Survey Clearance System
325403 18995 - 17090 7039 - 6335 23
NOTE : Please fill up all the forms in sequence (Don't leave
*
marked fields empty). Click on the listed forms to open and close it!
GENERAL INFORMATION FORM - FORM 1
Progress of Application, 1/5 Forms
20%
GENERAL INFORMATION
Proposal Number :
Title of the statistical survey/census/research :
*
Prosposal version no.(if rejected version no. should change) :
Legal basis (Optional) :
Proponent agency/individual
Name :
*
Address :
*
Email id :
*
Conducting Agency/PI
Name :
*
Address :
*
Other cooperating agencies:
Funding source(s) :
Please select ...
Royal Government of Bhutan
Local private/Corporations
Foreign/DP
Foreign/DP/RGoB
Core Team members, if any
Name and qualification :
Objectives and relevance of the survey :
*
TECHNICAL DESCRIPTION FORM - FORM 2
Progress of Application, 2/5 Forms
40%
TECHNICAL DESCRIPTION
(
all fields are mandatory
)
#
Type and number of respondent
Size of universe
Size of Sample
Expected Res. Rate
a
Individual
b
Household
c
Establishment
d
Enterprise
e
Government Agency
f
Others :
Reference period of the survey :
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Geographical area covered by the survey :
Geographic disaggregation of the data to be produced :
*
Please select ...
National
Regional
District
Others
Frequency of data collection :
*
Please select ...
One-shot
Monthly
Quarterly
Annually
Others
Method of data collection :
*
Please select ...
Personal interview
Telephone
Mail
Others
Major data items to be collected :
*
List of tables and other outputs to be generated (Optional):
Brief description of the sampling design and estimates(All fields are mandatory)
a. Desired level of reliability and the proposed statistical measure to be used for assessing such reliability (50) :
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b. Type of sampling design (300) :
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c. Sampling unit (10) :
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d. Domain (20) :
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e. Sampling frame (20) :
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f. Sample size (20) :
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g. Method of determining sample size (50) :
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h. Estimation procedure (50) :
*
b. Imputation procedure for non-response (20) :
*
Statistical analysis of results (Optional 300) :
ESTABLISHED DIRECT COST OF SURVE FORM - FORM 3
Progress of Application, 3/5 Forms
60%
ESTABLISHED DIRECT COST OF SURVEY
(in Nu)
Personal service (10) :
Maintenance and Other Operating Expenses (10):
Traveling Expenses (10) :
Supplies (10) :
Printing (10) :
Others (10) :
Capital outlay :
*
TIMETABLE OF ACTIVITIES FORM - FORM 4
Progress of Application, 4/5 Forms
80%
TIMETABLE OF ACTIVITIES
(
all fields are mandatory
)
STAGE
SCHEDULE
AGENCY RESPONSIBLE
A. Planning and preparation
Formulation of survey design (10)
(20)
Pre-test of the questionaire
B. Field operation
Training of personnel
Distribution and collection of q.
Field editing
C. Data processing
Office editing
Data encoding
Verification
Tabulation
D. Report preparation
Analysis and interpe
Report writing
ATTACHMENTS FORM - FORM 5
Progress of Application, 5/5 Forms
100%
ATTACHMENTS
Study proposal :
*
Questionaires :
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Enumerators manual :
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Method of determining sample size/Estimation procedure including weight generation(details):
*
Dummy tables :
