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PDF Version, B&W Printable PDF Version, B&W of this report


  OMB Approval Number: 0970-0151

F  A  C  E  S

THE HEAD START FAMILY AND CHILD EXPERIENCES SURVEY

 
CENTER DIRECTOR INTERVIEW Fall, 1997

The purpose of FACES is to learn how the Head Start program helps families around the country get services for their children. I want to talk with you so we can understand how Head Start interacts with families from your point of view. I will ask questions about your background and how your center works with parents and children. Information from this study will be used to help Head Start improve its understanding of the families that are served by the program and to improve services provided to families.

I will ask you questions and write down your answers. You may stop me at any time, and you may go back to earlier questions to change your answers. No one else from the Head Start program will see or hear your answers. The things you tell me are very important, so please be as complete as possible. Our interview should take approximately an hour and a half. Do you have any questions?

Before we begin, let me read the following to you:


NOTICE: 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 0970-0151 (expires 05/31/2000). The time required to complete this information collection is estimated to average 90 minutes per response, including time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection.

At the end of the interview, I will give you some addresses and phone numbers in case you would like more information. Do you have any question before we start?

(Interviewer note: For Lead Teachers, complete this interview plus selected sections of the Classroom Teacher interview.)



Date:

___/ ___/ ___
MM  DD  YY
Interviewer: _____________________________ Interviewer ID #: ___ ___ ___
Program Name: ___________________________ Program #: ___ ___
Center Name: ____________________________ Center #: ___
Interviewee Job Title: ___________________________ Interviewee ID #: ___ ___ ___ ___ ___

 

I. EMPLOYMENT AND EDUCATIONAL BACKGROUND
I'd like to start by asking you some questions about your professional background and your job with Head Start.
I.A. HEAD START EMPLOYMENT
I.A.1.a. How long have you been employed by this Head Start program?
(ROUND RESPONSE TO NEAREST # OF YEARS)
________
years
   
I.A.1.b. In total, how many years have you worked with any Head Start Program?
(ROUND RESPONSE TO NEAREST # OF YEARS)
________
years
   
I.A.1.c. Before you started working with Head Start, did you have any work or volunteer experience with early childhood education, health, or family support programs?  
 
No 01
Yes 02
   
I.A.1.d. How many years experience did you have with such programs before you joined Head Start? (ROUND RESPONSE TO NEAREST # OF YEARS) ________
years

I.A.2.a. How many hours per week are you paid to work for Head Start? ________
hrs./wk.
   
I.A.2.b. How many hours per week do you actually work for Head Start? ________
hrs./wk.
   
I.A.2.c. How many months per year are you paid to work for Head Start?
(INTERVIEWER: IF RESPONSE IS IN WEEKS OR DAYS PER YEAR, ENTER IN SPACE PROVIDED. WRITE NA IN OTHER SPACES.)
________
mos./yr.
or
________
wks./yr.
or
________
days./yr.

I.A.3.a. What positions/job titles do you have with Head Start now, how long have you held each position, and how much time would you say each position takes each month?
(PROMPT: BEST ESTIMATE?)
RESPONSIBILITIES # OF YEARS IN THIS POSITION % OF WORK TIME PER MONTH
Head Start Center Director ________ ________
__________________ ________ ________
__________________ ________ ________
   
I.A.3.b. What other positions/job titles, if any, have you held over your entire experience with Head Start?
RESPONSIBILITIES/JOB TITLES_______________________________
________________________________________________
________________________________________________
________________________________________________
   
I.A.3.C. In your current Head Start position(s), do any of the following make it harder for you to do your job well?
(READ LIST AND CIRCLE ONE FOR EACH. USE STEM, AS NEEDED):
Do (Does) _________ make it harder for you? NO YES
  1. Time constraints
01 02
  1. An undefined role
01 02
  1. Not a high enough salary for job demands
01 02
  1. Lack of support staff
01 02
  1. Not enough training for secondary responsibilities
01 02
  1. Not enough support and communication from administration
01 02
  1. Not enough funds for supplies and activities
01 02
  1. Other (SPECIFY) __________________________________
01 02

I.A.4. Do you receive the following benefits through Head Start?
(READ LIST AND CIRCLE ONE FOR EACH ITEM.)
 
  NO YES DK
  1. Paid vacation time
01 02 99
  1. Paid sick leave
01 02 99
  1. Paid maternity leave
01 02 99
  1. Unpaid maternity leave
01 02 99
  1. Paid family leave
01 02 99
  1. Paid health insurance
01 02 99
  1. Paid dental insurance
01 02 99
  1. Tuition reimbursement
01 02 99
  1. Retirement plan
01 02 99
  1. Other (Specify) _______________
01 02 99

Response Card  

I.A.5. Now I d like to read you a list of reasons people continue in a job. How important is each of these to you in continuing to work for Head Start? (READ LIST AND CIRCLE ONE FOR EACH. REPEAT STEM AS NEEDED:
How important is/are _________ to you in continuing to work for Head Start?)
  Not Important Somewhat Important Very Important NA
  1. Job security
01 02 03 98
  1. The pleasure of working with young children
01 02 03 98
  1. The professional respect of this job/career
01 02 03 98
  1. Your salary
01 02 03 98
  1. The benefits (e.g., health or life insurance)
01 02 03 98
  1. The ability to have your own children at your workplace
01 02 03 98
  1. Your work schedule (e.g., length of day, summers off)
01 02 03 98
  1. The working conditions (e.g., clean, well-organized)
01 02 03 98
  1. The opportunity to work with other adults (teachers, parents).
01 02 03 98
  1. The opportunity to use your experience and/or education in child development
01 02 03 98
  1. The significance or importance of working with children and families
01 02 03 98
  1. [Removed]
01 02 03 98
  1. The opportunity for professional advancement
01 02 03 98
  1. Other (SPECIFY) _____________________
01 02 03 98

I.A.6. How satisfied are you with your present position? Would you say you are: (READ LIST AND CIRCLE ONE.)
 
  1. Very satisfied
01
  1. Satisfied
02
  1. Neither satisfied nor dissatisfied
03
  1. Dissatisfied
04
  1. Very dissatisfied
05

I.A.7. How satisfied are you with working in the field of early childhood education. Would you say you are: (READ LIST AND CIRCLE ONE.)
 
