CONFIDENTIAL

National Council of Applied Economic Research

National Survey on Household Income and Expenditure
(Reference Period: April 2004-March 2005)
RURAL URBAN

Household Schedule
[1] Identification of Sample Household
7. Village/Urban block 8. Stratum number 9. Listing serial number 10. Interview Number (EDITOR) 1. State/UT 2. NSS region 3. Rural-1/Urban-2 4. District 5. Tehsil (Rural) 6. Town/City (Urban)

[2]

Household Characteristics (Put relevant code wherever applicable)

1. Social group (SC-1, ST-2, OBC-3, Others-4) 2. Caste (Write the name ) 3. Household size 4. Does the household possess the BPL card (Yes-1, No-2)

Information on dwelling unit and basic amenities

5. 6. 7. 8. 9. Ownership of dwelling (Owned -1, Hired-2, Others-3 (specify______________) Structure of dwelling (Kutcha-1, Semi pucca -2, Pucca -3) Is part of the dwelling rented? (Yes-1, No-2) If yes, amount of monthly rent (Rs.) Duration of stay (Number of completed years), if less than 1 year write 0

10. Number of living rooms 11. Does the household have the following? (Yes-1, No-2) Safe drinking water Separate kitchen Electricity Latrine 12. If household has access to domestic electric connection, what is the frequency and duration of its availability? Frequency Duration (Number of days per week) (Number of hours per day) 13. How much land does household own/ possessed (Acres, 000.0) Land owned . Land possessed 14. Do any member of household have an account in any financial institutions (such as Commercial bank, Post office, RRB, Registered Societies, etc) (Yes-1, No-2) 15. Do household have any loan outstanding as on date ? (Yes-1, No-2) .

[3] Demographic and Other Particulars of Household Members

3(a) Information about household member(s) who are permanently staying in household
Memb er ID. No Name of member Sex (Male-1,
Female-2)

Age at last birthday (Years)

Marital status (Code)

Level of education (Code)

Activity status

Principal Industry (NIC 1998 ) Abbreviation (8) Code

Principal Occupation (NCO 1968) Abbreviation (9) Code

Contribution to annual household income (Rs.)

(1)

(2) Head

(3)

(4)

(5)

(6)

Abbreviatio n (7)

Code

(10)

1 2 3 4 5 6 7 8 9

3(b) Information about household member(s) who usually lives elsewhere

Sr. No. Name of member Sex (Male-1, Female-2) Age at last birthday (Years) Marital status (Code) Level of education (Code) Activity status (Code) Principal Industry (NIC 1998) Principal Occupation (NCO 1968) Contribution to annual household income (Rs.) In Cash kinds (10) Name of city/ state Duration of stay

(Years) (11) (12)

(Months)

(1) 1 2 3

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

Marital Status (Col 5)

1= Married 3=Divorced 2=Unmarried 4=Widowed

Activity status (Col 7)

1=Own account worker 2=Employer 3= Unpaid family worker 4=Regular salary/wage employee 5=Casual wage labour 6=Unemployed 7=Pensioner/remittance 8=Student 9=Housewife 10=Unfit for work 11=Others (specify) 12=Not applicable (Children less than 5 years

Level of education (Col 6)

1=Illiterate 2=Up to primary 3=Middle (8th) 4=Matric (10th) 5=Higher Secondary (12th) 6=Graduate 7=Post graduate & above 8=Diploma/vocational 9=Others (specify)

Principal industry (NIC 1998) (Col 8) 1=Agriculture, livestock, fishing, hunting and forestry 2=Mining & Quarrying 3=Manufacturing 4=Electricity, gas & water supply 5=Construction 6=Hotel and Restaurants 7= Transport, storage and communication 8= Public Administration & Defence 9= Financial intermediation 10= Education 11=Health and Social work 12= Real Estate, renting and business activities 13=Wholesale/retail trade, repair household goods 14=Private households

Principal occupation (NCO 1968) (Col 9)

1=Professional, technical and related workers 2=Administrative, executive and managerial workers 3=Clerical and related workers 4=Sales workers 5=Service workers 6=Farmers, fishermen, hunters, loggers and related workers 7=Production and related workers, transport equipment, operators and laboures 8=Workers not classified by occupations

[4] Household Income

Codes
1. Principal industry code for household (NIC 1998) ________________________ 2. Principal occupation of household (NCO 1968) __________________________ 3. What are TWO major sources of household income
1= Regular salary/wages 2= Self employed in non-agriculture 3= Agricultural labour 4= Other (casual) labour 5= Self employed in agriculture 6= Rental (land/accommodation) 7= Interest/remittance/dividend/royalty 8= Pension/Bonus 9= Social insurance/assistance 10=Others (_________________________)

Primary

Secondary

Details of components of household income (Includes both cash and kinds income received by all the members of the household during the reference period April 2004-March 2005) Source Code 1. Income from REGULAR SALARY/WAGES (Fill in for each salary earner one column)
Sl. No. 1. 2. 3. 4. 5. 6. 7. 8.

