SASS 2011-12 Full Scale District Contact and Questionnaire

Paperwork Burden Statement
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 1850-0598. The time required to complete
this information collection is estimated to average 10 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 or suggestions for improving this form, please write to: U.S. Department of
Education, Washington, DC 20202-4537. If you have comments or concerns about the content of
this form, write directly to: Schools and Staffing Survey, National Center for Education Statistics,
1990 K Street, N.W., Washington, DC 20006-5651.
Page 2

FORM TFS-1 (1-13-2012)

FORM TFS-1 (1-13-2012)

8
7
6
5
4
2
1

NO.

8 Deceased

TEACHER’S NAME
AS REPORTED IN SASS

6 Left this school, not currently teaching (e.g. retired, working in another occupation,
homemaking, or child rearing)
7 Left this school, occupational status unknown

3

8
7
6
5
4
2
1

3

8
7
6
5
4
3
2
1

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
5
2
1

3

4

6

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5
4
2
1

3

8
7
6
5

8
7
6
5
4

4
3

3

3

6
4

5

5 – On
leave, not
returning
this school
year (e.g.
extended
maternity/
paternity
leave,
disability,
sabbatical,
or military
leave)

6 – Left this
school, not
currently
teaching
(e.g. retired,
working in
another
occupation,
homemaking,
or child
rearing)

7

8

7 – Left this 8 – Deceased
school,
occupational
status
unknown

Mark (X)
this box
if
teacher
is
currently
living
outside
of the
U.S.

2

5 On leave, not returning this school year (e.g. extended maternity/paternity leave,
disability, sabbatical, or military leave)

1

4 On leave, returning this school year to this school

2

3 Not teaching, but working in this school

1

2 Teaching, but not in this school

2

1 Teaching in this school

1

OCCUPATIONAL STATUS CODES
(Mark (X) ONE of these codes for each teacher listed on page 3.)

4 – On
leave,
returning
this school
year to this
school

U.S. Census Bureau
SMQAB–TFS-1
Bldg. 66, Room 323
1201 E. 10th Street
Jeffersonville, IN 47132-0001

1 – Teaching 2 – Teaching, 3 – Not
in this school but not in this teaching,
school
but working
in this
school

Please return your completed form, WITHIN 2 WEEKS, to the U.S. Census Bureau in
the enclosed pre-addressed envelope. If you do not have the return envelope call
1–888–262–5934. Mail your form to:

ITEM 2:

All of the teachers listed on the following page were selected for last year’s Schools and
Staffing Survey (SASS), sponsored by the National Center for Education Statistics. To help
us better understand the percentage of teachers who change schools or professions, or who
remain at the same school, in ITEM 1, please indicate the current occupational status for
each of the teachers listed. Use the OCCUPATIONAL STATUS CODES listed below. For
ITEM 2, indicate if the teacher is currently living outside of the United States. Also, please
make corrections to any misspelled teacher names in the space provided beside each name.
If you have any questions, call the U.S. Census Bureau toll free at 1–888–262–5934
or e-mail us at [email protected]

ITEM 1: OCCUPATIONAL CODE STATUS Mark (X) only ONE box for each teacher

INSTRUCTIONS

Page 3

OMB No. 1850-0598: Approval Expires XX/XX/XXXX
Conducted by:

U.S. DEPARTMENT OF EDUCATION

U.S. DEPARTMENT OF COMMERCE

NATIONAL CENTER FOR EDUCATION STATISTICS

Economics and Statistics Administration

U.S. CENSUS BUREAU

TEACHER FOLLOW-UP SURVEY
2012–2013 SCHOOL YEAR

(Please correct any errors in name, address, and ZIP Code.)

TEACHER STATUS FORM
for
PUBLIC AND PRIVATE SCHOOLS

Please return this form within 2 weeks in the enclosed envelope.

NOTICE
This is a voluntary survey and all personally identifiable characteristics 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 [Education Sciences Reform
Act of 2002 (ESRA 2002), 20 U.S.C. § 9573].

FORM TFS-1
(1-13-2012)