Consumer

Expenditure

Surveys

Quarterly Interview Survey

Information Booklet

CE-305

(4-1-2011)

U S C E N S U S B U R E A U

Helping You Make Informed Decisions

Page 1 CE-305 (4-1-2011) 

TABLE OF CONTENTS 

Page

Hispanic Origin 2

Race 2

Asian Origin 2

Education 3

Armed Forces 3

Section 1 – General Survey Information 4-5 

Section 2 – Rented Living Quarters 6

Section 3 – Owned Living Quarters and Other Owned Real Estate 7-8 

Section 4 – Utilities and Fuels for Owned and Rented Properties 9-10

Section 5 – Construction, Repairs, Alterations, and Maintenance of Owned 

 and Rented Property 11-12

Section 6 – Appliances, Household Equipment and Other Selected Items 13-19

Section 7 – Household Item Repairs and Service Contracts 20

Section 8 – Home Furnishings and Related Household Items 21-24

Section 9 – Clothing and Clothing Services 25-27

Sections 10 and 11 – Rented, Leased, and Owned Vehicles 28

Section 12 – Vehicle Operating Expenses 29-31

Section 13 – Insurance Other than Health 32

Section 14 – Hospitalization and Health Insurance 33

Section 15 – Medical and Health Expenditures 34-36

Section 16 – Educational Expenses 37

Section 17 – Subscriptions, Memberships, Books, and Entertainment Expenses 38-39

Section 18 – Trips and Vacations 40-41

Section 19 – Miscellaneous Expenses 42-45

Section 20B – Expense Patterns for Selected Services and Goods 46

Section 21 – Credit Liability 47

Section 22 – Occupations 48

Section 22 – Work Experience and Income 49-51

2011 Calendar 52

2012 Calendar 53

Fraction Conversion Chart 54

Privacy Act Statement 55
CE-305 (4-1-2011) Page 2

Hispanic Origin 

1. Mexican 

2. Mexican-American 

3. Chicano 

4. Puerto Rican 

5. Cuban

 Race 

(Please choose one or more)

1. White 

2. Black or African American 

3. American Indian or Alaska Native 

4. Asian 

5. Native Hawaiian 

6. Guamanian or Chamorro 

7. Samoan 

8. Other Pacific Islander 

 Asian Origin 

1. Chinese 

2. Filipino 

3. Japanese 

4. Korean 

5. Vietnamese 

6. Asian Indian 
Page 3 CE-305 (4-1-2011) 

0. Never attended, preschool, kindergarten 

1 – 11. 1st grade through 11th grade 

38. 12th grade, no diploma 

39. High school graduate – high school diploma, 

or the equivalent (For example: GED) 

40. Some college but no degree 

41. Associate degree in college – Occupational/ 

 Vocational 

42. Associate degree in college – Academic program 

43. Bachelor’s degree (For example: BA, AB, BS) 

44. Master’s degree (For example: MA, MS, MEng, 

 MEd, MSW, MBA) 

45. Professional School Degree (For example: MD, 

 DDS, DVM, LLB, JD) 

46. Doctorate degree (For example: PhD, EdD) 

Education

Armed Forces 

A person is considered to be in the armed forces if he 

or she serves in any branch of the U.S. military. This 

includes the Army, Navy, Marine Corps, Air Force and 

Coast Guard, their Reserve components, and the Air 

and Army National Guard. 
CE-305 (4-1-2011) Page 4

Part B – General Housing Characteristics 

 

SECTION 1 – GENERAL SURVEY INFORMATION

Type of Structure 

1. Single family detached (detached structure with only one primary

residence; however, the structure could include a rental unit(s) in the 

basement, attic, etc.) 

2. Row or townhouse – inner unit (2, 3, or 4 story structure with 2 walls in common with other

units and a private ground level entrance; it may have a rental unit as part of the structure 

3. End row or end townhouse (one common wall) 

4. Duplex (detached two unit structure with all units occupying the same level or levels) 

5. 3-plex or 4-plex (3 or 4 unit structure with all units occupying the same level or levels) 

6. Garden (a multi-unit structure, usually wider than it is high, having 2, 3, or possibly 4

floors; characteristically the units not only have common walls but are also stacked on top

of one another) 

7. High rise (a multi-unit structure which has 4 or more floors) 

8. Apartment or flat (a unit not described above; could be located in the basement, attic, 

second floor or over the garage of one of the units described above) 

9. Mobile home or trailer 

10. College dormitory 

Fuels 

1. Gas 

2. Electricity 

3. Fuel oil 

4. Other 

5. No fuel used 

Included with this Housing Unit 

1. Swimming pool 

2. Off-street parking 

3. Porch, terrace, patio, or balcony 

4. Apartment or guest house 

5. Central air conditioning 

6. Window air conditioning 
Page 5 CE-305 (4-1-2011) 

SECTION 1 – GENERAL SURVEY INFORMATION (continued)

Part C – Major Household Appliances 

Cooking stove, range, or oven 

Microwave oven 

Refrigerator or home freezer 

Built-in dishwasher 

Portable dishwasher 

Garbage disposal 

Clothes washer 

Clothes dryer 

Television 

Home computer 

Stereo or sound systems 

VCRs, DVD players, or digital video recorders 
CE-305 (4-1-2011) Page 6

OTHER OWNED REAL ESTATE 

Included with the Rental Payment 

Electricity 

Gas 

Piped-in water 

Heating 

Trash/garbage collection 

Garage and parking facilities 

Telephone services 

Television services 

Internet services 

Furniture 

SECTION 2 – RENTED LIVING QUARTERS 
Page 7 CE-305 (4-1-2011) 

 

SECTION 3 – OWNED LIVING QUARTERS AND 

OTHER OWNED REAL ESTATE 

Types of Owned Real Estate 

1. A home in which you used to live 

2. Commercial property for business or investment purposes only 

3. Residential property for business or investment purposes only 

4. A second home, vacation home, or recreational property, including timeshares 

5. Unimproved land with no buildings on it 

6. Other property 

Closing Costs

Property survey charges Points paid by buyer 

Title search Deed preparation 

Recording fees Lawyer’s fees 

Transfer taxes Advertising costs 

Escrow payment Real estate listing fees 

Costs for Selling a Property 

Commission to Realtor Lawyer’s fees 

Closing costs Advertising costs 

Points for financing Deferred mortgage interest payment 

Mortgage penalties Real estate listing fees 

Property inspection 
CE-305 (4-1-2011) Page 8

SECTION 3 – OWNED LIVING QUARTERS AND 

OTHER OWNED REAL ESTATE (continued)

Mortgage Payment Items 

1. Principal 4. Property insurance 

2. Interest 5. Mortgage guarantee insurance 

3. Property taxes 6. Any other payments (Specify) 

Fees for Cooperatives 

1. Repayment of loans owed by cooperative 

2. Property taxes 

3. Property insurance 

4. Management 

5. Repairs or maintenance, including lawn care or snow removal 

6. Improvements 

7. Recreational, including swimming, golf, or tennis, facilities 

8. Security, including guards or alarm systems 

9. Utilities, such as gas, electricity, water, heat 

10. Trash collection 

11. Other (Specify) 

Homeowners’ Associations or 

Condominium Fees 

1. Management 

2. Repairs or maintenance, including lawn care or snow removal 

3. Improvements 

4. Utilities, such as gas, electricity, water, heat 

5. Parking 

6. Recreational, including swimming, golf, or tennis, facilities 

7. Security, including guards or alarm systems 

8. Maid service 

9. Medical services 

10. Trash collection 

11. Other (Specify)
Page 9 CE-305 (4-1-2011) 

 

