Form OMB 3137-0072 OMB 3137-0072 StLA 2010 Collection Form

Appendix D: Survey Instrument and Instructions
FY 2010 StLA Survey

Part A. State Library Agency Identification
001 StLA Name
Physical location address:
002 Street
003 City
004 State

005 ZIP

006 ZIP+4

010a ZIP

010b ZIP+4

Mailing Address:
007
008
009
011

Street
City
State
Web address : http://

Chief Officer of State Library Agency:
012 Name
014 Telephone
016 Email address

013 Title
015 Fax

Survey Respondent:
017 Name
019 Telephone
021 Email address

018 Title
020 Fax

Reporting Period. Report data for State fiscal year 2009-2010 (except parts B&I)
022 FY starting date (mm/dd/yyyy)
023 FY ending date (mm/dd/yyyy)

Part B. Governance
1. What is the StLA's location in State government as of October 1, 2010? Specify either the legislative or executive
branch. If the StLA is located in the Executive branch, specify whether the StLA is an independent agency or part of
a larger agency.
Branch of government:
025

Legislative branch – Skip to question 2.
Executive branch – Provide information in A or B, as appropriate:
A. Independent agency (i.e., not part of a cabinet-level agency) – Specify to whom the
Agency reports:
026

Governor – Skip to question 2.
Board/commission – Specify selection method:
027
Appointed by Governor
028
Appointed by other official

B. Part of larger agency – Specify:
029
Department of education
Department of cultural resources
Department of state
Other agency
Specify:
030
If you specified 029 above, does your StLA have a board or commission?
031
Yes – Specify the Board/commission selection method:
032
Appointed by Governor
033
Appointed by other official
No

2

Part C. Allied Operations, State Resource or Reference/Information Service Center,
and State Center for the Book
2. Are any of the following allied operations combined with StLA? Select applicable items. Specify Yes or No
for each item. Do not report Library for the Blind and Physically Handicapped or State Center for the Book, or
a contract with another library or other entity to provide a service on behalf of the StLA.
040
041
042
043
044

Yes
No State archives
Yes
No Primary State legislative research organization
Yes
No State history museum/art gallery
Yes
No State records management service
Yes
No Other allied operation.
Specify 045

3. Does the StLA contract with a local public library or academic library to serve as a state resource center or
reference/information service center? Specify Yes or No.
046

Yes

No

4. Does the StLA host or provide any funding to a State Center for the Book? Specify Yes or No.
047

Yes

No

3

Part D. Services to Libraries and Library Cooperatives
5. Which of the following services are provided directly or by contract by the StLA to libraries or library
cooperatives? Specify Directly, Contract, or Not Provided for each service, for each type of library and library
cooperatives.
Note: A Library Cooperative may serve single-type or multi-type libraries. Services provided directly by the
StLA are those provided without any intermediary by the StLA to libraries or library cooperatives. Services
provided by contract by the StLA are those provided by a third party or intermediary under legal contract to
the StLA.

Type of library
Services to libraries and library cooperatives

048
049
050
051

Accreditation of libraries
Administration of LSTA grants
Administration of State aid
Certification of librarians

052
053
054
055

Collection of library statistics
Consulting services
Continuing education programs
Cooperative purchasing of library materials

056
057
058
059

Interlibrary loan referral services
Library legislation preparation/review
Library planning/evaluation/research
Literacy program support

060
061
062
063

OCLC Group Access Capability (GAC)
Preservation/conservation services
Reference referral services
Retro conversion of bibliog records

064

State standards/guidelines
Statewide coordinated digital program or
service
Statewide public relations/library promotion
campaigns
Statewide virtual reference service

065
066
067
068
069
070

Public
(a)

Summer reading program support
Union list development
Universal Service Program (review and
approval of technology plans)

4

Academic
(b)

School
(c)

Special
(d)

Library
cooperatives
(e)

Part E. Public Service Hours, Outlets, and User Groups
6. Enter the total hours open in a typical week for ALL StLA outlets, regardless of whom they serve. Do not
report an allied operations outlet as an StLA outlet. Example: If the StLA has a main outlet with no
bookmobile or other outlets and is open for public service 40 hours in a typical week, report 40 hours. If the
StLA has a main outlet, a bookmobile, and two other outlets open 40, 20, 35, and 35 hours, respectively, in a
typical week, report 130 hours (40+20+35+35=130 hours per typical week).
Number
077a

Total hours/week (all StLA outlets, regardless of
whom they serve)

7. Enter the total hours that the main or central StLA outlet is open in a typical week to serve the general
public or state government employees, by the following categories. Only one outlet may be designated as the
main or central outlet.
Number
077b
078
079

Total hours/week (main or central outlet)
Monday–Friday after 5:00 p.m. (main or central outlet)
Saturday and Sunday (main or central outlet)

