Screener Questions

National Survey of Fishing, Hunting, and Wildlife-Associated Recreation (FHWAR)

Screener Questions Cognitive Interviews Pretest w-Notices

Web-based Cognitive Interviews (Pre-test)

OMB: 1018-0088

Document [docx]
Download: docx | pdf

OMB Control No. 1018-0088

Expires ##/##/20##

Screener – v4.3
6.17.2020

s_hhcount.
Including yourself, how many people currently live in your household at least 50 percent of the time? Please include any children as well as adults.

response options:

  1. One person, I live by myself
  2. Two people
  3. Three people
  4. Four people
  5. Five people
  6. Six or more people

S_ADLTRoster.
Please list each household member who is at least 16 YEARS OF AGE even if they don’t participate in wildlife-watching, fishing, and hunting activities, starting with yourself. Please use just first name, initials, or some nickname.

If there are more than 4 persons age 16 or older in your household, just list yourself and the three people with the most recent birthday.

Response options:

  1. Yourself: [TEXTBOX]
  2. Person 2: [TEXTBOX]
  3. Person 3: [TEXTBOX]
  4. Person 4: [TEXTBOX]


programming note: cycle through S_age to S_GRADE for each individual listed in S_roster.


Create text fills for each individual indicated in the roster. fill [individual] for each rostered individual and update the fill for each cycle through the screener.

yourself: individual 1

person 2: individual 2

person 3: individual 3

person 4: individual 4


variable names should indicate _1, _2, _3, _4 and correspond with rostered individual.


S_AGE.
What is [INDIVIDUAL]’s age?

S_GENDER.
What is [INDIVIDUAL]’s gender?

RESPONSE OPTIONS:

  1. Male
  2. Female

S_WeverAFH.
The next questions are about the trips or outings [INDIVIDUAL] may have taken for the PRIMARY PURPOSE of observing, photographing, or feeding wildlife. The questions do not refer to noticing wildlife while doing other activities such as hunting and fishing. DO NOT include trips to zoos, circuses, aquariums, museums, or scouting for game.

By wildlife we mean birds, mammals, fish, insects, reptiles such as turtles, snakes, and lizards, and amphibians such as frogs. DO NOT include farm animals or pets.

Has [INDIVIDUAL] EVER taken any trips or outings to any location more than one mile away from home within the United States for the PRIMARY PURPOSE of observing, photographing, or feeding wildlife?

RESPONSE OPTIONS:

  1. Yes → GO TO S_WYETAFH
  2. No → SKIP TO S_WLIKLYAFH

S_WyetAFH.
[SHOW IF S_WEVERAFH = 1]
From January 1, 2020 until today, did [INDIVIDUAL] take any trips or outings to any location more than one mile away from home within the United States for the PRIMARY PURPOSE of observing, photographing, or feeding wildlife?

RESPONSE OPTIONS:

  1. Yes → GO TO S_WYETSTAFH
  2. No SKIP TO S_WLASTYRAFH

S_WYETSTAFH.

[SHOW IF S_WyetAFH=1]

From January 1, 2020 until today, in which state or states did [INDIVIDUAL] take any trips or outings for the PRIMARY PURPOSE of observing, photographing, or feeding wildlife?


RESPONSE OPTIONS:

Alabama
Hawaii
Michigan
North Carolina
Utah
Alaska
Idaho
Minnesota
North Dakota
Vermont
Arizona
Illinois
Mississippi
Ohio
Virginia
Arkansas
Indiana
Missouri
Oklahoma
Washington
California
Iowa
Montana
Oregon
West Virginia
Colorado
Kansas
Nebraska
Pennsylvania
Wisconsin
Connecticut
Kentucky
Nevada
Rhode Island
Wyoming
Delaware
Louisiana
New Hampshire
South Carolina

District of Columbia (DC)
Maine
New Jersey
South Dakota

Florida
Maryland
New Mexico
Tennessee

Georgia
Massachusetts
New York
Texas


GO TO S_WYETTRAFH
S_WYETtrAFH.

