Information Collection

School-Level Screening Checklist and Mature School List

IC 192389 under ICR 201003-1850-006 · OMB 1850-0872.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix 4a Mature School Screening Checklist IES Evaluation RtI Practices.doc	Other-Screening Checklist
Appendix 4b Mature School List of Reading Tests IES Evaluation RtI Practices.doc	Other-Mature School List

IC Title:

Agency IC Tracking Number:

4223

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screening Checklist			Appendix 4a Mature School Screening Checklist IES Evaluation RtI Practices.doc		No		Paper Only
Other-Mature School List			Appendix 4b Mature School List of Reading Tests IES Evaluation RtI Practices.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: 170

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	170	170
Annual IC Time Burden (Hours)	213	213
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.