Part A – Telephone Expenses 

Telephone services included in bill 

1. Residential Service 

2. Mobile/Cellular Service 

3. Voice Over IP 

Other telephone and non-telephone service items 

1. Internet access (including broadband, DSL, or dial-up) 

2. Cable or satellite television services 

3. Applications, games, or ringtones 

4. Non-telephone related rentals or purchases such as a modem 

SECTION 4 – UTILITIES AND FUELS FOR 

OWNED AND RENTED PROPERTIES 

Part B – Other Telephone Expenses 

Pre-paid long distance telephone cards/minutes 

Pre-paid cellular minutes 

Public pay phone services 
CE-305 (4-1-2011) Page 10

SECTION 4 – UTILITIES AND FUELS FOR 

OWNED AND RENTED PROPERTIES (continued)

Part C – Cable, Satellite, and Internet Services 

1. Cable or satellite TV, not already reported 

Cable TV Direct TV Dish TV TiVo 

2. Satellite radio services 

Sirius Radio XM Radio 

3. Internet connection or internet service providers, not already reported 

AOL Road Runner ISPs Comcast Verizon 

4. Internet services away from home such as web cafes or internet kiosks 

Part D – Utilities, Fuels, and Services 

1. Electricity 

2. Natural or utility gas 

3. Fuel oil 

4. Bottled or tank gas 

5. Other fuels including wood 

6. Piped-in water 

7. Sewerage maintenance

8. Trash/garbage collection including: 

hazardous waste collection 

waste disposal 

recyclable material collection

9. Water softening service

10. Septic tank cleaning 
Page 11 CE-305 (4-1-2011) 

SECTION 5 – CONSTRUCTION, REPAIRS, ALTERATIONS AND 

MAINTENANCE OF OWNED AND RENTED PROPERTY 

Job Types 

1. Dwellings under construction, including a vacation home 

or second home 

2. Building an addition to the house or a new structure, such as a 

porch, garage, or new wing 

3. Finishing a basement or an attic or enclosing a porch 

4. Remodeling one or more rooms in the house 

5. Landscaping the grounds or planting new shrubs or trees 

6. Building outdoor patios, walks, fences, or other enclosures, driveways, permanent 

swimming pools, or hot tubs 

7. Repairing outdoor patios, walks, fences, driveways, or permanent swimming pools 

(including permanent above-ground swimming pools) 

8. Inside painting or papering, spackling, sanding 

9. Outside painting, caulking, sanding, or surface repairs 

10. Plastering or paneling 

11. Plumbing or water heating installations or repairs 

12. Electrical work 

13. Heating or air conditioning jobs 

14. Flooring repair or replacement, including wood, vinyl, and tile 

15. Wall-to-wall carpet – original installation 

16. Wall-to-wall carpet – replacement 

17. Insulation 

18. Roofing, gutters, or downspouts 

19. Siding 

20. Installation, repair, or replacement of window panes, screens, storm doors, awnings, and 

the like 

21. Masonry, brick, or stucco work 

22. Other improvements or repairs (include security systems that are hard-wired into the 

home) 
CE-305 (4-1-2011) Page 12

SECTION 5 – CONSTRUCTION, REPAIRS, ALTERATIONS AND 

MAINTENANCE OF OWNED AND RENTED PROPERTY 

(continued)

Appliances 

1. Cooking stove, range, or oven 

2. Microwave oven 

3. Refrigerator or home freezer 

4. Built-in dishwasher 

5. Portable dishwasher 

6. Garbage disposal 

7. Clothes washer 

8. Clothes dryer 

9. Range hood 

10. Smoke alarms and detectors 

11. Trash compactor 

12. Window air conditioner 

13. Portable cooling and heating equipment, including portable dehumidifiers, humidifiers, fans, and 

space heaters; excluding window air conditioners 

14. Other major home appliances and equipment 
Page 13 CE-305 (4-1-2011) 

Part A – Major Household Appliances 

1. Microwave oven 

2. Cooking stove, range, or oven (including convection oven) 

3. Range hood 

4. Refrigerator or home freezer 

5. Built-in dishwasher 

6. Portable dishwasher 

7. Garbage disposal 

8. Clothes washer (including washer/dryer combinations) 

9. Clothes dryer

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT

AND OTHER SELECTED ITEMS 
CE-305 (4-1-2011) Page 14

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT 

AND OTHER SELECTED ITEMS (continued)

Part B – Household Appliances and Other Selected Items 

SMALL HOUSEHOLD APPLIANCES 

1. Small electrical kitchen appliances, including – 

blender electric frying pan mixer 

breadmaker electric iron pizza oven 

coffee grinder electric knife popcorn maker 

coffee maker electric timer rice cooker 

crockpot electric wine chiller sandwich grill 

deep fryer electric wok slow cooker 

electric barbecue food processor smoothie maker 

electric can opener hot plate toaster 

electric grill ice cream maker toaster oven 

electric fondue set juicer waffle iron 

2. Electrical personal care appliances, including – 

curling iron electric toothbrush make-up mirror 

denture cleaner facial sauna massager 

electric hair trimmer foot bath water-pik 

electric razor hair dryer 

digital scale heating pad 

3. Smoke detectors, including – 

wired battery operated ionization chamber type photo-cell type 

4. Electrical floor cleaning equipment, including – 

vacuum cleaner hand vacuum rug shampooer floor polisher 

5. Other household appliances, including – 

trash compactor home security device (burglar alarm) including 

 console, control modules, burglar alarm console, 

 door and window transmitters 

air purifier 

water filters 

carbon monoxide detector 

6. Sewing machines (with or without cabinet) 
Page 15 CE-305 (4-1-2011) 

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT 

AND OTHER SELECTED ITEMS (continued)

Part B – Household Appliances and Other Selected Items

(continued) 

7. Office machines including fax machines and calculators, also including – 

typewriters copy machines 

8. Personal Digital Assistant or PDAs and pocket PCs, including – 

Palm iPaq 

9. Digital book readers, including – 

Kindle Nook Sony eReader 

10. Computers, computer systems, or related hardware for non-business use, including – 

CD/DVD drive monitors home computers with or without monitors 

computer printers fax modems modems 

netbooks scanner external hard drive 

iPads memory mouse 

laptops keyboards cables 

11. Computer software, including computer games, for non-business use, 

12. Computer accessories, for non-business use, including – 

printer cartridges mouse pads 

13. Portable memory, such as flash drives, memory cards, and recordable discs and tapes, 

including – 

thumb drives blank DVDs blank CDs USB flash drive 

memory stick 

14. Video game hardware or accessories, including – 

Nintendo Wii Gamecube Nintendo DS PSP 

Gameboy Playstation Xbox 

15. Video games, including – 

Nintendo Wii Gamecube Nintendo DS PSP 

16. Telephones or accessories, including – 

cell phones headsets cordless telephones car chargers 

beepers chargers cell phone covers 

phone jacks and cords pagers Bluetooth accessories 

17. Telephone answering machines, including – 

combinations of telephone/answering machines 
CE-305 (4-1-2011) Page 16

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT 

AND OTHER SELECTED ITEMS (continued)

Part B – Household Appliances and Other Selected Items 

(continued) 

18. Photographic equipment, including – 

camera filter projection screen battery pack for camera flash 

digital camera winder electro flash motor driven film advancer 

lens enlarger strobe light 

tripod projector (for photographs) 

Do not include film, film processing, or other photographic supplies.

