2010-09-22
QPL Reference Manual

This sample shows the "Survey of State Public Utility Commissions on the Universal Service Fund Low Income Program" survey that conducted during the summer of 2010 to state agency officials.

The survey demonstrates a number of new QPL6 features, including the use of the automatic question numbering (QNUMBERING), MATRIX and COLUMNS layouts, and question indenting (INDENT).

Also note how the skip commands, GOTO and NEXT, have been implemented to guide the respondent through the survey. These commands have been carefully implemented so that skip may be be automatically cleaned later by the web site administrator when exporting the survey data. Here, each respondent's unique path through the survey will be determined and any answers that were entered off the path will be erased (the orginal data is not changed).

The INDENT command and QNUMBERING commands also were used to make the skip instructions more obvious to the respondent. Questions that should only be answered when a respondent says yes to a screening question are indented under the screening question. And these questions use the same question number as the screening question, but are incremented with a, b, c, etc., to further indicate their relationship to the screening question.

Note: The web views shown here are the local HTML version of the web site. The thick, horizontal, blue lines indicate where the survey was divided into pages. Also, since all the questionnaire pages are on one web page, it may take a moment for the form to load into your browser.

View survey form

View survey form with question names

Program Source Code

*****************************************************************************
** PROGRAM: UniversalServiceFund.pgm                       DATE: 2010-3-3  **
**  AUTHOR: KAUFMAN                                        JOB:  543255    **
**                                                                         **
**   TITLE:  Universal Service Fund Low Income Program -                   **
**           Survey of State Public Utility Commissions                    **
** PURPOSE:                                                                **
**                                                                         **
**                                                                         **
**                                                                         **
**                                                                         **
**                                                                         **
***************************************************************************** 
** CONVERT Options: /d /f /l /u  /gao
**********************************************************************
** Global Settings

.TITLE="Survey of State Public Utility Commissions on the Universal Service Fund Low Income Program"
.SUBTITLE="U.S. Government Accountability Office"
.COLORSCHEME=#607388=3
.PAGEWIDTH=850
.CARD=300
.QPREFIX=ON
.ANUMBERING=OFF


** Default Phrases
.212=" "
.170="Go here"
.171="Go to page:"
.172="If selected, go to question"
.173="Otherwise, continue at question"
.174="Click here to skip "
.175="Click here to go to section:"
.194="(Select all that apply)"
.195=" "
.202="Previous"
.203="Next"
.204="Print this Page"
.210="Exit"
.216=" "
.265="According to your response(s) to this question, you should next go to question:"
.266="Please click on the link at answer"
.274="You have not selected an answer yet."
.275="You did not select the answer for this link."


***************************************************************************** 
** HELLO page
***************************************************************************** 

.HELLO="Begin"
Welcome to GAO's Survey of State Public Utility Commissions on the Universal Service Fund 
Low Income Program.  To log into our survey, you will need the user name and password 
that we sent you in our e-mail.  
  
You may bookmark this page to make it easier to start the survey in the 
event you do not finish it in one session.  We anticipate that this survey  
should take about 60 to 90 minutes to complete and does not need to be completed in one 
sitting. Detailed instructions will be available when you log into our survey.

If you want to review our survey before completing it on line, 
\<a href\=\"universalservicefundsurvey.pdf\" target\=\"_blank\" 
title\=\"Universal Service Fund Survey\"\>click here\</a\> to download an Adobe Acrobat 
read only copy. If you do not already have an Adobe Acrobat reader on your computer,  
\<a target\=\"_blank\" href\=\"http://www.adobe.com/products/acrobat/readstep2.html\" 
title\=\"Get Adobe Acrobat Reader\"\>click here\</a\> to download this software.

Please click the "Begin" button, log in, and start the survey.    

If you have any questions as you answer the questions in this survey, please 
contact xxxxx xxxxxxxx at \<a href\=\"mailto:xxxxx\@gao.gov\"\>xxxxx\@gao.gov\</a\>
or 202-512-0000, or xxxxx xxxxxxx at \<a href\=\"mailto:xxxxxx\@gao.gov\"\>xxxxxx\@gao.gov\</a\>
or 214-777-0000.
.HELLO=OFF

**************************************************************************** 
** HELP BAR ON LEFT OF SCREEN
***************************************************************************** 

.HELP=ON
If you have any questions about this GAO survey, please contact:

\<a href\=\"mailto:xxxxx\@gao.gov\"\>xxxxx xxxxxxxx\</a\>,|202-512-0000, or 
\<a href\=\"mailto:xx\@gao.gov\"\>xxxxx xxxxxxxx\</a\>|214-777-0000.
.HELP=OFF


**************************************************************************** 
** POPUP - - INSTRUCTIONS PAGE
***************************************************************************** 

.POPUP=instructions
.TITLE="click here for help"
.HEIGHT=600
.WIDTH=600
.PRINTBUTTON=ON
.CLOSEBUTTON=ON
+INSTRUCTIONS+

+How to Move Around:+

=If all the questions on a page don't fit on your screen, slider bars will
be visible on the bottom and side of your screen. Reposition the page as necessary.

