Information Collection

Study of Title I Schoolwide and Targeted Assistance Programs

IC 221377 under ICR 201605-1875-001 · OMB 1875-0280.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A.1_District Budget Officer Interview Protocol and Consent Form_08-09-16.docx	Other-interview protocol
Appendix B_School Budget Officer Interview Protocol and Consent Form_08-09-16.docx	Other-protocol and consent form
Appendix C_School Improvement Team (SWP School) Focus Group Protocol and Consent Form_08-09-16.docx	Other-protocol and consent form
Appendix D_School Improvement Team (TAP School) Focus Group Protocol and Consent Form_08-09-16.docx	Other-Focus Group Protocol and conse
Appendix E_Principal (SWP School) Interview Protocol and Consent Form_08-09-16.docx	Other-protocol and consent form
Appendix F_Principal (TAP School) Interview Protocol and Consent Form_08-09-16.docx	Other-protocol and consent form
Appendix G_Teacher Interview Protocol and Consent Form_08-09-16.docx	Other-protocol and consent form
Appendix H_Principal Questionnaire_08-12-16.docx	Other-Questionnaire
Appendix I_District Administrator Questionnaire_08-12-16.docx	Other-Questionnaire
Appendix J_Request for Documents_08-09-16.docx	Other-Request for documents

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-interview protocol	Yes	No	Paper Only
Other-protocol and consent form	Yes	No	Paper Only
Other-protocol and consent form	Yes	No	Paper Only
Other-Focus Group Protocol and consent form	No		Paper Only
Other-protocol and consent form	No		Paper Only
Other-protocol and consent form	No		Paper Only
Other-protocol and consent form	Yes	Yes	Fillable Fileable
Other-Questionnaire	Yes	Yes	Fillable Fileable
Other-Questionnaire	Yes	Yes	Fillable Fileable
Other-Request for documents	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,380

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,120	2,120
Annual IC Time Burden (Hours)	2,232	2,232
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.

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