ID

43546

Description

Study part: Children Ages 6-11 National Survey of Childrens Health, NSCH, 2016. A study by the U.S. Department of Health and Human Services to better understand the health issues faced by children in the United States today. Child and Adolescent Health Measurement Initiative, Data Resource Center on Child and Adolescent Health website. Retrieved on 07/12/2016 from http://childhealthdata.org/learn/NSCH/resources/survey-instruments. OMB No. 0607-0990: Approval Expires 04/30/2019.

Link

http://childhealthdata.org/learn/NSCH/resources/survey-instruments

Keywords

Versions (2)
  1. 1/6/17 1/6/17 -
  2. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY-NC 3.0
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NSCH 2016 Children Ages 6-11

English

K. Household Information

11 forms  
Household Information
Description

Household Information

Alias
UMLS CUI-1
C1533716
UMLS CUI-2
C0020052
1. How many people are living or staying at this address?
Description

Include everyone who usually lives or stays at this address. Do NOT include anyone who is living somewhere else for more than two months, such as a college student living away or someone in the Armed Forces on deployment.

Data type

integer

Alias
UMLS CUI [1]
C3172576
2. How many of these people in your household are family members?
Description

Family is defined as anyone related to this child by blood, marriage, adoption, or through foster care.

Data type

integer

Alias
UMLS CUI [1]
C0086282
3a. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Wages, salary, commissions, bonuses, or tips from all jobs?
Description

Mark the "Yes" box for each type of income this child’s family received, and give your best estimate of the TOTAL AMOUNT IN THE LAST CALENDAR YEAR. Mark the “No” box to show types of income NOT received.

Data type

boolean

Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0681100
3a. If yes, total amount:
Description

Household income salary and wages

Data type

float

Measurement units
  • $
Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0681100
$
3b. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Self-employment income from own nonfarm businesses or farm business, including proprietorships and partnerships?
Description

Mark the "Yes" box for each type of income this child’s family received, and give your best estimate of the TOTAL AMOUNT IN THE LAST CALENDAR YEAR. Mark the “No” box to show types of income NOT received.

Data type

boolean

Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0425092
3b. If yes, total amount:
Description

Household income Self-employment

Data type

float

Measurement units
  • $
Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0425092
$
3c. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Interest, dividends, net rental income, royalty income or income from estates and trusts?
Description

Mark the "Yes" box for each type of income this child’s family received, and give your best estimate of the TOTAL AMOUNT IN THE LAST CALENDAR YEAR. Mark the “No” box to show types of income NOT received.

Data type

boolean

Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C3826594
UMLS CUI [1,3]
C0557752
3c. If yes, total amount:
Description

Household income trusts estate

Data type

float

Measurement units
  • $
Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C3826594
UMLS CUI [1,3]
C0557752
$
3d. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Social security or railroad retirement; retirement, survivor, or disability pensions?
Description

Mark the "Yes" box for each type of income this child’s family received, and give your best estimate of the TOTAL AMOUNT IN THE LAST CALENDAR YEAR. Mark the “No” box to show types of income NOT received.

Data type

boolean

Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C4050516
3d. If yes, total amount:
Description

Household income Social Security Retirement Benefit

Data type

float

Measurement units
  • $
Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C4050516
$
3e. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Supplemental security income (SSI); any public assistance or welfare payments from the state or local welfare office?
Description

Mark the "Yes" box for each type of income this child’s family received, and give your best estimate of the TOTAL AMOUNT IN THE LAST CALENDAR YEAR. Mark the “No” box to show types of income NOT received.

Data type

boolean

Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0599251
3e. If yes, total amount:
Description

Household income welfare assistance

Data type

float

Measurement units
  • $
Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0599251
$
3f. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Any other sources of income received regularly such as Veterans’ (VA) payments, unemployment compensation, child support, or alimony?
Description

Mark the "Yes" box for each type of income this child’s family received, and give your best estimate of the TOTAL AMOUNT IN THE LAST CALENDAR YEAR. Mark the “No” box to show types of income NOT received.

