Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Instrument 10: Key Informant Interviews with BSC Faculty Members Affiliated with the States/Regions Discussion Guide New 3 3 0 Other-Interview Protocol
Instrument 11: BSC Implementation Staff and Faculty Focus Group Discussion Guide New 20 30 0 Other-Interview Protocol
Instrument 12: BSC Implementation Staff and Faculty Background Survey New 10 2 0 Other-Survey
Instrument 13: Key Informant Interviews with BSC Center Administrators Discussion Guide New 16 16 0 Other-Interview Protocol
Instrument 14: BSC Teachers and Support Staff Focus Group Discussion Guide New 80 120 0 Other-Interview Protocol
Instrument 15: BSC Parent Focus Group Discussion Guide New 16 24 0 Other-Interview Protocol
Instrument 16: Individual BSC Teams Focus Group Discussion Guide New 112 168 0 Other-Interview Protocol
Instrument 17a: Administrator Surveys New 24 12 0 Other-17a. Administrator Surveys
Instrument 17b: Teacher Surveys New 240 120 0 Other-17b. Teacher Surveys
Instrument 17c. Other Center Staff Surveys New 96 48 0 Other-17c. Other Center Staff Surveys
Instrument 17di: Non-BSC Parent Surveys New 1424 356 0 Other-17di. Non-BSC Parent Surveys
Instrument 17dii: BSC Parent Surveys New 24 12 0 Other-17dii. BSC Parent Surveys
Instrument 18: Classroom Observations New 48 16 0 Instruction
Instrument 19: Administrative Data Survey New 32 8 0 Instruction
Instrument 1: BSC Selection Application Questionnaire New 75 113 0 Other-Questionnaire
Instrument 2: Pre-Work Assignment: Data Collection Planning Worksheet New 16 32 0 Other-Planning Worksheet
Instrument 3: Plan, Do, Study, Act (PDSA) Form & Tracker New 1904 476 0 Other-Form & Tracker
Instrument 4: Monthly Metrics New 128 192 0 Instruction
Instrument 5: Implementation Discussion Forum Prompts New 1904 476 0 Other-Forum Guide
Instrument 6: Learning Session Feedback Form New 224 56 0 Other-Feedback Form
Instrument 7: Action Planning Form New 224 56 0 Other-Action Planning Form
Instrument 8: BSC Overall Feedback Form New 56 14 0 Other-Feedback Form
Instrument 9: Organizational Self-Assessment New 280 420 0 Other-Survey
Total burden requested under this ICR: 6956 2770 0  
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