[show if S_WyetAFH=1]

From January 1, 2020 until today, how many trips or outings lasting a single day or longer did [INDIVIDUAL] take more than one mile away from home within the United States for the PRIMARY PURPOSE of observing, photographing, or feeding wildlife?

GO TO S_WLASTYRAFH

S_wLASTYRAFH.

[show if S_weverAFH=1]

From January 1 to December 31, 2019, did [INDIVIDUAL] take any trips or outings more than one mile away from home within the United States for the PRIMARY PURPOSE of observing, photographing, or feeding wildlife?

RESPONSE OPTIONS:

  1. Yes → GO TO S_WLASTYRMOAFH
  2. No → SKIP TO S_WYEARSAFH


S_wlastyrMOAFH.

[Show if S_wLASTYRafh=1 AND S_wYETafh<>1]

What was the most recent month [INDIVIDUAL] took a trip or outing for the PRIMARY PURPOSE of observing, photographing, or feeding wildlife in 2019?


RESPONSE OPTIONS:

January
July
February
August
March
September
April
October
May
November
June
December


GO TO S_WLASTYRSTAFH

S_WLASTYRSTAFH.

[SHOW IF S_WLASTYRAFH=1 AND S_WyetAFH<>1]

In which state did this most recent trip in [RESPONSE FROM S_WLASTYRMOAFH] take place?


RESPONSE OPTIONS:

Alabama
Hawaii
Michigan
North Carolina
Utah
Alaska
Idaho
Minnesota
North Dakota
Vermont
Arizona
Illinois
Mississippi
Ohio
Virginia
Arkansas
Indiana
Missouri
Oklahoma
Washington
California
Iowa
Montana
Oregon
West Virginia
Colorado
Kansas
Nebraska
Pennsylvania
Wisconsin
Connecticut
Kentucky
Nevada
Rhode Island
Wyoming
Delaware
Louisiana
New Hampshire
South Carolina

District of Columbia (DC)
Maine
New Jersey
South Dakota

Florida
Maryland
New Mexico
Tennessee

Georgia
Massachusetts
New York
Texas


GO TO S_WLASTYRDYSAFH

S_WLASTYRDYSAFH.

[Show if S_WLASTYRAFH=1 AND WC_WYETAFH<>1]

How many TOTAL days did this most recent trip in [RESPONSE FROM S_WLASTYRMOAFH] 2019 last?


GO TO S_ WLIKLYAFH

S_WCLIKLYAFH.
How likely is it that [INDIVIDUAL] will take any trips or outings more than one mile away from home within the United States for the PRIMARY PURPOSE of observing, photographing, or feeding wildlife between today and December 31, 2020?

RESPONSE OPTIONS:

  1. Very likely
  2. Somewhat likely
  3. Somewhat unlikely
  4. Very unlikely

GO TO S_WEVERHOME

S_WeverHOME.
The next questions are about your experiences with wildlife around your home, meaning the area within a one-mile radius of your home. We’re interested in whether you took a SPECIAL INTEREST in observing or viewing wildlife, not just simply noticing wildlife while doing something else such as gardening or exercising.

Has [INDIVIDUAL] EVER done any of the following wildlife-watching activities around your home, or not?

By wildlife we mean birds, mammals, fish, insects, reptiles such as turtles, snakes, and lizards, and amphibians such as frogs. DO NOT include farm animals or pets.

grid items:

  1. Closely observe wildlife or try to identify types of wildlife you did not know
  2. Photograph wildlife
  3. Feed birds or other wildlife
  4. Maintain natural areas such as wooded lots, hedgerows, or open fields of at least one-quarter acre for the benefit of wildlife, not including farmland
  5. Maintain plantings such as shrubs or agricultural crops for the benefit of wildlife
  6. Visit parks and natural areas to observe, photograph, or feed wildlife

