View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Q-DOT Pilot Study
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Attachment A1 - Q-DOT - Program Recruitment Script.track changes(kr).docx No No Fillable Fileable
Other-Questionnaire Attachment A1b QDOT Center Director SAQ (formatted by RD 12-2-13).docx Yes Yes Fillable Fileable
Other-Questionnaire Attachment A2 QDOT Teacher SAQ2 (formatted by RD 12-2-13)(kr).docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

60 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 60 0 0 0 0 60
Annual IC Time Burden (Hours) 20 0 0 0 0 20
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Q-DOT - Section A_TO OMB_FINAL_v2 Q-DOT - Section A_TO OMB_FINAL_v2.docx 12/17/2013
Q-DOT - Section B_TO OMB_FINAL_v2 Q-DOT - Section B_TO OMB_FINAL_v2.docx 12/17/2013
Appendix B1 - Q-DOT FAQs_v2 Appendix B1 - Q-DOT FAQs_v2.docx 12/17/2013
Appendix B2 - Q-DOT Teacher Cover Letter Appendix B2 - Q-DOT Teacher Cover Letter.docx 12/17/2013
Appendix A1 - Q-DOT Center Recruitment Letter_v2 Appendix A1 - Q-DOT Center Recruitment Letter_v2.docx 12/17/2013
Appendix B3 - Q-DOT Center Director Cover Letter_v2 Appendix B3 - Q-DOT Center Director Cover Letter_v2.docx 12/17/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.