  1. Very satisfied
01
  1. Satisfied
02
  1. Neither satisfied nor dissatisfied
03
  1. Dissatisfied
04
  1. Very dissatisfied
05

I.A.8. How likely are you to continue working for Head Start through the next Head Start year (through 1998-99)? (CIRCLE ONE.)
 
  1. Very likely
01
  1. Somewhat likely
02
  1. Somewhat unlikely
03
  1. Very unlikely
04
  1. Don't know/not sure
05

I.A.9. Do you have any children living in your household who attend Head Start now?
 
No 01
Yes 02

I.A.10. Did any children who lived in your household in the past attend Head Start?
 
No 01
Yes 02

I.B. EDUCATIONAL BACKGROUND
I.B.1. What is the last or highest grade of school you have completed? (DO NOT READ LIST. CIRCLE ONLY ONE RESPONSE.)
 
No formal schooling 01   Vocational, Trade, or Business School After High (School Graduation/GED)
Elementary School    
Less than 6th grade 02   Less than one year 10
Grades 6 8 03   One to two years 11
High School     Two years or more 12
9th grade 04   College After High School Graduation/GED
10(th) grade 05   1 year 13
11(th) grade 06   2 years 14
12(th) grade 07   3 years 15
      4 years 16
Adult High School or GED classes 08   Graduate school years 17
[REMOVED] 09   Other (SPECIFY) ________________________ 18
I.B.2. I.B.3.
WHAT DIPLOMAS OR DEGREES DO YOU HAVE? (CIRCLE ALL THAT APPLY.
PROBE FOR: HIGH SCHOOL DIPLOMA, GED, AND CDA.)
IF d OR e (BACHELOR'S OR GRADUATE DEGREE), ASK:
IN WHAT FIELD(S) IS/ARE YOUR DEGREES?
 
a. High school diploma 01
aa.

GED certificate

02
b.

Associate's degree

03
bb.

CDA (Child Development Associate)

04
c.

Nursing degree

05
d.

Bachelor's degree

06
e.

Graduate degree

07
f.

Other (SPECIFY) ______________________

08
g.

_____________________________________

09
_______/____________________
degree                     field

_______/____________________
degree                     field

_______/____________________
degree                     field


I.B.4. Do you have any job-related licenses or certificates?
No 01
CPR (Cardiopulmonary Resuscitation) 02
Social Work 03
Registered Nurse 04
Teaching Certificate or License (Other than CDA) 05
Other (SPECIFY) 06

I.B.5. Are you currently working on a degree, certificate or license?
No 01
Yes 02

 

I.C. IN-SERVICE TRAINING
  The next questions are about training that your Head Start program has provided or made available to you in the past year. If you have a record of your training activities, you might find it useful to refer to it. (SITE MANAGERS -- REQUEST RECORD OF TRAINING OFFERED FROM PROGRAM, IF AVAILABLE.)

Response Card Listing Topics  

I.C.1. How many hours of training, in total, do you estimate Head Start has provided to you in the past program year including this past summer? ________ total hours

I.C.2. How many hours of training, in total, do you estimate Head Start has provided to you in the past program year including this past summer?
FOR EACH OF THESE TOPICS, ABOUT HOW MANY HOURS OF TRAINING HAS BEEN PROVIDED OR MADE AVAILABLE TO YOU BY HEAD START IN THE PAST PROGRAM YEAR INCLUDING THIS PAST SUMMER?
(READ LIST AND RECORD NUMBER HOURS FOR EACH .)

I.C.2.

I.C.3.

TOPIC # HOURS RECEIVED THREE TOPICS YOU WANT MORE TRAINING IN?
(CIRCLE THREE RESPONSES ONLY.)
  1. Child development
_______ 02
  1. Educational programming
_______ 02
  1. Child assessment and evaluation
_______ 02
  1. Children's health issues (e.g., immunizations, childhood diseases)
_______ 02
  1. Family health issues (e.g., AIDS, asthma)
_______ 02
  1. Mental health issues
_______ 02
  1. Bilingual education
_______ 02
  1. Multicultural sensitivity
_______ 02
  1. Domestic violence/family violence
_______ 02
  1. Child abuse and neglect
_______ 02
  1. Substance abuse
_______ 02
  1. Family needs assessment and evaluation
_______ 02
  1. Providing services for children with special needs
_______ 02
  1. Providing case management services to families
_______ 02
  1. Working with other agencies to assist families
_______ 02
  1. Involving parents in program activities
_______ 02
  1. Behavior management
_______ 02
  1. Providing supervision to staff
_______ 02
  1. Administration and program management
_______ 02
  1. Head Start principles and practices
_______ 02
  1. CPR (Cardiopulmonary Resuscitation)
_______ 02
  1. Other (LIST AND SPECIFY NUMBER OF TRAINING HOURS)
   
_______________________________________________ _______ 02

Response Card Listing Topics  

I.C.4. This is a list of methods some Head Start programs use in providing in-service training to their staff. Please tell me which types of training you have received by or through your Head
Start. (READ LIST. CIRCLE NO [1] OR YES [2] OR DN [99] FOR EACH.)
 
  No Yes DK
  1. Training sessions and workshops held within your Head Start agency
01 02 99
  1. Training sessions and workshops held outside the agency
01 02 99
  1. Courses and classes made available at community or four-year colleges
01 02 99
  1. A resource library available at your agency for independent study (print, computers, multimedia)
01 02 99
  1. Ongoing supervision and feedback by Head Start staff
01 02 99
  1. Follow-up training to help put training ideas into practice
01 02 99
  1. Other (SPECIFY)
01 02 99
 __________________________________________________________________ 01 02 99
 __________________________________________________________________ 01 02 99
 __________________________________________________________________ 01 02 99

I.C.5.a. Which item from the above list is most characteristic of the training offered by or through your Head Start agency? _______
(ENTER ONE LETTER ONLY.)
I.C.5.b. Which item from the above list is least characteristic of the training offered by or through your Head Start agency?

_______
(ENTER ONE LETTER ONLY.)

I.C.6. Overall, how helpful in doing your job is the training provided by or made available by Head Start? Would you say it is . . . .
(READ LIST AND CIRCLE ONE.)
 
  1. Not very helpful
01
  1. Somewhat helpful
02
  1. Very helpful
03

 

II. PROGRAM OPERATIONS
I'd like to ask you about your center and staff.

Response Card  

A. STAFFING STRUCTURE
II.A.1. We would like to obtain a list of all of the staff positions in your center along with the number of staff in each position who are:
 
full-time (F),
part-time (P),
a paid consultant or intern (PC),
an unpaid intern or volunteer, not including parent volunteers (V),
or someone paid by another agency (POA).
 