19. Musical instruments, supplies, or accessories, including – 

piano sheet music saxophone music books 

guitar strings for musical music stand trumpet 

woodwinds instruments clarinet any other musical 

brass instruments stringed picks accessories 

trombone instruments rosin carrying case 

reeds valve oil drums keyboards 

Do not include music lessons.

20. Lawnmowing machinery or other yard equipment, including – 

lawn mowers motorized tiller snow blower shovel 

tractor (farm, 

 garden, etc.) 

wheelbarrow electric lawn spreader 

rake trimmer 

TOOLS FOR HOME USE

21. Power tools, including – 

electric drill sander cordless circular saw 

electric saw lathe electric swimming pool 

router electric plane cleaning equipment 

cordless drill electric polisher air compressor 

22. Nonpower tools including – 

wrench axe saw drill 

socket screwdriver level trouble light 

hammer pliers plane caulking gun 

HEATING AND COOLING EQUIPMENT

23. Window air conditioners 

24. Portable cooling or heating equipment, including – 

space heater dehumidifier humidifier fan 
Page 17 CE-305 (4-1-2011) 

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT 

AND OTHER SELECTED ITEMS (continued)

Part B – Household Appliances and Other Selected Items 

(continued) 

TELEVISIONS, RADIOS, VIDEO AND SOUND EQUIPMENT (not installed on vehicles) 

25. Televisions, all types including combinations of TVs with DVD/video players, including – 

flat screen TV plasma TV high definition TV 

26. DVD players, VCRs, DVRs, or video cameras, including – 

TiVo unit digital TV converter box 

Blu-ray disc player video tape recorder/player 

high definition disc player video laser disc player 

combination of VCR/DVD player video cassette recorder/player 

27. Satellite dishes, receivers, or accessories 

28. Handheld personal music players, including – 

iPod personal mp3 players 

29. Radios, all types, including – 

CB (not permanently clock radio short-wave transistor/portable 

 mounted in an console walky-talky Walkman (radio only) 

 automobile) 

30. Tape recorders or players (not permanently mounted in an automobile), including – 

audio tape decks audio cassette players/recorders 

reel-to-reel tape decks Walkman (cassette/radio combination or cassette only) 

31. Sound components, component systems, or compact disc sound systems, including – 

speakers amplifier tape deck (not specified) 

mixer turntable compact disc players 

stereo receiver stereo rack system 

tuner equalizer 

32. Other sound or video equipment including accessories – 

earphones/headphones battery packs adapter for sound equipment 

power converter power booster base station CB antenna 

antenna (TV, radio, etc.) headset microphone 
CE-305 (4-1-2011) Page 18

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT 

AND OTHER SELECTED ITEMS (continued)

Part B – Household Appliances and Other Selected Items 

(continued)

SPORTS, RECREATION, AND EXERCISE EQUIPMENT 

33. General sports equipment, including – 

roller blades baseball bat table tennis badminton set 

sports uniform football equipment soccer ball 

basketball lawn games sports protective 

tennis racket racquetball frisbee equipment/gear 

bowling ball racquetball racket boxing equipment golf clubs 

baseball glove volleyball karate equipment basketball hoop 

skateboard golf cart (non-riding) 

Exclude specialized athletic shoes such as for football, baseball, soccer, biking, and 

bowling. 

34. Health and exercise equipment, including – 

trampoline exercise mat weight bench 

weights home gym treadmill 

rowing machine exercycle pedometer 

35. Camping equipment, including – 

tent sleeping bag camping stove 

kerosene lamp sleeping pad camping cookware 

frame packs and air mattress portable heater 

 other camping packs canteen 

36. Hunting and fishing equipment, including – 

fishing rod and tackle knife BB/pellet gun 

bow and arrow rifle ammunition 

crossbow shotgun scopes (not specified) 
Page 19 CE-305 (4-1-2011) 

SECTION 6 – APPLIANCES, HOUSEHOLD EQUIPMENT 

AND OTHER SELECTED ITEMS (continued)

Part B – Household Appliances and Other Selected Items 

(continued)

37. Winter sports equipment, including – 

snow skis ski poles toboggan 

ski boots ice skates sled 

snowboard ice boat 

snowboard equipment sledding equipment 

38. Water sports equipment, including – 

water skis snorkel surf board 

life jacket water ski vest raft 

wake board diving equipment wind surf board 

39. Outboard motors 

40. Bicycles, including – 

bicycle helmets stand tires tubes 

bicycle parts locks rack supplies 

41. Tricycles or battery powered riders, including – 

big wheels 

42. Playground equipment, including – 

portable swimming pool swing set sand box gym set 

43. Other sports or recreation equipment, including – 

telescope metal detector 

paintball equipment 
CE-305 (4-1-2011) Page 20

1. Garbage disposal, range hood, or built-in dishwasher 

2. Other household appliances and equipment, such as – 

washer 

refrigerator 

range/oven 

portable heating equipment 

portable air conditioning equipment (window air conditioner) 

portable fans 

dehumidifiers 

sewing machines 

vacuum cleaners 

3. Televisions, radios, video and sound equipment, except those installed in automobiles or other 

vehicles 

4. Computers, computer systems, and related equipment for non-business use 

5. Lawn and garden equipment (including lawn mower repair, snowblower repair) 

6. Musical instruments and accessories (including professional tuning) 

7. Hand or power tools 

8. Photographic equipment 

9. Sport and recreational equipment (including bicycles) 

10. Termite or pest control treatment 

11. Heating or air conditioning equipment (service contracts only), such as – 

central air conditioners 

central coolers 

furnaces 

Exclude repairs. 

SECTION 7 – HOUSEHOLD ITEM REPAIRS 

AND SERVICE CONTRACTS 
Page 21 CE-305 (4-1-2011) 

Part A – Purchases 

LIVING, FAMILY, OR RECREATION ROOM FURNITURE 

1. Sofas, including – 

sofabed loveseat sectionals futon 

2. Living room chairs, including – 

recliner convertible chair rocker 

bean bag chair swivel 

3. Living room tables, including – 

coffee table end tables TV table lamp table 

4. Wall units, shelves, or cabinets, including – 

bookcase curio cabinet entertainment center 

5. Ping-pong tables, pool tables, or other similar recreation room items 

6. Other living room, family room, or recreation room furniture, including – 

room divider bar stools desk/chair card table/chairs 

coat rack gun cabinet bar or portable bar foot stool (ottoman) 

7. Living room furniture combinations, including – 

sofa, chair, and table combinations or suites 

DINING ROOM AND KITCHEN FURNITURE

8. All dining room or kitchen furniture, including – 

dinette set buffet serving table or cart 

kitchen chairs china cabinet dining table and chairs 

BEDROOM FURNITURE

9. Mattresses or box springs, including rollaways 

10. Bedroom furniture other than mattresses or box springs, including – 

headboard dresser mirrors bunk bed 

brass bed vanity chairs night tables 

frames cedar chest armoire water bed 

chest mattress topper 

SECTION 8 – HOME FURNISHINGS AND 

RELATED HOUSEHOLD ITEMS 
CE-305 (4-1-2011) Page 22

SECTION 8 – HOME FURNISHINGS AND 

RELATED HOUSEHOLD ITEMS (continued)

Part A – Purchases (continued) 

INFANTS FURNITURE AND EQUIPMENT

11. Infants furniture, including – 

crib mattress toy chest changing table 

playpen dresser bassinet portable crib 

high chair chest 

12. Infants equipment, including – 

carriage guard rail baby monitor baby bottle sterilizer 

stroller swing baby jogger baby travel systems 

car seat baby carriers baby backpack 

OUTDOOR FURNITURE AND EQUIPMENT

13. Patio, porch, or outdoor furniture, including – 

patio umbrella 

14. Barbecue grills or outdoor decorative items, including – 

patio lanterns patio statues bird houses 

OFFICE FURNITURE FOR HOME USE

15. All office furniture for home use, including – 

file cabinet office chairs computer furniture 

safe drawing table 

Do not include any furniture used exclusively for business. 
Page 23 CE-305 (4-1-2011) 