=Use the +"Next"+ and +"Previous"+ buttons at the 
bottom of each page to move forwards and backwards through the survey at any time. 

=The +menu window+ on the left side of the screen can also be used to jump to any section.

+How to Save Your Answers and Come Back Later:+

=To save and temporarily exit this survey at any time, 
press the +"Exit"+ button at the bottom of a page.

=Always use the +"Exit"+ button to close the questionnaire. If you do 
not, you may lose information you entered on your current page.

=To re-open your survey and enter more responses or change previous 
responses, come back to the web address we gave you and re-enter your user name and password.

=The survey will restart at the last question you answered.

+How to Print Your Answers:+

Click on the "View and print summary of your responses" link in the menu
on the left.

+How to Tell Us You're Done:+
  
The last question (question #48) asks you to tell us when you have completed the survey  
and that GAO can use your answers. We won't use your answers until you have done this.

+How to Get Help:+
     
If you have any +questions about this GAO study,+ please call or email:

xxxxx xxxxxxxx at 202-512-0000 (\<a href\=\"mailto:xxxxx\@gao.gov\"\>xxxxx\@gao.gov\</a\>) |
or|
xxxxx xxxxxxxx at 214-777-0000 (\<a href\=\"mailto:xxxxx\@gao.gov\"\>xxxxx\@gao.gov\</a\>)
.POPUP=OFF

**************************************************************************** 
** Hidden Questions 
***************************************************************************** 

.HIDE=ON

.QUESTION=State, TYPE=STRING
State Name
.ANSWER=25
.NEXT


.QUESTION=A1, TYPE=MULT
Template answer list 1
.ANSWER=0
Yes
No
!Do not| know
.NEXT

.QUESTION=A2, TYPE=VOID
Template answer 2
.ANSWER
(Select one answer in each row.)
.NEXT

.HIDE=OFF

***************************************************************************** 
** Introduction Page
***************************************************************************** 

.QNUMBERING=OFF
.subtitle="Introduction"
.WIDTH=650

.QUESTION, TYPE=VOID
The U.S. Government Accountability Office (GAO), the evaluation arm of Congress, has 
been asked to review the administration and performance of the Universal Service Fund 
(USF) Low Income program. As part of this study, GAO is surveying state public utility 
commissions in all 50 states and the District of Columbia. We realize that there are 
several components to the Low Income program, but for the purpose of this survey, please 
focus only on the +_Lifeline program_+.

The results of this survey, along with information we obtain from the Federal 
Communications Commission (FCC) and the Universal Service Administrative Company (USAC), 
will be presented in a written report to Congress. Your state's participation is essential 
for us to provide Congress with a comprehensive understanding of the Low Income program. 
To this end, please feel free to work with your colleagues if you require their input 
to complete the questionnaire.  

This survey should take approximately 60 to 90 minutes to complete and does not need to 
be completed in one sitting. Your responses can be saved and accessed at a later date. 
To learn more about completing the questionnaire, printing your responses, and who to 
contact if you have questions, ^instructions^.

Thank you in advance for your assistance and cooperation in taking part in our survey.
.ANSWER
.NEXT


***************************************************************************** 
** Questions
***************************************************************************** 

.NEWPAGE
.SUBTITLE="Survey Respondent"

.QNUMBERING=1

.QUESTION, TYPE=VOID
Please provide the following information for the organization and the person primarily 
responsible for completing this survey in case we need to contact you to clarify a response.
.ANSWER
.NEXT

.MATRIX=ON, MATRIXWIDTH=550, MATRIXROWSHADING=ON
.QNUMBERING=OFF
.ALIGN=RIGHT
.WIDTH=190
.BOLD=ON

.QUESTION, TYPE=STRING
Name:
.ANSWER=60
.NEXT

.QUESTION, TYPE=STRING
Position title:
.ANSWER=120
.NEXT

.QUESTION, TYPE=STRING
Agency:
.ANSWER=120
.NEXT

.QUESTION, TYPE=STRING
Telephone `(Include area code)`:
.ANSWER=60
.NEXT

.QUESTION,TYPE=STRING
E-mail address:
.ANSWER=100
.NEXT

.MATRIX=OFF

*****************************************************************************************************

.NEWPAGE
.SUBTITLE="Background Questions"

.QNUMBERING=2

.QUESTION, TYPE=MULT
Is there an add-on to the federal Lifeline benefit in your state?  