(USE BACK OF PAGE IF NECESSARY. INDICATE NUMBER OF EACH.)
(PROMPT: HOW MANY OF THE _______ AT YOUR CENTER ARE FULLTIME, PART TIME, ETC.?)
LET US START WITH YOU. ENTER NUMBER OF STAFF
TITLE/POSITION   F P PC V POA
  1. Center Director
           
  1. Teacher(s)
           
  1. Assistant teacher(s)
           
  1. ______________________
           
  1. ______________________
           
  1. ______________________
           
  1. ______________________
           
  1. ______________________
           
  1. ______________________
           
  1. ______________________
           
  1. ______________________
           

Response Card Listing Responsibilities  

II.A.2. From this list, please indicate up to three major job responsibilities of each major staff category within your Center. Please do not include cooks, janitors, etc. whose titles are self­explanatory. (Write additional positions from question II.A.1 in other columns. IN EACH COLUMN. USE 1, 2, AND 3 TO INDICATE MAJOR RESPONSIBILITIES IN ORDER OF IMPORTANCE; WITH 1 AS THE PRIMARY RESPONSIBILITY. THERE SHOULD BE ONLY THREE RESPONSES IN EACH COLUMN! IF FEWER THAN THREE, NOTE THAT IN COLUMN.)
 
RESPONSIBILITIES STAFF CATEGORY
A.
CENTER DIRECTOR
B.
TEACHER(S)
C.
ASSISTANT TEACHER(S)
D.
_____
E.
_____
F.
_____
  1. Education of children
           
  1. Case management services to families
           
  1. Arrange for services for special needs children
           
  1. Outreach, recruitment and enrollment services
           
  1. Parent education
           
  1. Staff training/education
           
  1. Parent involvement
           
  1. Administration/management of a program component
           
  1. Other (SPECIFY)
    ___________________________
    ___________________________
    ___________________________
           

II.A.3. Do you have staff members at your center, who:
 
    No Yes Not Needed DK
a. Speak the home/native language of non-English speaking or limited English-speaking families at the centers? 01 02 03 99
b, c. [REMOVED] 01 02 03 99
d. Provide guidance on ethnic customs, traditions and values 01 02 03 99

II.A.4. In a crisis, which Head Start staff member at your center are families most likely to go to? (FORCE CHOICE OF ONLY ONE). ____________

 

II.B. PROGRAM OPERATIONS
I'd like to ask you about your center and staff.
II.B.1. Do you have any current or former Head Start parents employed in your center?
 
No 01
Yes 02
DON'T KNOW 99

II.B.2. How many current or former Head Start parents are employed at your center as a/an:
(READ LIST AND INSERT NUMBER IN NUMBER EMPLOYED ; IF NONE, ENTER 0. CIRCLE 99 FOR DON T KNOW.)
 
  Number Employed DK
  1. Lead teacher
_______ 99
  1. Teacher
_______ 99
  1. Teacher s aide
_______ 99
  1. Cook
_______ 99
  1. Assistant in meal preparations
_______ 99
  1. Driver of a Head start bus
_______ 99
  1. Maintenance person
_______ 99
  1. Administrator (e.g., Center Director, Component Coordinator)
_______ 99
  1. Other (SPECIFY) _______________________________
_______ 99

 

III. PARENT INVOLVEMENT

III.A. CENTER GOALS AND PHILOSOPHY
Now I'd like to talk with you about your work with the Head Start families in your center and the ways in which parents are involved.

Response Card  

III.A.1. III.A.2.
FROM THIS LIST, TELL ME YOUR THREE MOST IMPORTANT GOALS IN WORKING WITH PARENTS AT YOUR CENTER, IN ORDER OF IMPORTANCE, WITH 1 BEING THE MOST IMPORTANT. (MARK ONLY THREE!) HOW SUCCESSFUL DO YOU THINK YOU VE BEEN IN ACHIEVING EACH OF THESE THREE GOALS IN YOUR WORK WITH PARENTS? TELL ME IF YOU THINK YOU VE BEEN NOT VERY SUCCESSFUL, SOMEWHAT SUCCESSFUL, OR VERY SUCCESSFUL IN : (READ EACH OF THREE SELECTED AND CODE BELOW.)
  Indicate 1, 2 and 3 Not Very Successful Somewhat Successful Very Successful

  1. To teach parents about child development and parenting
_______ 01 02 03
  1. To inform parents about their own child's development
_______ 01 02 03
  1. To teach parents about health and nutrition
_______ 01 02 03
  1. To inform parents about the support services in their community and help them to use them
_______ 01 02 03
  1. To help parents develop a social support network of other parents and families in the program and community
_______ 01 02 03
  1. To have parents plan and organize events and activities
_______ 01 02 03
  1. To have parents participate in policy and program decisions
_______ 01 02 03
  1. To help parents become economically self­sufficient (i.e., get further education and employment)
_______ 01 02 03
  1. To help parents improve their literacy skills
_______ 01 02 03
  1. To help parents identify their personal goals and ways in which to achieve them
_______ 01 02 03
  1. To explain Head Start principles and practices to parents
_______ 01 02 03
  1. Other (SPECIFY) ___________________
_______ 01 02 03

III.B. PARENT ORIENTATION
I'd like to ask you about parent orientation offered by your center.
III.B.1. Does your center conduct orientation activities for parents of children entering your program?
 
No 01
Yes 02

III.B.2. About what percentage of the parents generally attend?
(IF NEEDED, PROMPT BY READING LIST. CIRCLE ONE.)
 
  1. Almost all
01
  1. Three-quarters
02
  1. One-half
03
  1. One-quarter
04
  1. Very few
05
  1. None
06
  1. DON'T KNOW
99

III.B.3. Which of the following topics are addressed?
(READ LIST AND CIRCLE ONE FOR EACH.)
 
  NO YES DK
  1. Enrollment eligibility guidelines
01 02 99
  1. Opportunities for parental involvement at the center
01 02 99
  1. What parents and children can expect from the center
01 02 99
  1. What the center expects of parents
01 02 99
  1. Introduction of center staff and their functions
01 02 99
  1. Services available in the community
01 02 99
  1. Transportation
01 02 99
  1. Confidentiality
01 02 99
  1. The schedule of the center
01 02 99
  1. Other (SPECIFY) __________________________________
01 02 99

Response Card  

III.B.4. Looking at this card, tell me the three primary concerns that parents in your center voice in these initial meetings.(CIRCLE ONLY UP TO THREE ITEMS.)
 
