ANF Data Resources Registration Form

While there is no charge to use ANF data, we ask users to register so that we can learn about who is using our site and for what purposes. After you register, you will receive a username via e-mail which you can use to access any of our data resources.

When you have checked the appropriate answers below, please click the button at the bottom of the form labeled "Submit Registration Form." Thanks for your help!

This information will not be given or sold to any other organization.

^*Indicates required fields

Please provide your name and e-mail address to begin the registration process:

^*First Name:

^*Last Name:

^*E-mail Address:

^*E-mail Address again, to confirm:
^*Which of the following categories best describes your organization?

If you selected "Other" above, please describe your organization's category here:
^*What is the name of your organization, agency, or institution?
What are your primary issue interests?
(Please check all that apply).
1. Work, employment and social services
  All work / employment / social services issues
  Cash assistance
  Child care
  Child support
  Child welfare
  Child well-being
  Employment and training
  Special populations (e.g. immigrants, children with disabilities)
  
  If you checked "Special populations" above, please specify here:
2. Health
  All health issues
  Children's Health Insurance Program (CHIP)
  Health insurance
  Long-term care
  Medicaid
  Managed care
  Safety net providers
  Special populations (e.g. immigrants, children with disabilities)
  
  If you checked "Special populations" above, please specify here:
3. Other interests
  Fiscal and budget
  Devolution
  Other
  
  If you have other interests not shown above, please specify here:
^*Which of our data resources do you plan to use?
(Please check all that apply).

Note: To register for the NSAF Public Use Files, you will be asked to provide some additional information and to accept the NSAF confidentiality agreement. This is in accordance with our pledge of confidentiality to respondents. This additional information is required only if you select "NSAF Public Use Files" below.
NSAF Public Use Files
NSAF Statistical Online Analysis
Welfare Rules Database
^*Please describe the purpose(s) for which you will use these resources (for example, to write a research paper or article, to advocate for new policy, to obtain information on child well-being in a particular area, etc.).
Would you like to be notified by e-mail about new reports or data resources?
Yes
No

If you would like to receive the ANF newsletter, New Federalism Research and Resources, please provide your address below.

Please send me the newsletter
Do not send me the newsletter

Address line 1:
Address line 2:
Address line 3:
City:
State:
Zip/Postal Code:
Country:
Phone Number: xxx-xxx-xxxx
Extension Number:

In an effort to increase the ease of use of the data, we will periodically contact a random selection of users to learn about their unique data needs (e.g., system requirements, primary statistical software). May we contact you?
Yes
No

When you have checked the appropriate answers above, please click the button labeled "Submit Registration Form." After you have registered, your username will be sent to the e-mail address indicated above.

The button "Clear Answers" will clear all the input fields above, if you wish to start over.

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ANF Data Resources Registration Form