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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Diagnostic Assessment System in Georgia Focus Group and Surveys
Agency IC Tracking Number:
ED-2018-ICCD-0087
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
N/A
Teacher Consequential Validity Survey
Appendix C - Teacher Consequential Validity Survey 10-24-18.docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Focus Group Questions
Appendix D - Focus Group Plan and Questions 10-24-18.docx
No
Paper Only
Form
N/A
IKAN/GloSS Sample Items
Appendix B - Sample Items 7-10-18.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Elementary, Secondary, and Vocational Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
44
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
44
0
44
0
0
0
Annual IC Time Burden (Hours)
606
0
606
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Teacher Consent and Demographic Form
Appendix A - Approved Teacher Consent and Demographic Form 7-19-18.docx
09/19/2018
District School MOU
Appendix E - District School MOU 7-10-18.docx
09/19/2018
Parent Information Letter
Appendix G - Approved Parent Information Letter and Opt In 7-19-18.docx
09/19/2018
FAQ
Appendix F - Frequently Asked Questions 7-10-18.docx
09/19/2018
Student Assent Form
Appendix H - Approved Student Assent Form 7-19-18.docx
09/19/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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