  1. Classroom curriculum content and methods
01
  1. School readiness and academic skills
02
  1. Child care issues or availability
03
  1. Staff availability to parents
04
  1. Disciplinary methods of teachers
05
  1. Safety of facilities
06
  1. Hours of center operations
07
  1. Opportunities for parent involvement
08
  1. Supervision of children (ratio of children to staff)
09
  1. Cultural sensitivity/awareness of staff/teachers
10
  1. Transportation for children to and from center
11
  1. Transportation for parents to and from center
12
  1. Confidentiality regarding family/child matters
13
  1. Other (SPECIFY) __________________________________________________
14
  1. Other (SPECIFY)__________________________________________________
15
  1. Other (SPECIFY)__________________________________________________
16

III.C. INVOLVING PARENTS IN PROGRAM DECISION MAKING
III.C.1. To involve parents in policy and center decisions, does your center have:
(CIRCLE NO, YES, OR DK FOR EACH.)
 
  NO YES DK

a./b. Center or classroom committees? 01 02 99
c.

Special committees to plan parent or family events or activities?

01 02 99
d.

Advisory boards?

01 02 99
e.

Other (SPECIFY)

01 02 99

III.C.2. Do you have an opportunity to encourage parents to participate in these committees or boards?
 
No 01
Yes 02

III.C.3. How do you do this? (RECORD RESPONSE.)
 
_______________________________________________________
_______________________________________________________

III.C.4. How productive are parent committee or board meetings at your center? Would you say they are very productive, somewhat productive, or not very productive ?
 
  1. Very productive
01
  1. Somewhat productive
02
  1. Not very productive
03
  1. DON'T KNOW/NOT APPLICABLE
99

Response Card  

III.C.5. These are some common problems that arise in meetings where staff and parents make collective decisions about center policies and operations. Please tell me if these problems never or rarely occur, occur sometimes, or occur very often at meetings.
(READ LIST AND CIRCLE ONE FOR EACH.)
 
    NEVER/RARELY OCCUR SOMETIMES OCCUR VERY OFTEN OCCUR DK
  1. Parents have different priorities than staff
  01 02 03 99
  1. [REMOVED]
  01 02 03 99
  1. The format of meetings is either too formal or too informal
  01 02 03 99
  1. Parents do not understand budget constraints
  01 02 03 99
  1. Parents feel uncomfortable advocating for themselves or their children
  01 02 03 99
  1. Parents are reluctant to support concerns or issues that do not affect their family
  01 02 03 99
  1. [REMOVED]
  01 02 03 99
  1. Some staff dominate the meetings
  01 02 03 99
  1. Some parents dominate the meetings
  01 02 03 99
  1. Not enough parents actively participate in center committees or meetings
  01 02 03 99
  1. Other (SPECIFY)
  01 02 03 99

III.D. PARENT ACTIVITIES/WORKSHOPS

Response Card   Response Card

III. D.1.
THIS IS A LIST OF ACTIVITIES THAT SOME PROGRAMS HAVE FOR PARENTS. FOR EACH ACTIVITY, I WOULD LIKE YOU TO TELL ME HOW OFTEN THE ACTIVITY IS PROVIDED TO THE PARENTS OF CHILDREN WHO ATTEND YOUR CENTER BY YOUR HEAD START CENTER OR PROGRAM, EITHER ON-SITE OR NEARBY.(CIRCLE ONE OPTION FOR EACH ACTIVITY.)
 
III.D.2.
WHICH THREE ACTIVITIES GET THE MOST PARENT PARTICIPANTS? (INDICATE TOP THREE ONLY WITH X .)
FREQUENCY OF ACTIVITIES  
Never   Once a year   A few (2-5) times a year   About Monthly or More Often   DK/NA Top Three Activities (x)
  1. Orientation to Head Start principle sand practices
01   02   03   04   99 _______
  1. Adult literacy/ESL/GED classes
01   02   03   04   99 _______
  1. Employment assistance and skills workshops
01   02   03   04   99 _______
  1. Basic finance and budgeting skills workshops
01   02   03   04   99 _______
  1. Parenting education workshops
01   02   03   04   99 _______
  1. Health/fitness/nutrition workshops
01   02   03   04   99 _______
  1. Child growth, behavior, and development workshops
01   02   03   04   99 _______
  1. Social activities for adults only
01   02   03   04   99 _______
  1. Support or self-help groups
01   02   03   04   99 _______
  1. Family violence education or workshops
01   02   03   04   99 _______
  1. Leadership or advocacy training
01   02   03   04   99 _______
  1. Family events
01   02   03   04   99 _______
  1. Other (SPECIFY ) _____________
    _____________________________
01   02   03   04   99 _______

III.D.3. Do you have attendance or sign-in sheets at parent workshops or activities?
 
No 01
Yes 02

III.E. PARENT PARTICIPATION

Response Card  

III.E.1. Some things keep parents from participating in Head Start activities. How often are these things problems for the parents in your center: never or rarely, sometimes, or often ?
 
(PROMPT: HOW OFTEN DO YOU THINK __________ KEEPS PARENTS FROM PARTICIPATING IN HEAD START ACTIVITIES?) NEVER OR RARELY SOMETIMES OFTEN DK
a. Lack of child care 01 02 03 99
b./c. Parents' work or school/training schedule 01 0 2 03 99
d. Lack of transportation 01 02 03 99
e. [REMOVED]        
f. Health problems 01 02 03 99
g. Parents don't seem to feel welcome or comfortable 01 02 03 99
h,i. [REMOVED]        
j. Language or cultural barriers 01 02 03 99
k. Safety concerns about getting there or the Head Start neighborhood 01 02 03 99
l. Lack of interest 01 02 03 99
m. Family issues (e.g., husband objects) 01 02 03 99
n. Lack of information and notice about activities 01 02 03 99
o. Other (SPECIFY) 01 02 03 99

III.E.2. Which of the following are problems in planning or having parent activities for your parents?
(READ EACH ITEM AND CIRCLE YES OR NO.)
 
