
410
411
412
413

5

FORM CE-801 (01-2025)

§)"&¤
080105

Black Ink (100%), Pantone purple #258 (30% 50%, and 100%)

ENTER
DAY AND
DATE

DAY 2

See pages 2-3 for examples. If you need additional space, use pages 18-23.
Please PRINT in blue or black ink.

Food and Drinks for Home Consumption
Is this item:
Mark (X) one

What did you buy or pay for?

fresh

frozen

Cost

bottled/
canned

other

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

without tax

Name of
Store or Website
where purchased

101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136

6

FORM CE-801 (01-2025)

§)"’¤
080106

Black Ink (30% & 100%), Pantone purple #258 (30% 50%, 80% and 100%)

FR USE:

DAY 2

None
VC

Meals, Snacks, and Drinks Away from Home
Mark (X) one that best describes
where you made this purchase

Name of
Restaurant or Vendor

Fast Food
Take-out
Delivery
Concession

Full
Service
Places

Vending
Machines
or Mobile
Vendors /
Food Trucks

Employer
or School
Cafeteria

Total Cost

Were
alcoholic
beverages
included?

with tax, tip & fees
Yes

Enter the
total cost of
the alcohol

No

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

201
202
203
204
205
206

Clothing, Shoes, Jewelry, and Accessories
What did you buy or pay for?

Cost
without tax

Was the item for:
Child
Under 2

Boy
2-15

Girl
2-15

Man
16 &
over

Woman
16 &
over

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Name of
Store or Website
where purchased

301
302
303
304
305
306
307
308

All Other Products, Services, and Expenses
What did you buy or pay for?

Cost
without tax

Name of
Store or Website
where purchased

401
402
403
404
405
406
407
408
409
410
411
412
413

7

FORM CE-801 (01-2025)

§)"(¤
080107

Black Ink (100%), Pantone purple #258 (30% 50%, and 100%)

ENTER
DAY AND
DATE

DAY 3

See pages 2-3 for examples. If you need additional space, use pages 18-23.
Please PRINT in blue or black ink.

Food and Drinks for Home Consumption
Is this item:
Mark (X) one

What did you buy or pay for?

fresh

frozen

Cost

bottled/
canned

other

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

without tax

Name of
Store or Website
where purchased

101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136

8

FORM CE-801 (01-2025)

§)")¤
080108

Black Ink (30% & 100%), Pantone purple #258 (30% 50%, 80% and 100%)

FR USE:

DAY 3

None
VC

Meals, Snacks, and Drinks Away from Home
Mark (X) one that best describes
where you made this purchase

Name of
Restaurant or Vendor

Fast Food
Take-out
Delivery
Concession

Full
Service
Places

Vending
Machines
or Mobile
Vendors /
Food Trucks

Employer
or School
Cafeteria

Total Cost

Were
alcoholic
beverages
included?

with tax, tip & fees
Yes

Enter the
total cost of
the alcohol

No

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

201
202
203
204
205
206

Clothing, Shoes, Jewelry, and Accessories
What did you buy or pay for?

Cost
without tax

Was the item for:
Child
Under 2

Boy
2-15

Girl
2-15

Man
16 &
over

Woman
16 &
over

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Name of
Store or Website
where purchased

301
302
303
304
305
306
307
308

All Other Products, Services, and Expenses
What did you buy or pay for?

Cost
without tax

Name of
Store or Website
where purchased

401
402
403
404
405
406
407
408
409
410
411
412
413

9

FORM CE-801 (01-2025)

§)"*¤
080109

Black Ink (100%), Pantone purple #258 (30% 50%, and 100%)

ENTER
DAY AND
DATE

DAY 4

See pages 2-3 for examples. If you need additional space, use pages 18-23.
Please PRINT in blue or black ink.

Food and Drinks for Home Consumption
Is this item:
Mark (X) one

What did you buy or pay for?

fresh

frozen

Cost

bottled/
canned

other

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

without tax

Name of
Store or Website
where purchased

101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136

10

FORM CE-801 (01-2025)

§)"+¤
080110

Black Ink (30% & 100%), Pantone purple #258 (30% 50%, 80% and 100%)

FR USE:

DAY 4

None
VC

Meals, Snacks, and Drinks Away from Home
Mark (X) one that best describes
where you made this purchase

Name of
Restaurant or Vendor

Fast Food
Take-out
Delivery
Concession

Full
Service
Places

Vending
Machines
or Mobile
Vendors /
Food Trucks

Employer
or School
Cafeteria

Total Cost

Were
alcoholic
beverages
included?

with tax, tip & fees
Yes

Enter the
total cost of
the alcohol

No

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

201
202
203
204
205
206

Clothing, Shoes, Jewelry, and Accessories
What did you buy or pay for?

