Test Booklet Cover

OECD Program for

International Student Assessment 2009

Project Consortium:

Australian Council for Educational Research (ACER)

Unité d’analyse des systèmes et des pratiques d’enseignement (aSPe)

cApStAn Linguistic Quality Control

Deutsches Institut für Internationale Pädagogische Forschung (DIPF)

National Institute for Educational Policy Research (NIER, Japan)

Westat (USA)

Participation Status

Student ID

MCM

Multiple coding

Office Use Only

MCS

MCR

English ₃₁₃

Place Label Here

U.S. participation in this study is sponsored by the National Center for Education Statistics (NCES), U.S. Department of Education.

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 xxxx-xxxx. The time required to complete this information collection is estimated to average 120 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(s) or suggestions for improving the form, please write to: U.S. Department of Education, Washington, D.C. 20202-4651. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: National Center for Education Statistics, U.S. Department of Education, 1990 K Street, N.W., Washington, D.C. 20006-5650.

O.M.B. No. xxxx-xxxx, Approval Expires xx/xx/200x