Survey of SRSA Grantees and RLIS Subgrantee Districts

REVISED September 8, 2014

Fourth Draft OMB Package, Version Two REVISED

Appendix F –State REAP Coordinator Data Collection Request

PPSS TO 10: Studies of Rural Education Achievement Program (REAP) Grantees

Subtask 3.6: Prepare Fifth Draft OMB Clearance Package

Contract Number GS-10F-0554N; Order Number ED-PEP-11-O-0090

SRI Project #P21494

Submitted to:

Andrew Abrams

Policy and Program Studies Service

U.S. Department of Education

400 Maryland Avenue, SW

Washington, DC 20202

Prepared by:

SRI International

Kyra Caspary, Chris Padilla, Nancy Adelman, Rebecca Schmidt, Erica Harbatkin, and Kaily Yee

Study of Experiences and Needs of Rural Education Achievement Program (REAP) Grantees

Contact information Request for Sampled REAP Districts

We have sampled the districts below to participate in the data collection associated with the Study of Experiences and Needs of REAP Grantees.

1. For each district, please enter all requested information for the individual responsible for administering the REAP funds (i.e., the REAP coordinator) under the REAP coordinator information heading (Columns C through G)

2. Use Column H to indicate whether the district superintendent is also the REAP coordinator you listed. You may select “Yes” or “No” from the dropdown, or simply type the word Yes or No.

   1. If the REAP coordinator is also the district superintendent, please enter her/his full mailing address under the Superintendent information heading (Columns K though O). In this scenario, you do not have to re-enter the name and email address.

   2. If the REAP coordinator is not the same individual as the district superintendent, please enter all requested information for the district superintendent under the Superintendent information heading (Columns I though P).

3. After entering all information, please save this spreadsheet and email it back to [email protected].¹

Note that we are providing this template for your convenience. If you would rather provide the information using your own spreadsheet, you may do so as long as your format contains all requested information.

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

REAP coordinator information

Superintendent information

NCES ID

District name

First name

Last name

Role/ position

Email

Phone

Same as REAP coordinator? (if yes, please only fill out the address fields)

First name

Last name

Street Address 1

Street Address 2

City

State

Zip

Email

Prefilled

Prefilled

Yes/No dropdown

1 SRI will delegate state outreach responsibilities to more than one staff member. The email address listed here will be customized with the individual responsible for outreach and data collection for each state.