OMB # 0596-0078
Expiration date: to be updated
Interviewer’s name: _____________________________ Interview date: __________
Respondent’s Name: ______________________________________________
Address: ________________________________________________________
City, State Zip: __________________________________________________
Phone: Home ____________________Work:____________________
Mobile: ________________
E-mail: ________________________
Indicate respondent is recruited for interview on <DATE> and <TIME>
_____DATE
_____TIME
RESPONDENT QUALIFICATIONS:
List of respondent qualifications for set of cognitive interviews. The screener will be looking for a representation of various people withing tribal and public land manager populations within these groups. Qualifications include:
Ownership size
Ownership type
Decision maker
Ownership Objectives
Occupation
Age
Gender
[START OF SCREENER SCRIPT]
Hello, my name is {insert interviewer’s name}. I am calling on behalf of the National Woodland Owner Survey. We are conducting a study in your area today and want to ask you a few questions. We are not selling anything and all of your responses will be kept confidential.
Paperwork Reduction Act Notice
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number. The approved OMB Control Number for this information collection is 0596-0078. Without this approval, we could not conduct this survey. Public reporting for this information collection is estimated to be approximately 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection. All responses to this information collection are voluntary. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to the U.S.D.A. Forest Service email address [email protected] and include the OMB Control Number in the subject line.
[AVAILABLE]
Is {insert respondent’s name} available?
Yes ...... ( ) [CONTINUE]
No ........ ( ) [IF NO, LIST REASON WHY NOT]
[REASON FOR NOT RESPONDING:] _______________________ [IF CURRENTLY UNAVAILABLE, ASK FOR GOOD CALL BACK DATE/TIME]: _____________________ [THANK AND CALL BACK LATER]
[IF DECEASED OR UNAVAILABLE FOR EXTENDED TIME PERIOD, ASK IF THERE IS
SOMEONE ELSE IN THE HOUSEHOLD WHOM YOU COULD TALK TO.]
Are you at least 21 years of age?
Yes ...... ( ) [CONTINUE]
No ........ ( ) [IF NO, ASK IF THERE IS SOMEONE ELSE IN THE HOUSEHOLD WHOM YOU COULD TALK TO.]
[LAND]
a. Do you currently own/manage any land in <STATE>?
Yes ....... ( ) [CONTINUE]
No ....... ( ) [THANK AND TERMINATE]
[WOODLAND]
b. Of this land, about how many acres are wooded or covered by trees?
[IF ASKED ABOUT DEFINITION OF WOODS, SAY]: Land at least one acre in size with at least 10 wellspaced trees.
[IF RESPONDENT IS UNSURE, ASK:] About how much of the land would you say is wooded or covered by trees? You can give me an answer such as “a tenth,” “half” or “three-quarters” – an estimate of how much of your land is covered by trees.
Acres of woodland ....... __________ acres [CONTINUE]
OR
Percent of land that is wooded __________%
→ [CALCULATE ACRES OF WOODLAND]
Acres of woodland .. __________ acres [CONTINUE]
[OWNERSHIP TYPE]
There are many different ways that land is owned. Which of the following best describes the type of ownership in which your land is held?
[READ LIST AND CHECK ALL THAT APPLY.]
Individual............................... ( ) [THANK AND TERMINATE]
Joint, with husband or wife............................... ( ) [THANK AND TERMINATE]
Joint, such as with other family members or friends............................... ( ) [THANK AND TERMINATE]
Family partnership or family LLC or LLP..................... ( ) [THANK AND TERMINATE]
Family trust or estate..................... ( ) [THANK AND TERMINATE]
Corporation or business (for-profit) ................... ( ) [THANK AND TERMINATE]
Corporation or business (non-profit) ................... ( ) [THANK AND TERMINATE]
Tribal ..................................................... ( ) [CONTINUE]
Public ownership .................................................. ( ) [CONTINUE]
[ALL RESPONDENTS MUST SAY THEIR LAND IS Tribally or publically OWNED.]
[AGE]
For background purposes, which of the following groups describes your age? [READ LIST]
Under 21 ....................... ( ) [THANK AND TERMINATE]
21-34 years old ........ ( ) [CONTINUE]
35-49 years old ........ ( ) [CONTINUE]
50-64 years old ........ ( ) [CONTINUE]
65 years or older ...... ( ) [CONTINUE]
[Prefer not to say] .... ( ) [CONTINUE – ask if under/over 50]
[RECRUIT A MINIMUM OF 2-3 PER GROUP WHO ARE UNDER 50.]
[GENDER]
[DO NOT ASK. RECORD GENDER BASED ON RESPONDENT’S VOICE AND NAME]
Male ................ ( )
Female ............. ( )
[RECRUIT MINIMUM OF 3 WOMEN AND A MINIMUM OF 3 MEN PER GROUP.]
[INVITATION]
[IF QUALIFIED, ASK:] We would like to invite you to participate in a cognitive interview. You would be asked to share your opinions and ideas with us regarding the National Woodland Owner Survey. The discussion will last approximately one hour and you would be paid $XX for your time and cooperation.
Would you be willing to participate?
Yes ....... ( ) [THANK. VERIFY/UPDATE NAME AND CONTACT INFORMATION. TELL HIM/HER THEY WILL BE CONTACTED AGAIN A FEW DAYS PRIOR TO THE MEETING] No ....... ( ) [THANK AND TERMINATE]
[THANK AND TERMINATE]
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Sarah Butler |
| File Modified | 0000-00-00 |
| File Created | 2024-07-23 |