(Prompt: Is __________ a problem in planning or having parent activities?)      
    NO YES DK
a. Not enough money for parent activities 01 02 99
b. Finding an alternate site when the center is not available or appropriate 01 02 99
c. Lack of cooperation or support of staff 01 02 99
d. Difficulty getting outside resources (e.g., guest speakers) 01 02 99
e. Lack of agreement among staff on parents' needs and interests 01 02 99
f./g. Not enough of the right staff or staff time to plan or conduct the activity 01 02 99
h. Not having interpreters available 01 02 99
i. Difficulty notifying parents of upcoming activities 01 02 99
j. Little ability to offer activities at times convenient for parents 01 02 99
k. Difficulty getting parents to participate 01 02 99
l. Other (SPECIFY) 01 02 99

III.E.3. Which of the following methods does your center or program use to inform your parents of activities? (READ LIST AND CIRCLE ONE RESPONSE FOR EACH.)
 
(PROMPT: DO YOU _______ TO INFORM PARENTS OF ACTIVITIES? NEVER? SOMETIMES? OFTEN?)        
NEVER SOMETIMES OFTEN DK
Send home notices of parent activities as they come up 01 02 03 99
Send home monthly activity calendars 01 02 03 99
Have staff/teachers call parents on the phone 01 02 03 99
Use a parent telephone chain or committee to remind parents 01 02 03 99
Have home-visitors, teachers and other staff remind parents and/or sign them up 01 02 03 99
Rely on word of mouth 01 02 03 99
Other (SPECIFY) 01 02 03 99

III.E.4. Does your center or program do any of the following to encourage parents to participate in Head Start activities and classes? (MARK NO , YES, OR DK FOR EACH.)
 
(PROMPT : DOES YOUR CENTER OR PROGRAM __________ TO PARENTS TO ENCOURAGE THEM TO PARTICIPATE?)      
    NO YES DK
a./e. Offer incentives such as door prizes or samples of products 01 02 99
b. Provide transportation 01 02 99
c. Provide child care 01 02 99
d. Provide interpreters 01 02 99
f. Serve food such as snacks or supper 01 02 99
g. Other (SPECIFY) ____________________________________
01 02 99

III.E.5. Do the parents in your center raise money to support parent activities?
 
No 01
Yes 02
DON'T KNOW 99

III.E.6. Parents in Head Start programs do several types of activities to raise money for their centers or programs. At your center in the past Head Start year did parents participate in _________to raise money for Head Start activities?
(READ EACH ITEM AND RECORD RESPONSE FOR EACH. REPEAT STEM AS NEEDED.)
 
  NO YES DK
Raffles 01 02 99
Craft sales 01 02 99
Garage sales/flea markets/clothing drives 01 02 99
Candy sales 01 02 99
Bake sales 01 02 99
Street fairs 01 02 99
Developing proposals for outside funding 01 02 99
Soliciting funds or in-kind contributions from local businesses 01 02 99
Other (SPECIFY) ________________________________________________
_______________________________________________________________
01 02 99

III.F. MALE INVOLVEMENT
Now, I'd like to ask you a few questions about how your center works to involve men in Head Start activities. This might include fathers or father figures of Head Start children, as well as other men in the community.
III.F.1. Does your center have a staff person or volunteer designated specifically to encourage male involvement in your center?
 
No 01
Yes 02
DON'T KNOW 99

III.F.2. Does this staff person or volunteer offer the following services to men in your community?
 
  NO YES DK
  1. Mentoring opportunities
01 02 99
  1. Counseling on personal issues (e.g., family violence, drugs)
01 02 99
  1. Crisis intervention
01 02 99
  1. Job referrals
01 02 99
  1. Information on opportunities for involvement in the Head Start program
01 02 99

III.F.3. Does your center offer any services targeted to:
(CIRCLE ONE FOR EACH.)
 
  NO YES DK
  1. Non-custodial fathers
01 02 99
  1. Incarcerated men
01 02 99
  1. Men on parole
01 02 99
  1. Teenage fathers
01 02 99

III.F.4. Does your center offer workshops, meetings, or activities specifically targeted toward men?
 
No 01
Yes 02
DON'T KNOW 99

III.F.5. Does your center offer any of the following targeted specifically toward men?
(READ LIST AND CIRCLE ONE FOR EACH.)
 
    NO YES DK
a. [REMOVED]      
b. Employment assistance and skills workshops 01 02 99
c. Basic finance and budgeting skills workshops 01 02 99
d. Social activities 01 02 99
e. Partner or family relationship workshops 01 02 99
f. Parenting education workshops 01 02 99
g,h. [REMOVED]      
i. Adult-child outings 01 02 99
j. Support groups for men 01 02 99
k. [REMOVED]      
l. Sport activities (e.g., basketball night) 01 02 99
m. Other (SPECIFY) __________________ 01 02 99

III.F.6. Do men regularly help in any of the following ways in your center?
(CIRCLE ONE FOR EACH.)
 
             
III.F.7.
IF YES, ASK:"HOW MANY MEN IN THE PAST HEAD START YEAR?"
  NO   YES   DK  
  1. As classroom volunteers
01   02   99   _______
  1. As chaperones for field trips
01   02   99   _______
  1. As members of the Parent Council or other governing bodies
01   02   99   _______
  1. Doing maintenance or chores
01   02   99   _______
  1. Helping at special events or activities
01   02   99   _______
  1. (SPECIFY) _________________________
01   02   99   _______

III.F.8. How successful has your center been in involving men in Head Start? Would you say it has been:
 
  1. Very successful
01
  1. Somewhat successful
02
  1. Not very successful
99
(ASK ONLY III.F.9 OR III.F.10, DEPENDING ON ANSWER IN III.F.8.)

III.F.9. What things have made your male involvement program successful?
(RECORD RESPONSE)
_____________________________________
________________________________________________
________________________________________________
________________________________________________

III.F.10. In your opinion, why hasn't your male involvement program been more successful?
(RECORD RESPONSE)
_____________________________________
________________________________________________
________________________________________________
________________________________________________

III.G. PARENT OBSERVERS IN THE CLASS
Now, I'd like to ask you about parents in the classroom.
III.G.1. Does your center follow a prescribed policy on parent observers in the classroom?
 
No 01
Yes 02

III.G.2. If yes, please describe:
_____________________________________
________________________________________________
________________________________________________
________________________________________________

III.H. PARENT VOLUNTEER
I'd like to ask you a few questions about parent volunteer activities in your center.

