Questionnaire Text

Questionnaire form view entire document: text image

Income in 2010
[Question 55 were asked of all persons aged 15+]

(d) Did this person receive any child benefits from federal, provincial or territorial governments?

Include amounts such as child tax benefits, universal child care benefits and family allowances.

[] Yes: $_, _ _ _, _ _ _.00
[] No

(e) Did this person receive any Old Age Security Pension, Guaranteed Income Supplement, Allowance or Allowance for the Survivor from the federal government?

Provincial income supplements should be reported in (h).

[] Yes: $_, _ _ _, _ _ _.00
[] No

(f) Did this person receive any benefits from the Canada or Quebec Pension Plan?

[] Yes: $_, _ _ _, _ _ _.00
[] No

(g) Did this person receive any benefits from Employment Insurance from the federal government or the Quebec Parental Insurance Plan?

Include maternity and parental benefits.
Report total benefits before tax deductions.

[] Yes: $_, _ _ _, _ _ _.00
[] No

(h) Did this person receive any other income from government sources?

Include income such as provincial income supplements and grants, the GST/QST/HST credit, provincial tax credits, workers' compensation, veterans' pensions, and welfare payments.

[] Yes: $_, _ _ _, _ _ _.00
[] No

Questionnaire instructions view entire document: text image

Income
Questions 52 and 53 provide information on expenses related to child care and support payments. Along with the information on income, these Questions provide more precise measures of disposable income.

Questions 54 and 55 provide statistics on income from all sources. Governments use these statistics to develop income support programs such as Old Age Security, provincial income supplements and social assistance payments. Businesses use income statistics to locate stores, and to develop new products and services. Private and public sector researchers use information about earnings to study labor markets and industry patterns.

If you need to report an amount that exceeds the space available in the response boxes, enter all the additional digits in the leftmost box.

Income from government
Part (d) -- Child benefits
Mark 'yes' in part (d) for eligible parents who received child benefits in 2010 for dependent children from the federal, provincial or territorial governments.

Include:

[] Canada Child Tax Benefit (CCTB), Universal Child Care Benefit (UCCB), and any provincial or territorial child tax benefits such as Nova Scotia Child Benefit, New Brunswick Child Tax Benefit and Working Income Supplement, Quebec Child Assistance and Supplement for Handicapped Children, Ontario Child Care Supplement for Working Families, Saskatchewan Child Benefit, Alberta Employment Tax Credit, British Columbia Family Bonus or Earned Income Benefit, Yukon Child Benefit, Nunavut Child Benefit, Northwest Territories Child Benefit and Territorial Workers' Supplement
[] Child disability benefit

Report alimony, child support and any periodic support received from persons not in the household in Question 55, part (l), 'other money income'.

Do not include:

[] Orphans' benefits
[] Payments for care of foster children.

If using your T1 income tax form, only the Universal Child Care Benefit part is listed on the tax form. Report line 117, minus line 213, plus the amount from any other programs.

Part (e) -- Old Age Security Pension, Guaranteed Income Supplement, Allowance and Allowance for the Survivor
Mark 'Yes' in part (e) for:

[] Persons 65 years and over who received Old Age Security Pension (and Guaranteed Income Supplement) from the federal government in 2010
[] 60 to 64-year-old spouses or common-law partners of pensioners who received the Allowance
[] 60 to 64-year-old widowed spouses or common-law partners who received the Allowance for the survivor

Exclude the amount of Old Age Security benefit that you must repay as part of social benefit repayments.

Report provincial or territorial income supplements in part (h), 'Other income from government sources'.

If using T4A (Old Age Security) slips to answer part (e), report the sum of the amounts in boxes 18 and 21.

If using your T1 income tax form, report the total of lines 113 and 146, minus the relevant part of line 235.

Part (f) -- Benefits from Canada or Quebec Pension Plan
Report in part (f) benefits received from the Canada or Quebec Pension Plan in 2010.

Include:

[] Retirement pensions
[] Survivors' benefits (including survivor's pension and children's benefits)
[] Disability benefits
[] A combination of these pensions and benefits.

Do not include:

[] Contributions to the plan
[] Lump-sum death benefits.

Report retirement pensions of civil servants, RCMP and military personnel in part (k), 'Retirement pensions, superannuation and annuities, including those from RRSPs and RRIFs'.

Report old age, retirement and war pensions received from foreign sources in part (l), 'Other money income'.

If using T4A (P) slips to answer part (f), report the amount in box 20.

If using your T1 income tax form, report the amount on line 114.

Part (g) -- Benefits from employment insurance
Report in part (g) benefits received under the federal Employment Insurance (EI) and the Quebec Parental Insurance Plan (QPIP) programs in 2010.

Include benefits received for:

[] Unemployment, including self-employed fishers
[] Maternity or parental care
[] Sickness
[] Compassionate care

Report employer or union supplementary unemployment benefits in part (a), 'Total wages and salaries'.

Exclude the amount of EI benefits that you must repay as part of social benefits repayments.

If using T4E slips to answer part (g), report the amount in box 14.

If using your T1 income tax form, report the amount on line 119, minus the relevant part of line 235.