Cost
without tax

Was the item for:
Child
Under 2

Boy
2-15

Girl
2-15

Man
16 &
over

Woman
16 &
over

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Name of
Store or Website
where purchased

301
302
303
304
305
306
307
308

All Other Products, Services, and Expenses
What did you buy or pay for?

Cost
without tax

Name of
Store or Website
where purchased

401
402
403
404
405
406
407
408
409
410
411
412
413

11

FORM CE-801 (01-2025)

§)",¤
080111

Black Ink (100%), Pantone purple #258 (30% 50%, and 100%)

ENTER
DAY AND
DATE

DAY 5

See pages 2-3 for examples. If you need additional space, use pages 18-23.
Please PRINT in blue or black ink.

Food and Drinks for Home Consumption
Is this item:
Mark (X) one

What did you buy or pay for?

fresh

frozen

Cost

bottled/
canned

other

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

without tax

Name of
Store or Website
where purchased

101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136

12

FORM CE-801 (01-2025)

§)"-¤
080112

Black Ink (30% & 100%), Pantone purple #258 (30% 50%, 80% and 100%)

FR USE:

DAY 5

None
VC

Meals, Snacks, and Drinks Away from Home
Mark (X) one that best describes
where you made this purchase

Name of
Restaurant or Vendor

Fast Food
Take-out
Delivery
Concession

Full
Service
Places

Vending
Machines
or Mobile
Vendors /
Food Trucks

Employer
or School
Cafeteria

Total Cost

Were
alcoholic
beverages
included?

with tax, tip & fees
Yes

Enter the
total cost of
the alcohol

No

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

201
202
203
204
205
206

Clothing, Shoes, Jewelry, and Accessories
What did you buy or pay for?

Cost
without tax

Was the item for:
Child
Under 2

Boy
2-15

Girl
2-15

Man
16 &
over

Woman
16 &
over

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Name of
Store or Website
where purchased

301
302
303
304
305
306
307
308

All Other Products, Services, and Expenses
What did you buy or pay for?

Cost
without tax

Name of
Store or Website
where purchased

401
402
403
404
405
406
407
408
409
410
411
412
413

13

FORM CE-801 (01-2025)

§)".¤
080113

Black Ink (100%), Pantone purple #258 (30% 50%, and 100%)

ENTER
DAY AND
DATE

DAY 6

See pages 2-3 for examples. If you need additional space, use pages 18-23.
Please PRINT in blue or black ink.

Food and Drinks for Home Consumption
Is this item:
Mark (X) one

What did you buy or pay for?

fresh

frozen

Cost

bottled/
canned

other

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

without tax

Name of
Store or Website
where purchased

101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136

14

FORM CE-801 (01-2025)

§)"/¤
080114

Black Ink (30% & 100%), Pantone purple #258 (30% 50%, 80% and 100%)

FR USE:

DAY 6

None
VC

Meals, Snacks, and Drinks Away from Home
Mark (X) one that best describes
where you made this purchase

Name of
Restaurant or Vendor

Fast Food
Take-out
Delivery
Concession

Full
Service
Places

Vending
Machines
or Mobile
Vendors /
Food Trucks

Employer
or School
Cafeteria

Total Cost

Were
alcoholic
beverages
included?

with tax, tip & fees
Yes

Enter the
total cost of
the alcohol

No

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

201
202
203
204
205
206

Clothing, Shoes, Jewelry, and Accessories
What did you buy or pay for?

Cost
without tax

Was the item for:
Child
Under 2

Boy
2-15

Girl
2-15

Man
16 &
over

Woman
16 &
over

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Name of
Store or Website
where purchased

301
302
303
304
305
306
307
308

All Other Products, Services, and Expenses
What did you buy or pay for?

