APPENDIX I VILLAGE SCHEDULE

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1 APPENDIX I VILLAGE SCHEDULE 1. IDENTIFICATION PARTICULARS 1.1 District 1.2 Block/Circle 1.3 Village 1.4 Total Number of Households in the Village (Formal Record) 1.5 Population (as per 2001 Census) 1.6 Respondent* *1: Village Level Worker, 2: Panchayat President, 3: Panchayat Official, 4: Local School Teacher, 5: Others (Specify) 2. GENERAL INFORMATION 2.1 Availability of Electricity (0: No, 1: Yes) 2.2 Occupation Pattern Purely Agriculture based Households (in No) Partly Agriculture based Households (in No) Non-Agriculture based Households (in No) 2.3 Availability of Facilities Facility Type Distance (in km) Village Bus stop School* Approach Road # Landline PCO Primary Health Care Centre Pharmacy Post Office Grocery/Stationery Shop Fair Price 1: Haat, 2: Daily Market, 3: Weekly Market *1: Primary School, 2: Middle School, 3: High School, 4: Secondary School # 1: Kutcha, 2: Pucca 115

2 2.4 Information on Traditional Institutions/ Local self Governing Institutions Name of Institution/Body Role *1: Traditional Institution, 2: Gram Panchayat, 3: Any Other (Specify) 2.5 Forest Particulars Forest # Nature of Access # 1: Community or Village Forest, 2: Reserved/Protected Forest, 3: Any Other (Specify) 2.6 Information on Implementation of Government Scheme/Programme Name of Scheme/Programme About its Implementation \ 116

3 APPENDIX II HOUSEHOLD SCHEDULE 1. Identification (a) District (b) Block/Circle (c) Village (d) Distance to Market (e) Name of the Head of the Household 2. Household Particulars Household Size (Total No of Family Members) Sl. No. Relation with Respondent Age Educational Attainment* *Code: 0: Illiterate 1 Literate but not completed primary 2 Completed primary but not middle school 3 Completed middle school but not high school 4 Completed high school but not higher secondary 5 Completed higher secondary but not graduation 6 Graduation and above 7 Technical Education (if any) # Code: 0: Retired and non-worker (including infant, old & disabled) 1: Unemployed 2: Student 3: Housewife 4: Trading and self employed 5: Service 6: Daily Wage Earner (Agri & Non-agri labourer) 7: Cultivator 8: Others (Specify if any) Occupation# Primary Secondary 117

4 3. House Particulars House Ownership Status* House Type** Whether electrified^ Drinking Water# Source! Distance (in metres) Place of *1: Others, 2: Own House **1: Traditional, 2: Modified Traditional, 3: Pucca! ^ 0: No, 1: Yes 1: Pond, 2: Stream, 3: River, 4: Tube Well, 5: Piped Water 1: Open Space, 2. Kutcha, 3: Sanitary 4. Landholding (in Pura) Homestead Jhum Land Settled Cultivation Land Fisheries/ Orchards etc Land Leased In Out In case of Land leased out/in Terms of Lease Amount Fixed Rent Share From/To whom land leased in/out Tribal Non-tribal Within Village Percentage Outside Village 5. Sources of Household Income Source of Household Income Crop Cultivation Poultry & Animal Husbandry Fishery Other primary including Forest based Activity Handloom & Handicraft Self-employment in other Manufacturing Activity Employment in Government and Semigovernment jobs Employment in Non-government jobs Daily Wage Interest based Activity Rent Earning During last month 118

5 6. Marketing of Agri-Products (last one year) Jhum Cultivation Crop Total jhum area put to Production during last year (In Kg) Sale details during last year cultivation Volume (in Pura) Paddy Maize Others Quantity sold (in kg) Sale proceed Mode of selling* Production expenditure during last year Fertilisers Pesticides Seeds Hired labour Other equipment /Diesel etc Mode of buying** Settle Cultivation Paddy Others *, **1: Collected by traders/ Bought from traders, 2: Middleman/Agent, 3: Daily Bazar, 4: Haat (Weekly/Fortnightly/Monthly), 5: Markets in other neighboring states, 6: Any Other (Specify) 119

