OMB #: 0925-0593
OMB Expiration Date: 8/31/2014
Noise Measurement Pick-Up Instrument, Phase 2g
OMB Specification
Noise Measurement Pick-Up Instrument
Event Category: |
Time-Based |
Event: |
36M, 60M |
Administration: |
N/A |
Instrument Target: |
Child's Primary Residence |
Instrument Respondent: |
Data Collector |
Domain: |
Environmental |
Document Category: |
Sample Collection |
Method: |
Data Collector Administered |
Mode (for this instrument*): |
In-Person, CAI |
OMB Approved Modes: |
In-Person, CAI |
Estimated Administration Time: |
0 minutes |
Multiple Child/Sibling Consideration: |
Per Event |
Special Considerations: |
N/A |
Version: |
1.0 |
MDES Release: |
4.0 |
*This instrument is OMB-approved for multi-mode administration, but this version of the instrument is designed for administration in this/these mode(s) only.
This page intentionally left blank.
Noise Measurement Pick-Up Instrument
TABLE OF CONTENTS
This page intentionally left blank.
Noise Measurement Pick-Up Instrument
WHEN PROGRAMMING INSTRUMENTS, VALIDATE FIELD LENGTHS AND TYPES AGAINST THE MDES TO ENSURE DATA COLLECTION RESPONSES DO NOT EXCEED THOSE OF THE MDES. SOME GENERAL ITEM LIMITS USED ARE AS FOLLOWS:
DATA ELEMENT FIELDS |
MAXIMUM CHARACTERS PERMITTED |
DATA TYPE |
PROGRAMMER INSTRUCTIONS |
ADDRESS AND EMAIL FIELDS |
100 |
CHARACTER |
|
UNIT AND PHONE FIELDS |
10 |
CHARACTER |
|
_OTH AND COMMENT FIELDS |
255 |
CHARACTER |
|
FIRST NAME AND LAST NAME |
30 |
CHARACTER |
|
ALL ID FIELDS |
36 |
CHARACTER |
|
ZIP CODE |
5 |
NUMERIC |
|
ZIP CODE LAST FOUR |
4 |
NUMERIC |
|
CITY |
50 |
CHARACTER |
|
DOB AND ALL OTHER DATE FIELDS (E.G., DT, DATE, ETC.) |
10 |
NUMERIC
CHARACTER
|
MM MUST EQUAL 01 TO 12 DD MUST EQUAL 01 TO 31 YYYY MUST BE BETWEEN 1900 AND CURRENT YEAR. |
TIME VARIABLES |
TWO-DIGIT HOUR AND TWO-DIGIT MINUTE, AM/PM DESIGNATION |
NUMERIC |
HOURS MUST BE BETWEEN 00 AND 12; MINUTES MUST BE BETWEEN 00 AND 59 |
Instrument Guidelines for Participant and Respondent IDs:
PRENATALLY, THE P_ID IN THE MDES HEADER IS THAT OF THE PARTICIPANT (E.G. THE NON-PREGNANT WOMAN, PREGNANT WOMAN, OR THE FATHER).
POSTNATALLY, A RESPONDENT ID WILL BE USED IN ADDITION TO THE PARTICIPANT ID BECAUSE SOMEBODY OTHER THAN THE PARTICIPANT MAY BE COMPLETING THE INTERVIEW. FOR EXAMPLE, THE PARTICIPANT MAY BE THE CHILD AND THE RESPONDENT MAY BE THE MOTHER, FATHER, OR ANOTHER CAREGIVER. THEREFORE, MDES VERSION 2.2 AND ALL FUTURE VERSIONS CONTAIN A R_P_ID (RESPONDENT PARTICIPANT ID) HEADER FIELD FOR EACH POST-BIRTH INSTRUMENT. THIS WILL ALLOW ROCs TO INDICATE WHETHER THE RESPONDENT IS SOMEBODY OTHER THAN THE PARTICIPANT ABOUT WHOM THE QUESTIONS ARE BEING ASKED.
