Since the 1970s, the National Sample Survey of Registered Nurses (NSSRN) has been the cornerstone of nursing workforce data in the U.S. It is the principal federal source used to inform the public on the nursing workforce. The U.S. Census Bureau conducts the survey on behalf of the U.S. Department of Health and Human Services.

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The information you provide will be used to:

• Evaluate and project the supply and demand of nursing requirements at the state and national level
• Assess the impact of current state and federal programs for nursing and the need for future assistance
•  Identify trends in nurse characteristics such as education and training, employment, income, and demographics

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Besides the decennial census, which is conducted every ten years, the U.S. Census Bureau collects many different kinds of data through other censuses and surveys. The U.S. Census Bureau conducts other censuses regularly, including censuses of business and manufacturers and censuses of state and local governments. In addition, data is collected on a monthly basis to provide current information on such topics as unemployment rates, retail and wholesale trade, various manufacturing activities, and new housing construction, as well as yearly surveys on business, manufacturing, governments, family income, health, and education. Because the U.S. Census Bureau has vast experience in data collection and processing, it also conducts surveys for many other agencies, including the U.S. Department of Health and Human Services, the Bureau of Labor Statistics, the National Center for Education Statistics, the U.S. National Science Foundation, and many more.

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The U.S. Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis sponsors and provides the primary funding and oversight for the survey. The U.S. Census Bureau conducts the survey, oversees the sampling and produces a final public use data set of the results.

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Topics covered include:

A. Licensure and Certification

B. Education

C. Employment

D. Leave Primary Nursing

E. Remain in Primary Nursing

F. Secondary Employment in Nursing

G. Nurse Practitioners

H. Nurses Not Working in Nursing

I. Prior Nursing Employment

J. National Practitioner Data Bank

K. General Information

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The U.S. Census Bureau randomly selected you from a sample frame of all Registered Nurses in the country. Only a sample is selected because interviewing every RN in the country would be costly and would take too long. It is important that all selected RNs respond to the survey in order to ensure that the experiences of all types of RNs are represented.

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Using scientific sampling, you were selected as part of a nationwide sample to represent a cross section of the RN population in the United States. Sample members are randomly chosen to represent hundreds of others in the same field. Once a person has been selected in the sample, we cannot call another person because it would harm the quality of the sample data we collect. If we don't obtain responses from the people selected, the study could produce very biased data.

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The survey is conducted over a period of several months. In order to standardize the survey responses, December 31^st was selected so that everyone who participates will answer the questions for the same time period. It has no other special significance.

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The public use file will be released as soon as possible upon completion of data collection.

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The information that respondents provide is used solely for statistical purposes. All U.S. Census Bureau employees take an oath of confidentiality and are subject to fines or imprisonment for improperly disclosing information provided by respondents. Names and addresses are removed from all forms, and are not included in any statistical release. As a further precaution, the U.S. Census Bureau applies certain restrictions to the data.

The U.S. Census Bureau is required by law to protect your information. We are not permitted to publicly release your responses in a way that could identify you or your household. The U.S. Census Bureau is conducting this survey under the authority of Title 13, United States Code (U.S.C.), Section 8(b) (13 U.S.C. § 8(b)) and the Public Health Service Act (42 U.S.C. Sections 294n(b)(2)(A) and 295k(a)-(b). Federal law protects your privacy and keeps your answers confidential under Title 13, U.S.C., Section 9 (13 U.S.C. § 9). Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the systems that transmit your data. As permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a) and SORN COMMERCE/CENSUS-3, Demographic Survey Collection (Census Bureau Sampling Frame), access to records maintained in the system is restricted to U.S. Census Bureau employees and certain individuals authorized by Title 13, U.S. Code (designated as Special Sworn Status individuals). These individuals are subject to the same confidentiality requirements as regular U.S. Census Bureau employees identified above.

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All U.S. Census Bureau employees take an oath of nondisclosure and are sworn for life to protect all information that could identify individuals. Disclosing ANY information that could identify you or your family means 5 years in prison, or $250,000 in fines, or both.