Cost
without tax

Name of
Store or Website
where purchased

401
402
403
404
405
406
407
408
409
410
411
412
413

15

FORM CE-801 (01-2025)

§)"0¤
080115

Black Ink (100%), Pantone purple #258 (30% 50%, and 100%)

ENTER
DAY AND
DATE

DAY 7

See pages 2-3 for examples. If you need additional space, use pages 18-23.
Please PRINT in blue or black ink.

Food and Drinks for Home Consumption
Is this item:
Mark (X) one

What did you buy or pay for?

fresh

frozen

Cost

bottled/
canned

other

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

without tax

Name of
Store or Website
where purchased

101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136

16

FORM CE-801 (01-2025)

§)"1¤
080116

Black Ink (30% & 100%), Pantone purple #258 (30% 50%, 80% and 100%)

FR USE:

DAY 7

None
VC

Meals, Snacks, and Drinks Away from Home
Mark (X) one that best describes
where you made this purchase

Name of
Restaurant or Vendor

Fast Food
Take-out
Delivery
Concession

Full
Service
Places

Vending
Machines
or Mobile
Vendors /
Food Trucks

Employer
or School
Cafeteria

Total Cost

Were
alcoholic
beverages
included?

with tax, tip & fees
Yes

Enter the
total cost of
the alcohol

No

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

201
202
203
204
205
206

Clothing, Shoes, Jewelry, and Accessories
What did you buy or pay for?

Cost
without tax

Was the item for:
Child
Under 2

Boy
2-15

Girl
2-15

Man
16 &
over

Woman
16 &
over

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Name of
Store or Website
where purchased

301
302
303
304
305
306
307
308

All Other Products, Services, and Expenses
What did you buy or pay for?

Cost
without tax

Name of
Store or Website
where purchased

401
402
403
404
405
406
407
408
409
410
411
412
413

17

FORM CE-801 (01-2025)

§)"2¤
080117

Black Ink (100%), Pantone purple #258 (30% 50%, and 100%)

Additional Pages
Food and Drinks for Home Consumption
Is this item:
Mark (X) one

What did you buy or pay for?
fresh

frozen

Cost

bottled/
canned

other

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

without tax

Name of
Store or Website
where purchased

101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
FORM CE-801 (01-2025)

18

§)"3¤
080118

Black Ink (100%), Pantone purple 258 (50% and 80% & 100%)

Additional Pages
Meals, Snacks, and Drinks Away from Home
Mark (X) one that best describes
where you made this purchase

Name of
Restaurant or Vendor

Fast Food
Take-out
Delivery
Concession

Vending
Machines
or Mobile
Vendors /
Food Trucks

Full
Service
Places

Employer
or School
Cafeteria

Total Cost

Were
alcoholic
beverages
included?

with tax, tip & fees
Yes

Enter the
total cost of
the alcohol

No

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

201
202
203
204
205
206

Clothing, Shoes, Jewelry, and Accessories
What did you buy or pay for?

Was the item for:

Cost

Child
Under 2

without tax

Boy
2-15

Girl
2-15

Man
16 &
over

Woman
16 &
over

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Name of
Store or Website
where purchased

301
302
303
304
305
306
307
308

All Other Products, Services, and Expenses
What did you buy or pay for?

Cost
without tax

Name of
Store or Website
where purchased

401
402
403
404
405
406
407
408
409
410
411
412
413

19

FORM CE-801 (01-2025)

§)"4¤
080119

Black Ink (100%), Pantone purple 258 (30%, 50%, 80% and 100%)

Additional Pages
Food and Drinks for Home Consumption
Is this item:
Mark (X) one

What did you buy or pay for?
fresh
138

frozen

Cost

bottled/
canned

other

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

without tax

Name of
Store or Website
where purchased

139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174

20

FORM CE-801 (01-2025)

§)"5¤
080120

Black Ink (100%), Pantone purple #258 (50% and 80% & 100%)

Additional Pages
Meals, Snacks, and Drinks Away from Home
Mark (X) one that best describes
where you made this purchase

Name of
Restaurant or Vendor

Fast Food
Take-out
Delivery
Concession

Full
Service
Places

Vending
Machines
or Mobile
Vendors /
Food Trucks

Employer
or School
Cafeteria

Total Cost

Were
alcoholic
beverages
included?

with tax, tip & fees
Yes

Enter the
total cost of
the alcohol

No

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

207
208
209
210
211
212

Clothing, Shoes, Jewelry, and Accessories
What did you buy or pay for?