8. Enter the total number of StLA outlets by type, regardless of whom they serve. Only one outlet may be
designated as the main or central outlet. Do not report an allied operations outlet as an StLA outlet.
082
083
084
085

Main or central outlet
Other outlets, excluding bookmobiles
Bookmobiles
TOTAL OUTLETS

9. Enter the number of StLA outlets that serve the following user groups, in whole or in part, by type of outlet.
Type of outlet

Main or
Central
outlet
(a)

User Groups

086
087
088
089
090

Blind/physically handicapped individuals
Residents of state correctional institutions
Residents of other state institutions
State government employees (executive,
legislative, or judicial)
General public

5

Other
outlets,
excluding
bookmobiles
(b)

Bookmobiles
(c)

TOTAL
OUTLETS
(d)

Part F. Collections
10. Enter the total number of volumes or physical units in the following selected formats in all SLA outlets
(main or central, bookmobiles, and other outlets) that serve the general public and/or state government
employees.

091
092
094
095
096

Selected formats
Book and serial volumes (exclude microforms) (exclude collections of braille
books owned by the National Library Service for the Blind and Physically
Handicapped, Library of Congress)
Audio materials (exclude collections of talking books owned by the National
Library Service for the Blind and Physically Handicapped, Library of Congress)
Video materials
Current serial subscriptions (titles, not individual issues) (include print
subscriptions only) (exclude microform, electronic, and digital subscriptions)
Government documents (include only government documents not accessible
through the library catalog and not reported elsewhere)

Number

11. Is the StLA designated as a Federal or State depository library for government documents? Specify Yes or
No for each item.
106
107

Yes
Yes

No
No

State depository library
Federal depository library – Specify Yes or No for each item:
108
Yes
No
Regional
109
Yes
No
Selective

Part G. Library Service Transactions
12. Enter ANNUAL totals for the following types of service transactions in all StLA outlets (main or central,
bookmobiles, and other outlets) that serve the general public and/or state government employees.

110
111
112
113
114

Service transactions
Circulation (Exclude items checked out to another library)
Interlibrary loan/document delivery:
Provided to other libraries
Received from other libraries and document delivery services
Reference transactions
Library visits

6

Number

Part H. Library Development Transactions
13. Enter ANNUAL totals for the following types of library development transactions of the StLA.

115

Library development transactions
LSTA and State grants:
Grants awarded

117
118

Continuing education programs:
Number of events
Total attendance at events

Number

Part I. Staff

14. Enter total number of StLA staff in FTEs (full-time equivalents) (to two decimal places), by type of service.
Report all staff on the payroll as of October 1, 2010, and unfilled but budgeted positions.
Note: Forty hours per week is the measure of full-time employment for this survey. FTEs (full-time equivalents)
of employees in any category may be computed by taking the number of hours worked per week by all
employees in that category and dividing it by 40. Report staff based on the StLA organization chart. A given
position (e.g., State Data Coordinator) may be part of administration in one agency, library development in
another, and library services in another agency. If an employee provides more than one service, allocate the
FTE among appropriate categories.

119
120
121
122
123

Type of Service
Administration
Library development
Library services
Other services
TOTAL STAFF

ALA-MLS
Librarians (a)

Non ALA-MLS
Librarians
And
Non MLS
Librarians (b)

7

Other
(Professional
And
Non-Professional)
Staff (c)

Total Staff (d)

Prior Year
Total

Part J. Revenue
15. Are all public library state funds administered by the StLA? Specify Yes or No. Note: Answer this
question based on state funds distributed to individual public libraries and library cooperatives serving public
libraries only in state fiscal year 2008. If no state funds are reported in Part K in items 179(b) or 180(b), the
answer should be No.
152

Yes

No

16. Does the StLA administer any state funds for the following types of libraries? Specify Yes or No. Note:
Answer this question based on state funds distributed to libraries and library cooperatives in state fiscal year
2008. If no state funds are reported in Part K in related items 179(b) to 183(b) or 185(b), the answer should be
No.
153a
153b
153c
153d

Yes
Yes
Yes
Yes

No
No
No
No

Academic libraries
School library media centers
Special libraries
Library cooperatives

17. Enter total StLA revenue, by source and type of revenue. Exclude carryover funds. Include revenue for
allied operations only if it is part of StLA budget. Include all funds distributed to libraries and library
cooperatives if the funds are administered by the StLA.

