Information Collection Request

Process and Impact Evaluation of the Minnesota Reading Corps

ICR 201304-3045-003 · OMB 3045-0144 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 12 Phase II Member Survey Form and Instruction New Available
Form 11 AC member Survey Baseline Form and Instruction Unchanged Repair queued
Form 10 Web Survey Consent Form Form and Instruction Unchanged Repair queued
Form 9 AC Member Process Form and Instruction Unchanged Available
Form 8 Teacher Focus Group Process Form and Instruction Unchanged Available
Form 7 Teacher Process Form and Instruction Unchanged Available
Form 6 Coach Process Form and Instruction Unchanged Available
Form 5 School Principal Process Form and Instruction Unchanged Available
Form 4 AC Member Feasibility Form and Instruction Unchanged Repair queued
Form 3 Teacher Feasibility Form and Instruction Unchanged Available
Form 2 Coach Feasibility Form and Instruction Unchanged Available
Form 1 Principal Feasibility Form and Instruction Unchanged Available
3045-0144 Message 2.msg Supplementary Document Uploaded 2013-07-09 Available
FW OMB Comments on 3045-0144.msg Supplementary Document Uploaded 2013-07-09 Available
12 Member Survey Invite_3-8-12.docx Supplementary Document Uploaded 2012-05-30 Available
Part B Justification 041613.docx Supporting Statement B Uploaded 2013-04-30 Available
Part A Justification 041613.docx Supporting Statement A Uploaded 2013-04-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
206731 Phase II Student Survey Other-Links to standard survey New
206729 Phase II Member Survey Form and Instruction NewPhase II Member Survey
202508 MN Reading Corps Instruments Form and Instruction UnchangedAC member Survey Baseline
202508 MN Reading Corps Instruments Form and Instruction UnchangedWeb Survey Consent Form
202508 MN Reading Corps Instruments Form and Instruction UnchangedAC Member Process
202508 MN Reading Corps Instruments Form and Instruction UnchangedTeacher Focus Group Process
202508 MN Reading Corps Instruments Form and Instruction UnchangedTeacher Process
202508 MN Reading Corps Instruments Form and Instruction UnchangedCoach Process
202508 MN Reading Corps Instruments Form and Instruction UnchangedSchool Principal Process
202508 MN Reading Corps Instruments Form and Instruction UnchangedAC Member Feasibility
202508 MN Reading Corps Instruments Form and Instruction UnchangedTeacher Feasibility
202508 MN Reading Corps Instruments Form and Instruction UnchangedCoach Feasibility
202508 MN Reading Corps Instruments Form and Instruction UnchangedPrincipal Feasibility
202508 MN Reading Corps Instruments Other-Site Visit Script Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2016 36 Months From Approved 09/30/2015
8,246 0 2,895
3,019 0 2,171
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
MN Reading Corps Instruments 1, 2, 3, 6, 7, 8, 9, 10, 11, 4, 5 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
Phase II Member Survey 12
Phase II Student Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,246 2,895 0 5,351 0 0
Annual Time Burden (Hours) 3,019 2,171 0 848 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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