Student Record Collection

Appendix J
NPSAS:12 Student Records

Data Elements Table

For each eligible sampled student, please provide the following data.

Section Name	Subsection Name	Column Header/Question Wording
Contact Information	Permanent Contact Information	Address 1
Contact Information	Permanent Contact Information	Address 2
Contact Information	Permanent Contact Information	City
Contact Information	Permanent Contact Information	State
Contact Information	Permanent Contact Information	ZIP
Contact Information	Permanent Contact Information	Country (if not USA)
Contact Information	Permanent Contact Information	E-Mail
Contact Information	Permanent Contact Information	Phone
Contact Information	Permanent Contact Information	International Phone
Contact Information	Local Contact Information	Local Address Same as Permanent?
Contact Information	Local Contact Information	Address 1
Contact Information	Local Contact Information	Address 2
Contact Information	Local Contact Information	City
Contact Information	Local Contact Information	State
Contact Information	Local Contact Information	ZIP
Contact Information	Local Contact Information	Campus E-Mail
Contact Information	Local Contact Information	Phone
Contact Information	Local Contact Information	Cell Phone
Contact Information	Local Contact Information	Permanent resident of <school state>?
Contact Information	Parent's Contact Information	First Name
Contact Information	Parent's Contact Information	Middle Initial
Contact Information	Parent's Contact Information	Last Name
Contact Information	Parent's Contact Information	Suffix
Contact Information	Parent's Contact Information	Address is the same as..
Contact Information	Parent's Contact Information	Address 1
Contact Information	Parent's Contact Information	Address 2
Contact Information	Parent's Contact Information	City
Contact Information	Parent's Contact Information	State
Contact Information	Parent's Contact Information	ZIP
Contact Information	Parent's Contact Information	Country (if not USA)
Contact Information	Parent's Contact Information	E-Mail
Contact Information	Parent's Contact Information	Phone
Contact Information	Parent's Contact Information	Cell Phone
Contact Information	Parent's Contact Information	International Phone
Contact Information	Other Contact Information	First Name
Contact Information	Other Contact Information	Middle Initial
Contact Information	Other Contact Information	Last Name
Contact Information	Other Contact Information	Suffix
Contact Information	Other Contact Information	Relationship to Student
Contact Information	Other Contact Information	Address 1
Contact Information	Other Contact Information	Address 2
Contact Information	Other Contact Information	City
Contact Information	Other Contact Information	State
Contact Information	Other Contact Information	ZIP
Contact Information	Other Contact Information	Country (if not USA)
Contact Information	Other Contact Information	E-Mail
Contact Information	Other Contact Information	Phone
Contact Information	Other Contact Information	Cell Phone
Contact Information	Additional Contact	First Name
Contact Information	Additional Contact	Middle Initial
Section Name	Subsection Name	Column Header/Question Wording
Contact Information	Additional Contact	Last Name
Contact Information	Additional Contact	Suffix
Contact Information	Additional Contact	Phone
Contact Information	Additional Contact	Relationship to Student
Student Info and Budget	Personal Information	First Name
Student Info and Budget	Personal Information	Middle Initial
Student Info and Budget	Personal Information	Last Name
Student Info and Budget	Personal Information	Suffix
Student Info and Budget	Personal Information	Social Security Number
Student Info and Budget	Personal Information	DOB Month
Student Info and Budget	Personal Information	DOB Year
Student Info and Budget	Personal Information	Gender
Student Info and Budget	Driver's license	License Number
Student Info and Budget	Driver's license	License State
Student Info and Budget	Marital Status	Marital Status
Student Info and Budget	Marital Status	Maiden Name
Student Info and Budget	Marital Status	Spouse First Name
Student Info and Budget	Marital Status	Spouse Middle Initial
Student Info and Budget	Marital Status	Spouse Last Name
Student Info and Budget	High School Information	Degree Type
Student Info and Budget	High School Information	Degree Year
Student Info and Budget	Ethnicity and Race (For Race, select all that apply)	Ethnicity
