Cognitive Interviews for High School Longitudinal Study of 2009 (HSLS:09) Student and Parent Survey Draft Items

System Clearance for Cognitive, Pilot and Field Test Studies

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0803 can be found here:

Documents and Forms

Document Name Document Type
HSLS-F1 Cog Interviews 2010 Attachment 3 Participant Information Sheet.docx Other-Interview
HSLS-F1 Cog Interviews 2010 Attachment 4 Interview Protocols.docx Other-Questionnaire
HSLS-F1 Cog Interviews 2010 Attachment 2 Eligibility Screening.docx Other-Screener
HSLS-F1 Cog Interviews 2010 Attachment 5 Sample Consent Form.docx Consent Form IC Document
HSLS-F1 Cog Interviews 2010 Memo.docx Justification Memo IC Document
HSLS-F1 Cog Interviews 2010 Attachment 1 Recruitment Procedures.docx Recruitment Procedures IC Document
HSLS-F1 Cog Interviews 2010 Passback Response.docx OMB passback response IC Document

Information Collection (IC) Details

IC Title:	Cognitive Interviews for High School Longitudinal Study of 2009 (HSLS:09) Student and Parent Survey Draft Items	Agency IC Tracking Number:	4448

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Screener	HSLS-F1 Cog Interviews 2010 Attachment 2 Eligibility Screening.docx	No	Fillable Fileable
Other-Interview	HSLS-F1 Cog Interviews 2010 Attachment 3 Participant Information Sheet.docx	No	Paper Only
Other-Questionnaire	HSLS-F1 Cog Interviews 2010 Attachment 4 Interview Protocols.docx	No	Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: 18-13--01 National Center for Education Statistics Longitudinal Studies and the School and Staffing Surveys	FR Citation: 64 FR 30181

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	96	96
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Consent Form	HSLS-F1 Cog Interviews 2010 Attachment 5 Sample Consent Form.docx	11/04/2010
Justification Memo	HSLS-F1 Cog Interviews 2010 Memo.docx	11/23/2010
Recruitment Procedures	HSLS-F1 Cog Interviews 2010 Attachment 1 Recruitment Procedures.docx	11/23/2010
OMB passback response	HSLS-F1 Cog Interviews 2010 Passback Response.docx	11/23/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.