Information Collection

MN Reading Corps Instruments

IC 202508 under ICR 201205-3045-003 · OMB 3045-0144.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0144 can be found here:

2013-04-30 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5 MN Reading Corps Instruments	Form and Instruction
1 Process site visit script_3-8-12.docx	Other-Site Visit Script
6 Process site visit call script_OMB.docx	Other-Site Visit Call Script
1 Principal Feasibility 2 K3 School Principal Feasibility_091312.docx www.nationalservice.gov	Form and Instruction
2 Coach Feasibility 3 K3 Coach Feasibility_OMB_091312.docx www.nationalservice.gov	Form and Instruction
3 Teacher Feasibility 4 Pre-KTeacher Feasibility_OMB_091712.docx www.nationalservice.gov	Form and Instruction
4 AC Member Feasibility 5 Pre-K AC Member Feasibility_OMB_091712.docx www.nationalservice.gov	Form and Instruction
5 School Principal Process 7 School Principal_process_final.docx www.nationalservice.gov	Form and Instruction
6 Coach Process 8 Internal Coach_process_final.docx www.nationalservice.gov	Form and Instruction
7 Teacher Process 9 Teacher_process_final.docx www.nationalservice.gov	Form and Instruction
8 Teacher Focus Group Process 10 Teachers_focus group_process_final.docx	Form and Instruction
9 AC Member Process 11 AmeriCorps Member_process_final.docx www.nationalservice.gov	Form and Instruction
10 Web Survey Consent Form 13 Web-survey Consent_3-8-12.docx www.nationalservice.gov	Form and Instruction
11 AC member Survey Baseline 14 MRC Member Survey_baseline OMB_091312.DOC www.nationalservice.gov	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

MN Reading Corps Instruments

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	5	School Principal Process	7 School Principal_process_final.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	6	Coach Process	8 Internal Coach_process_final.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	7	Teacher Process	9 Teacher_process_final.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	8	Teacher Focus Group Process	10 Teachers_focus group_process_final.docx		Yes	Yes	Paper Only
Form and Instruction	9	AC Member Process	11 AmeriCorps Member_process_final.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Other-Site Visit Script			1 Process site visit script_3-8-12.docx		Yes	No	Printable Only
Other-Site Visit Call Script			6 Process site visit call script_OMB.docx		Yes	No	Printable Only
Form and Instruction	10	Web Survey Consent Form	13 Web-survey Consent_3-8-12.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	2	Coach Feasibility	3 K3 Coach Feasibility_OMB_091312.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	3	Teacher Feasibility	4 Pre-KTeacher Feasibility_OMB_091712.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1	Principal Feasibility	2 K3 School Principal Feasibility_091312.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	4	AC Member Feasibility	5 Pre-K AC Member Feasibility_OMB_091712.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	11	AC member Survey Baseline	14 MRC Member Survey_baseline OMB_091312.DOC	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,895

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	2,895	2,895
Annual IC Time Burden (Hours)	2,171	2,171
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.