Information Collection

Rti Surveys and forms

IC 200370 under ICR 201112-1850-002 · OMB 1850-0889.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RtI Study Appendix 1 School Survey 3 April 2012.docx	Other-survey
RtI Study Appendix 2 Teacher Survey 3 April 2012.docx	Other-survey
RtI Study Appendix 3 Interventionist Survey 3 April 2012.docx	Other-survey
APNCEE RtI Study Appendix 4 Fall Reading Screening and Instructional Decisions.Jan.2012.docx	Other-recording form
APNCEE RtI Study Appendix 5 Rosters of Students and Data on Reading Service Placement.Jan.2012.docx	Other-roster form
APNCEE RtI Study Appendix 6 Information on Reading Services for Sample of Students.Jan.2012.docx	Other-form
APNCEE RtI Study Appendix 7 Summary of Tier Placement and Movement.Jan.2012.doc	Other-form

IC Title:

Agency IC Tracking Number:

4734

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-recording form	APNCEE RtI Study Appendix 4 Fall Reading Screening and Instructional Decisions.Jan.2012.docx	Yes	No	Paper Only
Other-roster form	APNCEE RtI Study Appendix 5 Rosters of Students and Data on Reading Service Placement.Jan.2012.docx	Yes	No	Paper Only
Other-form	APNCEE RtI Study Appendix 6 Information on Reading Services for Sample of Students.Jan.2012.docx	Yes	No	Paper Only
Other-form	APNCEE RtI Study Appendix 7 Summary of Tier Placement and Movement.Jan.2012.doc	Yes	No	Paper Only
Other-survey	RtI Study Appendix 2 Teacher Survey 3 April 2012.docx	Yes	Yes	Fillable Fileable
Other-survey	RtI Study Appendix 3 Interventionist Survey 3 April 2012.docx	Yes	Yes	Fillable Fileable
Other-survey	RtI Study Appendix 1 School Survey 3 April 2012.docx	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: 4,720

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	4,720	4,720
Annual IC Time Burden (Hours)	11,886	11,886
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.