Grade 4 Cover and statements

NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
WAVE 2 SUBMITTAL FOR 2011
VOLUME II
Part 1 of 4
BACKGROUND QUESTIONS
FOR 2011 ASSESSMENT
Grade 4 Questionnaires

Part 1 of 4 contains:
Grade 4 Questionnaires:
a.
b.
c.
d.
e.
f.

Student Grade 4 Knowledge and Skills Appropriate (KaSA) Study Mathematics Questions
Student Grade 4 National Indian Education Study (NIES) Questions
Teacher Grade 4 KaSA Study for Puerto Rico Questions
Teacher Grade 4 NIES Questions
School Grade 4 KaSA Study for Puerto Rico Questions
School Grade 4 NIES Questions

June 2, 2010

2011 OMB Wave 2
Grade 4-Part 1 of 4

1

NAEP WAVE 2 SUBMITTAL FOR 2011
Grade

4
4
4
4
4
4
4

Background
Question Section
Cover page,
Contents Chart,
PRA-OMB text
Student Grade 4
KaSA
Student Grade 4
NIES
Teacher Grade 4
KaSA
Teacher Grade 4
NIES
School Grade 4
KaSA
School Grade 4
NIES

File Name
Grade 4 Cover Page, Contents Chart, PRA-OMB
text.pdf

NA

NA

NA

Part 1a - Student Grade 4 KaSA.pdf

no

no

0

Part 1b - Student Grade 4 NIES.pdf

no

no

0

Part 1c - Teacher Grade 4KaSA.pdf

no

no

0

Part 1d - Teacher Grade 4 NIES.pdf

yes

yes

10

Part 1e - School Grade 4 KaSA.pdf

no

no

0

Part 1f - School Grade 4 NIES.pdf

yes

yes

10

2011 OMB Wave 2
Grade 4-Part 1 of 4

Can be Est %
Available
Subm. Subm.
Electronically
Electr. Electr.

2

STUDENT QUESTIONNAIRES
OMB Information on Student Questionnaire Cover Page

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 1850-0790. The time required to complete this information collection
is estimated to average 75 minutes 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. 20202-4537. If you have
comments or concerns regarding the status of your individual submission of
this form, write directly to: NAEP/NCES, U.S. Department of Education, 1990
K Street N.W., Washington, D.C. 20006-5651.
A project of the National Center for Education Statistics (NCES),
Institute of Education Sciences, U.S. Department of Education.
The information you provide will be used for statistical purposes only. In
accordance with the Confidential Information Protection provisions of
Title V, Subtitle A, Public Law 107-347 and other applicable Federal
laws, your responses will be kept confidential and will not be disclosed in
identifiable form to anyone other than employees or agents. By law, every
NCES employee as well as every agent, such as contractors and NAEP
coordinators, has taken an oath and is subject to a jail term of up to 5 years,
a fine of up to $250,000, or both, if he or she willfully discloses ANY
identifiable information about you.
OMB NO. 1850-0790 APPROVAL EXPIRES 04/30/2013

2011 OMB Wave 2
Grade 4 -Part 1 of 4

3

TEACHER QUESTIONNAIRES
OMB Information on Teacher Questionnaire
Cover Page
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 1850-0790. The time required to complete
this information collection is estimated to average 30 minutes 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. 20202-4537. If you have comments or
concerns regarding the status of your individual submission of this
form, write directly to: NAEP/NCES, U.S. Department of Education,
1990 K Street N.W., Washington, D.C. 20006-5651.
A project of the National Center for Education Statistics (NCES),
Institute of Education Sciences, U.S. Department of Education.
The information you provide will be used for statistical purposes only. In
accordance with the Confidential Information Protection provisions of
Title V, Subtitle A, Public Law 107-347 and other applicable Federal
laws, your responses will be kept confidential and will not be disclosed in
identifiable form to anyone other than employees or agents. By law, every
NCES employee as well as every agent, such as contractors and NAEP
coordinators, has taken an oath and is subject to a jail term of up to 5 years,
a fine of up to $250,000, or both, if he or she willfully discloses ANY
identifiable information about you.
OMB No. 1850-0790 Approval Expires 04/30/2013

2011 OMB Wave 2
Grade 4-Part 1 of 4

SCHOOL QUESTIONNAIRES
OMB Information on School Questionnaire
Cover Page
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 1850-0790. The time required to complete
this information collection is estimated to average 30 minutes 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. 20202-4537. If you have comments or
concerns regarding the status of your individual submission of this
form, write directly to: NAEP/NCES, U.S. Department of Education,
1990 K Street N.W., Washington, D.C. 20006-5651.
A project of the National Center for Education Statistics (NCES),
Institute of Education Sciences, U.S. Department of Education.
The information you provide will be used for statistical purposes only. In
accordance with the Confidential Information Protection provisions of
Title V, Subtitle A, Public Law 107-347 and other applicable Federal
laws, your responses will be kept confidential and will not be disclosed in
identifiable form to anyone other than employees or agents. By law, every
NCES employee as well as every agent, such as contractors and NAEP
coordinators, has taken an oath and is subject to a jail term of up to 5 years,
a fine of up to $250,000, or both, if he or she willfully discloses ANY
identifiable information about you.
OMB No. 1850-0790 Approval Expires 04/30/2013

2011 OMB Wave 2
Grade 4-Part 1 of 4