RESPONSE OPTIONS:

  1. Yes
  2. No

S_WyetHOME.
[SHOW IF S_WEVERHOME=1]
From January 1, 2020 until today, did [INDIVIDUAL] do any of the following wildlife-watching activities around your home, or not?

grid items:

  1. Closely observe wildlife or try to identify types of wildlife you did not know
  2. Photograph wildlife
  3. Feed birds or other wildlife
  4. Maintain natural areas such as wooded lots, hedgerows, or open fields of at least one-quarter acre for the benefit of wildlife, not including farmland
  5. Maintain plantings such as shrubs or agricultural crops for the benefit of wildlife
  6. Visit parks and natural areas to observe, photograph, or feed wildlife

RESPONSE OPTIONS:

  1. Yes
  2. No

S_WYETDYHOME.

[show if S_WyetHOME_A=1 OR S_WyetHOME_B=1 OR S_WyetHOME_F=1]

From January 1, 2020 until today, on how many days did [INDIVIDUAL] do each of the following wildlife-watching activities around your home?

grid items:

  1. [SHOW IF S_wyetHOME_A=1] Closely observe wildlife or try to identify types of wildlife you did not know
  2. [SHOW IF S_wyetHOME_B=1] Photograph wildlife
  3. [SHOW IF S_wyetHOME_F=1] Visit parks and natural areas to observe, photograph, or feed wildlife

GO TO S_WLASTYRHOME

S_wLASTYRHOME.

[show if S_weverHOME=1]

From January 1 to December 31, 2019, did [INDIVIDUAL] take a SPECIAL INTEREST in wildlife around your home?

RESPONSE OPTIONS:

  1. Yes → GO TO S_WLASTYRMOHOME
  2. No → SKIP TO S_WLIKLYHOME


S_wlastyrMOHOME.

[Show if S_wLASTYRHOME=1 AND S_wYETHOME<>1]

What was the most recent month [INDIVIDUAL] took a SPECIAL INTEREST in wildlife around your home in 2019?


RESPONSE OPTIONS:

January
July
February
August
March
September
April
October
May
November
June
December


GO TO S_ WLIKLYHOME

S_WLIKLYHOME.
How likely is it that [INDIVIDUAL] will take a SPECIAL INTEREST in wildlife around your home between today and December 31, 2020?

RESPONSE OPTIONS:

  1. Very likely
  2. Somewhat likely
  3. Somewhat unlikely
  4. Very unlikely

GO TO S_FEVER

S_FEVER.
Has [INDIVIDUAL] EVER done any recreational fishing in the United States?

RESPONSE OPTIONS:

  1. Yes → GO TO S_FYET
  2. No → SKIP TO S_FLIKLY

S_FYET.
[SHOW IF S_FEVER = 1]
From January 1, 2020 until today, did [INDIVIDUAL] do any recreational fishing in the United States? Please do not include occasions when they only observed others fishing.

RESPONSE OPTIONS:

  1. Yes → GO TO S_FYETST
  2. No → SKIP TO S_FLASTYR

S_FYETST.

[SHOW IF S_Fyet=1]

From January 1, 2020 until today, in which state or states did [INDIVIDUAL] do any recreational fishing?


RESPONSE OPTIONS:

Alabama
Hawaii
Michigan
North Carolina
Utah
Alaska
Idaho
Minnesota
North Dakota
Vermont
Arizona
Illinois
Mississippi
Ohio
Virginia
Arkansas
Indiana
Missouri
Oklahoma
Washington
California
Iowa
Montana
Oregon
West Virginia
Colorado
Kansas
Nebraska
Pennsylvania
Wisconsin
Connecticut
Kentucky
Nevada
Rhode Island
Wyoming
Delaware
Louisiana
New Hampshire
South Carolina

District of Columbia (DC)
Maine
New Jersey
South Dakota

Florida
Maryland
New Mexico
Tennessee

Georgia
Massachusetts
New York
Texas


GO TO S_FYETTR
S_FYETtr.

