Information Collection

Teacher Data Collection

IC 178418 under ICR 201005-1850-001 · OMB 1850-0826.

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 Teacher Report Part 1 Background, School Climate, Practices, and Activities.doc	Form and Instruction
Teacher Report Part III - Implementation Log Second Grad Att_LIC Teacher Report Part III Implementation Log Second Grade.doc	Form and Instruction
Teacher Report Part III - Implementation Log Att_LIC Teacher Report Part III Implementation Log Third Grade.doc	Form and Instruction
Teacher Report Part II - Student Asessment Att_LIC Teacher Report II SSRS-T Form.doc	Form and Instruction
Teacher Report Part III - Implementation Log Fourth Grad Att_LIC Teacher Report Part III Fourth Grade.doc	Form and Instruction
Teacher Report Part III - Implementation Log Fifth Grade Att_LIC Teacher Part III Fifth Grade.doc	Form and Instruction
Teacher Interview Att_LIC OMB Teacher Interview.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

4220

Is this a Common Form? No

IC Status: Modified

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 I - Background, School Climate, Practices, and Activities	Att_LIC Teacher Report Part 1 Background, School Climate, Practices, and Activities.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Teacher Report Part III - Implementation Log Second Grade	Att_LIC Teacher Report Part III Implementation Log Second Grade.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Teacher Report Part III - Implementation Log	Att_LIC Teacher Report Part III Implementation Log Third Grade.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Teacher Report Part II - Student Asessment	Att_LIC Teacher Report II SSRS-T Form.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Teacher Report Part III - Implementation Log Fourth Grade	Att_LIC Teacher Report Part III Fourth Grade.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Teacher Report Part III - Implementation Log Fifth Grade	Att_LIC Teacher Part III Fifth Grade.doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Teacher Interview	Att_LIC OMB Teacher Interview.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	Previously Approved
Annual Number of Responses for this IC	650	650
Annual IC Time Burden (Hours)	2,051	2,051
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.