A REMINDER:
ALL RESPONDENTS MUST BE CONSENTED AND HAVE RECORDS IN THE PERSON, PARTICIPANT, PARTICIPANT_CONSENT AND LINK_PERSON_PARTICIPANT TABLES, WHICH CAN BE PRELOADED INTO EACH INSTRUMENT. ADDITIONALLY, IN POST-BIRTH QUESTIONNAIRES WHERE THERE IS THE ABILITY TO LOOP THROUGH A SET OF QUESTIONS FOR MULTIPLE CHILDREN, IT IS IMPORTANT TO CAPTURE AND STORE THE CORRECT CHILD P_ID ALONG WITH THE LOOP INFORMATION. IN THE MDES VARIABLE LABEL/DEFINITION COLUMN, THIS IS INDICATED AS FOLLOWS: EXTERNAL IDENTIFIER: PARTICIPANT ID FOR CHILD DETAIL.
(TIME_STAMP_NMP_ST).
PROGRAMMER INSTRUCTIONS |
|
NMP01000/(STAFF_ID). ENTER STAFF ID
__________________________________________
STAFF ID
NMP02000. NOISE MONITOR PICK UP INSTRUCTIONS:
DATA COLLECTOR INSTRUCTIONS |
|
NMP03000/(SAMPLE_ID). ENVIRONMENTAL NOISE MEASUREMENT SAMPLE ID
| E |___|___|___|___|___|___|___|___| - N E 0 1
NOISE-ENVIRONMENTAL ID
PROGRAMMER INSTRUCTIONS |
|
NMP04000/(SAMPLE_ID_SAME). {SAMPLE_ID}
IS THE DISPLAYED SAMPLE ID THE SAME AS THE SAMPLE ID SHOWN ON THE LABEL PLACED ON THE NOISE MONITOR?
Label |
Code |
Go To |
YES |
1 |
|
NO |
2 |
|
DON'T KNOW |
-2 |
|
PROGRAMMER INSTRUCTIONS |
|
NMP05000/(EQUIP_ID). NOISE MONITOR ID
______________________________________________
DATA COLLECTOR INSTRUCTIONS |
|
NMP06000/(EQUIP_ID_SAME). {EQUIP_ID}
IS THE DISPLAYED EQUIPMENT ID THE SAME AS THE EQUIPMENT ID ON THE NOISE MONITOR?
Label |
Code |
Go To |
YES |
1 |
|
NO |
2 |
|
DON'T KNOW |
-2 |
|
PROGRAMMER INSTRUCTIONS |
|
NMP07000. MONITOR PICK-UP DATE
(MON_PICK_DATE_MM) MONTH: |____|____|
M M
(MON_PICK_DATE_DD) DAY: |____|____|
D D
(MON_PICK_DATE_YYYY) YEAR: |____|____|____|____|
Y Y Y Y
PROGRAMMER INSTRUCTIONS |
|
NMP08000/(MON_PICK_TIME). MONITOR PICK-UP TIME
|____|____| : |____|____|
H H M M
NMP09000/(MON_PICK_TIME_UNIT). MONITOR PICK-UP TIME AM/PM
Label |
Code |
Go To |
AM |
1 |
|
PM |
2 |
|
NMP10000/(MON_PICKUP_ROOM). DID YOU PICK UP THE NOISE MONITOR FROM THE ROOM WHERE IT WAS SET UP?
Label |
Code |
Go To |
YES |
1 |
MON_PICKUP_PROBLEM |
NO |
2 |
|
DON'T KNOW |
-2 |
|
NMP11000/(MON_PICKUP_ROOM_DIFF). RECORD THE ROOM FROM WHERE THE NOISE MONITOR WAS PICKED UP.
