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pdfOMB No. 1850-0803: Approval Expires 09/30/2012
UNITED STATES DEPARTMENT OF COMMERCE
Commonly Asked Questions
Q:
U.S. Census Bureau
How did you get my address?
A: Your address was randomly selected from among all of the home addresses in the nation. It was
selected using scientific sampling methods to represent other households in the U.S.
Q:
Economics and Statistics Administration
National Household Education Survey
Why don’t you ask more questions about education in this questionnaire?
A: The purpose of this questionnaire is to find out if anyone in your household is eligible for the next
stage of the survey. If so, we will send a second questionnaire that will ask about educational
experiences of a member of your household.
Q:
Q:
If there are no children or anyone currently in school in my household, should I respond?
A: Yes, you should respond to this survey. Once you return the questionnaire, the study will be able
to see if anyone in your household is eligible for the next and final survey. If no one is eligible,
you will not receive another survey.
Why should I take part in this study? Do I have to do this?
Q:
How will the information I provide be used? Will my privacy be protected?
A: Your responses will be combined with those of others to produce statistical summaries and
reports. Your individual data will not be reported. Your answers may be used only for statistical
purposes and may not be disclosed, or used, in identifiable form for any other purpose except as
required by law (Section 9573, 20 U.S. Code).
Q:
How much time will it take?
A: On average, it should take 3 minutes for you to respond, including the time for reviewing
instructions and completing and reviewing the collection of information.
Q:
Who is sponsoring the study? Is this study conducted by the Federal Government?
A: The National Center for Education Statistics, within the Department of Education, is authorized to
conduct this study (Section 9543, 20 U.S. Code). The U.S. Census Bureau is conducting this study
on behalf of the U.S. Department of Education. This study has been approved by the Office of
Management and Budget, the office that reviews all federally sponsored surveys. The approval
number assigned to this study is 1850-0803. You may send any comments about this survey,
including its length, to the Federal Government. Write to: Andrew Zukerberg, National Center for
Education Statistics, U.S. Department of Education, 1990 K Street NW, Room 9036, Washington,
DC 20006-5650. You may send email to NATES@census.gov. If you have any questions about the
study, contact the Census Bureau toll-free at 1-800-845-8243.
25003013
§:!?.¤
A: This survey is the only way that the Department of Education can learn about children’s care,
early learning activities, and schooling from your perspective. You represent thousands of other
households like yours, and you cannot be replaced. Your answers and opinions are very
important to the success of this study. You may choose not to answer any or all questions in this
survey. In order for the survey to be representative, it is important that you complete and return
this questionnaire. Those who do not return the survey will not be represented in key statistics
used by policymakers and researchers.
The National Center for Education Statistics is authorized to conduct this survey under Section 9543, 20 U.S. Code.
Your participation is voluntary. Your answers may be used only for statistical purposes and may not be disclosed,
or used, in identifiable form for any other purpose except as required by law (Section 9573, 20 U.S. Code). The
information you provide will be combined with information from other participants to produce statistical
summaries and reports.
NATES-11BC
(12/11/2012)
OMB No. 1850-0803: Approval Expires 09/30/2012
Conducted for:
U.S. Department of Education
Start Here
▼
National Household Education Survey
Start with the youngest youth or
child who is age 20 or younger.
Youth / Child 1
Youth / Child 2
Youth / Child 3
Youth / Child 4
Youth / Child 5
▼
▼
▼
▼
▼
First name/initials/nickname
First name/initials/nickname
First name/initials/nickname
First name/initials/nickname
▼
4. How old is this child in years? . .
▼
3. What is his or her first name,
initials, or nickname? . . . . . . . . .
First names will be used only
First name/initials/nickname
to ask you questions about the
education of a specific child.
This survey should be filled out by an
adult household member living at this
address.
▼
The Department of Education is studying
households with youth or children age 20 or
younger. Each household is different, and we
need your response so we can send you a
survey that is right for your household.
Return this form even if there are no
youth or children in this household after
marking the correct box in item 1.
Please use a blue or black pen if available.
National Center for Education Statistics
Mark for babies less
than 1 year old
Mark for babies less
than 1 year old
age in years
5. What is this child’s sex? . . . . . . .
Mark for babies less
than 1 year old
age in years
age in years
Mark for babies less
than 1 year old
age in years
Mark for babies less
than 1 year old
age in years
Male
Male
Male
Male
Male
Female
Female
Female
Female
Female
Public or private
school, or preschool,
Public or private
school, or preschool,
Public or private
school, or preschool,
Public or private
school, or preschool,
Public or private
school, or preschool,
Homeschool instead
of school for some
or all classes, or
Homeschool instead
of school for some
or all classes, or
Homeschool instead
of school for some
or all classes, or
Homeschool instead
of school for some
or all classes, or
Homeschool instead
of school for some
or all classes, or
Not in school?
Not in school?
Not in school?
Not in school?
Not in school?
GO TO youth/child 2.
GO TO youth/child 3.
GO TO youth/child 4.
GO TO youth/child 5.
Return Survey.
Preschool
Preschool
Preschool
Preschool
Preschool
Kindergarten
Kindergarten
Kindergarten
Kindergarten
Kindergarten
1. Are there any youth or children age
20 or younger living in this household?
Yes
No
GO TO box A at the
bottom.
2. How many youth or children age 20
or younger live in this household?
7. What is this child’s current
grade or equivalent? . . . . . . . . . .
Continue answering questions 3
through 7 for each youth or child
living in this household.
write grade
1 through 12
▼
§:!?6¤
▼
number age 20 or younger
A: If you marked in question 1 that no
one in your household is age 20 or
younger, please stop here and return
this survey to us in the enclosed
envelope. It is important that we
receive a response from every
household selected for this study.
Thank you for your time.
NATES-11BC (12/11/2012)
write grade
1 through 12
write grade
1 through 12
write grade
1 through 12
write grade
1 through 12
College or vocational
school
College or vocational
school
College or vocational
school
College or vocational
school
College or vocational
school
None of these
None of these
None of these
None of these
None of these
Please verify you have listed the 5 youngest youth or children living in this household in columns 1 through 5 above.
Thank you. Please return this form in the postage-paid envelope provided or mail it to:
U.S. Census Bureau
ATTN: DCB 60-A (7198)
1201 E. 10th Street
Jeffersonville, IN 47132-0001
Toll-free number for questions: 1-800-845-8243
25003021
6. Is this child currently in . . . . . . .
Mark [X] ONE only.
▼
Do not include those living in college
housing.
| File Type | application/pdf |
| File Modified | 2012-12-11 |
| File Created | 2012-12-11 |