Form 1 Items Booklet

0992-0003

xx/xx/xxxx

ITEMS BOOKLET

FOR

THE CHILD SUPPORT SUPPLEMENT

TO THE

CURRENT POPULATION SURVEY

April 2014

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)

Public reporting burden for this collection of information is estimated to average 0.024166 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

PRESUPP This month we are asking some additional questions concerning the custodial arrangements and economic well-being of children in the United States.

ENTER (P) TO PROCEED

ENTER (I) FOR IMPORTANCE OF RESPONDING

===>__

S102PR I have listed that (Name of children on the roster born before 1/1/2014) (is/are all) under the age of 21 (and born before this year). (Does (CHILD)/Do ANY of these children) have a (father/mother/father or mother) who lives outside this house?

(1) Yes

(2) No

===>__

S102 Which of these children have a (father/mother/father or mother) who lives outside this house?

ENTER (N) NO MORE/PARENT TEMPORARILY ABSENT

LN NAME LN NAME

(person 1) (person 9)

(person 2) (person 10)

(person 3) (person 11)

(person 4) (person 12)

(person 5) (person 13)

(person 6) (person 14)

(person 7) (person 15)

(person 8) (person 16)

===>__ ===>__ ===>__ ===>__ ===>__

===>__ ===>__ ===>__ ===>__ ===>__

S103a Does (CHILD) have a (father/mother) who lives outside this house?

(1) Yes

(2) No

===>__

S103b1 There are many reasons why children may not live with both of their biological or adoptive parents. Why doesn't (CHILD) have a biological or adoptive (mother/father) living outside the house?

(1) Other parent has died

(2) Both parents live in the household

(3) Parents are Separated/Divorced

(4) Don't want contact with (CHILD)'s

(mother/father)

(5) Don't know where (CHILD)'s

(mother/father) is

(6) She/He lives elsewhere

(7) Other parent legally terminated their

parental rights

(8) Other parent is no longer

recognized as a parent by

this household

(9) Child was adopted by a single

parent

(10) Other

===>_

S103b2 Other/Specify

ENTER VERBATIM RESPONSE

===>_____________________________

S103b3 DO NOT READ TO RESPONDENT

The verbatim response was (fill with verbatim response from S103b2). Should this response have been entered in one of these categories listed below?

Parents are Separated/Divorced

Don't want contact with (CHILD)'s (mother/father)

Don't know where (CHILD)'s (mother/father) is

She/He lives elsewhere

Other parent is no longer recognized as a parent by this household

In jail

Lives in another country

Trying to establish paternity

(1) Yes

(2) No

===>_

S103c Did (you/(CHILD)'s (mother/father)) ever have any type of child support agreement or ever attempt to have any type of child support agreement with (CHILD)'s (mother/father)?

(1) Yes

(2) No

===>_

S104 (Are you/Which of the adults in this household is) LEGALLY responsible for (CHILD)?

ENTER (N) IF NONE OF THE ADULTS LISTED

LN NAME AGE LN NAME AGE

(person 1) (person 9)

(person 2) (person 10)

(person 3) (person 11)

(person 4) (person 12)

(person 5) (person 13)

(person 6) (person 14)

(person 7) (person 15)

(person 8) (person 16)

ENTER LINE NUMBER OF PARENT/GUARDIAN

OR (N) FOR NONE

===>__

S104a What is (name of person entered in S104)'s relationship to (CHILD)?

(1) Grandparent

(2) Aunt or Uncle

(3) Sister or brother

(4) Foster parent

(5) Parent

(6) Other

===>_

S104as Please specify.

===>____________________________________________

S104b What is (name)'s relationship to (CHILD)?

(1) Grandparent

(2) Aunt or Uncle

(3) Sister or Brother

(4) Foster Parent

(5) Parent

(6) Other

===>_

S104bs Please specify.

===>____________________________________________

S108c Is (your/name of parent) (wife/husband) (CHILD's) natural biological (mother/father)?

(1) Yes

(2) No

===>_

S108d Did ((your/name of parent) (wife/husband) ever legally adopt (CHILD)?