Student Info and Budget	Ethnicity and Race (For Race, select all that apply)	White
Student Info and Budget	Ethnicity and Race (For Race, select all that apply)	African-American or Black
Student Info and Budget	Ethnicity and Race (For Race, select all that apply)	Asian
Student Info and Budget	Ethnicity and Race (For Race, select all that apply)	American Indian or Alaska Native
Student Info and Budget	Ethnicity and Race (For Race, select all that apply)	Hawaiian or Other Pacific Islander
Student Info and Budget	Citizenship	Citizenship
Student Info and Budget	ISIR	Last name from ISIR
Student Info and Budget	ISIR	Social Security Number from ISIR
Student Info and Budget	Budget	Local residence
Student Info and Budget	Budget	Tuition/fees
Student Info and Budget	Budget	Books/supplies
Student Info and Budget	Budget	Room and board
Student Info and Budget	Budget	Health insurance
Student Info and Budget	Budget	Transportation
Student Info and Budget	Budget	Computer technology
Student Info and Budget	Budget	All other expenses
Student Info and Budget	Budget	Total cost of attendance
Student Info and Budget	Budget	Budget period
Enrollment	Degree Program and Progress	Degree Program
Enrollment	Degree Program and Progress	Associate’s Type (Only applicable if degree program is Associate's)
Enrollment	Degree Program and Progress	Master’s Type (Only applicable if degree program is Master's)
Enrollment	Degree Program and Progress	Doctoral Type (Only applicable if degree program is Doctoral)
Section Name	Subsection Name	Column Header/Question Wording
Enrollment	Degree Program and Progress	Class Level
Enrollment	Degree Program and Progress	Expected to complete degree requirments by 6/30/2011?
Enrollment	Degree Program and Progress	Cumulative (unweighted) GPA
Enrollment	Baccalaureate Degree (Only applicable for graduate students)	Month Received (mm)
Enrollment	Baccalaureate Degree (Only applicable for graduate students)	Year Received (yyyy)
Enrollment	Baccalaureate Degree (Only applicable for graduate students)	None Received
Enrollment	Major (Only complete one)	CIP code
Enrollment	Major (Only complete one)	Current Major
Enrollment	Major (Only complete one)	Undeclared
Enrollment	Initial Enrollment	First Enrolled at this Institution Month (mm)
Enrollment	Initial Enrollment	First Enrolled at this Institution Year (yyyy)
Enrollment	Initial Enrollment	First-time Beginning Student?
Enrollment	Initial Enrollment	Transferred Credits from Another Institution?
Enrollment	Number of Required Clock Hours (Only applicable for clock hour programs)	For Program
Enrollment	Number of Required Clock Hours (Only applicable for clock hour programs)	Per Week
Enrollment	Tuition Charged	Total tuition charged
Enrollment	Tuition Charged	Residency for Tuition Purposes
Enrollment	Enrollment status	[Term Name 1 (Start Date – End Date)]
Enrollment	Enrollment status	[Term Name 2 (Start Date – End Date)]
Enrollment	Enrollment status	[Term Name 3 (Start Date – End Date)]
Enrollment	Enrollment status	[Term Name 4 (Start Date – End Date)]
Enrollment	Enrollment status	[Term Name 5 (Start Date – End Date)]
Enrollment	Enrollment status	[Term Name 6 (Start Date – End Date)]
Enrollment	Enrollment status	[Term Name 7 (Start Date – End Date)]
Enrollment	Enrollment status	[Term Name 8 (Start Date – End Date)]
Enrollment	Enrollment status	[Term Name 9 (Start Date – End Date)]
Enrollment	Enrollment status	[Term Name 10 (Start Date – End Date)]
Enrollment	Enrollment status	[Term Name 11 (Start Date – End Date)]
Enrollment	Enrollment status	[Term Name 12 (Start Date – End Date)]
Enrollment	Placement Tests	[Placement test 1] Score
Enrollment	Placement Tests	[Placement test 1] Name
Enrollment	Placement Tests	[Placement test 1] Date
Enrollment	Placement Tests	[Placement test 2] Name
Enrollment	Placement Tests	[Placement test 2] Date
Enrollment	Placement Tests	[Placement test 2] Score
Enrollment	Placement Tests	[Placement test 3] Name
Enrollment	Placement Tests	[Placement test 3] Date
Enrollment	Placement Tests	[Placement test 3] Score
Enrollment	Placement Tests	[Placement test 4] Name
Enrollment	Placement Tests	[Placement test 4] Date
Enrollment	Placement Tests	[Placement test 4] Score
Enrollment	Placement Tests	[Placement test 5] Name
Section Name	Subsection Name	Column Header/Question Wording
Enrollment	Placement Tests	[Placement test 5] Date
Enrollment	Placement Tests	[Placement test 5] Score
Aid Awarded	Federal Aid	Pell grant
Aid Awarded	Federal Aid	Academic Competitiveness grant (ACG)
Aid Awarded	Federal Aid	SMART grant
