2010 National Assessment of Education Progress (NAEP) Wave 1

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 Institute of Education Sciences.
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 05/31/2010

2010 OMB Wave 1
Grade 4 -Part 1 of 3

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