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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Impact Evaluation of Departmentalized Instruction in Elementary Schools
Agency IC Tracking Number:
ED-2018-ICCD-0001
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
Monitoring Forms and Principal Interview Protocol
Appendix A Monitoring_Forms_Principal_Interview.pdf
No
Paper Only
Form
N/A
Teacher Survey with Initiave Letter
Appendix B Teacher_Letter_Survey_Followup Matls.pdf
No
Paper Only
Form
N/A
Admin Records Data Request
Appendix C Admin_Records_Data_Requests.pdf
No
Paper Only
Form
N/A
Class Schedule and Roster Request Letter
Appendix D Letter_Requesting_Class_Schedules_and_Student_Rosters.pdf
No
Paper Only
Form
N/A
Active and Passive Parent Permission Form
Appendix E Active_and_Passive_Parent_Permission.pdf
No
Paper Only
Form
N/A
School Agreement Form
Appendix F School_Agreement_Form.pdf
No
Paper Only
Other-District Recruitment Letter
Appendix G District_Recruitment_Letter.pdf
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:
8,531
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
17 %
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
8,531
0
8,531
0
0
0
Annual IC Time Burden (Hours)
3,202
0
3,202
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.