(1) Yes

(2) No

===>_

NXTPER I need to talk with (SUPPRESP). Is he/she at home now?

GET SELF RESPONSE

WHEN DONE, F10 FOR CALLBACKS.

ENTER LINE NUMBER FOR INTERVIEW

===>_

S116a READ IF THE SUPPLEMENT RESPONDENT IS DIFFERENT FROM THE HOUSEHOLD RESPONDENT

This month we are asking a series of questions about children who do not live with both of their parents.

ENTER 1 TO CONTINUE

===>_

LEAD‑IN A LEGAL arrangement about financial support for a child could be called many things, for example, a court order, a court award, a divorce or separation agreement, or a legal agreement.

ENTER 1 TO CONTINUE

===>_

S150 Has there EVER been ANY kind of LEGAL ARRANGEMENT that says that (CHILD's) (mother/father) should provide ANY KIND of financial support for (him/her)?

(1) Yes

(2) No

(3) Legal arrangement pending

(4) There is an arrangement, but respondent does not know if it is legal

===>_

S151 Would you call it a court order, a court award, or a legal agreement?

(1) Court order

(2) Court award

(3) Legal agreement

===>_

S152 Has there EVER been any OTHER kind of agreement or understanding that says that (CHILD's) (mother/father) should help support (him/her)?

(1) Yes

(2) No

===>_

S153 Would you call it an agreement or an understanding?

(1) Agreement

(2) Understanding

===>_

S154 (blank/Payments that are made for the support of a child are called) (blank/child support./child support even if there is no legal arrangement.)

Did this (agreement/court award/court order/understanding) ever say that (CHILD's) (mother/father) should make child support payments?

(1) Yes

(2) No

===>_

S156 (Which of your other children were/ Was (name)) EVER covered by the SAME (agreement/court award/court order/understanding)?

IF YES ‑ ENTER (CHILDREN'S/CHILD'S) LINE NUMBER

ENTER <0> FOR NO OR FOR NO MORE

LN NAME AGE LN NAME AGE

(person 1) (person 9)

(person 2) (person 10)

(person 3) (person 11)

(person 4) (person 12)

(person 5) (person 13)

(person 6) (person 14)

(person 7) (person 15)

(person 8) (person 16)

===>__ ===>__ ===>__ ===>__ ===>__

===>__ ===>__ ===>__ ===>__ ===>__

S249a I am going to ask you questions about

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

ENTER (P) TO PROCEED

===>_

S251 An (agreement/understanding) about child support can be made legal by going through a court, before a judge, or through an official legal process.

Was this (agreement/understanding) about child support payments for (child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

EVER made legal?

(1) Yes

(2) No

===>_

S253 In what year did you FIRST (have this understanding/have this agreement)?

===>____

S255 And in what year was (CHILD/the children)'s (father/mother) supposed to begin making child support payments?

===> __ __

S257 What month was that?

** YEAR = 2011 **

(1) January (5) May (9) September

(2) February (6) June (10) October

(3) March (7) July (11) November

(4) April (8) August (12) December

ENTER MONTH

===>__

S258 Some parents agree to the amount of child support before making the agreement legal.

Did you and (CHILD's/the children's) (father/mother) do this?

(1) Yes

(2) No

===>_

S259 In what year was the (court order/court award/agreement) FIRST made LEGAL?

===>____

S261 And in what year was (CHILD's/the children's) (father/mother) supposed to begin making child support payments?

===>____

S263 What month was that?

** YEAR = (entry to S261) **

(1) January (5) May (9) September

(2) February (6) June (10) October

(3) March (7) July (11) November

(4) April (8) August (12) December

ENTER MONTH

===>__

S266 Since the (court order/court award/understanding/agreement) was FIRST made legal, has there been a change in the amount of child support that (CHILD's/the children's) (father/mother) is LEGALLY REQUIRED to pay?

(1) Yes

(2) No

(3) Yes, but don't know if it is legal

===>_

S267 Did the amount change because a child was too old to receive support?

(1) Yes

(2) No

===>_

S268 In what year was (CHILD's/the children's) (father/mother) supposed to begin paying the new amount?

