O*Net Data Collection, Individuals and Households

BACKGROUND
Some Important Questions
About Your General Background

Sponsored by:
The U.S. Department of Labor and the National Center for O*NET Development
Form F R1
OMB#1205-0421
Expires: 11/30/2021
Version: 507D

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Persons are not required to respond to this collection of information unless it displays
a currently valid OMB control number. Respondents' obligation to reply to these
reporting requirements is voluntary. Public reporting burden for this collection of
information is estimated to average 5 minutes per response, including the time for
reviewing instructions, and completing and reviewing the collection of information.
Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden to the U.S. Department
of Labor, Office of Workforce Investment, Attn: O*NET Project, Frances Perkins
Building, Mail Stop C4526, 200 Constitution Ave., NW, Washington, DC 20210 (OMB
Control Number 1205-0421).

Return to: Research Triangle Institute
Research Operations Center
ATTN: O*NET Data Receipt
5265 Capital Boulevard
Raleigh, NC 27616-2925

Background Information
Occupation Expert for:
The goal of this project is to get accurate, up-to-date information on the occupation of
from a diverse and representative set of experts in the field.
Your answers to these questions will help us achieve this goal. Therefore, it is very
important that you give accurate answers to these questions. Thank you for your
assistance.
Please read each question carefully and mark your answer by putting an X in the box
beside your answer or by writing an answer on the line provided. Please answer the
following questions for the occupation of .

1.

What is the title of your most recent job in this occupation? (Please print)

2.

In your most recent job in this occupation, were you employed part-time or
full-time? (Mark one box)
Part-time
Full-time

3.

In your most recent job in this occupation, were you employed by
(Mark one box)
Government
Private for-profit company
Non-profit organization, including tax-exempt and charitable organizations
Academic institution
Self-employed
Other (Please print)

4.

How much combined experience do you have performing work in this
occupation, supervising workers in this occupation, and/or conducting
training or teaching educational courses related to performing the work in
this occupation? (Mark one box)
Ten years or more
At least 5 years, but less than 10 years
At least 3 years, but less than 5 years
At least 1 year, but less than 3 years
Less than 1 year
Never worked in this occupation in any capacity.

5.

How much experience do you have performing work in this occupation?
(Mark one box)
Ten years or more
At least 5 years, but less than 10 years
At least 3 years, but less than 5 years
At least 1 year, but less than 3 years
Less than 1 year
Never performed work in the occupation

6.

When were you last employed in this occupation? (Mark one box)
Currently employed in this occupation
Within the last 6 months
At least 6 months ago, but less than 1 year
One year or more ago
Never employed in this occupation

7.

How much experience do you have supervising workers in this occupation?
(Mark one box)
Ten years or more
At least 5 years, but less than 10 years
At least 3 years, but less than 5 years
At least 1 year, but less than 3 years
Less than 1 year
Never supervised workers in this occupation

8.

When were you last a supervisor of workers in this occupation?
(Mark one box)
Currently a supervisor of workers in this occupation
Within the last 6 months
At least 6 months ago, but less than 1 year
One year or more ago
Never supervised workers in this occupation

9.

How much experience do you have conducting training or teaching
educational courses related to performing this occupation? (Mark one box)
Ten years or more
At least 5 years, but less than 10 years
At least 3 years, but less than 5 years
At least 1 year, but less than 3 years
Less than 1 year
Never served as a trainer/teacher for workers in this occupation

10. When were you last conducting training or teaching educational courses
related to performing this occupation? (Mark one box)
Currently employed as a trainer/teacher of workers in this occupation
Within the last six months
At least 6 months ago, but less than 1 year
One year or more ago
Never served as a trainer/teacher of workers in this occupation

11. Are you male or female? (Mark one box)
Male
Female

12. In what year were you born?

13. Are you Hispanic or Latino? (Mark one box)
Yes
No

14. What is your race? (Mark one or more boxes)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

15. Indicate the highest level of education that you have completed
(Mark one box)
Less than a High School Diploma
High School Diploma – or the equivalent (for example, GED)
Post-Secondary Certificate – awarded for training completed after high
school (for example, in agriculture or natural resources, computer
services, personal or culinary services, engineering technologies,
healthcare, construction trades, mechanic and repair technologies, or
precision production)
Some College Courses
Associate’s Degree (or other 2-year degree)
Bachelor’s Degree
Post-Baccalaureate Certificate – awarded for completion of an
organized program of study; designed for people who have completed a
Baccalaureate degree but do not meet the requirements of academic
degrees carrying the title of Master.
Master’s Degree
Post-Master’s Certificate – awarded for completion of an organized
program of study; designed for people who have completed a Master’s
degree but do not meet the requirements of academic degrees at the
doctoral level.
First Professional Degree – awarded for completion of a program that
 requires at least 2 years of college work before entrance into the
program,
 includes a total of at least 6 academic years of work to complete, and
 provides all remaining academic requirements to begin practice in a
profession.
Doctoral Degree
Post-Doctoral Training

Yes
16.

Are you deaf or do you have serious difficulty hearing? .........

17.

Are you blind or do you have serious difficulty seeing even
when wearing glasses? ...............................................................

18a.

Because of a physical, mental, or emotional condition,
do you have serious difficulty concentrating, remembering,
or making decisions? .................................................................

b. Do you have serious difficulty walking or climbing stairs? .....

c. Do you have difficulty dressing or bathing? .............................

19.

Because of a physical, mental, or emotional condition,
do you have difficulty doing errands alone such
as visiting a doctor’s office or shopping? ................................

No

Your Professional Certifications
1.

Please write the names of job-related professional certifications that you have
earned:

a.________________________________________________________________
b.________________________________________________________________
c.________________________________________________________________
d.________________________________________________________________
e.________________________________________________________________

Your Apprenticeship Certificates
2.

Please write the names of job-related apprenticeship programs that you have
completed:

a.__________________________________________________________
b.__________________________________________________________
c.___________________________________________________________
d.___________________________________________________________
e.___________________________________________________________

Thank you so much for your participation in the O*NET Data Collection Program. We
appreciate the time and effort you have taken to answer these questions.
Please make any comments about the survey or the O*NET Data Collection Program in
general in the space below.

Please return your completed questionnaire in the
enclosed envelope to:
RTI Research Operations Center
5265 Capital Blvd
Raleigh, NC 27616-2925

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questionnaire online?
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