Particulars
Member I.D. (from Section 3a) Average Gross salary received per month (Rs.) (including 4 given below) Employers contribution to provident fund per month (Rs.) Own contribution to provident fund per month (Rs.) Bonus and allowances received during April 2004-March 2005 Other receipt from employer during April 2004-March 2005 Income tax paid for accounting year April 2004-March 2005 TOTAL [(2+3)*12 + 5 + 6-7)]

Salary Earner 1

Salary Earner 2

Other salary earners

EDITOR

Source Code 2. Income from SELF EMPLOYMENT IN NON-AGRICULTURE (Rs.) (Craft/Business/Professionals, etc.)
Sl. No. Particulars Receipts 1. Value (sale) of products & services 2. Value of products retained for own consumption Operating expenses (Rs.) 3. Raw material purchased 4. Labour charges 5. Rent 6. Other expenses (Fuels, transport and marketing, hire charges for equipment, storage, etc.) 7. Tax on business income Net Income [1+2-3-4-5-6-7]
Rs.

EDITOR

Source Code 3. Income from WAGES (Agricultural labour) (Fill in for each wage earner one column)
Sl. No. 1. 2. 3. 4. 5. 6. 7.

Particulars
Member I.D. (from Section 3a) Periodicity of payment (1=Annual, 2=Monthly, 3=Weekly, 4=Daily) Period of employment during April 2004-March 2005 (Months) Mode of payment (1=Cash, 2=Kind, 3= Cash & kind) Average payment received per month (Rs.) Other receipts from employer during April 2004-March 2005 TOTAL [(3x5) + 6)] 3

Wage Earner 1

Wage Earner 2

Other wage earners

EDITOR

Source Code 4. Income from WAGES (Casual labour) :(Fill in for each wage earner one column).
Sl. No. 1. 2. 3. 4. 5. 6. 7.

Particulars
Member I.D. (from Section 3a) Periodicity of payment (1=Annual, 2=Monthly, 3=Weekly, 4=Daily) Period of employment during April 2004-March 2005 (Months) Mode of payment (1=Cash, 2=Kind, 3= Cash & kind) Average payment received per month (Rs.) Other receipts from employer during April 2004-March 2005 TOTAL [(3x5) + 6)]

Wage Earner 1

Wage Earner 2

Other wage earners

EDITOR

Source Code 5. Income from SELF EMPLOYMENT IN AGRICULTURE (Rs.) (Crop production, forestry, livestock, fisheries, etc.)
Sl. No. Particulars Value of output and its disposal 1. Value produced Cash Exchange Total 3 Value of output for domestic consumption Operating expenses (Rs.) 4 Seed (Home produced and purchased) 5. Manures, fertilizers and chemicals 6. Irrigation charges 7. Labour charges 8. Other expenses (land rent, hire charges for equipment, storage, etc.) 2. Value of output sold Total operating expenses (4+5+6+7+8) Net Value of Output
Rs.

EDITOR EDITOR
Rs.

Source Codes 6. to 10. Income from OTHER SOURCES (Rs.): (Collect wherever it is applicable)
Sl. No. 1. 2. 3. 4. 5. 6.

Income components Rent from lending land Rent from providing accommodation and capital for production Net Interest received (Income from bonds, deposits and savings) Dividend (Income received from stock holdings and mutual fund shares) Employer based private pension (Payments received from companies/government after retirement) Government social insurance and social assistance benefits (Pay supplements to dependent family members of military, unemployment, cash
income from subsidies in any form, etc.)

7.

Others (Specify___________)

[5] Consumption Expenditure- Average per month (Rs.)

Sl. No. 1. 2. 3. 4. 5. 6. 7.

(Includes all the expenditure by all the members of household mentioned in Section 3a) Item description Average per month (Rs.)
Food Housing Health expenses Transport Education Clothing and footwear Consumer durable goods Others MONTHLY TOTAL YEARLY TOTAL
4

8.