~(An "add-on" refers to an intrastate 
discount in addition to the federal Lifeline support.  It may be state-mandated 
Lifeline support or Lifeline support provided by the carrier, for example.)~
.ANSWER=0
Yes, for wireline and wireless consumers
.GOTO=Q2A
Yes, just for wireline consumers
.GOTO=Q2A
No
!Do not know
.NEXT=Q3

**********************************************************
.QNUMBERING="2a"

.QUESTION, TYPE=MULT, INDENT=70
What is the funding source for the add-on to the federal Lifeline benefit?
.ANSWER=0
State universal service fund
Other - `Please specify below.`
!Do not know
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=220, BOLD=OFF, ALIGN=LEFT
.QNUMBERING=OFF

.QUESTION, TYPE=OPENEND, INDENT=70
If you answered "Other" above,|
please specify funding source here.
.ANSWER=2
.NEXT

.MATRIX=OFF

************************************************************

.QNUMBERING=3
.QUESTION, TYPE=NUMBER="Maximum monthly benefit amount $ ###.##"
What is the +maximum+ total monthly benefit amount in your state?  

~(Please enter the dollar amount 
of the maximum total Lifeline benefit - federal benefit and add-on, if applicable, combined.  
If the amount varies, please report the highest possible amount and provide an explanation.)~
.ANSWER
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=500
.WIDTH=160
.QNUMBERING=OFF

.QUESTION, TYPE=OPENEND
If this amount varies, |please explain why.
.ANSWER=2
.NEXT

.MATRIX=OFF

*****************************************************************

.QNUMBERING=ON

.QUESTION, TYPE=CHECK
Which of the following types of service providers have been certified, either by 
the state or FCC, as an eligible telecommunications carrier (ETC) in your state? 
.ANSWER
Wireline 
Wireless
Cable Company
Voice Over Internet Provider (VOIP)
Other - `Please specify below.`
!Do not know
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=630
.WIDTH=270
.QNUMBERING=OFF

.QUESTION, TYPE=OPENEND
If you answered "Other" above, please|
specify other service providers here.
.ANSWER=2
.NEXT

.MATRIX=OFF

***************************************************************

.QNUMBERING=ON

.QUESTION, TYPE=MULT
A "federal default state" is a state that does not have its own Lifeline program or a 
state that has its own Lifeline program but elects to use the federal eligibility, 
certification, and verification requirements.
  
Is your state a federal default state?
.ANSWER=0
Yes
No 
!Do not know 
.NEXT 

********************************************

* .QNUMBERING=7

.QUESTION, TYPE=MULT
Does your state impose or enforce its certification and verification requirements 
on +_all_+ of the ETCs operating in the state?
.ANSWER=0
Yes
No
.GOTO = Q6A
!Do not know
.NEXT=Q7

*********************************************************

.QNUMBERING="6a", INDENT=70

.QUESTION, TYPE=MULT
If your state does +not+ impose or enforce its certification and verification requirements on 
certain carriers, has the state informed the relevant carrier(s) that it must follow federal 
default procedures?
.ANSWER=0
Yes
No
!Do not know
.NEXT
	  
********************************************************

.QUESTION, TYPE=MULT
If your state does +not+ impose or enforce its certification and verification requirements on 
certain carriers, has the state informed USAC that it does not assert jurisdiction?
.ANSWER=0
Yes
No
!Do not know
.NEXT

*********************************************************

.QNUMBERING=7, INDENT=OFF

.QUESTION, TYPE=MULT
For the purpose of this survey, a bundled service offering is one that allows consumers to subscribe 
to packages that combine telephone service with Internet access and/or television service.  
  
Do ETCs in your state allow consumers to apply the Lifeline discount to a bundled service offering 
or package that includes telephone service?
.ANSWER=0
Yes
No
!Do not know
.NEXT

*********************************************************

.NEWPAGE
.SUBTITLE="Important Instructions"

.QNUMBERING=OFF

.QUESTION, TYPE=VOID
+PLEASE NOTE:+  The following three sections in this survey focus on enrollment 
procedures, certification procedures, and verification procedures.  Please answer 
these questions +_only as they relate to the ETCs over which the state has 
imposed or enforced its enrollment, certification, and verification requirements_+.
.ANSWER
.NEXT

*********************************************************

.NEWPAGE
.SUBTITLE="Enrollment Procedures"

.QNUMBERING=ON

.QUESTION, TYPE=CHECK
Which of the following entities process applications for the Lifeline program?
.ANSWER
State public utility commission
Other state agency - `Please name the other state agency below.`
Third-party administrator
Eligible Telecommunications Carrier (ETC)
Other - `Please specify below.`
!Do not know
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=630
.WIDTH=270
.QNUMBERING=OFF

.QUESTION, TYPE=OPENEND
If you answered "Other state agency" or "Other" above, 
please name the other state agency or specify any other entities here.
.ANSWER=3
.NEXT

.MATRIX=OFF

*****************************************************

.QNUMBERING=ON

.QUESTION, TYPE=VOID
Are the following methods available to consumers to apply for the Lifeline program?
.ANSWER
(Select one answer in each row.)
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=500
.WIDTH=250
.QNUMBERING=OFF