Cost
without tax

Was the item for:
Child
Under 2

Boy
2-15

Girl
2-15

Man
16 &
over

Woman
16 &
over

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Name of
Store or Website
where purchased

309
310
311
312
313
314
315
316

All Other Products, Services, and Expenses
What did you buy or pay for?

Cost
without tax

Name of
Store or Website
where purchased

414
415
416
417
418
419
420
421
422
423
424
425
426

21

FORM CE-801 (01-2025)

§)"6¤
080121

Black Ink (100%), Pantone purple #258 (30%, 50%, 80% and 100%)

Additional Pages
Food and Drinks for Home Consumption
Is this item:
Mark (X) one

What did you buy or pay for?
fresh

frozen

Cost

bottled/
canned

other

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

without tax

Name of
Store or Website
where purchased

175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199

22

FORM CE-801 (01-2025)

§)"7¤
080122

Black Ink (100%), Pantone purple #258 (30% 50% 80% & 100%)

Additional Pages
Meals, Snacks, and Drinks Away from Home
Mark (X) one that best describes
where you made this purchase

Name of
Restaurant or Vendor

Fast Food
Take-out
Delivery
Concession

Full
Service
Places

Vending
Machines
or Mobile
Vendors /
Food Trucks

Employer
or School
Cafeteria

Total Cost

Were
alcoholic
beverages
included?

with tax, tip & fees
Yes

Enter the
total cost of
the alcohol

No

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

1

2

3

4

1

2

213
214
215
216
217
218

Clothing, Shoes, Jewelry, and Accessories
What did you buy or pay for?

Cost
without tax

Was the item for:
Child
Under 2

Boy
2-15

Girl
2-15

Man
16 &
over

Woman
16 &
over

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Name of
Store or Website
where purchased

317
318
319
320
321
322
323
324

All Other Products, Services, and Expenses
What did you buy or pay for?

Cost
without tax

Name of
Store or Website
where purchased

427
428
429
430
431
432
433
434
435
436
437
438
439

23

FORM CE-801 (01-2025)

§)"8¤
080123

Black Ink (100%), Pantone purple #258 (30%, 50%, 80% and 100%)

Keep your records in this pocket.
(These records are only for your reference; we will not keep them.)
■
■
■
■
■
■

FORM CE-801 (01-2025)

Receipts
Bills
Pay Stubs
Bank Statements
Catalog/Internet Purchases
Credit Card Statements

Frequently Asked Questions
(continued on other side)

1. How detailed should my descriptions be?
Refer to pages 2–3 for examples of the level of
detail needed in each part. Do not rely solely
on brand names.

2. How should I record multiple quantities?
You may group identical items on the same line
and enter a total cost of all the items, or you
may write each item on a separate line with the
individual cost.

3. How should I record pre-payments such
as a subway fare card?

Record the expense when you pay for it, not
when you use it.

4. How should I record credit card
purchases?

Record the purchase on the day that you use
your credit card to pay for it, not on the day you
receive or pay your credit card bill.

5. Should I record automatic deductions
taken from my paycheck or bank
account?

Yes, record automatic deductions (such as
health insurance premiums taken out of your
account or paycheck) only if they are deducted
that week.

6. Should I record typical monthly bills?
Yes, record typical monthly bills only if you pay
them during the week that you have the diary.
Write them in the section called All Other
Products, Services, and Expenses.

7. What should I do when I use coupons,
discount cards, or loyalty cards?

Subtract the discount from the original price
and write the amount that you paid.

8. Can I just give you receipts instead of
writing the information down?

No, we need you to write the information in the
diary. We encourage you to save your receipts
to review them with your field representative
at the end of the week. You can use the pocket
on the inside of the back cover to store your
receipts until you’re ready to record your
purchases.

9. How should I record an item if I don’t
know if it includes tax?

Write down the amount paid.

10. What if I make a contribution or
charitable donation?

Record money contributions or donations in
the section called All Other Products, Services,
and Expenses.
(continued on other side)
FORM CE-801 (01-2025)

FINAL FLAP - ATTACH TO BACK COVER (SEE DUMMY)
Black Ink (100%), Pantone purple #258 (20% and 100%)

Frequently Asked Questions
(continued on other side)

11. What about gift cards or gift
certificates?
If you buy a gift card or gift certificate to give to
someone, write down the cost of it in All Other
Products, Services, and Expenses. If you use a
gift card, write down the full amount for your
purchase as if paid with cash.

