Questionnaire Text

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During 1979 did this person receive any income from the following sources?

If "yes" to any of the sources below -- How much did this person receive for the entire year?

[Fill the yes or no circle for each part and enter the appropriate amount. If income from any source was received jointly by household members, report if possible, the appropriate share for each person; otherwise, report the whole amount for only one person and mark No for the other person, unless the other person has additional income of the same type.]


32f. Supplemental Security (SSI), Aid to Families with Dependent Children (AFDC), or other public assistance or public welfare payments

[] Yes --

$ ____ .00 (Annual amount -- Dollars)

[] No


[Include public assistance or welfare payments received from Federal, State, or local agencies. Do not include private welfare payments.]