Sass Tfs

OMB No. 1850-0617: Approval Expires 09/30/2007
Conducted by:

U.S. DEPARTMENT OF EDUCATION

U.S. DEPARTMENT OF COMMERCE

NATIONAL CENTER FOR EDUCATION STATISTICS

Economics and Statistics Administration

U.S. CENSUS BUREAU

TEACHER FOLLOW-UP SURVEY
2004–2005 SCHOOL YEAR

School Name
School Road
City, MD 21029

(Please correct any errors in name, address, and ZIP Code.)

TEACHER STATUS FORM
for
PUBLIC AND PRIVATE SCHOOLS

Please return this form within 2 weeks in the enclosed envelope.

NOTICE
This report is authorized by law (20 U.S. Code 9003, P.L. 103-382, section 404 of
the Improving America’s Schools Act of 1994). Your answers will be kept
confidential and will be used only for statistical purposes.

FORM TFS-1
(9-16-2004)

USCENSUSBUREAU

INSTRUCTIONS
All of the teachers listed on the following page were selected for last year’s Schools and
Staffing Survey, sponsored by the National Center for Education Statistics. To help us
select a sample for this year’s Teacher Follow-up Survey, please indicate the current
occupational status for each of the teachers listed. Use the OCCUPATIONAL STATUS
CODES listed below. If available, enter each teacher’s email address. Also, please make
corrections to any misspelled teacher names in the space provided above each name. If
you have any questions, call the U.S. Census Bureau toll free at 1–800–579–8520.
Please return your completed form, WITHIN 2 WEEKS, to the Census Bureau in the
enclosed pre-addressed envelope. If you do not have the return envelope call
1–800–579–8520, or mail your form to:
U.S. Census Bureau
SMQAB–TFS
1201 E. 10th Street
Jeffersonville, IN 47132-0001
OCCUPATIONAL STATUS CODES
(Mark (X) ONE of these codes for each teacher listed on page 3.)
1 Teaching in this school
2 On leave (e.g., maternity/paternity, disability, sabbatical), but returning to teaching in
this school by the end of this school year (2004-05)
3 Still teaching at the elementary or secondary level, but not in this school
4 Working in this school, but not as a teacher
5 Has left this school for a non-teaching occupation in the field of education
6 Has left this school for an occupation or activity not in the field of education or is on leave
and will not be returning until after the 2004–05 school year (include retired, homemaking
and/or child rearing, and extended maternity/paternity, disability, or sabbatical leave)
7 Teacher has left this school; no other information available
8 Living outside of the United States
9 Deceased
NOTE – For the purpose of this survey, teacher aides, student teachers and short-term substitutes
are not considered teachers. Therefore, codes 1, 2 and 3 above do NOT apply to persons
who are teacher aides, student teachers or short-term substitute teachers. They should be
assigned code 4, 5, or 6, whichever is appropriate, based on their main activity.

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 1850-0617. The time required to complete
this information collection is estimated to average 15 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 or suggestions for improving this form, please write to: U.S. Department of
Education, Washington, DC 20202-4651. If you have comments or concerns about the content of
this form, write directly to: Schools and Staffing Survey, National Center for Education Statistics,
1990 K Street, N.W., Washington, DC 20006-5651.

Page 2

FORM TFS-1 (9-16-2004)

FORM TFS-1 (9-16-2004)

Page 3

1234
5678
9123
4567
8912

NUM

Joan
Marcia
John
Liza
Sheila

FIRST

Crawford
White
Rhodes
Lopez
Scott

TEACHER’S NAME

LAST

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1–Teaching in this school.

2

2–On leave, but returning
to teaching.

1

3–Still teaching, but not in
this school.

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

3

4–Not a teacher, but
working in this school.
4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

5–Non-teaching, but in the
field of education.
5

5

5

5

5

5

5

5

5

5

5

5

5

5

5

5

5

5

5

5

5

5

6

6

6

6

6

6

6

6

6

6

6

6

6

6

6

6

6

6

6

6

6

6

7–Left this school; no other
information available.
7

7

7

7

7

7

7

7

7

7

7

7

7

7

7

7

7

7

7

7

7

7

8

8

8

8

8

8

8

8

8

8

8

8

8

8

8

8

8

8

8

8

8

8

8–Living outside of the
U.S.

6–On leave, not returning.

9

9

9

9

9

9

9

9

9

9

9

9

9

9

9

9

9

9

9

9

9

9

OCCUPATIONAL CODE STATUS
Mark (X) only one box for each teacher

9–Deceased

EMAIL ADDRESS
If possible, please enter the teacher’s
email address.