Information Collection

Teacher Questionnaire

IC 182328 under ICR 200710-1850-001 · OMB 1850-0851.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Teacher Questionnaire	Form and Instruction
Hybrid Algebra I Teacher Questionnaire Att_Exhibit D.Hybrid Algebra I Teacher Q.REL Appalachia Task 2B rev.doc	Form and Instruction
Algebra I Control Teacher Questionnaire Att_Exhibit E.Algebra I Control Teacher Q.REL Appalachia Task 2B rev.doc	Form and Instruction
Hybrid Algebra I Teacher Questionnaire Exhibit D. rev Hybrid Algebra I Teacher Q.REL Appalachia Task 2B.doc	Form and Instruction
Algebra I Control Teacher Questionnaire Exhibit E. rev Algebra I Control Teacher Q.REL Appalachia Task 2B.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

3411

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?	Electronic Capability
Form and Instruction	N/A	Hybrid Algebra I Teacher Questionnaire	Att_Exhibit D.Hybrid Algebra I Teacher Q.REL Appalachia Task 2B rev.doc	No	Fillable Fileable
Form and Instruction	N/A	Algebra I Control Teacher Questionnaire	Att_Exhibit E.Algebra I Control Teacher Q.REL Appalachia Task 2B rev.doc	No	Fillable Fileable
Form and Instruction	N/A	Hybrid Algebra I Teacher Questionnaire	Exhibit D. rev Hybrid Algebra I Teacher Q.REL Appalachia Task 2B.doc	No	Fillable Fileable
Form and Instruction	N/A	Algebra I Control Teacher Questionnaire	Exhibit E. rev Algebra I Control Teacher Q.REL Appalachia Task 2B.doc	No	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 33

Number of Respondents for Small Entity: 16

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	33	33
Annual IC Time Burden (Hours)	6	6
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.