SECTION 8 – HOME FURNISHINGS AND 

RELATED HOUSEHOLD ITEMS (continued)

Part A – Purchases (continued) 

HOUSEHOLD DECORATIVE ITEMS

16. Lamps or other lighting fixtures, including chandeliers 

17. Other household decorative items, including – 

painting baskets fireplace equipment and accessories 

vase silk flowers seasonal decorations (Christmas) 

wall hangings mirror wreaths 

plant stand book ends clocks 

CLOSET STORAGE AND TRAVEL ITEMS

18. Closet storage items, including – 

garment bag shoe bag shoe rack 

19. Travel items including luggage, also including – 

travel garment bags trunk attaché cases 

DISHES, DINNERWARE, FLATWARE, GLASSWARE, AND COOKWARE

20. Plastic dinnerware, including Tupperware 

21. China or other dinnerware 

22. Stainless, silver, or other flatware, except plastic 

23. Glassware, including crystal 

24. Serving pieces other than silver 

25. Nonelectric cookware, including – 

skillet roaster pots pressure cooker 

saucepan pans teakettle casserole dishes 

26. Silver serving pieces, including – 

tray pitcher bowl 
CE-305 (4-1-2011) Page 24

SECTION 8 – HOME FURNISHINGS AND 

RELATED HOUSEHOLD ITEMS (continued)

Part A – Purchases (continued) 

HOUSEHOLD LINENS

27. Bedroom linens, including – 

sheets comforter baby blanket blanket 

pillowcases mattress pad electric blanket bedspread 

pillows quilt duvet 

28. Bathroom linens, including – 

towels shower curtain bath mat toilet cover 

face cloths bath rug tub mat 

29. Kitchen or dining room linens, including –

tablecloths cloth napkins placemats small appliance covers 

dish towels dish cloths 

30. Other linens, including – 

doilies chair pads furniture protectors covers for living room tables 

31. Slipcovers, decorative pillows, or cushions, custom or ready-made 

FLOOR AND WINDOW COVERINGS 

32. Room-size rugs or other non-permanent floor coverings, including carpet squares 

33. Curtains or drapes (either custom or ready-made) 

34. Blinds, shades, or other window coverings (either custom or ready-made) 
Page 25 CE-305 (4-1-2011) 

Part A – Clothing 

1. Coats, jackets, and furs, including – 

shawl raincoat fur coat winter coat 

windbreaker down vest outerwear jacket 

2. Sport coats or tailored jackets, including blazers 

3. Suits, including – 

woman’s suit (of two or more pieces) formal suit 

man’s suit (of two or more pieces) 

4. Vests (purchased separately, not with a suit), excluding sweater vests and down vests 

5. Sweaters or sweater sets, including – 

cardigan pullover V-neck sweater 

sweater vest ski sweater 

6. Pants, jeans, or shorts, including – 

jump suit overalls maternity pants dress slacks 

short sets 

Do not include any athletic shorts. 

7. Dresses, including – 

two-piece dresses wedding gown maternity dresses formals or semi-formals 

8. Skirts, including skorts 

Do not include any tennis skirts, golf skirts, or other athletic skirts.

9. Shirts, blouses, or tops, including – 

sport shirts knit blouses maternity tops T-shirts 

dress shirts 

Do not include any sweat shirts or athletic shirts.

10. Undergarments, including – 

bras undershirts slips 

shapewear underwear thermal underwear 

11. Hosiery, including – 

socks knee-highs tights pantyhose 

12. Nightwear or loungewear, including – 

pajamas night shirt night gown 

robe house coat thermal sleeping garments 

SECTION 9 – CLOTHING AND CLOTHING SERVICES
CE-305 (4-1-2011) Page 26

SECTION 9 – CLOTHING AND CLOTHING SERVICES (continued)

Part A – Clothing (continued)

13. Accessories, including – 

umbrellas gloves apron fold-up rain accessories 

belts mittens ear muffs bandannas 

ties purse handkerchiefs hair accessories 

scarves wallet bridal headpiece non-prescription sunglasses 

14. Swimsuits or warm-up or ski suits, including – 

athletic shorts tennis outfit sweatshirt swimwear accessories 

athletic shirt jogging suit swimwear snow and ski suit 

hunting wear leotards 

Do not include any sports uniforms. 

15. Uniforms, other than sport, for which the cost is not reimbursed, including shirts, pants, 

suits, and service apparel such as medical, barber, boy or girl scout, mechanic, 

waiter/waitress, plumber and lab smocks, and military apparel 

16. Costumes, including costumes for dance, ballet, Halloween, etc. 

17. Footwear, including athletic footwear – 

dress shoes sandals bedroom slippers 

casual shoes boots sneakers, jogging, aerobic, basketball, tennis shoes 

Include specialized athletic shoes such as for football, soccer, bowling, biking, or baseball, 

except if included in the rental or activity fee for the sport. 

18. Diapers, including disposable 

Do not include diaper service. 

19. Layettes 

20. Watches 

21. Jewelry, including – 

costume jewelry rings infants jewelry 
Page 27 CE-305 (4-1-2011) 

SECTION 9 – CLOTHING AND CLOTHING SERVICES (continued)

Part B – Clothing Services 

1. Repair, alteration, and tailoring for clothing and accessories 

2. Shoe repair or other shoe services 

3. Watch or jewelry repair, including cleaning 

4. Clothing or accessory rental, including formal wear 

5. Clothing storage outside the home 
CE-305 (4-1-2011) Page 28

1. Automobile, truck, minivan, van, and SUV 

2. Motor home 

3. Trailer-type camper 

4. Other attachable-type camper 

5. Motorcycle, motor scooter, or moped (motorized bicycle) 

6. Boat, with a motor. Include jet skis. 

7. Boat, without a motor such as canoes, kayaks, and rowboats 

8. Trailer other than camper 

such as for a boat or cycle – includes trailer for snowmobile or for moving, hauling, etc. 

9. Private airplane 

10. Any other vehicle 

such as a snowmobile, dunebuggy, go-cart or riding golf cart (except charges for rental of golf carts 

included in golfing fees) 

SECTIONS 10 and 11 – RENTED, LEASED, 

AND OWNED VEHICLES 
Page 29 CE-305 (4-1-2011) 

Part A – Vehicle Maintenance and Repair, Parts, and 

Equipment 

1. Oil change, lubrication, or oil filter 

(Include oil only if purchased for an oil change) 

2. Motor tune-up, including – 

air/fuel filters computer sensor ignition wires ignition timing or mixture 

distributor cap, rotor PCV valve valve adjustment adjustment 

emission controls spark plugs breather/vapor/air filter element 

3. Brake work, including – 

anti-lock brakes hydraulic system shoes or pads bleed brake system 

master cylinder wheel calipers wheel cylinder machine drums/rotors 

brake adjustment parking brake 

4. Battery purchase or installation 

5. Tire purchase or mounting 

6. Tire repairs 

7. Front end alignment, wheel balancing, wheel rotation 

8. Steering or front-end work, including – 

axle bearing/seals bushings studs/lug nuts power steering fluid/filter 

axle shafts CV joints/boots tie rods idler arms 

rack and pinion wheel hubs ball joints steering box/linkage 

9. Electrical system work, including – 

alternator belt car computer ignition system voltage regulator 

alternator/generator coil starter motor gauges/instruments 

battery charge switches wiring 

10. Engine repair or replacement, including – 

carburetor fuel injector motor mounts timing chain/gears or belt 

fuel pump/lines/filter turbo charge pistons/rods oil pump/cooler/hoses 

crankshaft bearings gaskets choke 

11. Air conditioning work, including – 

compressor condenser motor/switch recharging 

12. Engine cooling system work, including – 

coolant or filter heater core radiator fan or water pump belt 

hoses thermostat water pump cooling fan/controls 

pressure cap cooling fan relay fan switch or belt 

SECTION 12 – VEHICLE OPERATING EXPENSES
CE-305 (4-1-2011) Page 30

SECTION 12 – VEHICLE OPERATING EXPENSES (continued)