PROBE IF NEEDED: For the most recent legal change.

===>____

S270 What month was that?

** YEAR = 2013 **

(1) January (5) May (9) September

(2) February (6) June (10) October

(3) March (7) July (11) November

(4) April (8) August (12) December

ENTER MONTH

===>__

S271 Have you and (CHILD's/the children's) (father/mother) ever AGREED to change the amount of child support that (he/she) is supposed to pay(?/ WITHOUT going through a judge or legal process?)

(1) Yes

(2) No

===>_

S273 In what year was (CHILD's/the children's) (father/mother) supposed to begin paying the new amount?

PROBE IF NEEDED: The last time this happened?

===>____

S275 What month was that?

** YEAR = 2013 **

(1) January (5) May (9) September

(2) February (6) June (10) October

(3) March (7) July (11) November

(4) April (8) August (12) December

ENTER MONTH

===>__

S300INTRO ****DO NOT READ****

THE NEXT QUESTIONS ARE ABOUT WHAT WAS SUPPOSED TO HAPPEN ACCORDING TO THE (AGREEMENT/UNDERSTANDING/COURT ORDER/COURT AWARD)

IF THE RESPONDENT TELLS YOU WHAT THEY RECEIVED, PROBE TO MAKE SURE IT WAS WHAT THEY WERE SUPPOSED TO RECEIVE

===> ENTER 1 TO CONTINUE

S300 The next questions ask about (the terms of the court order for/the terms of the court award for/the understanding about/the agreement about) child support for (child's name(s)).

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

The questions ask about what was supposed to happen, even if the (court order/court award/understanding/agreement) was not followed exactly.

Between January 1 and December 31, 2013, was (CHILD's/the children's) (father/mother) SUPPOSED TO make ANY child support payments for (CHILD/any of them)?

(1) Yes

(2) No

(3) Yes, if he has a job

(4) Don't know because Child Support

Enforcement Office filed the paper work

===>_

S301 Why was that?

(1) Child(ren) too old in 2013

(2) Other parent died before 2013

(3) Family lived together in all or part of 2013

(4) Child(ren) lived with other parent in all or part of 2013

(5) Other

===>_

S301s Please Specify:

===>_________________________________________________________

===>_________________________________________________________

S302 During 2013, were any of the child support payments SUPPOSED TO be deducted from (his/her) paycheck?

(1) Yes

(2) No

===>_

S303 And during 2013, were any of these payments SUPPOSED to be sent to you:

(READ ALL CATEGORIES TO RESPONDENT)

(1) By a child support, welfare, or other public agency

(2) By a court

(3) By direct deposit

(4) Or, did the payments come directly from (his/her) place if employment?

(5) Other

===>_

S303s Please Specify:

===>_____________________________________________________________

===>_____________________________________________________________

S306 The following questions ask about the child support (CHILD's/the children's)

(father/mother) was SUPPOSED to pay, whether or not you received it.

During 2013, how often was (he/she) SUPPOSED to make these payments?

PROBE IF NECESSARY: Would that be every week, every month, or some other way?

(1) Every week

(2) Every other week

(3) Twice a month

(4) Every month or Monthly

(5) Every quarter

(6) For the year

(7) OTHER

===>_

S306s Please Specify:

===>_____________________________________________________________

===>_____________________________________________________________

S312 Sometimes child support that was not paid in previous years is added to the amount of support owed today. This is called back support.

Did the amount that (CHILD's/the children's) (father/mother) was supposed to pay in 2013 include back support?

(1) Yes

(2) No

===>_

S313 During 2013, (how/including back support, how) much was (the weekly/every other week's/the twice monthly/the monthly/the quarterly/the yearly) payment SUPPOSED to be for ((all the children covered by the (agreement/understanding/court order/court award)/(NAME ALL COVERED CHILDREN)?

ENTER THE AMOUNT

===>$__,___ .00

(S) Other ‑ Specify

S313S Please specify.

===>_____________________________________________________________

S313a So you said you were SUPPOSED to receive $X (per month, per week, every other week, twice monthly, per year) (including back support), is that correct?

