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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Providing Reading Interventions for Students in Middle School Toolkit Evaluation
Agency IC Tracking Number:
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
NA
Eligibility Questionnaire
RELSW 5.1.6.4 PRISMS_OMB_Appendix A3_Eligibility Questionnaire v1.docx
Yes
Yes
Fillable Fileable
Form
NA
Teacher Survey
RELSW 5.1.6.4 PRISMS_OMB_Appendix B_Teacher Survey.docx
Yes
Yes
Fillable Fileable
Form
NA
Teacher Instructional Log
RELSW 5.1.6.4 PRISMS_OMB_Appendix D_Teacher Instructional Log.docx
Yes
Yes
Fillable Fileable
Form
NA
Teacher Interview Questions
RELSW 5.1.6.4 PRISMS_OMB_Appendix F_Teacher Interview Questions.docx
Yes
Yes
Fillable Fileable
Form
NA
School leader Interview Questions
RELSW 5.1.6.4 PRISMS_OMB_Appendix G_School Leader Interview Questions.docx
Yes
Yes
Fillable Fileable
Form
NA
School Leader Survey
RELSW 5.1.6.4 PRISMS_OMB_Appendix H_School Leader Survey.docx
Yes
Yes
Fillable Fileable
Form
NA
Facilitator Checklist
RELSW 5.1.6.4 PRISMS_OMB_Appendix J_Facilitator Checklist.docx
Yes
Yes
Fillable Fileable
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:
669
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
2,647
0
2,647
0
0
0
Annual IC Time Burden (Hours)
851
0
851
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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