Part A – Vehicle Maintenance and Repair, Parts, and 

Equipment (continued) 

13. Exhaust system work, including – 

catalytic converter hanger/clamps muffler resonator 

exhaust pipe manifold gasket 

14. Clutch or transmission work, including – 

clutch cable hydraulic system rebuilt transmission transaxle 

clutch fork master cylinder safety switch transmission filter 

flywheel pilot bearing shaft seal 

15. Body work or painting, including – 

convertible top doors T-roof crash repairs 

glass replacement vinyl top rust proofing window repair/replacement 

sanding 

16. Shock absorber replacement, including MacPherson struts 

17. Drive shaft or rear-end work, including – 

axle fluid CV joints rear axle suspension 

differential tie rods grommet rear wheel axle seal 

rear wheel bearings universal joint coil or leaf springs axle mounts/bushings 

18. Video equipment or installation, including – 

televisions and combinations of TVs with 

 VCRs and/or DVD players 

GPS navigational system with screen 

satellite receiver, In-Motion Satellite receiver 

video game consoles 

19. Audio equipment or installation, including – 

antenna CB radio speakers tape player 

CB antenna radio stereo equipment satellite radio equipment 

20. Vehicle accessories or customizing, including – 

alarm system carpeting running boards steering wheel covers 

bike/ski racks fender skirts seat covers spoilers 

bumper guards luggage rack 

21. Vehicle cleaning services or cleaning supplies, including – 

car washes vacuuming cleaning mitts vehicle detailing services 

waxes upholstery sprays protective coating wheel cleaning supplies 

boat cleaning services 

22. Other vehicle services, parts, or equipment, including – 

battery cables vent filters jack charcoal canister filters 

gas cable/cap/can brake lights gasket sets windshield wipers 

light bulbs wheel lugs headlights speedometer cable 

wheels/rims hub caps heater repair tire/wheel combination 

upholstery work 
Page 31 CE-305 (4-1-2011) 

SECTION 12 – VEHICLE OPERATING EXPENSES (continued)

Part B – Licensing, Registration, and Inspection of Vehicles

1. Driver’s licenses 

2. Vehicle inspection 

emissions inspection 

safety inspection 

3. State vehicle registration 

4. Local vehicle registration 
CE-305 (4-1-2011) Page 32

1. Long term care insurance 

2. Life insurance or other policies which provide benefits in case of death or disability, 

including – 

term insurance income or disability insurance 

whole-life insurance group-life insurance 

cash benefits straight-life insurance 

mortgage insurance flight insurance 

veterans insurance life endowments 

annuities burial insurance 

HOME INSURANCE 

Insurance protecting your home, furniture, personal effects, or other property against fire, theft, loss, 

natural disasters, or damage from other means. 

3. Homeowners' insurance, including any insurance covered in mortgage payments or flood 

insurance 

flood insurance fire and extended coverage 

4. Renters' insurance 

OTHER INSURANCE 

5. Automobile or other vehicle insurance, including – 

liability insurance bodily injury insurance 

collision insurance property damage insurance 

comprehensive insurance no-fault insurance 

6. Other types of non-health insurance, including – 

credit card insurance 

personal liability insurance 

mortgage guarantee insurance 

ambulance 

Do not include malpractice insurance. 

SECTION 13 – INSURANCE OTHER THAN HEALTH 
Page 33 CE-305 (4-1-2011) 

1. Health Maintenance Organization 

Expenses usually covered in full, or there may be a modest co-payment at the time of your visit. 

 Group/staff type: You go to a central facility (group health center) to receive care. 

 Independent practice association (IPA): Providers work from their individual offices (and are 

referred to as primary care physicians).

2. Fee for Service Plan 

You or your insurance company are generally billed after each visit. 

 Traditional fee for service plan: You may go to any doctor or hospital you choose. 

 Preferred Provider Organization (PPO): You are given a list of doctors from which to choose. If 

you go to a doctor on the PPO list, more expenses are covered than if you go to a doctor not on 

the list. 

3. Commercial Medicare Supplement 

Voluntary contributory private insurance plan available to Medicare recipients. Covers the costs of 

deductibles, co-insurance, physician services, and other medical and health services. 

4. Special Purpose Plan 

Covers only specific health needs. Examples of special purpose health insurance plans are:

dental insurance mental health insurance 

vision insurance dread disease policy 

prescription drug insurance 

Do not include Medicare Prescription Drug plans. 

SECTION 14 – HOSPITALIZATION AND HEALTH INSURANCE
CE-305 (4-1-2011) Page 34

EYE CARE

1. Eye examinations, treatment, or surgery, such as – 

eye examinations laser surgery eye treatments 

2. Purchase of eye glasses or contact lenses, such as – 

eye glasses contact lenses contact lens insurance 

warranty expenses fittings kits and equipment 

prescription sunglasses 

DENTAL CARE

3. Dental care, such as – 

examinations bridges root canals teeth whitening in a 

cleanings orthodontic work X-rays dental office 

dentures caps or crowns fillings any other dental services 

INPATIENT CARE

4. Hospital rooms or services, including – 

anesthetics injections operating room examinations 

blood transfusions oxygen intensive care unit nursing services 

drugs and medicine laboratory tests recovery room X-rays 

treatment rooms therapy any other services 

From facilities, such as – 

general care hospitals substance abuse hospitals 

psychiatric hospitals birthing centers 

SECTION 15 – MEDICAL AND HEALTH EXPENDITURES
Page 35 CE-305 (4-1-2011) 

SECTION 15 – MEDICAL AND HEALTH EXPENDITURES 

(continued)

SERVICES BY MEDICAL PROFESSIONALS OTHER THAN PHYSICIANS

5. All services provided by medical professionals other than physicians, such as – 

chiropractor podiatrist psychologist substance abuse professionals 

acupuncturist midwife homeopath naturopath 

marriage counselor physical therapist nurse practitioners medical massage therapist 

 (certified) 

Include services provided both inside and outside the home. 

PHYSICIAN SERVICES

6. All services provided and billed by physicians, such as – 

general practitioner internist pediatrician gynecologist 

dermatologist urologist psychiatrist any other type of physicians 

surgeon plastic surgeon osteopath 

OTHER MEDICAL CARE SERVICES

7. Lab tests or x-rays 

X-rays blood tests other types of lab tests 

Do not include services received in a hospital as an inpatient or services for eye and dental 

care. 

8. Care in convalescent or nursing home 

Include all services provided and billed by a convalescent or nursing home. 

9. Care for invalids, convalescents, handicapped, or elderly persons in the home 

Do not include institutional or medical care. 

