Information Collection

Teacher School Year/After School Quarterly Implementation Log Form

IC 200626 under ICR 201112-2700-004 · OMB 2700-0150.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0150 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Teacher School Year/After School Quarterly Implementation Log Form	Form and Instruction
Teacher School Year Quarterly Implementation Log Form A14 teacher quarterly implementation log.docx	Form and Instruction
Teacher After School Quarterly Implementation Log Form A15 after-school instructor quarterly implementation log.docx	Form and Instruction
A16 pi interview consent script.docx PI Interview Consent Script	IC Document
A17 pi planning interview protocol.docx PI Planning Interview Protocol	IC Document
A18 pi post summer interview protocol.doc PI Post-Summer Interview Protocol	IC Document
A19 pi post-schyr interview protocol.docx PI Post Interview Protocol	IC Document

IC Title:

Teacher School Year/After School Quarterly Implementation Log Form

Agency IC Tracking Number:

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
Form and Instruction	n/a	Teacher School Year Quarterly Implementation Log Form	A14 teacher quarterly implementation log.docx		No		Paper Only
Form and Instruction	n/a	Teacher After School Quarterly Implementation Log Form	A15 after-school instructor quarterly implementation log.docx		No		Paper Only

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,800	4,800
Annual IC Time Burden (Hours)	14,400	14,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PI Interview Consent Script	A16 pi interview consent script.docx	12/27/2011
PI Planning Interview Protocol	A17 pi planning interview protocol.docx	12/27/2011
PI Post-Summer Interview Protocol	A18 pi post summer interview protocol.doc	12/27/2011
PI Post Interview Protocol	A19 pi post-schyr interview protocol.docx	12/27/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.