Form 1 SEA Survey

Survey on the Use of Funds Under

Title II, Part A

(Improving Teacher Quality State Grants)

Form completed by:
Name:		Phone:
Position:		E-mail:

Purpose of this survey:

The Elementary and Secondary Education Act of 1965, as amended, provides funds to states and districts to improve the quality of their teaching and principal force and raise student achievement. These funds are provided to states and districts through Title II, Part A (“Improving Teacher Quality State Grants – Subgrants to LEAs”). The purpose of this survey is for the U.S. Department of Education to have a better understanding of how states are allocating their funds to their districts. Please provide your assistance by completing this survey.

Instructions:

All respondents should complete Questions 1 and 2. You may complete and submit this survey online at [URL of system], by e-mail to [email protected], by fax to (301) 294-4475, or use the enclosed envelope to send the hard copy to:

Shen Lee

Westat

1650 Research Blvd, Room RA 1245

Rockville, MD 20850

Alternatively, you may fax the completed survey to (301) 294-4475.

Proceed to Question 1 

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number.  The valid OMB control number for this information collection is 1810-0618.  Public reporting burden for this collection of information is estimated to average 1 hour per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  The obligation to respond to this collection is voluntary.  If you have comments or concerns regarding the status of your individual submission of this survey, please contact Daphne Kaplan directly (U.S. Department of Education, 400 Maryland Ave. SW, Rm 3E106, Washington, DC 20202, [email protected]). [Note: Please do not return the completed survey to this address.]

Question 1: The districts below are being surveyed about their use of funds under Title II, Part A. In order to verify the amount of these funds used by each district, please provide the dollar amount of Title II, Part A funds allocated to each of these districts in federal fiscal year 2014-15. Do not include carryover funds.

District, City (NCESID)	Title II, Part A Funds Allocated
BARBOUR COUNTY, CLAYTON (0100300)	$ _________________
COFFEE COUNTY, ELBA (0100810)	$ _________________
COLBERT COUNTY, TUSCUMBIA (0100840)	$ _________________
CULLMAN COUNTY, CULLMAN (0101020)	$ _________________
DOTHAN CITY, DOTHAN (0101230)	$ _________________
ELMORE COUNTY, WETUMPKA (0101290)	$ _________________
JASPER CITY, JASPER (0101890)	$ _________________
LAUDERDALE COUNTY, FLORENCE (0102010)	$ _________________
LAWRENCE COUNTY, MOULTON (0102040)	$ _________________
MACON COUNTY, TUSKEGEE (0102190)	$ _________________
MADISON COUNTY, HUNTSVILLE (0102220)	$ _________________
MONTGOMERY COUNTY, MONTGOMERY (0102430)	$ _________________
OZARK CITY, OZARK (0102640)	$ _________________
SELMA CITY, SELMA (0102970)	$ _________________
TARRANT CITY, TARRANT (0103270)	$ _________________
VESTAVIA HILLS CITY, VESTAVIA HILLS (0103430)	$ _________________

Proceed to Question 2 

Question 2: Please provide the total Title II, Part A funds allocated to your state in federal fiscal year 2014-15.

$ ______________________

2014-15 Title II, Part A Grants

OMB #