NLS Web Appointment Setting Application

NLS_Web_Appointment_Setting_Application.pdf

National Longitudinal Survey of Youth 1979

NLS Web Appointment Setting Application

OMB: 1220-0109

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WASA - Validation Screen

 NLSY Web Appointment setting Application _ Validation Step

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Privacy Act Statement

Please enter the PIN sent to you, your Last Name, and click on the 'Submit' button.
PIN #
PIN #
Last Name
Last Name
Clear

Submit

WASA - Appointment Screen



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NLSY Web Appointment Setting Application - Schedule Appointment
Privacy Act Statement

1. What date/time would you like to schedule your appointment?
Please select date & time from the Calendar below:
AUGUST 2022
S

M T

31
7
14
21
28
4

1
8
15
22
29
5

2
9
16
23
30
6

3
10
17
24
31
7

T

F

S

4
11
18
25
1
8

5
12
19
26
2
9

6
13
20
27
3
10

2. Do you know the time zone of your location?
Radio
Yes (goButton
to question 3)
No (goButton
to question 4)
Radio

3. Choose the time zone where you will be on the day of the your interview.
Eastern
Standard Time
Radio
Button
Central
Standard Time
Radio
Button
Mountain
Standard Time
Radio
Button
PacificButton
Standard Time
Radio
AlaskaButton
Standard Time
Radio
Hawaiian-Aleutian
Standard Time
Radio
Button

4. Choose the state where you will be the day of your interview.
(Select the State from the Dropdown)

Select State

5. Please provide the phone number we should dial to call you on the day of your interview.
123
Save & Exit

456

7890

Save & Submit

WASA - Appointment Confirmation Screen



Log Out

NLSY Web Appointment Setting Application - Schedule Appointment
Privacy Act Statement

1. What date/time would you like to schedule your appointment?
Please select date & time from the Calendar below:
AUGUST 2022
S

M T

31
7
14
21
28
4

1
8
15
22
29
5

2
9
16
23
30
6

3
10
17
24
31
7

T

F

S

4
11
18
25
1
8

5
12
19
26
2
9

6
13
20
27
3
10

2. Do you know the time zone of your location?
Radio
Yes (goButton
to question 3)
No (goButton
to question 4)
Radio

3. Choose the time zone where you will be on the day of the your interview.
Eastern
Standard Time
Radio
Button
Central
Standard Time
Radio
Button
Mountain
Standard Time
Radio
Button
PacificButton
Standard Time
Radio
AlaskaButton
Standard Time
Radio
Hawaiian-Aleutian
Standard Time
Radio
Button

4. Choose the state where you will be the day of your interview.
(Select the State from the Dropdown)

Select State

5. Please provide the phone number we should dial to call you on the day of your interview.
123

456

7890

Save
Submit
Saveyou
& Exit
Are you sure
want to 'Save
&&
Submit'
this appointment
schedule on 06/06/2022 @ 10:30 AM CST?
No

Yes

WASA - Thank You Screen

 NLSY Web Appointment Setting Application - Thanks You

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Privacy Act Statement

Thank you, your appointment has been successfully scheduled. Please check your inbox for a confirmation email.

WASA - Privacy Act Statement Screen

 NLSY Web Appointment Setting Application - Privacy Act Statement
Privacy Act Statement
The NLS is a survey administered by the U.S. Department of Labor, Bureau of Labor Statistics. Collection of
information is authorized under Title 29 USC 2. Appointment setting information will be used by BLS and
NORC, a contractor of the agency, to arrange an interview. You may also email [email protected] to arrange an
interview. Providing the information is voluntary. Any disclosure of identifying information other than to BLS
or NORC staff who need to see it for the previously stated purposes will comply with the routine uses found in
Privacy Act System Notice DOL/BLS-13, National Longitudinal Survey of Youth (1979).

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Privacy Act Statement


File Typeapplication/pdf
File Modified2022-08-18
File Created2022-08-18

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