Contact Us Forms

What Works Clearinghouse Formative Feedback

1850-0788 4867 Attachment 01-03 Contact Us Forms

Contact Us Forms

OMB: 1850-0788

Document [pdf]
Download: pdf | pdf
Attachment 01
Contact Us Form

What Works Clearinghouse – Contact Us Form
Page Layout: Contact Us Form
<>
Need help with a report? Want to make a suggestion? Have a question about the WWC? We’re
here to help! Call us at (866) 503-6114 or email us using the form below.

Your email
Select a subject
Please select a category
Tell us what’s on your mind.

[Text Box]
[Pre-populated drop-down menu]
[Pre-populated drop-down menu]
[Text Box]

Submit [Button]

Privacy
No individual identification will be posted on the public website without the user’s permission.
Information about users will be reported at the aggregate level only and case ID numbers will be used in
association with the respondent’s information. Contact information submitted on Contact Us forms is
used for the express purpose of clarifying the WWC user’s submission and will not be released beyond the
WWC staff with an immediate need to clarify the submitted information. For additional information,
please read our Privacy Policy.

Paperwork Reduction Act Statement
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. Public reporting burden for this
collection of information is estimated to average 3 minutes 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. Send
comments regarding the burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW,
Washington, DC 20210-4537 or email [email protected] and reference the OMB Control Number
1850-0788. Note: Please do not return the completed form to this address.

Attachment 02
Contact Us Study Submission Form

What Works Clearinghouse – Study Submission Form
Page Layout: Contact Us Form – Submit a Study to Review – Page 1
<>
Need help with a report? Want to make a suggestion? Have a question about the WWC? We’re
here to help! Call us at (866) 503-6114 or email us using the form below.

Your email
Select a subject
Tell us what’s on your mind.

[Text Box]
[Pre-selected from drop-down menu: Submit a Study to
Review]
[Text Box]

NOTE: After you submit this form you will be redirected to an external website to upload an
electronic version of the study.
Files must not exceed 100MB and must be in .doc, .docx, or .pdf format. If you do not have an
electronic version of the study, please provide a URL link, or as much information about the
study as possible (e.g., title, author(s), publication date, etc.), in your message text.

Submit [Button]

Privacy
No individual identification will be posted on the public website without the user’s permission.
Information about users will be reported at the aggregate level only and case ID numbers will be used in
association with the respondent’s information. Contact information submitted on Contact Us forms is
used for the express purpose of clarifying the WWC user’s submission and will not be released beyond the
WWC staff with an immediate need to clarify the submitted information. For additional information,
please read our Privacy Policy.

Paperwork Reduction Act Statement
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. Public reporting burden for this
collection of information is estimated to average 3 minutes 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. Send
comments regarding the burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW,
Washington, DC 20210-4537 or email [email protected] and reference the OMB Control Number
1850-0788. Note: Please do not return the completed form to this address

What Works Clearinghouse – Study Submission Form
Page Layout: Contact Us Form – Submit a Study to Review – Page 2
Return to the What Works Clearinghouse

Submit a Study for Review
The WWC reviews studies based on their relevance to current topic and interventions scheduled
for review.

[Text Box]
[Text Box]
[Text Box]
[Text Box]
[Text Box]
Upload [Button]

Browse [Button]
Browse [Button]
Browse [Button]
Browse [Button]
Browse [Button]
Cancel [Button]

Please note: File size must not exceed 100MB and all files must be in .doc, .docx, or .pdf format.

Privacy
No individual identification will be posted on the public website without the user’s permission.
Information about users will be reported at the aggregate level only and case ID numbers will be used in
association with the respondent’s information. Contact information submitted on Contact Us forms is
used for the express purpose of clarifying the WWC user’s submission and will not be released beyond the
WWC staff with an immediate need to clarify the submitted information. For additional information,
please read our Privacy Policy.

Paperwork Reduction Act Statement
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. Public reporting burden for this
collection of information is estimated to average 3 minutes 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. Send
comments regarding the burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW,
Washington, DC 20210-4537 or email [email protected] and reference the OMB Control Number
1850-0788. Note: Please do not return the completed study submission form to this address.

Attachment 03
Contact Us Details

What Works Clearinghouse – Contact Us Details

Contact Us Form:
A user of the What Works Clearinghouse website who wishes to contact the What Works
Clearinghouse can submit correspondence using the online Contact Us Form.

Online Form:
Field Name
Your email
Select a subject

Select a category

Tell us what’s on your
mind.

Field Type and Validation
Text Box
Pre-populated drop-down menu with the following options:
1. Publications
2. Topics
3. Evidence Standards
4. Submit a Study to Review
5. Suggest an Intervention to Review
6. Suggest a Topic
7. Check on the Status of a Submission
8. Other
Pre-populated drop-down menu with the following options:
If Publications is selected as subject:
1. Intervention Reports
2. Practice Guides
3. Quick Reviews
If Topics is selected as subject:
1. Academic Achievement
2. Career Readiness and College Access
3. Dropout Prevention
4. Early Childhood Education
5. English Language Learners
6. Literacy
7. Math
8. School Choice
9. School Organization and Governance
10. Science
11. Student Behavior
12. Students with Disabilities
13. Teacher and Leader Effectiveness
14. Teacher Incentives
Text Box

Required to Submit
Yes
Yes

No

Yes


File Typeapplication/pdf
File TitleAttachment 01-03 Contact Us Forms
Authorleinfeld
File Modified2012-07-19
File Created2012-07-19

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