[show if S_Fyet=1]

From January 1, 2020 until today, how many trips lasting a single day or longer did [INDIVIDUAL] take to do any recreational fishing in the United States?

GO TO S_FLASTYR
S_FLASTYR.
[SHOW IF S_FEVER = 1]
From January 1 to December 31, 2019, did [INDIVIDUAL] do any recreational fishing? Please do not include occasions when they only observed others fishing.

RESPONSE OPTIONS:

  1. Yes → GO TO S_FLASTYRMO
  2. No → SKIP TO S_FYEARS

S_FlastyrMO.

[Show if S_FLASTYR=1 AND S_FYET<>1]

What was the most recent month [INDIVIDUAL] did any recreational fishing in 2019?


RESPONSE OPTIONS:

January
July
February
August
March
September
April
October
May
November
June
December

GO TO S_FLASTYRST
S_FLASTYRST.

[SHOW IF S_FLASTYR=1 AND S_Fyet<>1]

In which state did this most recent trip in [RESPONSE FROM S_FLASTYRMO] 2019 take place?


RESPONSE OPTIONS:

Alabama
Hawaii
Michigan
North Carolina
Utah
Alaska
Idaho
Minnesota
North Dakota
Vermont
Arizona
Illinois
Mississippi
Ohio
Virginia
Arkansas
Indiana
Missouri
Oklahoma
Washington
California
Iowa
Montana
Oregon
West Virginia
Colorado
Kansas
Nebraska
Pennsylvania
Wisconsin
Connecticut
Kentucky
Nevada
Rhode Island
Wyoming
Delaware
Louisiana
New Hampshire
South Carolina

District of Columbia (DC)
Maine
New Jersey
South Dakota

Florida
Maryland
New Mexico
Tennessee

Georgia
Massachusetts
New York
Texas


GO TO S_FLASTYRDYS

S_FLASTYRDYS.

[Show if S_FLASTYR=1 AND S_FYET<>1]

How many TOTAL days did this most recent recreational fishing trip in [RESPONSE FROM S_FLASTYRMO] 2019 last?


GO TO S_FFIRSTYR

s_ffirstyr.
Was 2019 the first year in which [INDIVIDUAL] EVER fished recreationally?

RESPONSE OPTIONS:

  1. Yes → SKIP TO S_FLIKLY
  2. No → GO TO S_FYEARS

S_Fyears.
[show if S_Fever=1]

In which of the previous years did [INDIVIDUAL] go recreational fishing at least once in the United States? Please mark all that apply.


RESPONSE OPTIONS:

  1. 2018
  2. 2017
  3. 2016
  4. 2015


GO TO S_FLIKLY

S_FLIKLY.
How likely is it that [INDIVIDUAL] will do any recreational fishing between today and December 31, 2020?


RESPONSE OPTIONS:

  1. Very likely
  2. Somewhat likely
  3. Somewhat unlikely
  4. Very unlikely

GO TO S_HEVER


S_HEVER.
Has [INDIVIDUAL] EVER hunted any game or other wildlife in the United States?

RESPONSE OPTIONS:

  1. Yes → GO TO S_HYET.
  2. No → SKIP TO S_HLIKLY

S_HYET.
[SHOW IF S_HEVER = 1]
From January 1, 2020 until today, did [INDIVIDUAL] do any hunting in the United States? Please do not include occasions when they only observed others hunting or when they only scouted.

RESPONSE OPTIONS:

  1. Yes → GO TO S_HYETST
  2. No SKIP TO S_HLASTYR

S_hYETST.

[SHOW IF S_hye

From January 1, 2020 until today, in which state or states did [INDIVIDUAL] hunt?