154
155

Federal revenue
LSTA (Library Services and Technology Act) State Programs
(Report all LSTA funds drawn down from the federal government
during state fiscal year 2010, regardless
of year of authorization.)
Other Federal revenue:

Amount

Specify program(s) and title(s):
156
157

TOTAL FEDERAL REVENUE

167
168
169
170

State and other revenue
State Revenue
StLA operation
State aid to libraries
Other State revenue
TOTAL STATE REVENUE

171
172

Other revenue
TOTAL REVENUE

8

Amount

Part K. Expenditures
18. Enter total StLA expenditures, by source of revenue and type of expenditure. Include all LSTA
expenditures. Include expenditures for allied operations only if the expenditures are from the StLA budget.
Include all funds distributed to libraries and library cooperatives if the funds are administered by the StLA.
Operating expenditures
for StLA and allied operations
(Do not include funds distributed
to libraries and library cooperatives in
items 173 to 178)
173
Salaries and wages
174
Employee benefits
175
TOTAL STAFF EXPENDITURES
176
Collection expenditures
177
Other operating expenditures
178
TOTAL OPERATING EXPENDITURES

Amount by source
Federal
(a)

State
(b)

Other
(c)

TOTAL
(d)

Financial assistance to libraries and library cooperatives
(include all funds distributed to libraries and library cooperatives if the funds are administered by the StLA)
179
Individual public libraries
Library cooperatives serving public
180
libraries only
181
Other individual libraries
Library cooperatives serving more than
182
one type of library
183
Single agency or library providing
statewide service
184
Library construction
185
Other assistance
186
TOTAL FINANCIAL ASSISTANCE
Other expenditures for StLA and allied operations only
187
Capital outlay
188
Other expenditures
189

TOTAL EXPENDITURES

9

Part L. LSTA State Program Expenditures
19. Enter total LSTA state program expenditures, by type of expenditure. Report expenditures in one and only
one category. These expenditures should also be reported in Part K.

190
191
192
193

Type of expenditure
Statewide service (exclude sub-grants to single libraries or agencies
providing statewide services)
Grants (include sub-grants to single libraries or agencies providing
statewide services)
LSTA administration
TOTAL LSTA EXPENDITURES

Amount

20. Enter total LSTA state program expenditures, by use of expenditure. Report expenditures in one and only
one category. These expenditures should also be reported in Part K.

Use of expenditure
194
195
196
197
198

Library technology, connectivity and services
Services to persons having difficulty using libraries
Services for lifelong learning
LSTA administration (must equal amount reported in 192)
TOTAL LSTA EXPENDITURES (must equal amount reported in 193)

10

Amount

Part M. Electronic Services and Information (a)
21. Does the StLA fund or facilitate any of the following electronic networking functions at the state level?
Specify Yes or No for each item.
206
207

Yes
Yes

No
No

Database development:
208
Yes
No
209
Yes
No

Electronic network planning or monitoring
Electronic network operation

Bibliographic databases
Full text or data files

22. Does the StLA fund or facilitate digitization or digital programs or services in any of the following
instances? Specify Yes or No for each item.
210a
210b
210c

Yes
Yes
Yes

No
No
No

For the StLA itself
Via grants or contracts to other state agencies
Via grants or contracts to other libraries or library cooperatives

23. Does the StLA fund or facilitate library access to the Internet in any of the following ways? Specify Yes or
No for each item.
Training or consulting to facilitate access:
211a
Yes
No
Library staff (state and local)
211b
Yes
No
State library end-users
212
213
214
215

Yes
Yes
Yes
Yes

No
No
No
No

Providing direct funding for Internet access
Providing equipment
Providing access to directories, databases, or online catalogs via the Internet
Managing a Web site, file server, bulletin boards, or electronic mailing lists

24. Enter the number of workstations that are used for Internet access by the general public in all StLA outlets
that serve the public, by the following categories. Include terminals used by both the StLA staff and the
public. Exclude terminals that are for StLA staff use only.
Internet workstations available to the general public

220a

220b

Library-owned public-access graphical workstations that connect to
the Internet for a dedicated purpose (e.g., to access an OPAC or
specific database, or to train the public) ) or multiple purposes. (For this
count, the term "library-owned" includes computers leased by the state
library agency.)
All other public access Internet workstations in the library. (Report non-library
computers placed in the library by other agencies or groups. Report nongraphical workstations.)

11

Number

Part M. Electronic Services and Information (b)

25. How much does the StLA expend for statewide database licensing, by source of revenue? These
expenditures should also be reported in Part K.
Federal
(a)
223

State
(b)

Other
(c)

TOTAL
(d)

Statewide database licensing

26. Do your statewide database licenses, paid for by funds reported in question 25, include access by the
following? Specify Yes or No for each item.
224
225
226
227
228
229
230

Yes
Yes
Yes
Yes
Yes
Yes
Yes

No
No
No
No
No
No
No

Public libraries
Academic libraries
School library media centers
Special libraries
Library cooperatives
Other state agencies
Remote users

27. Does the StLA facilitate or subsidize electronic access to the bibliographic records or holdings of other
libraries in the state in any of the following ways? Specify Yes or No for each item.
234
236
237

Yes
Yes

No
Web-based union catalog (international, national, statewide, multistate, regional)
No
Other type of electronic access
Specify

28. Is the StLA an applicant for the Universal Service (E-rate discount) Program? Specify Yes or No.
238

Yes

No

12