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pdfCommonly Asked Questions
Q: How did you get my address?
A: Your address was randomly selected from among all of the residential mailing addresses in the nation. It was
selected using scientific sampling methods to represent other households in the U.S.
Q: Why don’t you ask more questions about training and education in this questionnaire?
A: The purpose of this questionnaire is to find out if anyone in your household is eligible for the next stage of the
survey. If so, we will contact a member of your household to ask about their educational experiences.
[COVER PAGE]
OMB No. XXXX-XXXX: Approval Expires XX/XX/XXXX
The Adult Training and Education Study
Q: Why should I take part in this study? Do I have to do this?
A: You represent thousands of other households like yours, and you cannot be replaced. Your answers and
opinions are very important to the success of this study. Your participation is voluntary. You may choose not to
answer any or all questions in this survey. There are no penalties should you choose not to participate in this
study. In order for the survey to be representative it is important that you complete and return this questionnaire.
Q: How will the information I provide be used?
A: Your responses will be combined with those of others to produce statistical summaries and reports. Your
individual data will not be reported. Your answers may be used only for statistical purposes and may not be
disclosed, or used, in identifiable form for any other purpose except as required by law (Section 9573, 20 US
Code).
Q: How much time will it take?
A: On average, it should take 3 minutes for you to respond, including the time for reviewing instructions, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden, to: Sharon Boivin
National Center for Education Statistics, U.S. Department of Education, 1990 K Street NW, Washington, DC
20006-5650. Do not return the completed form to this address.
Q: Should I include my son/daughter who is away at school? Should I include my mother who is visiting for
the summer?
A: Include adults age 18 and older who are temporarily away from home (for example, attending college or
university) if they have no other permanent home. Do not include guests/visitors who have another permanent
home.
Q: What should I do if there are more than 5 adults in my household?
A: If there are more than five adults in your household, please call 1-888-xxx-xxxx for instructions about how to
complete the form.
Q: Who is sponsoring the study? Is this study conducted by the Federal Government?
A: The National Center for Education Statistics, within the Department of Education is authorized to conduct this
study (Section 9543, 20 US Code). Westat has been contracted to conduct this study. This study has been
approved by the Office of Management and Budget, the office that reviews all federally sponsored surveys. The
approval number assigned to this study is XXXX-XXXX. You may send any comments about this survey,
including its length, to the Federal Government. Write to Sharon Boivin, National Center for Education Statistics,
U.S. Department of Education, 1990 K Street NW, Washington, DC 20006-5650. You may send e-mail to
[email protected].
Q: Who is Westat?
A: Westat is a research company located in Rockville, Maryland. Westat is conducting this survey under contract to
the U.S. Department of Education. If you have any questions about the study, contact Westat toll-free at 1-888xxx-xxxx.
The National Center for Education Statistics is authorized to conduct this survey under Section 9543, 20 US Code. Your
participation is voluntary. Your answers may be used only for statistical purposes and may not be disclosed, or used, in
identifiable form for any other purpose except as required by law. The information you provide will be combined with
information from other participants to produce statistical summaries and reports (Education Sciences Reform Act (ESRA
2002) Public Law 107-279, Section 183)
[Dept of Ed Logo]
The Adult Training and Education Study
Start Here
The Department of Education is studying adult
training and education. Each household is
different and we need your response so we can
contact you to administer a survey that is right for
your household.
► Return this form even if no one in your
household is currently in an adult training or
education program.
► This survey should be filled out by an adult
household member living at this address.
► First names will be used only to ask
further questions about a specific
person.
2. What is his or her first name,
initials, or nickname?.....................
|__|__| number age 18 or older
You (Adult 1)
▼
Adult 2
▼
Adult 3
▼
Adult 4
▼
Adult 5
▼
First name/initials/nickname
First name/initials/nickname
First name/initials/nickname
First name/initials/nickname
First name/initials/nickname
3. How old is this person in years? ..
4. What is this person’s sex? ............
► Please use a blue or black pen if available.
1. How many people age 18 or older live in
this household?
U.S Department of Education
National Center for Education Statistics
5. What is the highest level or degree
of schooling this person has
completed? .....................................
Mark [X] ONE only.
►
Continue answering questions 2
through 7 for each person age 18 or older
living in this household. Include adults age 18
and older who are temporarily away from
home (for example, attending college or
university) if they have no other permanent
home. Start with yourself.
|__|__| age in years
|__|__| age in years
|__|__| age in years
|__|__| age in years
|__|__| age in years
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
6. What is the best phone number to
use to contact this person?
(
Male
Female
Less than high school
High school or GED
Some college, no
degree
Two-year degree
Bachelor’s degree
Higher than bachelor’s
degree
)
-
□
□
□
□
□
□
(
Male
Female
Less than high school
High school or GED
Some college, no
degree
Two-year degree
Bachelor’s degree
Higher than bachelor’s
degree
)
-
Or
7. What type of phone number is
this?
□
□
Landline/wired
Cell/wireless
□
□
□
□
□
□
(
Male
Female
Less than high school
High school or GED
Some college, no
degree
Two-year degree
Bachelor’s degree
Higher than bachelor’s
degree
)
-
Or
□
□
□
□
□
□
(
Male
Female
Less than high school
High school or GED
Some college, no
degree
Two-year degree
Bachelor’s degree
Higher than bachelor’s
degree
)
-
Or
□
□
□
□
□
□
Male
Female
Less than high school
High school or GED
Some college, no
degree
Two-year degree
Bachelor’s degree
Higher than bachelor’s
degree
(
)
-
Or
□ Same as Adult 1
□ Same as Adult 1
□ Same as Adult 1
□ Same as Adult 1
□
□
□
□
□
□
□
□
Landline/wired
Cell/wireless
Landline/wired
Cell/wireless
Landline/wired
Cell/wireless
Landline/wired
Cell/wireless
► Please verify that you have reported for each adult living in this household. If there are more than 5 adults living in this household, please call 1-888-xxx-xxxx for instructions.
► Thank you. Please return this form in the postage paid envelope provided or mail it to:
Adult Training and Education Survey
Westat
1600 Research Blvd Room XXXX
Rockville, MD 20850-3129
| File Type | application/pdf |
| File Modified | 2010-06-03 |
| File Created | 2010-05-27 |