Label |
Code |
Go To |
COMMON LIVING AREA |
1 |
MON_PICKUP_PROBLEM |
CHILD'S BEDROOM |
2 |
CHILD_BEDROOM_SHARED |
ADULT BEDROOM |
3 |
MON_PICKUP_PROBLEM |
OTHER |
-5 |
|
NMP12000/(MON_PICKUP_ROOM_DIFF_OTH). SPECIFY: ___________________________________________
NMP13000/(CHILD_BEDROOM_SHARED). DOES THE CHILD SHARE THE BEDROOM WITH OTHER FAMILY MEMBER(S)?
Label |
Code |
Go To |
YES |
1 |
|
NO |
2 |
|
DON'T KNOW |
-2 |
|
NMP14000/(MON_PICKUP_PROBLEM). DID YOU OBSERVE ANY PROBLEMS WITH THE NOISE MONITOR STAND AND/OR THE NOISE MONITOR?
Label |
Code |
Go To |
YES |
1 |
|
NO |
2 |
MON_PICKUP_ROOM_WINDOW_OPEN |
NMP15000/(MON_PICKUP_PROBLEM_OBS). RECORD THE PROBLEMS YOU OBSERVED WITH THE NOISE MONITOR STAND AND/OR THE NOISE MONITOR.
DATA COLLECTOR INSTRUCTIONS |
|
Label |
Code |
Go To |
STAND MISSING |
1 |
|
EQUIPMENT/SUPPLIES MISSING |
2 |
|
STAND MOVED |
3 |
|
STAND DAMAGED |
4 |
|
STAND UNLOCKED |
5 |
|
NOISE MONITOR NOT RUNNING |
6 |
|
NOISE MONITOR DAMAGED |
7 |
|
OTHER |
-5 |
|
PROGRAMMER INSTRUCTIONS |
|
NMP16000/(MON_PICKUP_PROBLEM_OBS_OTH). SPECIFY: __________________________________________
NMP17000. NOISE MONITOR AND/OR STAND DAMAGED
DATA COLLECTOR INSTRUCTIONS |
|
PROGRAMMER INSTRUCTIONS |
|
NMP18000/(MON_PICKUP_DISTANCE). RECORD THE DISTANCE OF THE NOISE MONITOR FROM THE WALL IN THE PICK-UP ROOM.
Label |
Code |
Go To |
LESS THAN 2 FT FROM WALL |
1 |
|
MORE THAN OR EQUAL TO 2 FEET FROM WALL |
2 |
|
NMP19000/(MON_PICKUP_HEIGHT). RECORD THE HEIGHT OF THE NOISE MONITOR FROM THE FLOOR IN THE PICK-UP ROOM.
Label |
Code |
Go To |
LESS THAN 3 FT FROM FLOOR |
1 |
|
MORE THAN OR EQUAL TO 3 FT FROM FLOOR |
2 |
|
NMP20000/(MON_PICKUP_ROOM_WINDOW). RECORD WHAT IS OUTSIDE OF THE WINDOW(S) IN THE PICK-UP ROOM
DATA COLLECTOR INSTRUCTIONS |
|
Label |
Code |
Go To |
NO WINDOWS |
1 |
|
STREET WITH LIGHT TRAFFIC |
2 |
|
STREET WITH HEAVY TRAFFIC |
3 |
|
FREEWAY OR HIGHWAY |
4 |
|
YARD, GARDEN, GREENBELT, COURTYARD |
5 |
|
OTHER |
-5 |
|
PROGRAMMER INSTRUCTIONS |
|
NMP21000/(MON_PICKUP_ROOM_WINDOW_OTH). SPECIFY: _____________________________________________
NMP22000/(MON_PICKUP_ROOM_WINDOW_OPEN). RECORD IF WINDOW(S) IN THE PICK-UP ROOM IS/ARE OPEN.
Label |
Code |
Go To |
YES |
1 |
|
NO |
2 |
|
NMP23000/(MON_PICKUP_COMMENTS). RECORD ANY COMMENTS ABOUT THE NOISE MONITOR PICK-UP:
COMMENT: __________________________________________
(TIME_STAMP_NMP_ET).
PROGRAMMER INSTRUCTIONS |
|
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 2021-01-27 |