10. Adult day care centers 

11. Other medical care and outpatient services, such as – 

ambulance services blood donation dialysis services emergency room services 

rescue services outpatient hospital care oxygen services 

If medical care is given in outpatient department or emergency room, include - 

injections electro cardiogram baby shots physicians check up 

allergy shots skin treatment cardiology test broken bones/sprains 

hearing test cancer treatment blood pressure check 
CE-305 (4-1-2011) Page 36

SECTION 15 – MEDICAL AND HEALTH EXPENDITURES 

(continued)

MEDICINE OR MEDICAL SUPPLIES

12. Purchase of hearing aids 

13. Prescription drugs 

14. Rental of supportive or convalescent medical equipment, such as – 

braces splints whirlpools crutches 

cervical collars slings canes wheelchairs 

ace bandages walkers 

15. Purchase of supportive or convalescent medical equipment, such as – 

braces splints whirlpools crutches 

cervical collars slings canes wheelchairs 

ace bandages walkers orthotics power chair/scooter 

16. Rental of medical or surgical equipment for general use, such as – 

ice bags sinus masks sun lamps hot water bottles 

blood pressure kits heating pads vaporizers therapeutic heat lamps 

17. Purchase of medical or surgical equipment for general use, such as – 

thermometers sinus masks sun lamps therapeutic heat lamps 

ice bags insulin needles hot water bottles syringes 

ostomy supplies heating pads blood pressure kits oxygen 

pollen masks vaporizers home defibrillator orthopedic appliances 

(supports) 

Do not include purchases of items such as band-aids, gauze, cotton roll, and cotton 

balls. 
Page 37 CE-305 (4-1-2011) 

1. Recreational lessons or other instructions, including – 

golf dancing driving tennis 

music photography skiing painting 

sailing swimming sewing instructional day camps 

skydiving needlepoint cooking self defense 

driving lessons horseback riding 

2. Nursery school or child day care centers, including non-instructional day camps 

3. Tuition, including – 

college or university business school elementary school high school 

secretarial school parochial school seminary technical school 

adult education vocational school preparatory school middle/junior high school 

Include only those expenses paid directly to the school or to other educational facility. 

Do not report student loans. 

4. Housing while attending school, including – 

student dormitory sorority fraternity housing for married students 

Include only those expenses paid directly to the school or to other educational facility. 

5. Food or board while attending school 

Include only those expenses paid directly to the school or to other educational facility.

6. Private school bus service 

7. Test preparation or tutoring services 

8. Purchase of any school books, supplies, or equipment, which has not already been reported, 

including – 

text books ruler drafting equipment laboratory equipment 

microscopes art supplies technical books cap and gown 

9. Other school related expenses not already reported, including the rental of any school 

books or expenses 

laboratory fees matriculation fees transportation fees conferences and seminars 

registration fees health fees student union fees 

laundry fees athletic fees rental of school books 

cap and gown rentals administration 

fees 

rental of school equipment 

Do not report student loans. 

SECTION 16 – EDUCATIONAL EXPENSES 
CE-305 (4-1-2011) Page 38

Part A – Subscriptions and Memberships 

1. Subscriptions to newspapers, magazines, or periodicals. Include online subscriptions 

2. Books purchased from a book club 

3. Season tickets to theater, concert series, opera, other musical series, or amusement parks 

4. Season tickets to sporting events 

5. Encyclopedias or other reference books 

6. Golf courses, country clubs and other social organizations 

7. Health clubs, fitness centers, swimming pools, weight loss centers, or other sports and recreational 

organizations 

8. Vacation clubs 

9. Civic, service, or fraternal organization 

10. Credit card membership fees 

11. Shopping club memberships including warehouse clubs like SAM’S club and discount memberships 

like Amazon Prime 

12. Services that use Global Positioning Systems (GPS) such as OnStar, not already reported 

13. Direct or online dating services 

SECTION 17 – SUBSCRIPTIONS, MEMBERSHIPS, BOOKS, 

 AND ENTERTAINMENT EXPENSES 
Page 39 CE-305 (4-1-2011) 

SECTION 17 – SUBSCRIPTIONS, MEMBERSHIPS, BOOKS, 

AND ENTERTAINMENT EXPENSES (continued)

Part B – Books and Entertainment Expenses 

Fees for participation in sports, including – 

tennis golf bowling hunting and fishing licenses 

billiards swimming biking hockey 

Single admissions to spectator sporting events, including – 

football baseball hockey soccer 

auto racing basketball track events 

Single admissions to performances, including – 

movies operas plays concerts 

Single admissions to other entertainment activities, including – 

museums zoos state parks amusement parks 

historic sites 

Books not purchased through book clubs, including – 

digital books audio books paperbacks hardcover 

Exclude reference books or school books. 

Single copies of newspapers, magazines, periodicals (non-subscription) 

Photographic film, including disposable cameras 

Photo processing, including – 

digital photo processing video film processing 

Compact discs, audio tapes, or records 

Do not include blank or recordable CDs or blank or recordable audio tapes. 

Listening to or downloading music files 

Napster iTunes Rhapsody 

Purchase of Blu-ray discs, DVDs or VHS tapes 

Do not include blank or recordable DVDs or blank or recordable video tapes. 

Rental of Blu-ray discs, DVDs, or VHS tapes, including – 

mail delivery DVD rentals 

Viewing or downloading video files, including – 

CinemaNow Blockbuster.com iTunes 

Applications, games, or ringtones for a cellphone or other handheld device, not already 

reported 

Online games or other internet entertainment sites 
CE-305 (4-1-2011) Page 40

Part A – Types of Trips 

1. Visiting relatives or friends 

2. Business trips 

3. Recreational trips, such as – 

Sightseeing 

Sports events 

Club or organizational meetings 

Outdoor recreation 

4. Any other trips that occur overnight or longer 

5. Any day trips to a place at least 75 miles away 

Types of Transportation 

COMMERCIAL 

1. local (taxi, etc.) 

2. airplane 

3. train 

4. bus 

5. ship 

RENTED 

6. automobile 

7. truck, van 

8. motorcycle, moped 

9. private plane 

10. boat, trailer 

11. camper 

12. other vehicles 

PRIVATE 

13. automobiles or other vehicles privately owned or leased by household 

14. vehicle owned by someone else 

15. other transport 

SECTION 18 – TRIPS AND VACATIONS 
Page 41 CE-305 (4-1-2011) 

SECTION 18 – TRIPS AND VACATIONS (continued)

Rental of Sports Equipment 

Golf clubs 

Skis/snowboards 

Fishing equipment 

Boat 

Scuba/snorkeling equipment 

Other sports equipment 

Fees for Exercising or Playing Sports 

Golf 

Fishing 

Swimming 

Tennis 

Skiing/snowboarding 

Bowling 

Exercise classes 

Scuba/snorkeling 

Other sports 

Entertainment or Admissions 

Movies 

Theater 

Concerts 

Museums 

Tours 

Sports events 

Other entertainment events 
CE-305 (4-1-2011) Page 42

Part A – Miscellaneous Expenses

1. Fresh flowers or potted plants 

2. Professional photography 

3. Services of lawyers or other legal professionals, including – 

will divorce civil litigation, including lawsuits, 

bail bonds contracts bankruptcies, etc. 

arbitration services estate settlement criminal litigation, including 

mediation traffic citations 

Do not include fees for business purposes or those related to closing costs for the 

purchase of real estate.

4. Accounting fees, including – 

estate management trust management income tax preparation 

Do not include fees for business purposes. 

5. Occupational expenses, such as union dues or professional licenses 

6. Gardening or lawn care services, including – 

fertilizing lawn cutting hedge trimming 

tree removal tilling tree pruning 

planting plowing 

Include any services provided under service contracts. 

Do not include services that are covered by management or maintenance fees.