III.H.1. Did parents serve as volunteers in your center during the past Head Start year?
 
No 01
Yes 02

III.H.2
DURING THE PAST HEAD START YEAR , DID PARENT VOLUNTEERS IN YOUR CENTER SERVE AS:
(READ LIST AND CIRCLE ONE RESPONSE FOR EACH.)
  NO YES DK
a. Classroom aides? 01 02 99
b. Consultants or workshop leaders? 01 02 99
c. Providers of guidance on ethnic customs, traditions and values? 01 02 99
d. Home visitors? 01 02 99
e. Interpreters for non-English speaking or limited English-speaking families? 01 02 99
ee. Bus monitors or drivers? 01 02 99
DID PARENT VOLUNTEERS HELP WITH:
f. Height and weight measurements? 01 02 99
g. Vision screenings? 01 02 99
h. Checking immunization records? 01 02 99
i. Entering data on health records? 01 02 99
j. Classroom cleanup? 01 02 99
k. The oral hygiene program? 01 02 99
DID PARENT VOLUNTEERS IN YOUR CENTER:
l./m. Take or accompany parents or children to health-related appointments or mental health services? 01 02 99
n. Assist the nutritionist? 01 02 99
o. Assist other families with food shopping or home management activities? 01 02 99
p. Assist classroom staff during meal times (e.g., serving, eating with children) 01 02 99
q. Assist in recruiting families? 01 02 99
r. Update or compile a community agencies' resource list? 01 02 99
s. Prepare a newsletter for parents? 01 02 99
t. Contact parents to notify them of meetings and other Head Start activities?. 01 02 99
DID PARENT VOLUNTEERS IN YOUR CENTER HELP WITH:
u. Chores and maintenance? 01 02 99
v. Special events? 01 02 99
w. Curriculum planning? 01 02 99

III.I. EVALUATIONS OF PARENT INVOLVEMENT
III.I.1. During the past Head Start year, how often did you meet with the Parent Involvement Coordinator (PIC) to discuss parent involvement at your center, in addition to regular staff or coordinators meetings? (DO NOT READ LIST. CIRCLE ONLY ONE.)
 
  1. Never
01  
  1. More than once a month
02  
  1. Monthly
03  
  1. Two to six times
04  
  1. Once
05  
  1. DON'T KNOW
99  
  1. NOT APPLICABLE (IF NO PIC)
90  

III.I.2. During the past Head Start year, did your center use any of the following to determine the success of the parent involvement program at your center?
(READ LIST AND CIRCLE ALL THAT APPLY.)
 
  NO YES DK
  1. Discussions with parents?
01 02 99
  1. Questionnaires to parents?
01 02 99
  1. Discussions with staff?
01 02 99
  1. Attendance tallies?
01 02 99
  1. Other (SPECIFY) ______________________________________
01 02 99
  1. None of above
01 02 99

III.I.3. During the past Head Start year, how often did you assess the success of the parent involvement program at your center? (DO NOT READ LIST. CIRCLE ONE.)
 
  1. Once
01
  1. Twice
02
  1. Quarterly
03
  1. Monthly
04
  1. After individual activities were held
05
  1. On an irregular schedule
06
  1. Never
07
  1. Other (SPECIFY) ____________________________________________  
08

 

IV. CURRICULUM AND CLASSROOM ACTIVITIES
Now I'd like to ask a few questions about the curriculum used in your center.

IV.A.1. Is a specific curriculum or combination of curricula used in your program?
 
No 01
Yes 02
DON'T KNOW 99

IV.A.2. If your principal curriculum has a name, what is it?
(MARK YES OR NO FOR EACH.)
 
  NO YES
  1. High Scope
01 02
  1. A Head Start State Curriculum (such as MAP)
01 02
  1. The Creative Curriculum
01 02
  1. Other (SPECIFY)
01 02

IV.A.3. If your additional curricula have names, what are they?
(RECORD NAMES BELOW OR NOTE BELOW IF NONE OR DON'T KNOW .)
________________________________________________
________________________________________________
________________________________________________
________________________________________________
  DON'T KNOW 99
  NOT APPLICABLE, NO ADDITIONAL CURRICULA 90

IV.A.4. To what extent are teachers responsible for developing their own curriculum?
(READ LIST AND CIRCLE ONE.)
  1. Very much
01
  1. Somewhat
02
  1. Very little
03
  1. Not at all
04

IV.A.5. Does the curriculum used by your program specify the following?
(READ LIST. MARK NO , YES OR DK FOR EACH.)
  NO YES DK
  1. Goals for children's learning and development
01 02 99
  1. Specific activities for children
01 02 99
  1. Suggested teaching strategies
01 02 99
  1. Suggested teaching materials
01 02 99
  1. Ways to involve parents in their child's learning activities
01 02 99

IV.A.6. Is the curriculum a formal, written plan (like a manual or syllabus)?
No 01
Yes 02

IV.A.7. Who developed the curricula used by your program?
(DO NOT READ LIST. CIRCLE ALL THAT APPLY.)
  1. Local program or center Head Start staff
01
  1. Regional Head Start training centers
02
  1. National Head Start program office
03
  1. College/university
04
  1. School system
05
  1. Commercial publisher
06
  1. Curriculum training organization
07
  1. Other (SPECIFY) _______________________________________________
08
  1. DON'T KNOW
99

IV.A.7. Are most of the teaching materials created by local Head Start staff or by someone else? Are they created by .... ? (READ LIST AND CIRCLE ONE.)
  1. Local Head Start program or center staff or teachers?
01
  1. State, Regional or National Head Start
02
  1. Someone else (e.g., commercial publisher)
03

IV.B.1. Who makes most of the decisions about the day-to-day instructional plans for children, such as the calendar or sequence of activities? (CIRCLE ONE).
  1. Head Start program administrators
01
  1. Individual center directors and staff
02
  1. Individual teachers
03
  1. Other (SPECIFY) _______________________________
04

Response Card  

IV.B.2. How often are the following concepts or activities offered to the children in your center? Can you tell me if they are not offered, are offered less or more than once a month, once a week, or almost daily or daily? (READ EACH ITEM AND RECORD RESPONSE)

 