(1) Yes

(2) No

===>_

S313b How much child support, in total, were you SUPPOSED to receive?

ENTER THE AMOUNT

===>$__,___ .00

S314 Sometimes child support that was not paid in previous years is added to the amount of support owed today. This is called back support.

Did the amount that (CHILD's/the children's) (father/mother) was supposed to pay in 2013 include back support?

(1) Yes

(2) No

===>_

S315 (Including back support, about/About) how much altogether was (he/she) SUPPOSED to pay for ((all the children covered by the (agreement/understanding/court order/court award)/

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

during 2011?

(O) Other ‑ specify

===>$__,___ .00

S315s Please specify.

===>_____________________________________________________________

===>_____________________________________________________________

S316 The following questions ask about the child support (CHILD's/the children's) (father/mother) was SUPPOSED to pay, whether or not you received it.

(From January through (month) 2013,/In (month) 2013,/In January 2013,/Before the change was made in 2013,) how often was (he/she) SUPPOSED to make these payments?

PROBE IF NEEDED: Would that be every week, every month, or some other way?

(1) Every week

(2) Every other week

(3) Twice a month

(4) Every month or monthly

(5) Every quarter

(6) For the year

(7) None

(8) Other

===>_

S316s Please specify.

===>_____________________________________________________________

===>_____________________________________________________________

S317 Sometimes child support that was not paid in previous years is added to the amount of support owed today. This is called back support.

Did the amount that (CHILD's/the children's) (father/mother) was supposed to pay (from January through (month) 2013/in (month) 2013/in January 2013/before the change was made in 2013) include back support?

(1) Yes

(2) No

===>_

S318 (From January through (month)/In (month)/In January/Before the change was made) how much was (every other week's/the twice monthly/the monthly/the quarterly/the yearly) payment SUPPOSED to be ( , including back support) for ((all the children covered by the (agreement/understanding/court order/court award)?

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

ENTER THE AMOUNT

(A) Amount varied

(S) Other ‑ Specify

===>$__,___ .00

S318s Please specify.

===>_____________________________________________________________

===>_____________________________________________________________

S318a So you said you were SUPPOSED to receive (fill amount from S318)(the weekly/every other week's/the twice monthly/the monthly/the quarterly/the yearly) (including back support), BEFORE THE CHANGE, is that correct?

(1) Yes

(2) No

===>_

S318b How much child support in total, were you SUPPOSED to receive BEFORE THE CHANGE?

===>$__,___ .00

S319 Sometimes child support that was not paid in previous years is added to the amount of support owed today. This is called back support.

Did the amount that (CHILD's/the children's) (father/mother) was supposed to pay (from January through (month) 2013/in (month) 2013/ in January 2013/before the change was made in 2013) include back child support?

(1) Yes

(2) No

===>_

S320 About how much ALTOGETHER was (he/she) SUPPOSED TO pay for ((all the children covered by the (agreement/understanding/court order/court award)/

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(from January through (month) 2013/in (month) 2013/in January 2013/BEFORE THE CHANGE WAS MADE IN 2013) (blank/including back support?)

(S) Other ‑ Specify

===>$__,___ .00

S320s Please specify.

===>_____________________________________________________________

===>_____________________________________________________________

S321 Next, (from (month) through December 2013,/in December 2013,/ after the change was made in 2013,) how often was (CHILD's/the children's) (father/mother) SUPPOSED TO make these payments?

PROBE: Would that be every week, every month, or some other way?

(1) Every week

(2) Every other week

(3) Twice a month

(4) Every month or monthly

(5) Every quarter

(6) For the year

(7) None

(8) Other

===>_

S321s Please specify.

===>_____________________________________________________________

===>_____________________________________________________________

S322 Did the amount that (he/she) was supposed to pay (from (month) through December 2013/in December 2013/after the change was made in 2013) include back support?

(1) Yes

(2) No

===>_

S323 (From (month) through December/In December/AFTER THE CHANGE WAS MADE) how much was (the weekly/every other week's/the twice monthly/the monthly/the quarterly/the yearly) payment SUPPOSED to be(?/ ,including back support) for ((all the children covered by the (agreement/understanding/court order/court award?)

