Rti Surveys and forms

Evaluation of Response to Intervention Practices for Elementary School Reading (School and Staff Practices)

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Rti Surveys and forms	Agency IC Tracking Number:	4734

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.