6 7. Particulars of Forest Proceed (during last six months) Items Amount Collected Sale Detail Amount sold (in kg) Firewood Edible products (roots, tuber etc) Bamboo/Reeds/Cane/Leaves Others (Specify) Sale proceed (in Rs) Mode of selling* Expenditure detail * 1: Collected by traders/ Bought from traders, 2: Middleman/Agent, 3: Daily Bazar, 4: Haat (Weekly/Fortnightly/Monthly), 5: Markets in other neighboring states, 6: Any Other (Specify) 8. Details of Poultry & Animal Husbandry Marketed (during last six months) Particulars Units Numbers Possessed Sale Detail Mithun Cows Pigs Goats Poultry Any other livestock (Specify) Numbers sold Sale proceed Mode of selling* Expenditure Detail Animal feed Any other Mode of buying** *, **1: Collected by traders/ Bought from traders, 2: Middleman/Agent, 3: Daily Bazar, 4: Haat (Weekly/Fortnightly/Monthly), 5: Markets in other neighboring states, 6: Any Other (Specify) 120

7 9. Details of Business & Trade (last one year) Business & Trade Purpose# Sale Detail Expenditure Detail Handloom Names of Items/ Principal Raw Materials Numbers/Qty sold Sale proceed (in Rs) Mode of marketing * Raw materials used Source of raw material** Handicraft Petty trade Particulars/ Items Income/ Turnover/Rent Amount Expenditure/ Maintenance Expenditure Profit Contract Business & Trade Rent on Building Interest based income # 1: Home consumption, 2: Only for sale, 3: Both home consumption and sale *1: Collected by traders, 2: Middleman/Agent, 3: Daily Bazar, 4: Haat (Weekly/Fortnightly/Monthly), 5: Markets in other neighboring states, 6: Any Other (Specify) ** 1: Home produced/manufactured, 2: Procured in exchange, 3: Purchased, 4: Any other (Specify if any) 121

8 10. Details of Household Consumption Sl.No. Items of Expenditure Quantity Unit Source* Procured at** Amount Spent if bought during last month (in Rs) Food and Drink (during last month) 1 Rice 2 Pulses 3 Edible Oils 4 Tea/Coffee 5 Salt/ Sugar 6 Meat/Fish/Eggs 7 Vegetables 8 Tobacco (Bidi/Cigarettes, Leaf Tobacco) 9 Others (Specify) Fuel and Lighting (during last month) 10 Kerosene 11 LPG 12 Electricity 13 Others (Specify) Toiletries and Detergents, and Goods for Personal Care (during last month) 14 Cosmetics and Toiletries (Cream, Powder, Shampoo, Soap, etc), Detergents and Washing Powder Clothing (during last six month) 15 Clothes (including linen/ towel etc) and Footwear Health (during last six month) 16 Medical and Health Care including Education (last one year) Health Advice Fee (Doctor s Fee) Expenditure Medicines Related Transport 122

9 17 Books and Stationery (Pencils, Pens, Sharpeners, Erasers, Rulers) 18 School Fee 19 Tuition Fee Transportation/ Conveyance (during last month) 20 Goods and people Miscellaneous (during last month) 21 Batteries etc 22 Telephone Bill/ Mobile Bill 23 Amusement (Cinema/Picnic/Sportsgoods/Photography/Video etc) 24 Ceremonies/ religious Rites 25 Any Other * 1: Home Produced, 2: Barter Exchage ** 1: Fair Price Shop, 2: Other Shops, 3: Haat, 4: Cooperative, 5: Neighbour Expenditure / 123

10 11. Details on Possession of Consumer Durables Sl. Type of Consumer Durable Whether the Household Possess or Not # No. 1 Cycle 2 Radio 3 TV 4 Scooter/Motor Cycle 5 Refrigerator 6 Car # 0: No, 1: Yes 12. Details of Household Credit Outstanding (during last month) Sources Short Term Loan (including consumption loans) Long Term Loan (including production/ fixed asset loan) Loan Amount Interest per unit of time Amount Repaid Loan Amount Interest per unit of time Banks (Rural/Commercial) Micro Finance (SHGs/NGOs) Friends Money Lenders Others Amount Repaid 124