RESPONSE OPTIONS:

Alabama
Hawaii
Michigan
North Carolina
Utah
Alaska
Idaho
Minnesota
North Dakota
Vermont
Arizona
Illinois
Mississippi
Ohio
Virginia
Arkansas
Indiana
Missouri
Oklahoma
Washington
California
Iowa
Montana
Oregon
West Virginia
Colorado
Kansas
Nebraska
Pennsylvania
Wisconsin
Connecticut
Kentucky
Nevada
Rhode Island
Wyoming
Delaware
Louisiana
New Hampshire
South Carolina

District of Columbia (DC)
Maine
New Jersey
South Dakota

Florida
Maryland
New Mexico
Tennessee

Georgia
Massachusetts
New York
Texas


GO TO S_HYETTR
S_hYETtr.

[show if S_hyet=1]

From January 1, 2020 until today, how many trips lasting a single day or longer did [INDIVIDUAL] take to hunt in the United States?

GO TO S_HLASTYR
S_HLASTYR.

[show if S_hever=1]

From January 1 to December 31, 2019, did [INDIVIDUAL] do any hunting in the United States? Please do not include occasions when they only observed others hunt or when they only scouted.

RESPONSE OPTIONS:

  1. Yes → GO TO S_HLASTYRMO
  2. No → SKIP TO S_HYEARS

S_hlastyrMO.

[Show if S_HLASTYR=1 AND S_HYET<>1]

What was the most recent month [INDIVIDUAL] hunted in 2019?


RESPONSE OPTIONS:

January
July
February
August
March
September
April
October
May
November
June
December

GO TO S_HLASTYRST
S_hLASTYRST.

[SHOW IF S_HLASTYR=1 AND S_hyet<>1]

In which state did this most recent trip in [RESPONSE FROM S_ HLASTYRMO] 2019 take place?

RESPONSE OPTIONS:

Alabama
Hawaii
Michigan
North Carolina
Utah
Alaska
Idaho
Minnesota
North Dakota
Vermont
Arizona
Illinois
Mississippi
Ohio
Virginia
Arkansas
Indiana
Missouri
Oklahoma
Washington
California
Iowa
Montana
Oregon
West Virginia
Colorado
Kansas
Nebraska
Pennsylvania
Wisconsin
Connecticut
Kentucky
Nevada
Rhode Island
Wyoming
Delaware
Louisiana
New Hampshire
South Carolina

District of Columbia (DC)
Maine
New Jersey
South Dakota

Florida
Maryland
New Mexico
Tennessee

Georgia
Massachusetts
New York
Texas


GO TO S_HLASTYRDYS
S_HLASTYRDYS.

[Show if S_HLASTYR=1 AND S_HYET<>1]

How many TOTAL days did this most recent trip in [RESPONSE FROM S_HLASTYRMO] 2019 last?

GO TO S_HFIRSTYR

s_hfirstyr.
Was 2019 the first year in which [INDIVIDUAL] EVER hunted?

RESPONSE OPTIONS:

  1. Yes → SKIP TO S_HLIKLY
  2. No → GO TO S_HYEARS

S_Hyears.
[SHOW IF S_HEVER=1]
In which of the previous years did [INDIVIDUAL] go hunting at least once in the United States? Please mark all that apply.

RESPONSE OPTIONS:

  1. 2018
  2. 2017
  3. 2016
  4. 2015

GO TO S_HLIKLY
S_HLIKLY.
How likely is it that [INDIVIDUAL] will do any hunting between today and December 31, 2020?

RESPONSE OPTIONS:

  1. Very likely
  2. Somewhat likely
  3. Somewhat unlikely
  4. Very unlikely

GO TO S_SPORT


S_SPORT.
The next questions are about other types of outdoor activities. Did [INDIVIDUAL] do any target shooting or sport shooting with a firearm such as a rifle, shotgun, muzzleloader, handgun, or air gun in 2019, not including hunting? Please include any informal target shooting or sport shooting.

RESPONSE OPTIONS:

  1. Yes
  2. No

GO TO S_ARCHER

S_ARCHER.
Did [INDIVIDUAL] participate in archery activities using a bow and arrow, compound bow, or crossbow in 2019, not including hunting? Please include any informal archery activities.