Not Offered/ Not done Less Than Once A Month Once A Month Or More Once A Week Daily Or Almost Daily DK
  1. Letters of the alphabet or words
01 02 03 04 05 99
  1. Reading stories
01 02 03 04 05 99
  1. Naming colors
01 02 03 04 05 99
  1. Number concepts or counting
01 02 03 04 05 99
  1. Solving puzzles, playing with geometric forms
01 02 03 04 05 99
  1. Cooking
01 02 03 04 05 99
  1. Free play including dressing up or making believe, etc
01 02 03 04 05 99
  1. Block building or other construction work
01 02 03 04 05 99
  1. Indoor physical activities such as tumbling or dancing
01 02 03 04 05 99
  1. Outdoor physical activities
01 02 03 04 05 99
  1. Trips to the local library
01 02 03 04 05 99
  1. Other field trips
01 02 03 04 05 99
  1. Computer time
01 02 03 04 05 99
  1. Visual arts such as drawing, painting, modeling, play dough, sandplay
01 02 03 04 05 99
  1. Performing arts such as music, movement, dance, etc.
01 02 03 04 05 99
  1. Health or hygiene or nutrition
01 02 03 04 05 99
  1. Science or nature
01 02 03 04 05 99
  1. Other (SPECIFY) _____________________
    ____________________________________
01 02 03 04 05 99

 

V. HOME VISITS
I'd like to ask about visits made to the homes of center-based Head Start childrren by center staff.

V.A.1. Are home visits to families of center-based children required of your center staff?
No 01
Yes 02

V.A.2. Do center staff make regular home visits to families of center-based children even though they are not required?
No 01
Yes 02

V.A.3. What are the minimum number of home visits to the family of each center-based child during the Head Start year by:
  A. B. C. D. E. F.
NONE ONE PER YEAR TWO PER YEAR 3-6 PER YEAR > 6 PER YEAR DK
  1. Teachers or assistant teachers?
01 02 03 04 05 99
  1. FSAs or FSWs (Family Service Assistants or Workers) or FAs (Family Advocates)?
01 02 03 04 05 99
  1. Other (SPECIFY) ________________
01 02 03 04 05 99
  1. Other (SPECIFY) ________________
01 02 03 04 05 99

V.B.1. Does your center include a home-based option?
No 01
Yes 02

V.B.2. What are the minimum number of home visits during the Head Start year to the family of each child in your home-based program by staff other than teachers or assistant teachers?
  A. B. C. D. E. F.
NONE ONE PER YEAR TWO PER YEAR 3-6 PER YEAR > 6 PER YEAR DK
  1. FSAs or FSWs or FAs (Family Service Assistants or Workers or Advocates)?
01 02 03 04 05 99
  1. Other (SPECIFY) ________________
01 02 03 04 05 99
  1. Other (SPECIFY) ________________
01 02 03 04 05 99

Response Card Listing Staff Activities  

V.C. What are the minimum number of home visits during the Head Start year to the family of each child in your home-based program by staff other than teachers or assistant teachers?
DURING YOUR CENTER STAFF’S HOME VISITS, WHICH THREE ACTIVITIES ARE OF HIGHEST PRIORITY FOR : CIRCLE THREE FOR EACH:
V.C.1
TEACHERS/ ASSISTANT TEACHERS
V.C.2
FSWs FSAs or FAs
V.C.3
OTHER (SPECIFY)
_______
V.C.4
OTHER (SPECIFY)
_______
  1. Providing educational experiences to the Head Start child
01 01 01 01
  1. Providing educational experiences/assistance to other children in the household
02 02 02 02
  1. Providing instructions to the caregiver on parenting/education/child development issues
03 03 03 03
  1. Addressing issues of family health and nutrition
04 04 04 04
  1. Providing informal counseling or addressing personal issues (e.g., marital stress/family relations)
05 05 05 05
  1. Providing education information/referral to caregivers
06 06 06 06
  1. Providing assistance with basic needs (e.g., food/housing/clothing/medical care)
07 07 07 07
  1. Informing parents about Head Start and the services it offers
08 08 08 08
  1. Informing parents about the progress of their child
09 09 09 09
  1. Other (SPECIFY) ______________________
10 10 10 10
  1. (IF NO HOME VISITS BY THOSE STAFF MEMBERS)
NA NA NA NA

 

VI. COMMUNITY RESOURCES AND POPULATION NEEDS
I'd like to know about services in your community available to families at your Head Start center and their use by families.

Response Card  

VI.A.1.
(1)
(READ EACH ITEM IN COLUMN 1 AND READ QUESTIONS 3 AND 4 FOR EACH ITEM.
SECTION 4 CAN HAVE 02 AND 03 FOR A RESPONSE.)
(2)
[REMOVED]
(3)
DO MANY OF YOUR HEAD START FAMILIES EXPRESS CONCERNS ABOUT THE AVAILABILITY OF THIS SERVICE?
01 = NO
02 = YES
99 = DON’T KNOW
(4)
DOES HEAD START HELP FAMILIES OBTAIN THIS SERVICE?
01 = NO, DOES NOT
02 = YES, REFERS OR HELPS OBTAIN SERVICE (INCLUDING TRANSPORTATION)
03 = YES, PROVIDES SERVICE
DIRECTLY
99 = DON’T KNOW
SERVICE: ______________________________
  1. Income assistance, like Welfare, SSI, unemployment insurance
01 02 99 01 02 03 99
  1. Food and nutrition assistance, like Food Stamps or WIC
01 02 99 01 02 03 99
  1. Help with housing
01 02 99 01 02 03 99
  1. Help with utilities (running water, heat, telephone service)
01 02 99 01 02 03 99
  1. Job training and employment services
01 02 99 01 02 03 99
  1. Literacy programs, e.g., GED, college, learning to read, English as a Second Language
01 02 99 01 02 03 99
  1. Transportation to work or job training
01 02 99 01 02 03 99
  1. Child care for preschool children before or after the Head Start day
01 02 99 01 02 03 99
  1. Child care for other children in the household (e.g., infants, school-age)
01 02 99 01 02 03 99
HEALTH CARE SUCH AS:
  1. Medical or dental care for children
01 02 99 01 02 03 99
  1. Medical or dental care for adults in household
01 02 99 01 02 03 99
  1. Health insurance, e.g., MEDICAID/LOCAL NAME FOR MEDICAID
01 02 99 01 02 03 99
  1. Alcohol or drug abuse treatment or counseling services
01 02 99 01 02 03 99
  1. Mental health services
01 02 99 01 02 03 99
HOW ABOUT SERVICES SUCH AS:
  1. Legal aid
01 02 99 01 02 03 99
  1. Help dealing with family violence
01 02 99 01 02 03 99
  1. Help in solving other family problems
01 02 99 01 02 03 99