[6] Durable assets OWNED by the household as on the 31st March 2005
Code Consumer assets AUTOMOBILES 01 Scooter 02 Moped 03 Motor Cycle 04 Car 05 Jeep 06 Tractor 07 Bicycle ENTERTAINMENT 08 Television B&W (small) 09 Television B&W (regular) 10 Television Colour (small) 11 Television Colour (regular) 12 Video Cassette Player/Recorder 13 DVD/ VCD 14 Radio/ Transistor 15 Cassette Player 16 Walkman 17 Music System 18 Computer Number owned Code Consumer assets HOUSEHOLD APPLIANCES 19 Air Conditioner 20 Refrigerator 21 Washing Machine 22 Pressure Cooker/ Pan 23 Mixer/ Grinder 24 Microwave Oven 25 OTG Oven 26 Electric Iron 27 Ceiling Fan 28 Table Fan 29 Vacuum Cleaner 30 Sewing Machine 31 Geyser 32 Wrist Watch 33 Inverter/ Generator 34 Camera 35 Telephone (Land Line) 36 Cellular Phone 37 Credit Card 38 Pump Set Number owned

[7] Durable assets PURCHASED by the household during 1st April 2004-31st March, 2005)
Asset 1
Name of the Assets Asset code Brand Name Price (Rs.) Mode of finance Amount financed Period of finance (months) Type of purchase
Mode of finance: Cash down- paid in cash 1, Cash down paid through credit card 2, Through bank finance 3, Through private financier 4, Loan from employer 5, Loan from PF 6, Loan from any other source (specify__________) 7, Received as gift 8, Others (Specify______________)-9. Type of purchase: New 1st time 1, New additional 2, New for replacement 3, Received gift 4, Second hand 5, Others (specify____________)6

Asset 2

Asset 3

Asset 4

Asset 5

Asset 6

[8]

Consumer expendable goods (Average Expenditure per month by all the

members of household)
Code Expendable goods Units Toiletries & Cosmetics ml gms gms gms gms pkt ml gms ml no. no. ml gms Cooking & Ready Foods gms gms gms gms gms gms Others no. no. pkt ml Average per month Quantity Value (Rs.)

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23

Shampoo Toilet Soap Tooth Paste/ Powder Washing Soap Washing Powder Mosquito Repellent Phenyl Face Cream Hair Oil Nail Polish Lipstick Deodorants Talcum Powder Edible oil/Vanaspati Tea/Coffee Biscuits Jam Tomato Ketchup Butter Electric Bulb Electric Tubes Cigarette Alcohol

[9]

Miscellaneous
(1=Parents, 2=Chief earner, 3=Highest qualified member, 4=Grownup children, 5=Ladies, 6=All adults, 7=Friends/relatives, 8=Others) Activities Day to day decision Marriage of daughter Higher education Influencer/ Decision maker Activities Durable purchase Marriage of son Purchase/ownership of property Influencer/ Decision maker

1. Who is the major influencer/decision maker in the household for following activities?

2. Major source of drinking water (code)

[Hand pump-1, Well-2, Pond-3, River-4, Pipe water 5, Tap-6, Others (specify) _____ -7]

3. Major source of finance (code)

[Post office-1, Commercial bank-2, Regional Rural Bank-3, Co-operatives -4, Money lender-5, Others (specify) _____ -6]

4. Major source of information (code)

(Television-1, Radio/transistor-2, News Paper-3, Local people-4, Others________-5)

5. Major source of energy

(code)

Cooking

Lighting

[Fire wood-1, Dung cake-2, Gobar gas-3, Kerosene-4, LPG 5, Electricity-6, Solar energy -7, Others (specify) _____________-8

6. During 2004-05, was there any unusual (large expenditure) in your household on account of one or more of the following reasons? Items of expenditure Weddings, birth and other ceremonies Medical expenditure Expenses on education Travel (leisure, religious, occasion etc.) Other large expenses (Specify__________) Check (Yes-1, No-2) Amount (Rs.)

7. Would you please tell us whether you bought or sold any of the following during 2004-05? Items Land House Four wheeler Two-wheeler Gold Jewellery Silver Jewellery Bought value (Rs.) Sold value (Rs.)

8. Furnish the relevant information on the following specific product/services currently used by member(s) of the household. Product/services Ownership (Yes-1, No-2) Major user(s) (Member ID Sec 3a) Monthly expenditure (Rs.)

Car Two-wheeler Credit card Cell phone Internet Telecom landline Cable Connection Electricity Connection

X X X X