.QUESTION, TYPE=MULT
In-person
.ANSWER=A1
.NEXT

.QUESTION, TYPE=MULT
Mail
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
On-line
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Phone
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Other - `Please specify below.`
.ANSWER
.NEXT

.MATRIX=OFF

*****************************************************************************

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=220

.QUESTION, TYPE=OPENEND
Other methods available to consumers to apply.
.ANSWER=2
.NEXT

.MATRIX=OFF

********************************************************************************

.QNUMBERING=10

.QUESTION, TYPE=MULT
Can consumers qualify for the Lifeline program on the basis of enrollment in other public 
assistance programs?
.ANSWER=0
Yes
.GOTO=Q10A
No
!Do not know
.NEXT=Q11

**************************************************

.QNUMBERING="10a"


.QUESTION, TYPE=VOID, INDENT=70
If yes to question 10, do the following public assistance programs qualify consumers for support?
.ANSWER=A2
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=350
.QNUMBERING=OFF
.INDENT=70

.QUESTION, TYPE=MULT
National School Lunch Free Lunch Program
.ANSWER=A1
.NEXT

.QUESTION, TYPE=MULT
Temporary Assistance for Needy Families (TANF)
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Medicaid
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Supplemental Nutrition Assistance Program (SNAP)/formerly Food Stamps
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Supplemental Security Income (SSI)
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Federal Public Housing (Section 8)
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Low Income Home Energy Assistance Program (LIHEAP)
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Programs available to households on federally recognized tribal lands
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Other - `Please specify below.`
.ANSWER
.NEXT

.MATRIX=OFF

*****************************************************************************

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=220
.QNUMBERING=OFF

.QUESTION, TYPE=OPENEND
Other qualifying public assistance programs.
.ANSWER=2
.NEXT

.MATRIX=OFF

****************************************************************

.NEWPAGE
.SUBTITLE="Enrollment Procedures ~(Continued)~"

.QNUMBERING=11

.QUESTION, TYPE=MULT
Can consumers qualify for the Lifeline program on the basis of household income alone 
if they do not participate in a qualifying public assistance program?
.ANSWER=0
Yes
.GOTO=Q11A
No
!Do not know
.NEXT=Q12

************************************************************************************

.QNUMBERING="11a"

.QUESTION, TYPE=MULT, INDENT=70
If you answered "yes" above, what is the income eligibility limit to qualify 
for the Lifeline program?
.ANSWER=0
100% of the federal poverty guideline
125% of the federal poverty guideline
135% of the federal poverty guideline
150% of the federal poverty guideline
175% of the federal poverty guideline
180% of the federal poverty guideline
Other - `Please specify below.`
!Do not know
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=220
.QNUMBERING=OFF

.QUESTION, TYPE=OPENEND, INDENT=70
If "Other," please specify the income eligibility limit.
.ANSWER=2
.NEXT

.MATRIX=OFF

**************************************************

.QNUMBERING=12

.QUESTION, TYPE=MULT
Does your state use an "automatic enrollment" system that uses an electronic 
interface between a state agency and ETCs that allows low-income households 
to automatically enroll in Lifeline following 
enrollment in a qualifying public assistance program?
.ANSWER=0
Yes
No
.GOTO=Q12A
!Do not know
.NEXT=Q13

**************************************************

.QNUMBERING="12a"

.QUESTION, TYPE=MULT, INDENT=70
If you answerd "no" above, does the state/program administrator have plans to 
development an automatic enrollment system?
.ANSWER=0
Yes 
No 
!Do not know
.NEXT

***************************************************

.QNUMBERING=13

.QUESTION, TYPE=MULT
Does the state, program administrator, or ETC send "pre-approved" Lifeline 
applications to Lifeline-eligible households which, if returned to the state, 
program administrator, or ETC, result in the enrollment of that household 
in the Lifeline program?
.ANSWER=0
Yes
No
.GOTO=Q13A
!Do not know
.NEXT=Q14

**************************************************

.QNUMBERING="13a"

.QUESTION, TYPE=MULT, INDENT=70
If no to question 13, does the state, program administrator, or ETC have 
plans to start this practice?
.ANSWER=0
Yes 
No 
!Do not know
.NEXT

**************************************************

.QNUMBERING=14

.QUESTION, TYPE=VOID
In your opinion, to what extent, if at all, is each of the following a 
barrier to enrollment in the Lifeline program?
.ANSWER=A2
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=660
.WIDTH=330
.QNUMBERING=OFF
.INDENT=OFF

.QUESTION, TYPE=MULT
Eligible consumers are unaware of the program
.ANSWER=0
Very great extent
Great extent
Moderate extent
Some extent
Little or no extent
!Do not know
.NEXT

.QUESTION, TYPE=MULT
Eligible consumers find the certification and/or verification procedures 
too difficult
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Services for Lifeline support recipients are limited and eligible 
consumers forgo the benefit to access additional services
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Lifeline support is not available for wireless service
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Other - `Please specify below.`
.ANSWER
.NEXT

