Information Collection Request

Impact Study: Lessons in Character Program

ICR 200701-1850-003 · OMB 1850-0826 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Principal Interview Form and Instruction New Available
Social Skills Questionnaire - Parent Form Form and Instruction New Available
Teacher Report Part III - Implementation Log Fifth Grade Form and Instruction New Available
Teacher Report Part III - Implementation Log Fourth Grade Form and Instruction New Available
Teacher Report Part II - Student Asessment Form and Instruction New Available
Teacher Report Part III - Implementation Log Form and Instruction New Available
Teacher Report Part I - Background, School Climate, Practices, and Activities Form and Instruction New Available
Teacher Report Part III - Implementation Log Second Grade Form and Instruction New Available
Student LIC Assent Form Form and Instruction New Available
Student Report Survey Form and Instruction New Available
Teacher Consent Form Form and Instruction New Available
Parent Consent Form for student participation Form and Instruction New Available
Parent Consent Form Form and Instruction New Available
Att_LIC OMB Inst1r.doc Supplementary Document Uploaded 2007-01-25 Available
Att_LIC OMB Sup Append 10 11 06.doc Supplementary Document Uploaded 2007-01-23 Available
Att_LIC OMB Sup Part B 10.11.06.doc Supporting Statement B Uploaded 2007-01-23 Available
Att_LIC OMB Sup Part A 10.11.06.doc Supporting Statement A Uploaded 2007-01-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
178421 Principal Interview Form and Instruction NewPrincipal Interview
178419 Parent Report Social Skills Questionnaire - Parent Form Form and Instruction NewSocial Skills Questionnaire - Parent Form
178418 Teacher Data Collection Form and Instruction NewTeacher Report Part III - Implementation Log Fifth Grade
178418 Teacher Data Collection Form and Instruction NewTeacher Report Part III - Implementation Log Fourth Grade
178418 Teacher Data Collection Form and Instruction NewTeacher Report Part II - Student Asessment
178418 Teacher Data Collection Form and Instruction NewTeacher Report Part III - Implementation Log
178418 Teacher Data Collection Form and Instruction NewTeacher Report Part I - Background, School Climate, Practices, and Activities
178418 Teacher Data Collection Form and Instruction NewTeacher Report Part III - Implementation Log Second Grade
178417 Student Data Collection Form and Instruction NewStudent LIC Assent Form
178417 Student Data Collection Form and Instruction NewStudent Report Survey
178415 Sampling and Gainng Cooperation Form and Instruction NewTeacher Consent Form
178415 Sampling and Gainng Cooperation Form and Instruction NewParent Consent Form for student participation
178415 Sampling and Gainng Cooperation Form and Instruction NewParent Consent Form

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2010 36 Months From Approved
34,906 0 0
15,418 0 0
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Parent Report Social Skills Questionnaire - Parent Form N/A
Principal Interview N/A
Sampling and Gainng Cooperation N/A, N/A, N/A ,   ,  
Student Data Collection N/A, N/A ,  
Teacher Data Collection N/A, N/A, N/A, N/A, N/A, N/A ,   ,   ,   ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 34,906 0 0 34,906 0 0
Annual Time Burden (Hours) 15,418 0 0 15,418 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No