Information Collection

An Impact Evaluation of Training in Multi-Tiered Systems of mSupport for Behavior (MTSS-B)

IC 217359 under ICR 201504-1850-006 · OMB 1850-0921.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0921 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A_ Administrator Interview Protocols.doc	Other-interview protocol
Appendix C_Student Interview Protocol.docx	Other-interview protocol
Appendix D_ Staff interview protocols.docx	Other-interview protocol
Appendix F_Phone Interview of Administrator and Behavior Team Leader.docx	Other-phone interview
Appendix H_Student Survey.bullying revised.2.docx	Other-survey
Appendix B_ Behavior Team Leader Interview Protocols.docx	Other-interview protocols
Appendix K_District Records Data Request.docx	Other-data request
Appendxi J_Web-Based Teacher Ratings.docx	Other-teacher ratings
Appendix G_StaffTeacher Survey.docx	Other-survey
Appendix E_MTSS-B Coach Interview Protocols.docx	Other-interview protocol

IC Title:

An Impact Evaluation of Training in Multi-Tiered Systems of mSupport for Behavior (MTSS-B)

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-interview protocol	Appendix A_ Administrator Interview Protocols.doc	No		Paper Only
Other-interview protocol	Appendix C_Student Interview Protocol.docx	No		Paper Only
Other-interview protocol	Appendix D_ Staff interview protocols.docx	No		Paper Only
Other-phone interview	Appendix F_Phone Interview of Administrator and Behavior Team Leader.docx	No		Paper Only
Other-survey	Appendix H_Student Survey.bullying revised.2.docx	Yes	Yes	Fillable Fileable
Other-interview protocols	Appendix B_ Behavior Team Leader Interview Protocols.docx	No		Paper Only
Other-data request	Appendix K_District Records Data Request.docx	Yes	Yes	Fillable Fileable
Other-teacher ratings	Appendxi J_Web-Based Teacher Ratings.docx	Yes	Yes	Fillable Fileable
Other-survey	Appendix G_StaffTeacher Survey.docx	Yes	Yes	Fillable Fileable
Other-interview protocol	Appendix E_MTSS-B Coach Interview Protocols.docx	No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,751

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 17 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,343	12,343
Annual IC Time Burden (Hours)	5,909	5,909
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.