.MATRIX=OFF

*****************************************************************************

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=220
.QNUMBERING=OFF

.QUESTION, TYPE=OPENEND
Other barriers to enrollment.
.ANSWER=3
.NEXT

.MATRIX=OFF

************************************************************

.QNUMBERING=ON

.QUESTION, TYPE=OPENEND
If you have any comments related to any of your answers in this section on 
+enrollment procedures+, please enter them in the space below.
.ANSWER=6
.NEXT

************************************************************************************

.NEWPAGE
.SUBTITLE="Certification Procedures"

.QNUMBERING=OFF

.QUESTION, TYPE=VOID
+_For the purpose of answering questions 23-31 in this section, please refer 
to the following definitions._+
.ANSWER
.NEXT

.QUESTION, TYPE=VOID
+Program-based Eligibility+ - refers to eligibility based on participation in 
any of the public assistance programs identified in the previous section that 
qualify a household for the Lifeline program.
  
+Income-based Eligibility+ - refers to eligibility based on proof of income 
below the threshold indicated in the previous section that qualifies a household 
for the Lifeline program.  
  
+Automatic enrollment+ - refers to a system that uses an electronic interface 
between a state agency and ETCs to allow low-income households to automatically 
enroll in Lifeline following enrollment in a qualifying public assistance program.
.ANSWER
.NEXT

********************************************************

.QNUMBERING=16

.QUESTION, TYPE=MULT
Does your state have procedures in place to certify +program-based+ eligibility 
for the Lifeline program?
.ANSWER=0
Yes
.GOTO=Q16A
No
!Do not know
.NEXT=Q17

********************************************************

.QNUMBERING="16a"

.QUESTION, TYPE=CHECK, INDENT=70
If yes to question 23, which entity is responsible for certification of 
+program-based+ eligibility for the 
Lifeline program?
.ANSWER
State public utility commission
Other state agency - `Please name the other state agency below.`
Third-party administrator
Eligible Telecommunications Carrier (ETC)
Other - `Please specify below.`
!Do not know
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=630
.WIDTH=270
.QNUMBERING=OFF

.QUESTION, TYPE=OPENEND, INDENT=70
If you answered "Other state agency" or "Other" above, 
please name the other state agency or specify any other entities here.
.ANSWER=3
.NEXT

.MATRIX=OFF

***************************************************

.QNUMBERING=ON

.QUESTION, TYPE=VOID, INDENT=70
If you answerd "yes" to question 16, are the following certification 
procedures of +program-based+ eligibility used?   
.ANSWER=A2
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=330
.QNUMBERING=OFF
.INDENT=70

.QUESTION, TYPE=MULT
Self-certification under penalty of perjury that the consumer is 
enrolled in a qualifying assistance program
.ANSWER=A1
.NEXT

.QUESTION, TYPE=MULT
Presentation of documentation of enrollment in a qualifying assistance program
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Automatic enrollment of eligible consumers in the Lifeline program
.ANSWER
.NEXT


.QUESTION, TYPE=MULT
Other - `Please specify below.`
.ANSWER
.NEXT

.MATRIX=OFF

*****************************************************************************

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=220
.QNUMBERING=OFF

.QUESTION, TYPE=OPENEND
Other certification procedures for +program-based+ eligibility.
.ANSWER=3
.NEXT

.MATRIX=OFF

************************************************************

.NEWPAGE
.SUBTITLE="Certification Procedures ~(Continued)~"

.QNUMBERING=17

.QUESTION, TYPE=MULT
Does your state have procedures in place to certify +income-based+ eligibility 
for the Lifeline program?
.ANSWER=0
Yes
.GOTO=Q17A
No
!Do not know
.NEXT=Q18

********************************************************

.QNUMBERING="17a"

.QUESTION, TYPE=CHECK, INDENT=70
If answerd "yes" above, which entity is responsible for certification of 
+income-based+ eligibility for the Lifeline program?
.ANSWER
State public utility commission
Other state agency - `Please name the other state agency below.` 
Third-party administrator
Eligible Telecommunications Carrier (ETC)
Other - `Please specify below.`
!Do not know
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=630
.WIDTH=270
.QNUMBERING=OFF
.INDENT=70

.QUESTION, TYPE=OPENEND
If you answered "Other state agency" or "Other" above, 
please name the other state agency or specify any other entities here.
.ANSWER=3
.NEXT

.MATRIX=OFF

***************************************************

.QNUMBERING=ON

.QUESTION, TYPE=VOID, INDENT=70
If you answerd "yes" to question 17, are the following certification 
procedures of +income-based+ eligibility used?
.ANSWER=A2
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=620
.WIDTH=330
.QNUMBERING=OFF
.INDENT=70

.QUESTION, TYPE=MULT
Self-certification of income and the number of people in the household under 
penalty of purjury
.ANSWER=A1
.NEXT

.QUESTION, TYPE=MULT
Presentation of documentation of income
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Automatic enrollment of eligible consumers in the Lifeline program
.ANSWER
.NEXT