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

ENTER THE AMOUNT

===>$__,___ .00

(S) Other ‑ Specify

S323s Please specify.

===>$__,___ .00

===>_____________________________________________________________

===>_____________________________________________________________

S323a So you said you were SUPPOSED to receive (fill amount from S323)(the weekly/every other week's/the twice monthly/the monthly/the quarterly/the yearly) (including back support), AFTER THE CHANGE, is that correct?

(1) Yes

(2) No

===>_

S323b How much child support in total, were you SUPPOSED to receive AFTER THE CHANGE?

===>$__,___ .00

S324 Did the amount that (CHILD's/the children's) (father/mother) was supposed to pay (from (month) through December 2013/in December 2013/AFTER THE CHANGE was made in 2013) including back support?

(1) Yes

(2) No

===>_

S325 About how much ALTOGETHER was (he/she) SUPPOSED to pay for ((all the children covered by the (agreement/understanding/court order/court award)/

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(from (month) through December 2013/in December 2013/after the change was made in 2013) (?/ ,including back support?)

ENTER AMOUNT

===>$__,___ .00

(S) Other ‑ Specify

S325s Please specify.

===>$__,___ .00

===>_____________________________________________________________

===>_____________________________________________________________

S326INTRO ****DO NOT READ****

THE NEXT QUESTIONS ASK ABOUT THE CHILD SUPPORT THE RESPONDENT ACTUALLY RECEIVED

S326 Someone receiving welfare or public assistance sometimes called A.F.D.C. or A.D.C. or [state fill for local TANF name], may also get child support each month. This money is sometimes called a bonus or a pass through. This child support bonus may come with a welfare check or in a separate check.

Between January 1 and December 31, 2013, was ANY child support passed on to you by a WELFARE AGENCY for

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(1) Yes

(2) No

(3) No, I was not on public assistance or welfare in 2013

===>_

S326a What is the ANNUAL amount of bonus or pass through payments you received in 2013?

===>$ , .00

S327 The next questions ask about the amount of child support you received during 2013. (Between/Other than the child support passed through the welfare agency, between) January 1 and December 31, 2013, did you ACTUALLY receive ANY child support payments - even one - for (NAME ALL COVERED CHILDREN)? Please include any (back support and any) child support forwarded to you by a court, or a child support enforcement agency, and any payments made directly to you.

(1) Yes

(2) No

(3) Other

===>_

S327s Please specify.

===>_____________________________________________________________

===>_____________________________________________________________

S328 In 2013, did you receive EVERY SINGLE ONE of the child support payments you were supposed to receive for (CHILD/the children)?

(1) Yes

(2) No

===>_

S329 Of the child support payments you received in 2013, how many were received ON TIME. Would you say all of them were on time, most of them, some of them or none of them?

(1) All

(2) Most

(3) Some

(4) None

===>__

S330 And for the child support payments you received, how many of them were for the FULL amount you were supposed to receive? Would you say all of them, most of them, some of them, or none of them?

(1) All

(2) Most

(3) Some

(4) None

===>__

S331 So you received ($_,___.00) every (week/other week/twice a month/every month/every quarter/for the year) for ((all the children covered by the (agreement/understanding/court order/court award)/

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

in 2013. Is this correct?

(1) Yes

(2) No

===>__

S332 How much child support did you actually receive ALTOGETHER in 2013 for (CHILD/the children)?

ENTER AMOUNT

===>$__,___ .00

S333 The next questions ask about the amount of child support you received between January 1 and December 31, 2013. (Please include any back support received./Please include any child support passed through the welfare agency EXCLUDING your regular A.F.D.C. payment or[state fill for local TANF] payment./Please include any back support and any child support passed through the welfare agency EXCLUDING your regular A.F.D.C. or [state fill for local TANF] payment.)

How much child support did you actually receive ALTOGETHER in 2013 for ((all the children covered by the (agreement/understanding/court order/court award)/

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

ENTER DOLLAR AMOUNT

===> $__,___ .00

S334 So you received ($_,___) dollars ALTOGETHER in 2013. Is this correct?