7. Housekeeping services, including – 

cleaning laundering cooking 

window washing carpet cleaning 

8. Home security system service fees 

9. Other home services or small repair jobs around the house, not previously reported 

Include diaper service. 

10. Moving, storage, or freight, including – 

moving companies mini-warehouses self-storage units cargo shipping 

Do not include expenses that are reimbursed by employer or other persons outside of the 

household.

SECTION 19 – MISCELLANEOUS EXPENSES
Page 43 CE-305 (4-1-2011) 

SECTION 19 – MISCELLANEOUS EXPENSES (continued) 

Part A – Miscellaneous Expenses (continued)

11. Stamp or coin collecting, including – 

stamp albums coin albums first day covers 

12. Lotteries or games of chance 

13. Babysitting, nanny services, or other child care in YOUR home 

Do not include nursery school care or care in a day care center. 

14. Babysitting, nanny services, or other child care in someone ELSE’s home 

Do not include nursery school care or care in a day care center. 

15. Toys or games, including – 

trains dart board action figures games 

infant toys stuffed animals dolls trucks 

16. Arts or crafts kits, including – 

model kits rug kits needlepoint kits arts and craft supplies 

17. Sewing and knitting materials for the home, including fabric for making slipcovers, blankets, 

quilts, afghans, tablecloths, flowers, curtains, etc., and for handwork including yarn 

18. Sewing materials for making clothes, including any fabric used for making clothes 

19. Sewing notions, including – 

sewing basket patterns buttons thread 

sewing kit crochet hooks measuring tapes knitting needles, equipment 

crochet thread scissors zipper embroidery hoops 

seam binding snaps needles/pins embroidery thread 

20. Other sewing materials, including – 

interfacing fiberfill stuffing beads, glitter, sequins 

quilt pad foam rug material felt or felt squares 

21. Purchase of pets, pet supplies, or medicine for pets, including – 

aquarium tropical fish dog house collars 

hamster cage pet toys bird cage dog 

guinea pig cat bird hamster 

gerbil 

Exclude pet food. 

22. Pet services, including – 

grooming kennels license pet daycare 

pet resorts 

23. Veterinarian expenses for pets, including – 

vet insurance veterinary treatment 
CE-305 (4-1-2011) Page 44

SECTION 19 – MISCELLANEOUS EXPENSES (continued) 

Part A – Miscellaneous Expenses (continued)

24. Food and beverages for catered affairs 

bridal showers parties Bar/Bat Mitzvahs quinceaneras 

weddings graduations anniversaries confirmations 

25. Live entertainment for catered affairs 

26. Rental of party supplies for catered affairs 

27. Purchase or upkeep of cemetery lots or vaults 

28. Funerals, burials, or cremation, including – 

burial fees flowers for funeral musician honoraria limousines (used 

burial plans clergy funeral transcript during funeral) 

headstones footstones 
Page 45 CE-305 (4-1-2011) 

SECTION 19 – MISCELLANEOUS EXPENSES (continued) 

Part B – Contributions 

GIVEN ANY MONEY BY CASH, CHECKS, OR GIVEN ANY GIFT CARDS TO – 

1. College students living away from home 

Money to pay for tuition, room, board, books, fees, transportation, clothing, and entertainment 

expenses 

2. Any other people not in your household, such as – 

friends co-workers homeless persons 

street musicians birthday money wedding money 

cash gifts at the office money to assist others 

PAID ANY OF THE FOLLOWING – 

3. Child support 

4. Alimony 

GIVEN ANY MONEY BY CASH, CHECKS, MONEY ORDERS, OR CREDIT CARDS TO BENEFIT – 

5. Educational institutions, including – 

alumni funds educational endowments parochial schools 

scholarship funds school fund-raisers 

6. Political organizations, including – 

political parties political candidates Political Action Committees (PACs) 

7. Religious organizations, including churches, temples, and mosques, including – 

tithes and offerings religious fund raisers 

building funds religious television/radio ministries 

8. Charities or all other organizations, including – 

Red Cross civic organizations American Cancer Society 

fine arts and literary United Way American Heart Association 

Humane Society 

GIVEN ANY STOCKS, BONDS, OR MUTUAL FUNDS 

9. Stocks, bonds, mutual funds 

Include only funds given to persons or organizations outside of your household 
CE-305 (4-1-2011) Page 46

Self-service laundry machines 

clothing quilts linens 

coats rugs drapes 

Laundry or dry cleaning services 

clothing quilts linens 

coats rugs drapes 

Cigarettes 

Other tobacco products 

cigars pipe tobacco chewing tobacco 

Haircutting, styling, attached hair pieces, manicures, massages and other salon services 

hair coloring pedicures facials 

waxing tanning salons hair weaves 

Hairpieces, wigs, or toupees 

temporary hair extensions 

Rental of safe deposit box located in a bank or similar financial institution 

Charges or fees for personal financial services such as ATM fees or account service charges 

from financial institutions such as banks, credit unions, and finance companies – 

ATM fees check order fee online banking and bill payment fee 

certified check fee money order fee below minimum balance fee 

check cashing fee regular service charges 

fees for personal loans, except those for real estate 

management fees for trust, custodial or escrow accounts

Taxi or limousine service 

Mass transportation services such as a bus, subway, mini-bus, or train 

SECTION 20B – EXPENSE PATTERNS FOR 

SELECTED SERVICES AND GOODS 
Page 47 CE-305 (4-1-2011) 

CREDIT BALANCES, FINANCE CHARGES, INTEREST CHARGES, LATE FEES 

Do not include mortgages, home equity loans, automobile loans, or business-related loans. 

1. Gasoline credit cards – Shell, Exxon, Citgo, etc. 

2. Store credit cards – department, specialty, electronic, or sporting goods 

3. Major credit cards – Visa, MasterCard, American Express, Discover, or other revolving credit 

accounts 

4. Store installment credit accounts 

5. Financial institutions – banks, brokerages, savings and loans, credit unions, or insurance 

companies 

Do not include insurance premium payments. 

6. Doctors, dentists, hospitals, or other medical practitioners for expenses not covered by 

insurance 

7. Other credit – education loans, personal loans, or loans from retirement plans 

SECTION 21 – CREDIT LIABILITY 
CE-305 (4-1-2011) Page 48

1. Administrator, Manager 

administrator manager funeral director 

2. Teacher 

teacher guidance counselor 

3. Professional 

registered nurse accountant physician social worker computer systems 

lawyer engineer clergy photographer analyst 

4. Administrative Support, including Clerical 

secretary bookkeeper clerk 

receptionist computer assistant typist 

5. Sales, Retail 

cashier commodity salesperson door to door salesperson 

apparel salesperson motor vehicle salesperson 

6. Sales, Business Goods and Services 

mining sales representative real estate salesperson 

financial services wholesale sales representative 

manufacturing sales representative insurance salesperson 

7. Technician 

health technician practical nurse drafting clinical laboratory technician 

electronic technician 

8. Protective Service 

private guard police officer firefighter 

9. Private Household Service 

nanny household worker 

10. Other Service (except private household) 

janitor cook waiter/waitress food preparer food counter/fountain 

child care worker hairstylist maid/houseman orderly worker 

11. Machine Operator, Assembler, Inspector 

machine operator assembler inspector 

12. Transportation Operator 

truck driver bus driver tractor operator taxi driver 

13. Handler, Helper, Laborer 

stock handler freight handler material handler packager construction laborer 

14. Mechanic or Repairer, Precision Production 

automobile 

mechanic 

machine repairer machinist meat cutter sheet metal worker 

15. Construction, Mining 

carpenter electrician painter plumber mining worker 

16. Farming 

farmer farm worker 

17. Forestry, Fishing, Groundskeeping 

forestry worker fisher groundskeeper animal caretaker 

18. Armed Forces 

SECTION 22 – OCCUPATIONS 
Page 49 CE-305 (4-1-2011) 

