Reinterview Form Reinterview Form

2008 Survey of Compact of Free Association (COFA) Migrants

2008 Survey of COFA Migrants - Attachment 5 Reinterview Questionnaire

Survey Forms

OMB: 0607-0948

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Attachment 5: Reinterview Questionnaire

2008 Survey of Compact of Free Association (COFA) Migrants

INTRODUCTION


S1. Hello, my name is (Your name) and I’m an official working with the Census

Bureau on the 2008 Survey of Compact of Free Association (COFA) Migrants. (If personal visit, show ID card).


S2. May I speak to (read original respondent’s name)?


__ Respondent Available

__ Respondent Not Available (Record new respondent’s name in space below)


New Respondent’s Name __ __ __ __ __ __ __ __ __ __ __ __ __ __


S3. I am checking the accuracy of our interviewer’s work. I’d like to ask you a few questions to verify that the information we obtained for this household is correct. It should only take a few minutes of your time.


QUESTIONNAIRE


1. Did a Census Bureau interviewer contact you/(read original respondent’s name) to collect information about this household?


__ Yes __ No __ Don’t Know / Not Sure


2. How many people are living or staying in this house/apartment/household at this address? INCLUDE everyone living or staying here for more than 2 months. INCLUDE anyone staying here who does not have another place to stay, even if they are here for 2 months or less. DO NOT INCLUDE anyone who is living somewhere else for more than 2 months, such as a college student living away.


Number of people __ __


3. Check Item (Refer to the original interview roster count and the reinterview roster count. If there is a discrepancy in the numbers, read the roster names from the original questionnaire to the respondent and determine if there should have been names added or deleted from the roster using the roster rules. Mark all boxes that apply. Update the response to question 2 above.)


__ Roster count is correct __ Roster has deletions

__ Roster has additions __ Roster falsification suspected

4. Check Item (Refer to the original roster and ask for each individual listed “Where was this person born?” If there is a discrepancy between the original and reinterview responses, write down the person’s name and the reinterview response for place of birth on the lines below.)


Person Place of Birth

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __


5. Thank you for your cooperation. You have been very helpful.

END INTERVIEW.


REINTERVIEW RESULTS SECTIONReinterviewer completes after reinterview.


6. Reinterview Status:


__ Reinterview Complete

__ Reinterview Noninterview – Cannot contact knowledgeable respondent or

unable to locate unit

__Reinterview Noninterview – Refused reinterview

__Ineligible for reinterview


7. Was the respondent or household contacted by the interviewer?


__ Yes __No __Don’t Know / Not Applicable


8. Did the interviewer record the correct number of people living or staying in the household?


__ Yes __No __Don’t Know / Not Applicable


9. Did the interviewer record the correct places of birth of the household occupants?


__ Yes __No __Don’t Know / Not Applicable


10. Falsification Assessment


__ No falsification suspected

__ Falsification suspected

-Mark if “No” is checked in questions 7-9 or if you suspect falsification

for other reasons.

-Explain in Notes

-SUPERVISORY REVIEW is required.

__ Unable to determine if there is falsification

-Explain in Notes

SUPERVISORY REVIEW SECTIONMust be completed if Item 10 is marked “Falsification suspected”


11. What is your assessment of this case?


__ Falsification suspected

-Stop all work assigned to interviewer

-Proceed with a formal investigation and complete a Form 11-163

__ Falsification not suspected – Discrepancies due to respondent error

-Explain in Notes

__ Falsification not suspected – Discrepancies due to interviewer error

-Explain in Notes

-Proceed with formal retraining to correct incorrect procedures

__ Falsification not suspected – Discrepancies due to reinterviewer error

-Explain in Notes

-Proceed with formal retraining to correct incorrect procedures


NOTES SECTION

File Typeapplication/msword
File TitleINTRODUCTION
Authortherr001
Last Modified Bydeard001
File Modified2008-07-30
File Created2008-05-13

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