Data type

boolean

Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0079112
3f. If yes, total amount:
Description

Household income child support

Data type

float

Measurement units
  • $
Alias
UMLS CUI [1,1]
C0557163
UMLS CUI [1,2]
C0079112
$
4. The following question is about your income and is very important. Think about your total combined family income IN THE LAST CALENDAR YEAR for all members of the family. What is that amount before taxes?
Description

Include money from jobs, child support, social security, retirement income, unemployment payments, public assistance, and so forth. Also, include income from interest, dividends, net income from business, farm, or rent, and any other money income received

Data type

float

Measurement units
  • $
Alias
UMLS CUI [1]
C0557163
UMLS CUI [2]
C0039371
$
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Similar models

K. Household Information

11 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Household Information
C1533716 (UMLS CUI-1)
C0020052 (UMLS CUI-2)
How many people are living or staying at this address
Item
1. How many people are living or staying at this address?
integer
C3172576 (UMLS CUI [1])
family members
Item
2. How many of these people in your household are family members?
integer
C0086282 (UMLS CUI [1])
Household income salary and wages
Item
3a. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Wages, salary, commissions, bonuses, or tips from all jobs?
boolean
C0557163 (UMLS CUI [1,1])
C0681100 (UMLS CUI [1,2])
Household income salary and wages
Item
3a. If yes, total amount:
float
C0557163 (UMLS CUI [1,1])
C0681100 (UMLS CUI [1,2])
Household income Self-employment
Item
3b. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Self-employment income from own nonfarm businesses or farm business, including proprietorships and partnerships?
boolean
C0557163 (UMLS CUI [1,1])
C0425092 (UMLS CUI [1,2])
Household income Self-employment
Item
3b. If yes, total amount:
float
C0557163 (UMLS CUI [1,1])
C0425092 (UMLS CUI [1,2])
Household income trusts estate
Item
3c. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Interest, dividends, net rental income, royalty income or income from estates and trusts?
boolean
C0557163 (UMLS CUI [1,1])
C3826594 (UMLS CUI [1,2])
C0557752 (UMLS CUI [1,3])
Household income trusts estate
Item
3c. If yes, total amount:
float
C0557163 (UMLS CUI [1,1])
C3826594 (UMLS CUI [1,2])
C0557752 (UMLS CUI [1,3])
Household income Social Security Retirement Benefit
Item
3d. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Social security or railroad retirement; retirement, survivor, or disability pensions?
boolean
C0557163 (UMLS CUI [1,1])
C4050516 (UMLS CUI [1,2])
Household income Social Security Retirement Benefit
Item
3d. If yes, total amount:
float
C0557163 (UMLS CUI [1,1])
C4050516 (UMLS CUI [1,2])
Household income welfare assistance
Item
3e. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Supplemental security income (SSI); any public assistance or welfare payments from the state or local welfare office?
boolean
C0557163 (UMLS CUI [1,1])
C0599251 (UMLS CUI [1,2])
Household income welfare assistance
Item
3e. If yes, total amount:
float
C0557163 (UMLS CUI [1,1])
C0599251 (UMLS CUI [1,2])
Household income Child Support
Item
3f. Income IN THE LAST CALENDAR YEAR (January 1 - December 31, 2015) Any other sources of income received regularly such as Veterans’ (VA) payments, unemployment compensation, child support, or alimony?
boolean
C0557163 (UMLS CUI [1,1])
C0079112 (UMLS CUI [1,2])
Household income child support
Item
3f. If yes, total amount:
float
C0557163 (UMLS CUI [1,1])
C0079112 (UMLS CUI [1,2])
Household income; Taxes
Item
4. The following question is about your income and is very important. Think about your total combined family income IN THE LAST CALENDAR YEAR for all members of the family. What is that amount before taxes?
float
C0557163 (UMLS CUI [1])
C0039371 (UMLS CUI [2])
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