CARD A 

0. Loss 

1. $ 0 – $ 4,999 

2. $ 5,000 – $ 9,999 

3. $ 10,000 – $ 14,999 

4. $ 15,000 – $ 19,999 

5. $ 20,000 – $ 29,999 

6. $ 30,000 – $ 39,999 

7. $ 40,000 – $ 49,999 

8. $ 50,000 – $ 69,999 

9. $ 70,000 – $ 89,999 

10. $ 90,000 – $ 119,999 

11. $ 120,000 and over 

SECTION 22 – WORK EXPERIENCE AND INCOME
CE-305 (4-1-2011) Page 50

SECTION 22 – WORK EXPERIENCE AND INCOME (continued) 

CARD B 

0. Less than $300 

1. $ 300 – $ 399 

2. $ 400 – $ 499 

3. $ 500 – $ 599 

4. $ 600 – $ 699 

5. $ 700 – $ 799 

6. $ 800 – $ 899 

7. $ 900 – $ 999 

8. $ 1,000 – $ 1,499 

9. $ 1,500 and over 
Page 51 CE-305 (4-1-2011) 

SECTION 22 – WORK EXPERIENCE AND INCOME (continued) 

CARD C 

0. Loss 

1. $ 0 – $ 999 

2. $ 1,000 – $ 1,999 

3. $ 2,000 – $ 2,999 

4. $ 3,000 – $ 3,999 

5. $ 4,000 – $ 4,999 

6. $ 5,000 – $ 9,999 

7. $ 10,000 – $ 14,999 

8. $ 15,000 – $ 19,999 

9. $ 20,000 – $ 29,999 

10. $ 30,000 – $ 39,999 

11. $ 40,000 – $ 49,999 

12. $ 50,000 and over 
CE-305 (4-1-2011) Page 52

CALENDAR 

2011 

JANUARY 

S M T W T F S 

 1 

2 3 4 5 6 7 8 

9 10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 29

30 31 

JULY 

S M T W T F S 

 1 2 

3 4 5 6 7 8 9 

10 11 12 13 14 15 16 

17 18 19 20 21 22 23 

24 25 26 27 28 29 30 

31 

FEBRUARY 

S M T W T F S 

 1 2 3 4 5 

6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 

AUGUST 

S M T W T F S 

 1 2 3 4 5 6 

7 8 9 10 11 12 13 

14 15 16 17 18 19 20 

21 22 23 24 25 26 27 

28 29 30 31 

MARCH 

S M T W T F S 

 1 2 3 4 5 

6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30 31 

SEPTEMBER

S M T W T F S 

 1 2 3 

4 5 6 7 8 9 10 

11 12 13 14 15 16 17 

18 19 20 21 22 23 24 

25 26 27 28 29 30 

 

APRIL 

S M T W T F S 

 1 2 

3 4 5 6 7 8 9 

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28 29 30

OCTOBER 

S M T W T F S 

 1 

2 3 4 5 6 7 8 

9 10 11 12 13 14 15 

16 17 18 19 20 21 22 

23 24 25 26 27 28 29 

30

MAY 

S M T W T F S 

1 2 3 4 5 6 7 

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31 

NOVEMBER

S M T W T F S 

 1 2 3 4 5 

6 7 8 9 10 11 12 

13 14 15 16 17 18 19 

20 21 22 23 24 25 26 

27 28 29 30 

 

JUNE 

S M T W T F S 

 1 2 3 4 

5 6 7 8 9 10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 30 

DECEMBER

S M T W T F S 

 1 2 3 

4 5 6 7 8 9 10 

11 12 13 14 15 16 17 

18 19 20 21 22 23 24 

25 26 27 28 29 30 31 

 
Page 53 CE-305 (4-1-2011) 

CALENDAR 

2012 

JANUARY 

S M T W T F S 

1 2 3 4 5 6 7 

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31 

JULY 

S M T W T F S 

1 2 3 4 5 6 7 

8 9 10 11 12 13 14 

15 16 17 18 19 20 21 

22 23 24 25 26 27 28 

29 30 31 

FEBRUARY 

S M T W T F S 

 1 2 3 4 

5 6 7 8 9 10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 

AUGUST 

S M T W T F S 

 1 2 3 4 

5 6 7 8 9 10 11 

12 13 14 15 16 17 18 

19 20 21 22 23 24 25 

26 27 28 29 30 31 

MARCH 

S M T W T F S 

 1 2 3 

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

SEPTEMBER

S M T W T F S 

 1 

2 3 4 5 6 7 8 

9 10 11 12 13 14 15 

16 17 18 19 20 21 22 

23 24 25 26 27 28 29 

30 

APRIL 

S M T W T F S 

1 2 3 4 5 6 7 

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 

OCTOBER 

S M T W T F S 

 1 2 3 4 5 6 

7 8 9 10 11 12 13 

14 15 16 17 18 19 20 

21 22 23 24 25 26 27 

28 29 30 31 

MAY 

S M T W T F S 

 1 2 3 4 5 

6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30 31 

NOVEMBER

S M T W T F S 

 1 2 3 

4 5 6 7 8 9 10 

11 12 13 14 15 16 17 

18 19 20 21 22 23 24 

25 26 27 28 29 30 

JUNE 

S M T W T F S 

 1 2 

3 4 5 6 7 8 9 

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28 29 30

DECEMBER

S M T W T F S 

 1 

2 3 4 5 6 7 8 

9 10 11 12 13 14 15 

16 17 18 19 20 21 22 

23 24 25 26 27 28 29 

30 31 
CE-305 (4-1-2011) Page 54

FRACTION CONVERSION CHART 

Fractions to Percentages 

Fraction % Fraction % Fraction % 

1/2 50.00 1/7 14.29 3/9 33.33 

1/3 33.33 2/7 28.57 4/9 44.44 

2/3 66.67 3/7 42.86 5/9 55.55 

1/4 25.00 4/7 57.14 6/9 66.67 

2/4 50.00 5/7 71.42 7/9 77.78 

3/4 75.00 6/7 85.71 8/9 88.89 

1/5 20.00 1/8 12.50 1/10 10.00 

2/5 40.00 2/8 25.00 2/10 20.00 

3/5 60.00 3/8 37.50 3/10 30.00 

4/5 80.00 4/8 50.00 4/10 40.00 

1/6 16.67 5/8 62.50 5/10 50.00 

2/6 33.33 6/8 75.00 6/10 60.00 

3/6 50.00 7/8 87.50 7/10 70.00 

4/6 66.67 1/9 11.11 8/10 80.00 

5/6 83.33 2/9 22.22 9/10 90.00 
Page 55 CE-305 (4-1-2011) 

PRIVACY ACT STATEMENT 

The U.S. Census Bureau is conducting the Consumer Expenditure Surveys for the 

Bureau of Labor Statistics of the U.S. Department of Labor under Title 29, United States 

Code. The survey’s purpose is to obtain information on what Americans are purchasing 

in order to update the Consumer Price Index. All survey information will be used for 

statistical purposes only. 

Any information you provide for this survey is confidential, by law, under Title 13, United 

States Code. Participation in this survey is voluntary and there are no penalties for 

refusing to answer any question(s). However, your cooperation is extremely important 

to help ensure the completeness and accuracy of these data. 

U.S. Department of Commerce

Economics and Statistics Administration

U.S. Census Bureau