.QUESTION, TYPE=MULT
Other - `Please specify below.`
.ANSWER
.NEXT

.MATRIX=OFF

*****************************************************************************

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=220
.QNUMBERING=OFF

.QUESTION, TYPE=OPENEND
Other certification procedures for +income-based+ eligibility.
.ANSWER=3
.NEXT

.MATRIX=OFF

************************************************************

.QNUMBERING=ON

.QUESTION, TYPE=MULT, INDENT=70
Did you answer "Yes," indicating that it is necessary for a consumer to present 
some sort of documentation of income to certify for income-based eligibility?
.ANSWER=0
Yes
.GOTO=Q17D
No
!Do not know
.NEXT=Q18

************************************************************



.QUESTION, TYPE=VOID, INDENT=140
If a consumer must present documentation to certify +income-based+ 
eligibility, are the following considered as +accepted documentation+?
.ANSWER=A2
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON
.MATRIXWIDTH=620
.WIDTH=330
.QNUMBERING=OFF
.INDENT=140

.QUESTION, TYPE=MULT
Prior year's state, federal or tribal income tax return
.ANSWER=A1
.NEXT

.QUESTION, TYPE=MULT
Current income statement from an employer or paycheck stub
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Social Security statement of benefits
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Unemployment or Workmen's Compensation statement of benefits
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Federal or tribal notice letter of participation in Bureau of Indian 
Affairs General Assistance program
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Divorce decree
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Child support documents
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Other - `Please specify below.`
.ANSWER
.NEXT

.MATRIX=OFF

*****************************************************************************

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=220

.QUESTION, TYPE=OPENEND
Other accepted documentation to certify for 
+income-based+ eligibility.
.ANSWER=2
.NEXT

.MATRIX=OFF

********************************************************************************

.QNUMBERING=18

.QUESTION, TYPE=OPENEND
If you have any comments related to any of your answers in this section on 
+certification procedures+, please enter them in the space below.
.ANSWER=6
.NEXT

************************************************************************************

.NEWPAGE
.SUBTITLE="Verification Procedures"



.QUESTION, TYPE=CHECK
Which entity is responsible for verifying the +continued eligibility+ 
of Lifeline support recipients?
.ANSWER
State public utility commission
Other state agency - `Please name the other state agency below.` 
Third-party administrator
Eligible Telecommunications Carrier (ETC)
Other - `Please specify below.`
!Do not know
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=630
.WIDTH=270
.QNUMBERING=OFF
.INDENT=OFF

.QUESTION, TYPE=OPENEND
If you answered "Other state agency" or "Other" above, 
please name the other state agency or specify any other entities here.
.ANSWER=3
.NEXT

.MATRIX=OFF

***************************************************

.QNUMBERING=ON

.QUESTION, TYPE=VOID
Does the +_responsible entity or entities+_ (identified in Question 19) 
use the following procedures to verify the continued eligibility of 
+_consumers_+ receiving Lifeline support?
.ANSWER=A2
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=660
.WIDTH=350
.QNUMBERING=OFF

.QUESTION, TYPE=MULT
Random audits of Lifeline support recipients
.ANSWER=A1
.NEXT

.QUESTION, TYPE=MULT
Periodic submission of documents (e.g. annual| re-certification or 
re-verification process requiring documentation of enrollment in a 
qualifying program or proof of income)
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Annual self-certification  (e.g. annual re-certification process 
during which Lifeline support recipients certify that they are still 
enrolled in a qualifying program or earning income under a certain 
threshold, but no documentation is required)
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
On-line verification system using databases of public assistance 
program participants or income reports
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Verification of a statistically valid sample of Lifeline subscribers
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Other - `Please specify below.`
.ANSWER
.NEXT

.MATRIX=OFF

*****************************************************************************

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=220
.QNUMBERING=OFF

.QUESTION, TYPE=OPENEND
Other procedures used to verify continued eligibility.
.ANSWER=2
.NEXT

.MATRIX=OFF

********************************************************************************

.QNUMBERING=ON

.QUESTION, type=mult
Does the entity responsible for verification of consumers' continued 
eligibility for Lifeline support have access to information that could 
help ensure that a household is only receiving +one+ Lifeline subsidy?
.ANSWER=0
Yes
.GOTO=Q21A
No
.GOTO=Q21B
!Do not know
.NEXT=Q22

.QNUMBERING="21a"

.QUESTION, TYPE=OPENEND, INDENT=70
If you answered "yes" above, what information is available?
.ANSWER=3
.NEXT=Q22

.QUESTION, TYPE=MULT, INDENT=70
If you answered "no" above, is there another mechanism in place to help 
ensure that a household is only receiving one Lifeline subsidy?
.ANSWER=0
Yes
.GOTO=Q21C
No
!Do not know
.NEXT=Q22

.QUESTION, TYPE=OPENEND, INDENT=140
If you answered "yes" above, what is that mechanism?
.ANSWER=3
.NEXT

