SSP-MOE

10/14/1999

All data is Right Adjusted

DISAGGREGATED SSP-MOE DATA COLLECTION

TRANSMISSION FORMAT SECTION 2

PERSON INFORMATION

ITEM #

DESCRIPTION

LENGTH

FROM

TO

COMMENTS

RECORD TYPE

2

1

2

VALUE = M5

3

REPORTING MONTH

6

3

8

Numeric

5

CASE NUMBER

11

9

19

Alphanumeric

13

FAMILY AFFILIATION

1

20

20

Numeric

14

DATE OF BIRTH

8

21

28

Numeric

15

SOCIAL SECURITY NUMBER

9

29

37

Alphanumeric

16

RACE/ETHNICITY

ITEM17A_HISPANIC OR LATINO

1

38

38

Alphanumeric

ITEM17B_AMERICAN INDIAN OR ALASKA NATIVE

1

39

39

Alphanumeric

ITEM17C_ASIAN

1

40

40

Alphanumeric

ITEM17D_BLACK OR AFRICAN AMERICAN

1

41

41

Alphanumeric

ITEM17E_NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER

1

42

42

Alphanumeric

ITEM17F_WHITE

1

43

43

Alphanumeric

17

GENDER

1

44

44

Numeric

18

RECEIVES DISABILITY BENEFITS

ITEM18A_RECEIVED FEDERAL DISABILITY INSURANCE BENEFITS UNDER OASDI PROGRAM

1

45

45

Alphanumeric

ITEM18B_RECEIVED BENEFITS BASED ON FEDERAL DISABILITY STATUS UNDER NON-SSA PROGRAMS

1

46

46

Alphanumeric

ITEM18C_RECEIVED AID TO THE PERMANENTLY AND TOTALLY DISABLED UNDER TITLE XIV-APDT

1

47

47

Alphanumeric

ITEM18D_RECEIVED AID TO THE AGED, BLIND

1

48

48

Alphanumeric

ITEM18E_RECEIVED SSI UNDER TITLE XVI-SSI

1

49

49

Alphanumeric

19

MARITAL STATUS

1

50

50

Alphanumeric

20

RELATIONSHIP TO HEAD OF HOUSEHOLD

2

51

52

Numeric

21

PARENT WITH MINOR CHILD IN THE FAMILY

1

53

53

Alphanumeric

22

NEEDS OF A PREGNANT WOMAN

1

54

54

Alphanumeric

23

EDUCATION LEVEL

2

55

56

Alphanumeric

24

CITIZENSHIP/ALIENAGE

1

57

57

Alphanumeric

25

EMPLOYMENT STATUS

1

58

58

Alphanumeric

26

AMOUNT OF EARNED INCOME

4

59

62

Alphanumeric

27

AMOUNT OF UNEARNED INCOME

4

63

66

Alphanumeric

Up to 16 persons per case