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Office of Educational Research and Improvement

State: National Center for Education Statistics Form Approved


1991-92 OMB No. 1850-0067
Date Due: 03/15/92 Public Elementary/Secondary Expires 12/31/93
School Universe Shuttle`

Description Description
NCES Education Agency ID: _______ Students by Grade (Fall Membership):
NCES School ID: ______________ Ungraded: ________________
State Assigned ID of LEA _____________________________ Prekindergarten: ________________
Administering School
Name of LEA Administering School Kindergarten: ________________
____________________ Grade 01: ________________
State Assigned School ID: _____ Grade 02: ________________
Grade 03: ________________
Name of School or Program ________________ Grade 04: ________________
Mailing Address: _____________________________ Grade 05: ________________
(N if no Street address used)
City: __________________ Grade 06: ________________
State ____ Grade 07: ________________
ZIP Code (+ 4 if available) __________ Grade 08: ________________
Area Code + Phone Number: Grade 09: ________________
Type Code _____________ Grade 10: ________________
Operational Status Code Grade 11: ________________
Locale Code (Can insert M for New ___________ Grade 12: ________________
Schools)
Data: Teacher (FTE,to one decimal ___________
Place)
___________ Number of students free-lunch eligible* ________________

Number of students by Racial Category*:


American Indian/Alaskan Native: ________________
Asian/Pacific Islander: ________________
Hispanic: ________________
Black, Non-Hispanic: ________________
White, Non-Hispanic: ________________

* May be December child count.


ED(NCES) Form 2442 This report is authorized by law (20 U.S.C. 1221E-1). While you are not required to respond, your cooperation is needed to make the results of this
survey comprehensive, accurate, and timely.

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