********************************************************************************

.QNUMBERING=22

.QUESTION, TYPE=OPENEND
If you have any comments related to any of your answers in this section on 
+verification procedures+, please enter them in the space below.
.ANSWER
.NEXT

************************************************************************************

.NEWPAGE
.SUBTITLE="Program Outreach"


.QUESTION, TYPE=VOID
Are the following advertising and marketing activities used +by ETCs+ in your state?
.ANSWER=A2
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=330
.QNUMBERING=OFF

.QUESTION, TYPE=MULT
Newspaper(s)
.ANSWER=A1
.NEXT

.QUESTION, TYPE=MULT
Radio
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Television
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Other print advertisements (e.g. pamphlets, bill inserts, posters, billboards)
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Outreach to community groups
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Partnerships with non-profit organizations
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Press releases
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Other - `Please specify below.`
.ANSWER
.NEXT

.MATRIX=OFF

*****************************************************************************

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=220
.QNUMBERING=OFF

.QUESTION, TYPE=OPENEND
Other advertising and marketing activities used +by ETCs+.
.ANSWER=2
.NEXT

.MATRIX=OFF

********************************************************************************

.QNUMBERING=ON

.QUESTION, TYPE=VOID
In addition to the advertising and marketing activities used by ETCs, 
are the following advertising and marketing activities used (either 
through state funding or public service announcements/campaigns)| 
+by your state+ for the Lifeline program?
.ANSWER=A2
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=330
.QNUMBERING=OFF

.QUESTION, TYPE=MULT
Newspaper(s)
.ANSWER=A1
.NEXT

.QUESTION, TYPE=MULT
Radio
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Television
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Other print advertisements (e.g. pamphlets, bill inserts, posters, billboards)
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Outreach to community groups
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Partnerships with non-profit organizations
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Press releases
.ANSWER
.NEXT

.QUESTION, TYPE=MULT
Other - `Please specify below.`
.ANSWER
.NEXT

.MATRIX=OFF

*****************************************************************************

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=220

.QUESTION, TYPE=OPENEND
Other advertising and marketing activities used +by your state+.
.ANSWER=2
.NEXT

.MATRIX=OFF

********************************************************************************

.QNUMBERING=ON

.QUESTION, TYPE=MULT
Did your state spend money on outreach activities for the Lifeline 
program in fiscal year 2009?
.ANSWER=0
Yes
.GOTO=Q25A
No
Do not know
.NEXT=Q26

.QNUMBERING = "25a"

.QUESTION, TYPE=NUMBER="$#########", INDENT=70
How much did your state spend on outreach activities for the Lifeline 
program in fiscal year 2009?  
.ANSWER
.NEXT

********************************************************************************

.QNUMBERING="26"

.QUESTION, TYPE=OPENEND
If you have any comments related to any of your answers in this section on 
+program outreach+, please enter them in the space below.
.ANSWER=6
.NEXT

************************************************************************************

.NEWPAGE
.SUBTITLE="Program Oversight"


.QUESTION, TYPE=MULT
Does your state's commission or other involved state/program 
administrator conduct Lifeline-related audits of ETCs?
.ANSWER=0
Yes
.GOTO=Q27A
No
!Do not know
.NEXT=Q28

.QNUMBERING="27a"

.COLUMNS=2
.INDENT=70

.QUESTION, TYPE=MULT
If you answered "yes" above, can you estimate
on average, how many audits are conducted annually?  
.ANSWER
Yes
.GOTO=Q27B
No
!Do not know
.NEXT=Q27C

.QUESTION, TYPE=NUMBER="#### audits"
Please enter your estimated of the number of annual audits below.
.ANSWER
.NEXT

.COLUMNS=OFF

.QUESTION, TYPE=CHECK, INDENT=70
If you answered "yes" to question 27, what types of audits are conducted?
.ANSWER
Compliance with program rules
Review of internal compliance controls
Review of internal financial controls
Accuracy of disbursements
Other - `Please describe.`
!Do not know
.NEXT

*****************************************************************************

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=500
.WIDTH=180
.QNUMBERING=OFF

.QUESTION=Q40_OTH, TYPE=OPENEND, INDENT=70
Other types of audits.
.ANSWER=2
.NEXT

.MATRIX=OFF

********************************************************************************

.QNUMBERING=28

.QUESTION, TYPE=MULT
Does your state have any additional internal controls for overseeing 
ETCs' compliance with Lifeline program rules?
.ANSWER=0
Yes
.GOTO=Q28A
No
!Do not know
.NEXT=Q29

.QNUMBERING="28a"

.QUESTION, TYPE=OPENEND, indent=70
If you answered "yes" above, what are these internal controls?
.ANSWER=3
.NEXT

********************************************************************************

.QNUMBERING=29

.QUESTION, TYPE=MULT
Does the state/program administrator have a mechanism to identify 
if +ineligible consumers received Lifeline support+?
.ANSWER=0
Yes
.GOTO=Q29A
No
!Do not know
.NEXT=Q30

