Part I Cover

NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
WAVE 2 SUBMITTAL FOR 2013
VOLUME II
Part 1 of 4
BACKGROUND QUESTIONS
FOR 2013 ASSESSMENT
Grade 4 Questionnaires

Part 1 of 4 contains:
Grade 4 Questionnaires:
a)
b)
c)
d)
e)
f)
g)
h)
i)
j)
k)
l)

Student Core
Student Core (adapted for Puerto Rico)
Student Reading (pilot)
Student Mathematics (pilot)
Student Reading Accessible Blocks Study (Reading)
Student Knowledge and Skills Appropriate (KaSA) Study (Mathematics)
Teacher Operational — Background, Education, Training (BET), Classroom Organization and
Instruction (COI)-Reading, -Mathematics
Teacher Pilot — BET, COI-Reading, COI-Mathematics
Teacher Operational — BET (version adapted for Puerto Rico administration), COI-Mathematics
School Operational — School Characteristics and Policies (SCP), Reading, Mathematics, Charter
School
School Pilot — SCP Reading, Mathematics, Charter School
School Operational — SCP (version adapted for Puerto Rico administration), Mathematics)

June 1, 2012

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 751 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, 400
Maryland Avenue, S.W., Washington, DC 20202.
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

1

Note: 75 minutes (90 minutes for TEL, 95 minutes for Puerto Rico) is total for assessment (cognitive and
background). Applicable background time is listed on each part.

TEACHER 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, 400
Maryland Avenue, S.W., Washington, DC 20202.
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

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, 400
Maryland Avenue, S.W., Washington, DC 20202.
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