(1) Yes

(2) No

===>__

S335 What is the correct amount of child support you ACTUALLY received in 2013?

ENTER DOLLAR AMOUNT

===> $__,___ .00

S340 The next questions are about health insurance.

Does the child support (agreement/understanding/court order/court award) say who is supposed to provide health insurance for

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(1) Yes

(2) No

===>__

S341 According to the (agreement/understanding/court order/court award) who was SUPPOSED TO provide health insurance for

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(1) Respondent for all children

(2) Other parent for all children

(3) Both parents for all children

(4) Parents each cover different children

(5) Not specified in the award

(6) Don't know ‑‑ because the Child Support Enforcement Office filed the paper work

(7) Other

===>_

S341s Please specify.

===>_____________________________________________________________

===>_____________________________________________________________

S342 During 2013, did (CHILD's/the children's) (father/mother) ACTUALLY HAVE health insurance that covered (CHILD/the children) - through an HMO, a regular insurance policy, or some other plan?

PROBE IF NECESSARY: FOR MOST OF 2013

(1) Yes

(2) No

(3) Don't know

===>_

S343 Someone receiving welfare or public assistance sometimes called A.F.D.C. or A.D.C. or [state fill for local TANF name] may also get child support each month. This money is sometimes called a bonus or a pass through. This child support bonus may come with a welfare check or in a separate check.

Between January 1 and December 31, 2013, was ANY child support passed on to you by a welfare agency for (CHILD)?

(1) Yes

(2) No

(3) No, I was not on public assistance or welfare in 2013

===>_

S343a What is the ANNUAL amount of bonus or pass through payments you received in 2013?

===>$ , .00

S344 The next questions ask about the amount of child support you received during 2013. (Between/Other than the child support passed through the welfare agency, between) January 1 and December 31, 2013, did you actually receive ANY (blank/other) child support payments ‑ even one ‑ for (NAME ALL COVERED CHILDERN)? Please include any (back support and any) child support forwarded to you by a court, or a child support enforcement agency and any payments made directly to you.

(1) Yes

(2) No

(3) Other

===>_

S345 How much child support did you actually receive ALTOGETHER in 2013 for (CHILD)?

ENTER DOLLAR AMOUNT

===>$__,___ .00

S346 So you received ($__,___.00) dollars altogether in 2013. Is this correct?

(1) Yes, correct

(2) No, incorrect

===>_

S347 What is the correct amount of child support you received in 2013?

===>$ __,___

S348 The next question is about health insurance.

During 2013, did (CHILD's) (father/mother) ACTUALLY HAVE health insurance that covered (CHILD) - through an HMO, a regular insurance policy, or some other plan?

PROBE: FOR MOST OF 2013

(1) Yes

(2) No

===>_

S376 Is there a legal agreement about child support for (CHILD) pending now?

(1) Yes

(2) No

(3) Don't know because Child Enforcement Office or A.F.D.C. or [state fill for local TNAF] office may have filed papers

===>_

S377A Here are some reasons a parent might not have a legal arrangement about child support. Please tell me which of these reasons describe why YOU do NOT have a legal arrangement about child support for (CHILD)

Was it because: (Mark each question)

PROBE IF NECESSARY:

Was that a reason you did NOT have a legal agreement about child support?

A. (If AGE of Child > 17) (CHILD) was too old for child support.

(1) Yes

(2) No

===>_

S3771b-d Here are some reasons a parent might not have a legal arrangement about child support. Please tell me which of these reasons describe why YOU do NOT have a legal arrangement about child support for (CHILD)

Was it because: (Mark each question)

PROBE IF NECESSARY:

Was that a reason you did NOT have a legal agreement about child support?

(1) Yes

(2) No

B. (CHILD) stays with (his/her)

(father/mother) part of the time. ===>_

C. (CHILD)'s (father/mother) provides what (he/she) can. ===>_

D. You did not feel the need to get legal, that is go to court? ===>_

S3772e-h

PROBE IF NECESSARY:

Was that a reason you did NOT have a legal agreement about child support?

