Impact Study: Lessons in Character Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Principal Interview	Form and Instruction	Modified	Available
Social Skills Questionnaire - Parent Form	Form and Instruction	Modified	Available
Teacher Interview	Form and Instruction	Modified	Available
Teacher Report Part III - Implementation Log Fifth Grade	Form and Instruction	Modified	Available
Teacher Report Part III - Implementation Log Fourth Grade	Form and Instruction	Modified	Available
Teacher Report Part II - Student Asessment	Form and Instruction	Modified	Available
Teacher Report Part III - Implementation Log	Form and Instruction	Modified	Available
Teacher Report Part III - Implementation Log Second Grade	Form and Instruction	Modified	Available
Teacher Report Part I - Background, School Climate, Practices, and Activities	Form and Instruction	Modified	Available
Student LIC Assent Form	Form and Instruction	Modified	Available
Student Report Survey	Form and Instruction	Modified	Available
Teacher Consent Form	Form and Instruction	Modified	Available
Parent Consent Form for student participation	Form and Instruction	Modified	Available
Parent Consent Form	Form and Instruction	Modified	Available
LIC School Memorandum.doc	Supplementary Document	Uploaded 2010-05-10	Available
Att_LIC District Memorandum.doc	Supplementary Document	Uploaded 2010-05-10	Available
Att_LIC Sample Cover Letter for Parent Report.doc	Supplementary Document	Uploaded 2010-05-10	Available
Att_LIC School Teacher Contact Information.doc	Supplementary Document	Uploaded 2010-05-10	Available
Att_LIC Appendix A Detailed Timeline.doc	Supplementary Document	Uploaded 2010-05-10	Available
Att_LIC OMB Sup Part B 2.24.10.doc	Supporting Statement B	Uploaded 2010-05-10	Available
Att_LIC OMB Sup Part A 5 06 10.doc	Supporting Statement A	Uploaded 2010-05-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
178421	Principal Interview	Form and Instruction	Modified	Principal Interview
178419	Parent Report Social Skills Questionnaire - Parent Form	Form and Instruction	Modified	Social Skills Questionnaire - Parent Form
178418	Teacher Data Collection	Form and Instruction	Modified	Teacher Interview
178418	Teacher Data Collection	Form and Instruction	Modified	Teacher Report Part III - Implementation Log Fifth Grade
178418	Teacher Data Collection	Form and Instruction	Modified	Teacher Report Part III - Implementation Log Fourth Grade
178418	Teacher Data Collection	Form and Instruction	Modified	Teacher Report Part II - Student Asessment
178418	Teacher Data Collection	Form and Instruction	Modified	Teacher Report Part III - Implementation Log
178418	Teacher Data Collection	Form and Instruction	Modified	Teacher Report Part III - Implementation Log Second Grade
178418	Teacher Data Collection	Form and Instruction	Modified	Teacher Report Part I - Background, School Climate, Practices, and Activities
178417	Student Data Collection	Form and Instruction	Modified	Student LIC Assent Form
178417	Student Data Collection	Form and Instruction	Modified	Student Report Survey
178415	Sampling and Gainng Cooperation	Form and Instruction	Modified	Teacher Consent Form
178415	Sampling and Gainng Cooperation	Form and Instruction	Modified	Parent Consent Form for student participation
178415	Sampling and Gainng Cooperation	Form and Instruction	Modified	Parent Consent Form

ICR Details

OMB Control No: 1850-0826	ICR Reference No: 201005-1850-001
Status: Historical Active	Previous ICR Reference No: 200801-1850-006
Agency/Subagency: ED/IES	Agency Tracking No: 4220
Title: Impact Study: Lessons in Character Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/15/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/10/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2010	11/30/2010	06/30/2010
Responses	34,906	0	34,906
Time Burden (Hours)	15,460	0	15,460
Cost Burden (Dollars)	0	0	0

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Abstract: This OMB package requests clearance for data collection instruments to be used in a four-year evaluation of Lessons in Character (LIC) program. This study is based on an experimental design that utilizes the random assignment. LIC is an English Language Arts (ELA)-based character education curriculum that is expected to have positive impacts on student academic performance, attendance, school motivation, and endorsement of universal values consistent with character education. The evaluation will be conducted by REL West, one of the National Regional Education Laboratories administered by the Institute of Education Sciences of the U.S. Department of Education. Evaluation measures include student archived data (e.g., state mandated standardized test scores); follow-up surveys for students; teacher and parent rating/observation on various student aspects (e.g., student social skills); baseline and follow-up surveys for teachers; and teacher/administrator interviews. Baseline data collection will take place in 2007; follow-up data collection will take place in 2008, 2009, and 2010.

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Authorizing Statute(s): US Code: 20 USC Part D Section 174/ 20 U.S.C. Name of Law: Education Sciences Reform Act of 2002
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 9189	03/01/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 24934	05/06/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Parent Report Social Skills Questionnaire - Parent Form	N/A	Social Skills Questionnaire - Parent Form
Principal Interview	N/A	Principal Interview
Sampling and Gainng Cooperation	N/A, N/A, N/A	Parent Consent Form ,   Parent Consent Form for student participation ,   Teacher Consent Form
Student Data Collection	N/A, N/A	Student Report Survey ,   Student LIC Assent Form
Teacher Data Collection	N/A, N/A, N/A, N/A, N/A, N/A, N/A	Teacher Report Part I - Background, School Climate, Practices, and Activities ,   Teacher Report Part III - Implementation Log Second Grade ,   Teacher Report Part III - Implementation Log ,   Teacher Report Part II - Student Asessment ,   Teacher Report Part III - Implementation Log Fourth Grade ,   Teacher Report Part III - Implementation Log Fifth Grade ,   Teacher Interview

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ICR Summary of Burden

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	34,906	0	0	0	0
Annual Time Burden (Hours)	15,460	15,460	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $269,673

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/10/2010

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