Aid Awarded	Federal Aid	Subsidized Stafford loan
Aid Awarded	Federal Aid	Unsubsidized Stafford loan
Aid Awarded	Federal Aid	Parent PLUS loan
Aid Awarded	Federal Aid	Graduate PLUS loan
Aid Awarded	Federal Aid	Federal TEACH grant
Aid Awarded	Federal Aid	Perkins loan
Aid Awarded	Federal Aid	Federal SEOG grant
Aid Awarded	Federal Aid	Federal work-study
Aid Awarded	Federal Aid	Veteran benefits
Aid Awarded	Federal Aid	Robert Byrd honors scholarship
Aid Awarded	Federal Aid	Federal health professions loan
Aid Awarded	Federal Aid	Federal health professions disadvantaged loan
Aid Awarded	State Aid	[State aid program 1]
Aid Awarded	State Aid	[State aid program 2]
Aid Awarded	State Aid	[State aid program 3]
Aid Awarded	State Aid	[State aid program 4]
Aid Awarded	State Aid	[State aid program 5]
Aid Awarded	State Aid	[State aid program 6]
Aid Awarded	State Aid	[State aid program 7]
Aid Awarded	State Aid	[State aid program 8]
Aid Awarded	State Aid	[State aid program 9]
Aid Awarded	State Aid	[State aid program 10]
Aid Awarded	State Aid	[State aid program 11]
Aid Awarded	State Aid	[State aid program 12]
Aid Awarded	Institution Aid	[Institution aid program 1]
Aid Awarded	Institution Aid	[Institution aid program 2]
Aid Awarded	Institution Aid	[Institution aid program 3]
Aid Awarded	Institution Aid	[Institution aid program 4]
Aid Awarded	Institution Aid	[Institution aid program 5]
Aid Awarded	Institution Aid	[Institution aid program 6]
Aid Awarded	Institution Aid	[Institution aid program 7]
Aid Awarded	Institution Aid	[Institution aid program 8]
Aid Awarded	Institution Aid	[Institution aid program 9]
Aid Awarded	Institution Aid	[Institution aid program 10]
Aid Awarded	Institution Aid	[Institution aid program 11]
Aid Awarded	Institution Aid	[Institution aid program 12]
Aid Awarded	Graduate Aid (Only applicable for graduate students)	Graduate fellowship/scholarship
Aid Awarded	Graduate Aid (Only applicable for graduate students)	Graduate Federal fellowship
Aid Awarded	Graduate Aid (Only applicable for graduate students)	Graduate Federal traineeship
Aid Awarded	Graduate Aid (Only applicable for graduate students)	Graduatet teaching assistantship/stipend
Aid Awarded	Graduate Aid (Only applicable for graduate students)	Graduate research assistantship/stipend
Aid Awarded	Graduate Aid (Only applicable for graduate students)	Other graduate assistants/tutors/readers stipends
Section Name	Subsection Name	Column Header/Question Wording
Aid Awarded	Graduate Aid (Only applicable for graduate students)	Graduate student tuition waivers
Aid Awarded	Graduate Aid (Only applicable for graduate students)	Graduate faculty/staff tuition waivers
Aid Awarded	Graduate Aid (Only applicable for graduate students)	Graduate institutional work study
Aid Awarded	Graduate Aid (Only applicable for graduate students)	Graduate institutional loan
Aid Awarded	Private Aid and Other Government Aid	Scholarships/grants from private organizations
Aid Awarded	Private Aid and Other Government Aid	Employer paid tuition
Aid Awarded	Private Aid and Other Government Aid	ROTC/armed forces grants
Aid Awarded	Private Aid and Other Government Aid	WIA/job training/vocational rehabilitation
Aid Awarded	Private Aid and Other Government Aid	Bureau of Indian Affairs grants
Aid Awarded	Private Aid and Other Government Aid	Scholarships/grants from outside state agency
Aid Awarded	Private Aid and Other Government Aid	Private loans
Aid Awarded	Private Aid and Other Government Aid	DC tuition assistance grant
Aid Awarded	Other/Specify Aid	Other aid 1 name
Aid Awarded	Other/Specify Aid	Other aid 1 type
Aid Awarded	Other/Specify Aid	Other aid 1 source
Aid Awarded	Other/Specify Aid	Other aid 1 amount
Aid Awarded	Other/Specify Aid	Other aid 2 name
Aid Awarded	Other/Specify Aid	Other aid 2 type
Aid Awarded	Other/Specify Aid	Other aid 2 source
Aid Awarded	Other/Specify Aid	Other aid 2 amount
Aid Awarded	Other/Specify Aid	Other aid 3 name
Aid Awarded	Other/Specify Aid	Other aid 3 type
Aid Awarded	Other/Specify Aid	Other aid 3 source
Aid Awarded	Other/Specify Aid	Other aid 3 amount
Aid Awarded	Other/Specify Aid	Other aid 4 name
Aid Awarded	Other/Specify Aid	Other aid 4 type
Aid Awarded	Other/Specify Aid	Other aid 4 source
Aid Awarded	Other/Specify Aid	Other aid 4 amount
Aid Awarded	Other/Specify Aid	Other aid 5 name
Aid Awarded	Other/Specify Aid	Other aid 5 type
Aid Awarded	Other/Specify Aid	Other aid 5 source
Aid Awarded	Other/Specify Aid	Other aid 5 amount

NPSAS:12 Supporting Statement Request for OMB Review J-1