Former Postsecondary Student Protocol Recruitment Screen

CFPB RDHE – Former Postsecondary Student Protocol

Recruitment Screener

OMB Control Number: 3170-0036
Expiration Date: XX/XX/XXXX

Paperwork Reduction Act Statement

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor a collection of information, nor is a person required to respond to a collection of information unless it displays a valid OMB control number.  The time burden required to complete this collection of information is estimated to be 6 minutes per response.  Comments regarding this collection of information (e.g comments regarding the time burden per response, suggestions for reducing the time burden per response, and/or suggestions for maximizing the utility of the collected information) should be submitted to the Consumer Financial Protection Bureau at [email protected].

Privacy Act Statement

5 U.S.C. 552a(e)(3)

The information you provide to ICF International (ICF) will be used for recruitment to participate in a focus group or interview sponsored by the Consumer Financial Protection Bureau (CFPB) to understand the racial disparities faced by black students in higher education.

If you choose to participate, ICF will use demographic information such as race, ethnicity, gender, geographic location, employment status, and information about your college or university attendance to determine your eligibility to participate in the study. The demographic information you provide may be linked to other Personally Identifiable Information (PII) such as your name and contact information.

Information collected will be treated in accordance with the System of Records Notice (SORN), CFPB.021 – CFPB Consumer Education and Engagement Records. Although the CFPB does not anticipate further disclosing the information provided, it may be disclosed as indicated in the Routine Uses described in the SORN. Direct identifying information will be kept private except as required by law.

This collection of information is authorized by Pub. L. No. 111-203, Title X, Sections 1013 and 1022, codified at 12 U.S.C. §§ 5493 and 5512.

Participation is voluntary. However, if you choose not to provide the requested information, you may not be eligible to participate in the focus group or interview.

Section 1. Inclusion/Exclusion Criteria

1. Are you currently enrolled in college?

• Yes (participant is excluded from study, no need to continue screening)

• No

2. Have you ever enrolled in college, including a 2-year community college or a 4-year college/university?

• Yes

• No (participant is excluded from study, no need to continue screening)

3. In what state(s) was the college(s)/university(ies) located?

• Maryland

• Georgia

• Alabama

• California

• Connecticut

• Ohio

• Colorado

• Another state:____________ (participant is excluded from study, no need to continue screening)

4. Did you ever attend college after your initial enrollment?

• Yes (continue to next question)

• No (skip to Q7)

5. Did you complete your program of study and receive a credential (degree, certificate) from your college?

• Yes (continue to next question)

• No (skip to Q7)

6. How long ago did you complete your degree?

• Less than 1 year

• 1 – 5 years ago

• 6–10 years ago

• More than 10 years ago (exclude, no need to continue screening)

7. Are you interested in potentially participating in an hour-long focus group regarding your college experiences?

• Yes

• No (participant is excluded from study, no need to continue screening)

Section 2. Demographic Criteria for Participant Sampling

8. What is your race? Select all that apply.

• Asian

• Black/African American (study preference)

• American Indian Alaska Native

• Native Hawaiian or Other Pacific Islander

• White

• Two or more

• Other: ______________

9. What is your ethnicity?

• Hispanic/Latino

• Non-Hispanic Latino

10. What is your gender?

• Female

• Male

• Non-binary/gender-queer

11. What is your employment status?

• Not employed

• Employed full-time

• Employed part-time

• Retired

12. What type of college or university were you enrolled in? Select all that apply if attended multiple institutions.

• 2-year college (e.g., community college) (Note: if selected, participant does not need to answer next question)

• 4-year public/state college or university

• 4-year private college or university

13. What was the classification of the college or university that you were enrolled in? Select all that apply if attended multiple institutions.

• Predominantly white institution

• Predominantly black institution or historically black college or university (HBCU)

• Hispanic-Serving Institution (HSI)

14. What is the highest level of education achieved by your parent(s)/guardian(s)? (Please answer this question for the parent/guardian who achieved the highest level of education. For example, if your mother has some college and your father has a high school diploma, select some college).

• Some high school

• High school diploma/GED

• Some college (less than a 2- or 4-year degree, e.g., certificate or career/tech. cert.)

• 2-year college degree (Associate’s)

• 4-year college degree (Bachelor’s)

• Master’s degree/master’s-level professional degree (e.g., M.B.A)

• Ph.D. or higher/doctoral-level professional degree (e.g., J.D.)

• Don’t know

15. Do you currently live in an urban, suburban, or rural area?

• Urban

• Suburban

• Rural

16. Before you enrolled in college, did you live in an urban, suburban, or rural area?

• Urban

• Suburban

• Rural