(1) Yes

(2) No

E. You did not want (CHILD) or yourself

to have contact with (CHILD)'s (father/mother). ===>_

F. You did not want (CHILD)'s

(father/mother) to pay child support. ===>_

G. (CHILD)'s (father/mother)

could not afford to pay child support. ===>_

H. You could not locate (CHILD)'s (father/mother). ===>_

S377I And was the reason you do NOT have a legal arrangement about child support because:

PROBE IF NECESSARY:

Was that a reason you did not have a legal arrangement about child support?

I. You did not have a legal ruling about who the father was,

that is, you did not legally establish paternity.

(1) Yes

(2) No

===>_

S378 Why did you not have a legal agreement about child support for (child)?

(1) Other parent in jail/prison

(2) Other parent died before 2013

(3) Other parent lives in another country

(4) Split custody

(5) Respondent able to support child

(6) Recently separated

(7) Other

===>_

S378s What was that? Specify:

===>____________________________________________________________

===>____________________________________________________________

S379 Other than the reason you have already told me about, was there any other reason why you do not have a legal agreement or court order about child support for (CHILD)?

(1) Yes

(2) No

===>_

S380 What was that?

(1) Other parent in jail/prison

(2) Other parent died before 2013

(3) Other parent lives in another country

(4) Split custody

(5) Respondent able to support child

(6) Recently separated

(7) Other

===>_

S380s What was that? Specify:

===>____________________________________________________________

===>____________________________________________________________

S400 Have YOU EVER contacted a child support enforcement or 4D office, a department of social services, a welfare or A.F.D.C. office, or [state fill for local TANF] office or any state or local government agency about anything to do with child support?

(1) Yes

(2) No

===>_

S401 Have you ever BEEN CONTACTED BY one of these agencies about anything to do with child support?

(1) Yes

(2) No

===>_

S402A Which of the following things were you in contact

about:

A. Did you have contact about finding the other parent?

(1) Yes

(2) No

===>_

S402B B. Did you have contact about getting a legal ruling about

who the father is, that is, establishing paternity?

(1) Yes

(2) No

===>_

S402

(1) Yes

(2) No

C. Did you have contact about getting a LEGAL agreement

or court award for the other parent to pay child support. ===>_

D. Collecting the child support that the other parent owed ===>_

E. Changing the amount of child support the other parent was

legally required to pay ===>_

F. Getting an agreement for the other parent to provide ===>_

G. Getting any welfare or public assistance or [state fill

for TANF] sometimes known as A.F.D.C. or getting

Medicaid ===>_

S405 In what year did you last have contact with one of these agencies?

<1901‑2014> 1901 ‑ 2014

===>__

S406 Next, thinking about the government programs that help families with children, between January 1 and December 31, 2013:

(MARK EACH QUESTION)

(1) Yes

(2) No

A. Did you have Medicaid or any other state‑provided

health insurance coverage at any time? ===>_

B. Receive any food stamps? ===>_

C. Receive any welfare or public assistance formerly called

A.F.D.C. or A.D.C. or did you receive (State fill for local

TANF program name)? ===>_

S501 The next questions are about the relationship between (CHILD) and (his/her) (father/mother).

Does (CHILD) (father/mother) have visitation privileges?

(1) Yes

(2) No

===>_

S502 Did you ever go to court, before a judge, or through a legal process (including divorce or separation proceedings) to make the visitation privileges legal?

(1) Yes

(2) No

===>_

S503 Sometimes children live with each parent for part of the time. This is called joint physical custody.

Did a court or judge EVER give you and (CHILD's) (father/mother) joint PHYSICAL custody?

(1) Yes

(2) No

===>_

S504 Joint legal custody of a child means that both parents have the right to help make decisions about the child.

Did a court or judge EVER give you and (CHILD's) (father/mother) joint LEGAL custody?

(1) Yes

(2) No

===>_

S601 Did you and (CHILD's) (father/mother) live in the same state during 2013?

PROBE IF NEEDED:

As far as you know, did you live in the same state during MOST OF 2013?