Response Card  

VI.A.2. Which one of these statements best describes most parents new to your center?
(READ THE STEM AND THE THREE STATEMENTS AND CIRCLE ONLY ONE.)
  CIRCLE ONE
MOST PARENTS NEW TO OUR CENTER:

  1. Don t know what services are available in the community
01
  1. Pretty much know what s available in the community but don t use the resources
02
  1. Are aware of the services that are available in the community and use them pretty well
03
  1. DON'T KNOW
04

VI.B. Now, I would like to ask you some questions about families in your center. Some of them may seem sensitive, and you may refuse to answer if you wish:

VI.B.1. First, please tell me how many children attend your center.
(If a Director of multiple centers, give # for each additional center below).
_______
#
  __ __  __  __
 #   #   #    #
DON'T KNOW 99

VI.B.2. How many children in your center have special needs for which they receive services or have an Individual Education Plan (IEP) (e.g., language and speech, emotional, hearing, learning, or physical)?

(If a Director of multiple centers, give # for each additional center below).

_______
#
  __ __  __  __
 #   #   #    #
DON'T KNOW 99

VI.B.3. Among children in your center(s) with a current IEP, which are the two most commonly identified problems? (DO NOT READ LIST.)
 
  (Circle Only Two.)
  1. Health impairment
01
  1. Emotional or behavioral disorder including ADD or ADHD
02
  1. Speech or language impairments
03
  1. Mental retardation
04
  1. Hearing impairment including deafness
05
  1. Orthopedic impairment
06
  1. Visual impairment including blindness
07
  1. Learning disabilities
08
  1. Autism
09
  1. Traumatic brain injury
10
  1. Non-categorical developmental delay
11
  1. Multiple disabilities including deaf-blind
12
  1. Other (SPECIFY)
13
  1. DON'T KNOW
14

VI.B.4. Now counting only families for whom you have a very good sense that this problem/situation exists, please tell me how many children are living in a foster home?
REFUSE TO ANSWER 98
DON'T KNOW 99

VI.B.5. To your knowledge, how many families in your center have been reported to an agency for:
  NUMBER DK/ REF
  1. Child abuse
_____ 999
  1. Child neglect
_____ 999
  1. Other family violence
_____ 999

VI.B.6. To your knowledge, how many families in your center have household members:
  NUMBER DK/ REF
  1. With Aids
_____ 999
  1. With a substance abuse problem
_____ 999
  1. Who are currently in prison
_____ 999
  1. Who have a physical or mental disability
_____ 999
  1. Who are the victims of family violence
_____ 999

 

VII. KINDERGARTEN TRANSITION
Lastly, I'd like to talk with you about kindergarten transition.

VII.A.1. Parents often have concerns and needs regarding their child s transition to kindergarten. What are the three concerns or needs most often expressed by the Head Start parents in your center about their child's transition to kindergarten?
  1. _________________________________________________
 
  1. _________________________________________________
 
  1. _________________________________________________
 
  1. No concerns expressed
09
  1. DON'T KNOW
99

VII.A.2. Does your Head Start center do any of the following regarding transition to kindergarten?
(READ LIST AND CIRCLE RESPONSE.) (Prompt: Do you...?)
    NO YES DK
a./b. Send letters home with children or mail letters to parents providing information on transition 01 02 99
*
c./e.
Invite parents to attend informational meetings or discussions with Head Start or school staff about kindergarten transition 01 02 99
d. Provide parents with information on the school their child will attend 01 02 99
f. Schedule parent and/or child visit(s) to the school the child will attend 01 02 99
g. Accompany parents and/or children to visit the school 01 02 99
h. Teach parents skills to effectively advocate for their school-age children 01 02 99
i. Other (SPECIFY) 01 02 99

VII.B.1. Does your Head Start center work in any of the following ways with the schools your students will attend? (Prompt: Does your center...?)
  NO YES DK
DOES YOUR CENTER      
  1. Conduct joint training of Head Start and school staffs
01 02 99
  1. Share curriculum information
01 02 99
  1. Share information about rules and program policies
01 02 99
  1. Share information on expectations of students and families
01 02 99
  1. Provide children's Head Start records to the school
01 02 99
  1. Meet with kindergarten teachers at the schools Head Start children will attend
01 02 99
  1. Other (SPECIFY) _______________________________________
    ______________________________________________________
01 02 99

VII.B.2. (IF “YES” TO ANY OF VII.A.2 OR VII.B.1, ASK:) During which months of the year does your center conduct kindergarten transition activities? (Enter name of Month(s) of transition activities) ___________
 

 

VIII. OVERVIEW OF CENTER
Now I would like you to think about your Head Start center overall, and all of the experiences and services the center is providing to children and their families.

VIII.A. If you could change one thing that you think would significantly improve the services your center is providing, what would it be? (FORCE RESPONDENT TO CHOSE ONLY ONE).
_____________________________________
________________________________________________
________________________________________________

VIII.B. Finally, what two things do you think your center does really well for children and their
families? (FORCE RESPONDENT TO CHOSE ONLY TWO).
_________________________________________________________________
  _________________________________________________________________
_________________________________________________________________
  _________________________________________________________________

 

Thank you very much for your cooperation. You’ve been very helpful!
 
If you have any questions about the study or the interview, you can call or write to any of these people.
(TEAR OFF BACK SHEET OF INTERVIEW PACKET AND HAND IT TO THE RESPONDENT.)

 

THE HEAD START FAMILY AND CHILD EXPERIENCES SURVEY
 
If you have any questions or concerns about the study or the interview, you can call or write to:
Louisa Tarullo, Ed.D.
Administration on Children, Youth and Families
(202) 205-9632
David Connell, Ph.D.
Abt Associates Inc.
(617) 349-2804
Nicholas Zill, Ph.D.
Westat, Inc.
(301) 294-4448
 
You may send your comments regarding the interview burden or any other aspect of this collection of information, including suggestions for reducing this burden, to:
Reports Clearance Officer
Administration for Children and Families
U.S. Department of Health and Human Services
370 L'Enfant Promenade, S.W.
Washington, DC 20447
Office of Management and Budget
Paperwork Reduction Project
OMB Control No. (new request)
Washington, DC 20503


 

 

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