RESPONSE OPTIONS:

  1. Yes
  2. No

GO TO S_MBOAT

S_MBOAT.
Did [INDIVIDUAL] do any recreational boating in a motorized boat in 2019?

RESPONSE OPTIONS:

  1. Yes
  2. No

GO TO S_GRADE

S_GRADE.
What is the highest grade or year of school [INDIVIDUAL] has ever attended?

RESPONSE OPTIONS:

  1. No formal education
  2. Less than a high school diploma
  3. High school diploma or GED
  4. Vocational or technical school
  5. Some college credit, but no degree
  6. Associate’s degree
  7. Bachelor’s degree
  8. Some graduate coursework, but no degree
  9. Graduate or professional degree such as a MA, MBA, MD, JD, or PhD

GO TO S_LATINO

S_LATINO.
Is [INDIVIDUAL] of Spanish, Hispanic, or Latino origin?

RESPONSE OPTIONS:

  1. Yes
  2. No

GO TO S_RACE

S_RACE.
What is [INDIVIDUAL]’s race? Please mark all that apply.

RESPONSE OPTIONS:

  1. American Indian or Alaska Native
  2. Asian
  3. Black or African American
  4. Hispanic or Latino
  5. Middle Eastern or North African
  6. Native Hawaiian or Pacific Islander
  7. White

S_ADLTemail.
Can you provide an email address for [INDIVIDUAL]?


end of rostering cycle.

S_INCOME.
What was the total income of this household in 2019 before taxes or other deductions?

RESPONSE OPTIONS:

  1. Under $10,000
  2. $10,000 - $14,999
  3. $15,000 - $24,999
  4. $25,000 - $34,999
  5. $35,000 - $49,999
  6. $50,000 - $74,999
  7. $75,000 - $99,999
  8. $100,000 - $149,999
  9. $150,000 - $199,999
  10. $200,000 or more

GO TO SC_CHLD

s_chld.
Are there any children between the ages of 6 and 15 in this household?

RESPONSE OPTIONS:

  1. Yes → GO TO SC_CHROSTER
  2. No → STOP! Thank you. Please return the questionnaire in the enclosed envelope.
S_chRoster.

[show if s_child=1]

Please list each household member who is between 6 and 15 YEARS OF AGE even if they don’t participate in fishing and hunting activities. Please use just first name, initials, or some nickname.

If there are more than 4 persons aged 6-15 in your household, just list the four people with the most recent birthday.

Response options:

  1. Child 1: [TEXTBOX]
  2. Child 2: [TEXTBOX]
  3. Child 3: [TEXTBOX]
  4. Child 4: [TEXTBOX]

programming note: cycle through S_chage to S_chrace for each individual listed in S_chroster.


Create text fills for each child indicated in the roster. fill [child] for each rostered individual and update the fill for each cycle through the screener.

child 1: child_1

child 2: child_2

child 3: child_3

child 4: child_4


variable names should indicate _1, _2, _3, _4 and correspond with rostered child.


S_chAGE.
What is [CHILD]’s age?

GO TO S_CHGENDER

S_chGENDER.
What is [CHILD]’s gender?

RESPONSE OPTIONS:

  1. Male
  2. Female

GO TO S_CHHEVER

S_CHFEVER.
Has [CHILD] EVER done any recreational fishing in the United States?

RESPONSE OPTIONS:

  1. Yes → GO TO S_CHFLASTYR
  2. No → SKIP TO S_CHHEVER

S_CHFlastyr.
[SHOW IF S_CHFEVER=1]
From January 1 to December 31, 2019, did [CHILD] do any recreational fishing?

RESPONSE OPTIONS:

  1. Yes → GO TO S_CHFFIRSTYR
  2. No → SKIP TO S_CHFYEARS

s_Chffirstyr.

