Information Collection

Teacher Data Collection

IC 178418 under ICR 200701-1850-003 · OMB 1850-0826.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0826 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Teacher Data Collection	Form and Instruction
Teacher Report Part I - Background, School Climate, Prac Att_LIC OMB Inst6.doc	Form and Instruction
Teacher Report Part III - Implementation Log Second Grad Att_LIC OMB Inst8.doc	Form and Instruction
Teacher Report Part III - Implementation Log Att_LIC OMB Inst9.doc	Form and Instruction
Teacher Report Part II - Student Asessment Att_LIC OMB Inst7.doc	Form and Instruction
Teacher Report Part III - Implementation Log Fourth Grad Att_LIC OMB Inst10.doc	Form and Instruction
Teacher Report Part III - Implementation Log Fifth Grade Att_LIC OMB Inst11.doc	Form and Instruction

IC Title:

Teacher Data Collection

Agency IC Tracking Number:

3220

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Teacher Report Part III - Implementation Log Second Grade	Att_LIC OMB Inst8.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Teacher Report Part III - Implementation Log	Att_LIC OMB Inst9.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Teacher Report Part III - Implementation Log Fourth Grade	Att_LIC OMB Inst10.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Teacher Report Part I - Background, School Climate, Practices, and Activities	Att_LIC OMB Inst6.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Teacher Report Part II - Student Asessment	Att_LIC OMB Inst7.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Teacher Report Part III - Implementation Log Fifth Grade	Att_LIC OMB Inst11.doc	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 650

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 28 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	650	650
Annual IC Time Burden (Hours)	2,009	2,009
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.