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2021

No questionnaire text is available for this sample.

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2020

No questionnaire text is available for this sample.

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2019

No questionnaire text is available for this sample.

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2018

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?

[Enter $ Amount] ....................... [END_LP02]
REF .................................... -7 [END_LP02]
DK ..................................... -8 [IN32]
HELP AVAILABLE FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2017

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?

[Enter $ Amount] ....................... [END_LP02]
REF .................................... -7 [END_LP02]
DK ..................................... -8 [IN32]
HELP AVAILABLE FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2016

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?

[Enter $ Amount] ....................... [END_LP02]
REF .................................... -7 [END_LP02]
DK ..................................... -8 [IN32]
HELP AVAILABLE FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2015

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IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?

[Enter $ Amount] ....................... [END_LP02]
REF .................................... -7 [END_LP02]
DK ..................................... -8 [IN32]
HELP AVAILABLE FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2014

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?

[Enter $ Amount] ....................... [END_LP02]
REF .................................... -7 [END_LP02]
DK ..................................... -8 [IN32]
HELP AVAILABLE FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2013

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?

[Enter $ Amount] ....................... [END_LP02]
REF .................................... -7 [END_LP02]
DK ..................................... -8 [IN32]
HELP AVAILABLE FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2012

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?

[Enter $ Amount] ....................... [END_LP02]
REF .................................... -7 [END_LP02]
DK ..................................... -8 [IN32]
HELP AVAILABLE FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2011

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?

[Enter $ Amount] ....................... [END_LP02]
REF .................................... -7 [END_LP02]
DK ..................................... -8 [IN32]
HELP AVAILABLE FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2010

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?

[Enter $ Amount] ....................... [END_LP02]
REF .................................... -7 [END_LP02]
DK ..................................... -8 [IN32]
HELP AVAILABLE FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2009

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?

[Enter $ Amount] ....................... [END_LP02]
REF .................................... -7 [END_LP02]
DK ..................................... -8 [IN32]
HELP AVAILABLE FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2008

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During [YEAR], how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?

[Enter $ Amount] ....................... [END_LP02]
REF .................................... -7 [END_LP02]
DK ..................................... -8 [IN32]
HELP AVAILABLE FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY:) IF ROUND 3, DISPLAY FIRST CALENDAR YEAR OF PANEL FOR [YEAR]. IF ROUND 5, DISPLAY SECOND CALENDAR YEAR OF PANEL FOR [YEAR].
----------------------------------------------------
----------------------------------------------------
BEGINNING IN PANEL 12, PRE-FILL CENTS DIGITS WITH '00' SO THAT FIELD ACCEPTS WHOLE DOLLAR AMOUNT ONLY.
----------------------------------------------------
----------------------------------------------------
SOFT CHECK:
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2007

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2006

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2005

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2004

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2003

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2002

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IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During 2002, how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?

IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO FORM 1040, LINE 20a FORM 1040A, LINE 14a
[Enter $ Amount] ....................... [END_LP02]
REF .................................... -7 [END_LP02]
DK ..................................... -8 [IN32]
PRESS F1 FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2001

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During 2001, how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 20a
FORM 1040A, LINE 14a

[Enter $ Amount] .......................
REF .................................... -7 [IN33]
DK ..................................... -8 [IN32]
PRESS F1 FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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2000

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During 2000, how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO FORM 1040, LINE 20a FORM 1040A, LINE 13a

[Enter $ Amount] .......................
REF .................................... -7 [IN33]
DK ..................................... -8 [IN32]
PRESS F1 FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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1999

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IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During 1999, how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 20a
FORM 1040A, LINE 13a

[Enter $ Amount] .......................
REF .................................... -7 [IN33]
DK ..................................... -8 [IN32]
PRESS F1 FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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1998

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During 1998, how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO
FORM 1040, LINE 20a
FORM 1040A, LINE 13a

[Enter $ Amount] .......................
REF .................................... -7 [IN33]
DK ..................................... -8 [IN32]
PRESS F1 FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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1997

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME]
[NAME OF SECONDARY FILER]
During 1997, how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO FORM 1040, LINE 20a FORM 1040A, LINE 13a

[Enter $ Amount] .......................
REF .................................... -7 [IN33]
DK ..................................... -8 [IN32]
PRESS F1 FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

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1996

Survey form view entire document: text image

IN31
====

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF SECONDARY FILER]
During 1996, how much money did (READ NAME(S) ABOVE) receive from Social Security and equivalent tier 1 Railroad Retirement benefits?
IF TAX FORM IS AVAILABLE, HAVE RESPONDENT REFER TO FORM 1040, LINE 20a FORM 1040A, LINE 13a

[Enter $ Amount] .......................
REF .................................... -7 [IN33]
DK ..................................... -8 [IN32]
PRESS F1 FOR DEFINITION OF SOCIAL SECURITY.
----------------------------------------------------
FOR 'NAME OF SECONDARY FILER', DISPLAY THE PERSON'S NAME SELECTED AT IN05 DURING LOOP_01 FOR THE PRIMARY FILER CURRENTLY BEING ASKED ABOUT. IF IN05 WAS NOT ASKED IN LOOP_01 FOR THIS PERSON, USE A NULL DISPLAY.
----------------------------------------------------
----------------------------------------------------
SOFT RANGE CHECK: 0-100,000
----------------------------------------------------

2021	2014	2007	2000
2020	2013	2006	1999
2019	2012	2005	1998
2018	2011	2004	1997
2017	2010	2003	1996
2016	2009	2002
2015	2008	2001

Survey Text