Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is XXXX-XXXX (expires XXXX). The time required to complete this information collection is estimated to average 3 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, D.C. 20202-4700. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: Dean Gerdeman, U.S. Department of Education, 555 New Jersey Avenue, N.W., Room 506D, Washington D.C. 20208.
Office Use Only: ID: _________
Your Summer
1) Did you go to summer school or a summer camp that was like school?
□ No
□ Yes, for _____ weeks
2) How many books did you read this summer? ______
3) How many times did you visit a library this summer?
□ Never
□ 1 or 2 visits
□ 3 or more visits
4) Do you get a daily newspaper at home?
□ Yes □ No
5) How many magazines do you get at home? □ No magazines
□ 1 or 2 magazines
□ 3 or more magazines
6) About how many children’s books do you have in your home?
□ 0-15 books
□ 16-30 books
□ 31-50 books
□ more than 50 books
Have a family member mail this soon!
Responses to this data collection will be used only for statistical purposes. The reports prepared for this study will summarize findings across the sample and will not associate responses with a specific district or individual. We will not provide information that identifies you or your district to anyone outside the study team, except as required by law.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Postcard for End-of-Summer Survey (both Treatment and Control groups) |
| Author | Chris Vitiello |
| File Modified | 0000-00-00 |
| File Created | 2021-02-04 |