To protect your privacy, the National Sample Survey of Registered Nurses NEVER asks for:

• your Social Security number
• you to send your personal information via email
• money or donations
• credit card information

The Confidential Information Protection and Statistical Efficiency Act (CIPSEA; 44 U.S.C., 101) hold all information that individuals give to the U.S. Census Bureau in the strictest confidence. Although there are no penalties for not answering, each missing answer makes the national figures less accurate.

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This collection has been approved by the Office of Management and Budget (OMB). The eight-digit OMB approval number that appears on the back cover of the questionnaire or login screen confirms this approval. If this number were not displayed we could not conduct this survey.

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Our secure server uses a digital certificate (digital ID) issued by a Certificate Authority (CA) as proof of identity. The only way to be sure of a web site's authenticity is to view their digital ID. The digital ID will contain information such as:

• The name of the organization that owns the web site (e.g., "U.S. Census Bureau")
• The site's registered Internet name/address (e.g., "access.census.gov")
• The name of the Certification Authority under which the digital ID was issued (e.g., "VeriSign Trust Network")

The method for viewing a web site's Digital Certificate/ID varies depending on the web browser. Please see your browser's "help" information for instructions on how to verify a web site's identity.

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The Census Bureau is conducting this survey under the authority of Title 13, United States Code (U.S.C.), Section 8(b) (13 U.S.C. § 8(b)) and the Public Health Service Act (42 U.S.C. Sections 294n(b)(2)(A) and 295k(a)-(b). Participation in this survey is voluntary and there are no penalties for refusing to answer questions. However, your cooperation in obtaining this much needed information is extremely important in order to ensure complete and accurate results.

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Because of your cooperation and the cooperation of others, the National Center for Health Workforce Analysis is able to provide supply and demand projections of nursing resources at both state and national levels and inform program and policies to improve the training and education of nurses.

Your answers not only represent you, but thousands of nurses like you. The U.S. Census Bureau will combine your answers with answers obtained from other nurses to produce collective information at the national and state levels. For this reason, your cooperation in this voluntary survey will provide a distinct service to our country. You may decline to answer any or all questions, but each item not answered lessens the quality of the final results.

Your information will be held in the strictest confidence as required by the Confidential Information Protection and Statistical Efficiency Act (CIPSEA). Your information will only be used for statistical purposes.

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By participating in the National Sample Survey of Registered Nurses, you are helping researchers, policymakers, and the general public better understand the employment, education, and demographic characteristics of the nursing workforce. Your responses also help develop supply and demand projections needed to inform policymakers about RN workforce needs. Ultimately, your participation benefits all nurses and the patients that rely on their care across the country.

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We estimate that completing the NSSRN will take 30 minutes on average.

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Yes. For this survey, your information is encrypted at all times. Our secure servers use "HTTPS," Hypertext Transfer Protocol over Secure Socket Layer, to ensure the encrypted transmission of data between your browser and the U.S. Census Bureau. This means that instead of sending readable text over the Internet, both your browser and our server encode (scramble) all data using a security key. That way, personal data sent to your browser and data you send back is virtually impossible to decipher in the unlikely event it was intercepted by an unauthorized party. All browsers connecting to our secure server must use a minimum encryption key size of 128 bits. If you cannot connect to our secure server and you are using an older browser, please upgrade to a newer browser capable of using the required encryption key size. In addition to data being encrypted during transmission, all data are strongly encrypted when stored on the U.S. Census Bureau servers.

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If you do not know an answer or are unsure, please provide your best guess or estimate. If you need clarification on what a specific question is asking, please call the U.S. Census Bureau toll-free at 1-888-369-3598 or email us at [email protected].

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You can find additional information about the survey here: www.census.gov/nssrn

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You can respond in one of the following ways:

• Web questionnaire
• Paper questionnaire

As noted in the letter you received requesting your participation, if you are unable to complete the survey by web, feel free to contact telephone support at 1-888-369-3598 or email us at [email protected] for assistance. You can also contact us if you received a web questionnaire and prefer to respond by paper.

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