12. What do I do about returns & exchanges?
If an item is bought and returned during the
diary week, it can be erased or crossed out. If
it was bought outside the week and returned
during the week, do not make an entry. If an
item is exchanged during the week, erase or
cross out the item that was returned and enter
the new item and its cost on the day the
exchange was made.

13. How do I categorize the establishment

for Meals, Snacks, and Drinks Away from
Home?

■

Fast Food, Take-out, Delivery, Concession
You pay BEFORE you eat/drink

■

Full Service Places
You pay AFTER you eat/drink if you eat/drink
at the establishment
■ Vending Machines or Mobile Vendors /
Food Trucks
Include vending machines, carts, and
food trucks that move from place to place
■ Employer and School Cafeterias
Include school meal plans and pre-payments,
and school lunch bills

14. What’s the difference between a

concession stand and a mobile vendor?
A concession stand has to stay in a permanent
location and a mobile vendor does not. Some
mobile vendors may seem permanent because
they are usually in the same location, but they
are still considered mobile vendors because
they have the option to change locations.

15. Should I record subsidized/reimbursed
expenses?

Yes, but only record the portion that you or
someone on your list has paid.

16. What should I do about shipping &
handling costs?

Include the shipping & handling cost in the total
price of the item. If the shipping & handling
covered multiple items, include the shipping &
handling in the total price of one item from the
order.

FORM CE-801 (01-2025)

ATTACH THIS FLAP TO POCKET PAGE (FOLD IN, BACK OF FAQ 1-10)
Black Ink (100%), Pantone purple #258 (20% and 100%)

couple shopping

mug credit card
phone

family groceries

currency 2
curled $

phone_Ipad

dinner party

Daily Reminder List
Please review the list of expenses below with the people on your list at the end of each day.
If you have forgotten to record any expense, please do so on the appropriate page.

Did you or anyone on your list pay for . . .
■ meals, drinks, or snacks from restaurants, fast
food, cafeterias, vending machines, concession
stands, etc.?

■ medicine or medical/dental services?
■ entertainment or recreational activities?

■ catered events or meal plans?
■ food & drinks from a grocery store or other
speciality food store such as a bakery, candy shop,
or liquor store?

■ typical bills such as utility bills, cable bills,
telephone bills, etc.?

■ clothing, shoes, jewelry, accessories or clothing
services such as dry cleaning?

■ automatic deductions from a paycheck
such as insurance premiums?

■ personal care items or services such as cosmetics,
soaps, haircuts, etc.?

■ bank/ATM service fees?

■ housekeeping supplies or services for home
decoration/maintenance?

■ credit card interest or finance charges?

■ toys, books, electronics, hobby supplies, etc.?

■ internet or catalog orders?

■ cigarettes, tobacco, or other smoking supplies?

■ fees for lessons or instructions?

■ commuting costs such as public transportation,
parking fees, gasoline, or tolls?

■ gifts, contributions, or donations?

FR USE: Use the example below to transcribe the Control Number:
RO
code

Control Number

Week

Example
21

RO
code

Survey
code
(1-2)

PSU
state
(3-4)

PSU
county
(5-7)

Frame

Sample
Designation

Sequence
#1

Sequence
#2
(16-17)

HH
No.
(18)

CU
No.
(19-20)

Spinoff
Indicator
(21-22)

(8)

(9-11)

(12-15)

04

26

999

U

D15

0001

01

1

01

00

Survey
code
(1-2)

PSU
state
(3-4)

PSU
county
(5-7)

Frame

Sample
Designation

Sequence
#1

Sequence
#2

(12-15)

(16-17)

HH
No.
(18)

CU
No.
(19-20)

(8)

(9-11)

Control Number

daughter dad
pet shop

internet
shopping man

FORM CE-801 (01-2025)

Black ink and Pantone purple #258 (40%)

receipts

1

2

Week

lady holding
credit card

currency 1

Spinoff
Indicator
(21-22)

1

couple gift

2


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AuthorOneFormUser
File Modified2024-08-27
File Created2024-07-26

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