OMB83C Change Sheet v12

PAPERWORK REDUCTION ACT CHANGE WORKSHEET
Trends in International Mathematics and Science Study (TIMSS 2019) Final Field Test
Questionnaire Change Request
National Center for Education Statistics (NCES),
Institute of Education Sciences, U.S. Department of Education
Agency/Subagency

Enter only items that change
Agency form number(s)
Annual reporting and record keeping hour burden
Number of respondent
Total annual responses
% responses collected electronically
Total annual hours

OMB Control Number

1850-0695 v.12

Current Record

New Record

NA

NA

37,782
40,666
15%
10,974

37,782
40,666
15%
10,974
0

Difference
Explanation of difference
Program change

0
0

Adjustment
Annual reporting and record keeping cost burden
(in thousands of dollars)
Total annualized capital/startup costs
Total annual costs (O&M)
Total annualized cost requested

NA
NA
NA

Difference

NA
NA
NA
NA

Explanation of difference

NA
NA

Program change
Adjustment
Other change**

The Trends in International Mathematics and Science Study (TIMSS) is an international assessment of fourth and eighth
grade students’ achievement in mathematics and science. Since its inception in 1995, TIMSS has continued to assess
students every 4 years, with the next TIMSS assessment, TIMSS 2019, being the seventh iteration of the study. TIMSS
provides a comparison of U.S. student performance with those of their international peers in mathematics and science at
grades 4 and 8. TIMSS is coordinated by the International Association for the Evaluation of Educational Achievement
(IEA), an international collective of research organizations and government agencies that creates the assessment
framework, assessments, and background questionnaires and provides procedures and technical standards which all
countries must follow. In the U.S., the National Center for Education Statistics (NCES) conducts TIMSS. In preparation
for the TIMSS 2019 main study, NCES will conduct a field test in 2018 to evaluate new assessment items and
background questions, to ensure practices that promote low exclusion rates, and to ensure that classroom and student
sampling procedures proposed for the main study are successful. The U.S. TIMSS 2019 field test recruitment began in
May 2017, with data collection conducted from March through April 2018. The U.S. TIMSS 2019 main study recruitment
will begin in May 2018, with data collection conducted from March through May 2019. The request for the Main Study
Recruitment and Field Test was approved in July 2017 (OMB# 1850-0695 v.10), with an Update to that request currently
in a 30-day public comment period and under review at OMB, awaiting OMB approval (OMB# 1850-0695 v.11). This
request is to provide the final U.S. versions of the TIMSS 2019 field test questionnaires approved by IEA. The IEA
released the final international versions of the TIMSS 2019 field test questionnaires in November 2017, and has
approved the adaptations to be made to the U.S. versions of the field test questionnaires. The request under review
(OMB# 1850-0695 v.11) includes the final international versions of the TIMSS 2019 field test questionnaires along with
draft U.S. adaptations to these questionnaires. In Appendix C.2, this change request provides the final adapted U.S.
versions of the TIMSS 2019 field test questionnaires to be administered in the main study. In addition, Appendix C.1,
which lists the changes that were made to the U.S. versions of the TIMSS 2015 main study questionnaires in
preparation for the U.S. TIMSS 2019 field test study, was updated to reflect all of the final changes.
Signature of Senior Official or designee:

Date:

For OIRA Use

January 18, 2018

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**This form cannot be used to extend an expiration date
OMB 83-C