Children and Aging Forums Feedback Survey

NOTICE – Public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, suggestions for reducing this burden to: CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road, MS D74, Atlanta, GA 30333, ATTN: PRA (0920-0729).

Attachment A – Children and Aging Forums Feedback Survey OMB #0920-0729; Expiration Date: 05/31/2017

The Federal Interagency Forum on Child and Family Statistics (Children’s Forum) was established under Executive Order No. 13045 in 1997 and currently comprises 23 Federal agencies. The Federal Interagency Forum on Aging-related Statistics (Aging Forum), established in 1986, currently comprises 16 Federal agencies. Each a separate entity‎, the Forums reflect a unique model within the Federal system where agencies work collaboratively in the collection, production and publication of policy-relevant Federal statistics.

The statistical data reports of the Children and Aging Forums are intended to enhance data collections on America’s children and families as well as older populations. Insights gained from this survey information will be used to more clearly define and better serve the needs of the Forums’ target audiences.

The survey is voluntary and is estimated to take no more than 10 minutes to complete. It has been designed so that no individually identifiable information will be released. Please be sure not to include any identifiable information pertaining to the survey. ___________________________________________________________________________________________

1. Have you ever used NCHS data or other Federal data from the periodically released, America’s Children: Key National Indicators of Well-Being?

   1. Yes

   2. No (Skip to question #6)

2. How do you typically access the America’s Children report?

   1. Print version and online at Childstats.gov

   2. Print version only

   3. Online at Childstats.gov only

   4. Other (describe) _______________________

3. Which of these America’s Children report domains provided the most useful data?

   1. Demographic Background

   2. Family and Social Environment

   3. Economic Circumstances

   4. Health Care

   5. Physical Environment and Safety

   6. Behavior

   7. Education

   8. Health

4. How do you most often use America’s Children data? (select all that apply)

   1. Conference presentations (e.g., requiring pdf data charts and tables)

   2. Scholarly research (e.g., requiring additional data runs, standard errors, etc.)

   3. Instructional material (e.g., for supplemental reading or reference)

   4. Publications/References (e.g., data briefs, peer-reviewed articles)

   5. Stakeholder or Grantee justifications (e.g., showing single data points and/or data comparisons overtime)

   6. Press or Social Media (e.g. twitter, blogs, etc.)

   7. Other (please describe) _______________________________

5. Which data topics would you like to see added to or deleted from the America’s Children publication? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Have you ever used NCHS data or other Federal data from the periodically released Older Americans: Key Indicators of Well-Being?

   1. Yes

   2. No (Skip to question #10)

7. How do you typically access the Older Americans report?

   1. Print version and online at Agingstats.gov

   2. Print version only

   3. Online at Agingstats.gov only

   4. Other (describe) _______________________

8. How do you most often use data found in the Older Americans report? (select all that apply)

   1. Conference presentations (e.g., requiring pdf data charts and tables)

   2. Scholarly research (e.g., requiring additional data runs, standard errors, etc.)

   3. Instructional material (e.g., for supplemental reading or reference)

   4. Publications/References (e.g., data briefs, peer-reviewed articles)

   5. Stakeholder or Grantee justifications (e.g., showing single data points and/or data comparisons overtime)

   6. Press or Social Media (e.g. twitter, blogs, etc.)

   7. Other (please describe) ______________________________

9. Which data topics would you like to see added to or deleted from the Older Americans publication? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10. How would you classify your data user role:

    1. Health care provider

    2. Health/Public health professional

    3. Legal professional

    4. Market researcher, analyst, or consultant

    5. Media professional

    6. Policy-maker, policy analyst, or advocate

    7. Retired

    8. Student

    9. Other (please specify) _________________