.QNUMBERING="29a"


.QUESTION, TYPE=OPENEND, INDENT=70
Describe mechanism to identify if ineligible consumers received Lifeline support.
.ANSWER=3
.NEXT


.QUESTION, TYPE=MULT, INDENT=70
Has the state/program administrator identified instances where +ineligible
consumers received Lifeline support+?  
.ANSWER=0
Yes
.GOTO=Q29C
No
!Do not know
.NEXT=Q30

.QUESTION, TYPE=OPENEND, INDENT=140
What circumstances and corrective actions, if any, were followed?
.ANSWER=2
.NEXT


********************************************************************************

.QNUMBERING=30

.QUESTION, TYPE=MULT
Does the state/program administrator have a mechanism to identify 
if consumers +received more than one Lifeline subsidy per household+?
.ANSWER=0
Yes
.GOTO=Q30A
No
!Do not know
.NEXT=Q31

.QNUMBERING="30a"

.QUESTION, TYPE=OPENEND, INDENT=70
Describe of mechanism to identify if consumers received more than 
one Lifeline subsidy per household.
.ANSWER=3
.NEXT


.QUESTION, TYPE=MULT, INDENT=70
Has the state/program administrator identified instances where consumers
+received more than one Lifeline subsidy per household+?  
.ANSWER=0
Yes
.GOTO=Q30C
No
!Do not know
.NEXT=Q31

.QUESTION, TYPE=OPENEND, INDENT=140
What were the circumstances and corrective actions, if any, that were followed?
.ANSWER=2
.NEXT


********************************************************************************

.QNUMBERING=31

.QUESTION, TYPE=MULT
Does the state/program administrator have a mechanism to identify 
+other consumer misuse of funds from the Lifeline program+?
.ANSWER=0
Yes
.GOTO=Q31A
No
!Do not know
.NEXT=Q32

.QNUMBERING="31a"

.QUESTION, TYPE=OPENEND, INDENT=70
Describe mechanism to identify other consumer misuse of funds from 
the Lifeline program.
.ANSWER=3
.NEXT

.QUESTION, TYPE=MULT, INDENT=70
Has the state/program administrator identified instances of +other consumer
misuse of funds from the Lifeline program+?  
.ANSWER=0
Yes
.GOTO=Q31C
No
!Do not know
.NEXT=Q32

.QUESTION, TYPE=OPENEND, INDENT=140
If you answered "yes" above, what were the circumstances and corrective 
actions, if any, that were followed?
.ANSWER=2
.NEXT

********************************************************************************

.QNUMBERING=32

.QUESTION, TYPE=VOID
Overall, how concerned are you about consumer fraud and carrier fraud 
in the Lifeline program?
.ANSWER=A2
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=200
.QNUMBERING=OFF

.QUESTION, TYPE=MULT
Consumer fraud
.ANSWER=0
Very concerned
Somewhat concerned
Slightly concerned
Not concerned
!Do not| know
.NEXT

.QUESTION, TYPE=MULT
Carrier fraud
.ANSWER
.NEXT

.MATRIX=OFF

********************************************************************************

.QNUMBERING=ON

.QUESTION, TYPE=OPENEND
If you have any comments related to any of your answers in this section on 
+program oversight+, please enter them in the space below.
.ANSWER=6
.NEXT

************************************************************************************

.NEWPAGE
.SUBTITLE="Broadband Service"



.QUESTION, type=void
In your opinion, what are the potential +advantages and disadvantages+ 
of including broadband service as an eligible Lifeline benefit?
.ANSWER
.NEXT

.MATRIX=ON, MATRIXROWSHADING=ON, MATRIXWIDTH=600
.WIDTH=220
.QNUMBERING=OFF


.QUESTION, TYPE=OPENEND
Potential +advantages+ of
including broadband service.
.ANSWER=6
.NEXT

.QUESTION, TYPE=OPENEND
Potential +disadvantages+ of
including broadband service.
.ANSWER=6
.NEXT

.MATRIX=OFF

***************************************

.NEWPAGE
.SUBTITLE="Submit your responses to GAO"

.QNUMBERING=48
.WIDTH=700

.QUESTION=FINISH, TYPE=MULT
+This completes our survey.  Are you ready to submit your final completed 
survey to GAO?+

`(This is equivalent to mailing a completed paper survey to us.  It 
tells us that your answers are official and final.)`
.ANSWER=2
Yes, my survey is complete - `To submit your final responses, please click on "Exit" below"`
No, my survey is not yet complete - `To save your responses for later, please click on "Exit" below"`
.NEXT

*************************************************************************************************

.QNUMBERING=OFF

.QUESTION=print_it, TYPE=VOID
~+You may view and print your completed survey by clicking on the Summary link in 
the menu to the left.+~
.ANSWER
.NEXT

*********************************************************************************************************