By submitting this form, you provide explicit permission for deposited data to be disseminated by the Odum Institute for Research in Social Science.
1. Name of person or organization depositing the data:
Name Organization Department Address City State Zip Code - Phone () - Fax () - Email Web site URL:
2. Name of contact person for data (if different from above)
Name Organization Department Address City State Zip Code - Phone () - Fax () - Email
3. Date of this deposit (format: mm/dd/yyyy; eg: 06/01/2005)
PART II - BIBLIOGRAPHIC INFORMATION
1. Descriptive title of data. Give complete meaning of acronyms, if used, and include time periods that the data cover. (e.g. Harris 1989 Environmental Survey, or Fall 2001 Carolina Poll)
2. Description of data contents. Please provide a brief summary outlining the contents of the data file. Indicate the following as appropriate: purpose and scope; time period; areas of investigation (e.g., election, health, education, etc.); and any other special characteristics.
3. Please provide three or more subject terms that reflect the contents of the data. These descriptive terms will be used as subject categories in the Institute's online data catalog:
4. If appropriate give the agency that sponsored or funded the collection or compilation of the data, including the grant number.
Agency
Grant Number
5. Principal Investigator(s) and Organizational Affiliation at time of data collection. If multiple principal investigators, give proper name order:
Principal Investigator Organizational Affiliation
6. Data producer (e.g., organization responsible for bringing the data to its final computerized form, if different from above.)
Address (city/state) of data producer.
City State
7. If this is a new edition or special version of the data file, give appropriate details and note edition number.
Date of this edition of the data.
(format: mm/dd/yyyy; eg: 06/01/2005)
8. Are these data part of an on-going series; or will these data be replicated in the future? Yes No
If yes, be specific as to frequency of updates.
PART III - STUDY DESIGN AND METHODOLOGY
In answering the questions in this section, you may attach and refer to a methodology statement for the study. If you attach a sheet, please refer to page numbers where the particular item of information can be found (e.g., See methodology statement, page 4.).
1. Are you sending us a study design and/or methodology statement? Yes No
If a study description or methodology statement is available, please send with your deposit even if you do not reference it here.
2. Type of data: Survey Aggregate Census/Enumeration Experimental Event/Transaction Other Other:
3. Universe (including geographic coverage):
a. Eligibility criteria/respondent selection criteria:
4. How many distinctly different samples are included in the data set?
Describe if more than one:
a. Can the multiple data sets be used separately for analysis? Yes No
5. Date(s) of data collection:
6. Response rate. %
Describe method of calculation or provide complete information on distribution of final disposition of case codes.
7. Method of collection and how administered (check all that apply): face-to-face interview telephone interview RDD (random digit dialing) CATI (computer-administered telephone interviews) CAPI (computer-assisted personal interviews) CASI (computer-assisted self-administered) mail questionnaire self-administered questionnaire web survey Other
8. Does the data set contain a weight variable that we should use to report frequencies? Yes No
a. If yes, what is the name used for the weight variable?
b. The data you are sending us is: already weighted using the variable above. unweighted.
c. Please describe the calculation of the weight variable (e.g., the variable WTVAR is the number of people 18 or older in the household [PEOPLE], divided by the statistical mean of [PEOPLE].
9. Source(s) of data (if derived from another data file or from a printed source):
PART IV - DATA FORMAT AND DOCUMENTATION
1. Questionnaire. (For each data file or set of files based on a single questionnaire, please send us an electronic version of the questionnaire if at all possible. If the questionnaire is available only in printed form, we will accept it, but it will slow processing of the file considerably.)
a. Questionnaire file type: WordPerfect Word Other Other:
2. Data Format: SPSS SAS Stata ASCII (include data layout for all raw files)* Other Other:
* If possible, please send us the raw data file in addition to a processed file.
3. If open-ended (text answer) questions are included, master codes are provided. full text of responses is in data file. Other
Other:
4. Reports or articles based on data set Enclosed (optional). References to reports provided (optional).
