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Appendix A: Survey of Early Head Start Programs

OMB NO. 0970-0008
APPROVAL EXPIRES: 12/31/2007

MPR Reference No.: 6028-004 Mathematica Policy Research, Inc.

 

Survey of Early Head Start Programs

January 2005

 

MPR ID #: |__|__|__|__|__|__|__|__|
GRANT # AND DELEGATE: |__|__|__|__|__|-|__|__|__|
Early Head Start Program: ______________________________
Mailing Address: ______________________________________
Location Address: _____________________________________
Telephone Number :
(|__|__|__|)- |__|__|__|- |__|__|__|__|
  Area Code Number
Fax Number :
(|__|__|__|)- |__|__|__|- |__|__|__|__|
  Area Code Number
Director’s Name: _______________________
E-mail Address: ________________________

 

 

 

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0992 0008. The time required to complete this information collection is estimated to average 180 minutes per respondent, including the time to review instructions, gather the data needed, and complete and review the information collected. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, DC 20202. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: U.S. Department of Education, Institute of Education Sciences, 555 New Jersey Avenue, NW, Washington, DC 20208.

 

PURPOSE OF THE STUDY

The Administration for Children and Families (ACF) has funded Mathematica Policy Research (MPR), a nationally recognized social policy research company to gather information from all Early Head Start programs. ACF is interested in programs' management practices and program services to inform planning for training and technical assistance as well as for future research. MPR brings to this task experience from conducting the EHS Research and Evaluation Project, which found a broad range of impacts on child development and parent outcomes as well as great variation in service delivery patterns and rates of implementation.

This is the first survey expressly designed for Early Head Start programs and is being sent to all EHS program directors nationwide. In addition, MPR staff will visit 25 programs to gather more in-depth information about these topics. You may recognize some of the questions in the survey as being the same or similar to those that appear on the Program Information Report (PIR). We have tried to keep duplication to a minimum, but some duplication is necessary.

Unlike the PIR, the information you provide in the survey will not be used for accountability purposes. We will not report on individual programs but will report findings in aggregate statistical form (such as “X% of programs offered center-based services” and further, those programs that offered center-based services also had Y characteristics). Information you provide will be treated in a confidential manner to the extent allowable by law.

We appreciate your help! After completing the survey, we will send you a $20 Barnes & Noble gift certificate.

 

INSTRUCTIONS

Please review the Early Head Start program information listed on the front cover. Cross out errors and enter the correct or missing information.

The questionnaire is divided into five sections:

  1. PROGRAM CHARACTERISTICS AND ENROLLMENT

  2. FAMILY CHARACTERISTICS AND INVOLVEMENT

  3. STAFF CHARACTERISTICS

  4. COMMUNITY PARTNERSHIPS

  5. PROGRAM IMPROVEMENT ACTIVITIES

  • Mark each response box with an “X.” If a question has a line to write an answer, write your answer in the space provided.

  • For questions that require a numeric or percentage response, write the numbers in the boxes provided, recording “zeros” to the left for space unused. For example, 25 should be recorded as | 0 | 2 | 5 |.

  • Return the completed questionnaire in the envelope provided. Please keep a copy for your records.

  • If you have any questions, contact Mathematica Policy Research, Inc. (1-888-633-8329).



 

 

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