(1) Yes

(2) No

(3) Don't know

===>_

S602 In what state did (CHILD's) (father/mother) live during 2013?

PROBE IF NEEDED: Where did (he/she) live during most of 2013?

(97) Outside of the U.S.

(98) Don't Know

(H) Help with state codes

ENTER STATE CODE

===>__

S603 Did either you or (CHILD) have ANY KIND of contact AT ALL with (CHILD's) (father/mother) during 2013?

(1) Yes

(2) No

===>_

S604 Did (CHILD) spend time with (his/her) (father/mother) on at least one day in

2013?

(1) Yes

(2) No

===>_

S605 Including birthdays, holidays and vacation days, between January 1, 2013 and December 31, 2013, ON how many days altogether did (child) spend time with (his/her) (father/mother)?

ENTER NUMBER OF DAYS

===>___

PROBE IF NEEDED: ON HOW MANY DAYS EACH WEEKEND WAS THAT, WOULD THAT BE FRIDAY, SATURDAY AND SUNDAY?

SINCE YOU WERE SEPARATED/DIVORCED?

S611 (Other than the child support you told me about, between) January 1 and December 31, 2013 did (CHILD's/the children's) (father/mother) do any of the following for

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))

(child's name(s))?

(MARK EACH QUESTION)

1. Yes

2. No

A. Give any birthday, holiday, or other gifts to

(name/the children) ===>_

B. Provide clothes (, diapers or shoes/or shoes) ===>_

C. Provide food or groceries for (name/the children) ===>_

D. Pay for child care or summer camp ===>_

E. Pay for medical expenses such as medicine or visits to the

doctor or dentist, other than health insurance ===>_

S650a Did any government or public agency collect any child support from (NAME ALL COVERED CHILDREN)'s (father/mother) on your behalf in 2013?

(1) Yes

(2) No

===>___

S650b Did the agency collect ALL or SOME of the child support due in 2013 from (NAME ALL COVERED CHILDREN)'s (father/mother)?

(1) All

(2) Some

===>___

S701 Last, I have a couple of background questions. Have you been married before or is your current marriage your first marriage?

(1) Married before

(2) First marriage

(3) Other ‑ Specify

===>___

S701s What was that? Specify:

===>_____________________________________________________________

===>_____________________________________________________________

S702 Last, I have a couple of background questions. Have you been married more than once?

(1) Yes

(2) No

===>___

S703 Last, I have a couple of background questions. In what year did your separation take place?

(1901‑ 2014) 1901 ‑ 2014

===>____

S704 Last, I have a couple of background questions. Have you ever been divorced?

(1) Yes, divorced

(2) No

===>___

S705 In what year did your (most recent divorce/divorce/most recent separation) take place?

(1901‑ 2014) 1901 ‑ 2014

===>____

S706 And what year did you get married (?/that time?)

(1901‑(entry in S705/2014))

===>____

S707 At the time you separated, were you working?

(1) Yes

(2) No

===>___

S708 And at that time, were you working 35 hours or more hours per week?

(1) Yes, working 35 or more hours

(2) No

===>___

S709 Did you work at any time during the five years before your last separation?

(1) Yes

(2) No

===>___

S711 Is (CHILD) from (your most recent marriage/the marriage before this one/your marriage/that marriage)?

(1) Yes

(2) No

===>___

NOTE: ASK THIS QUESTION, DO NOT VERIFY IT.

S712 Which of your children living here are from (your most recent marriage/the marriage before this one/your marriage/that marriage)?

(ENTER ALL THAT APPLY)

ENTER (0) FOR NO MORE OR NONE

ENTER (17) For All

LN NAME AGE LN NAME AGE

(person 1) (person 9)

(person 2) (person 10)

(person 3) (person 11)

(person 4) (person 12)

(person 5) (person 13)

(person 6) (person 14)

(person 7) (person 15)

(person 8) (person 16)

===>__ ===>__ ===>__ ===>__ ===>__

===>__ ===>__ ===>__ ===>__ ===>__

END SUPPLEMENT

77

Items Booklet April 2014