[show if S_CHFLASTYR=1]

Was 2019 the first year in which [CHILD] EVER fished recreationally?

RESPONSE OPTIONS:

  1. Yes
  2. No

GO TO S_CHFYEARS
S_chFyears.
[SHOW IF S_CHFEVER=1]
In which of the previous years did [CHILD] go fishing at least once in the United States? Please mark all that apply.

RESPONSE OPTIONS:

  1. 2018
  2. 2017
  3. 2016
  4. 2015

GO TO S_CHSPORT
S_CHHEVER.
Has [CHILD] EVER hunted game or other wildlife in the United States?

RESPONSE OPTIONS:

  1. Yes → GO TO S_CHHLASTYR
  2. No → SKIP TO S_CHSPORT

S_CHHlastyr.
[SHOW IF S_CHHEVER=1]
From January 1 to December 31, 2019, did [CHILD] do any hunting in the United States? Please do not include occasions when they only observed others hunt or when they only scouted.

RESPONSE OPTIONS:

  1. Yes → GO TO S_CHHFIRSTYR
  2. No → SKIP TO S_CHHYEARS

s_Chhfirstyr.

[show if S_CHhLASTYR=1]

Was 2019 the first year in which [CHILD] EVER hunted?

RESPONSE OPTIONS:

  1. Yes
  2. No

GO TO S_CHHYEARS
S_chHyears.
[SHOW IF S_CHIHEVER=1]
In which of the previous years did [CHILD] go hunting at least once in the United States? Please mark all that apply.

RESPONSE OPTIONS:

  1. 2018
  2. 2017
  3. 2016
  4. 2015

GO TO S_CHSPORT

S_CHSPORT.
Did [CHILD] do any target shooting or sport shooting with a firearm such as a rifle, shotgun, muzzleloader, handgun, or air gun in 2019, not including hunting? Please include any informal target shooting or sport shooting.

RESPONSE OPTIONS:

  1. Yes
  2. No

GO TO S_ARCHER

S_chARCHER.
Did [CHILD] participate in archery activities using a bow and arrow, compound bow, or crossbow in 2019, not including hunting? Please include any informal archery activities.

RESPONSE OPTIONS:

  1. Yes
  2. No

GO TO S_MBOAT

S_chMBOAT.
Did [CHILD] do any recreational boating in a motorized boat in 2019?

RESPONSE OPTIONS:

  1. Yes
  2. No

GO TO S_CHLATINO

S_CHLATINO.
Is [CHILD] of Spanish, Hispanic, or Latino origin?

RESPONSE OPTIONS:

  1. Yes
  2. No

GO TO S_CHRACE
S_CHRACE.
What is [CHILD]’s race? Please mark all that apply.

RESPONSE OPTIONS:

  1. White
  2. African-American or black
  3. Asian or Asian American
  4. American Indian, Native American, or Alaska Native
  5. Native Hawaiian or other Pacific Islander
  6. Other

end of CHILD rostering cycle.


STOP! Thank you. Please return the questionnaire in the enclosed envelope.

Paperwork Reduction Act Statement: In accordance with the Paperwork Reduction Act (44 U.S.C. 3501, et seq.), the U.S. Fish and Wildlife Service collects information necessary to effectively administer fish and wildlife restoration grant programs and helps states develop project proposals and conservation programs, and to respond to requests made under the Freedom of Information Act and the Privacy Act of 1974. Information requested in this collection is purely voluntary. According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. OMB has approved this collection of information and assigned Control No. 1018-0088.

Estimated Burden Statement: We estimate it will take 60 minutes for the cognitive interview and 10 minutes for the phone debriefing, including time to read instructions and gather information. You may submit comments on any aspect of this information collection to the Service Information Collection Clearance Officer, U.S. Fish and Wildlife Service, 5275 Leesburg Pike, MS: PRB (JAO/3W), Falls Church, VA 22041-3803, or via email at Info_Coll@fws.gov.

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AuthorEmily Alvarez
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