PYFP Time Use Information Sheet - PE Teacher in PYFP Sch

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Overview

INTRO
Background
Total Hours Worked
Program Activities Instructions
PE and PYFP Activities

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Sheet 1: INTRO

Presidential Youth Fitness Program (PYFP)
Time Use Information Sheet
Key Informant Questionnaire
	Form Approved
	OMB No. 0920-xxxx
	Exp. Date xx/xx/xxxx
Introduction
This questionnaire is designed to collect information about the time spent by school personnel on activities related to the PYFP.
We recognize that you may work on the PYFP in various capacities, and ask that you answer the questions to the best of your ability. Thank you for your participation!
	Public reporting burden of this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx)

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Sheet 2: Background

Background
1.	What is your name?
2.	What is your position at SCHOOL NAME?

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Sheet 3: Total Hours Worked

Time Spent During a Typical (Average) Work Week
When responding to the following of questions, it may help to think about what you consider as a work week that is most representative of the activities and services you perform. For example, if you believe last week best resembles a representative week, then answer the questions based on what occurred during last week. If your work load varies each week, please think about the average and answer accordingly.
3.	In a typical or average week, how many hours do you work at [SCHOOL NAME]? Please include estimates for the school year prior to the implementation of the PYFP and for the current school year. Values typically range between 0 and 40. Please include overtime.
	PRIOR TO IMPLEMENTATION OF the PYFP TOTAL HOURS WORKED PER WEEK at School Name					THIS YEAR TOTAL HOURS WORKED PER WEEK at School Name
	0					0
PRIOR TO THE IMPLEMENTATION OF PYFP
4.	Prior to the implementation of the PYFP, in a typical or average week, how many hours did you work on PE-related tasks and activities (e.g., planning, assessments, training, etc.)?
	Examples include: Professional development for PE, teaching fitness concepts, assessing students, any student recognition, data entry and other technical tasks, and general administrative work.
	Please think about all the PE work you did, in and outside the classroom. If you find it easier to think in terms of the percentage of your time spent, you can report it that way as well. For example, if you worked 40 hours a week, and spent 1 day per week on PE, you can enter 8 hours or 20% below.
	TOTAL NUMBER OF HOURS WORKED PER WEEK (OR % OF TIME SPENT) ON PE
	0
5.	Prior to the implementation of the PYFP, how many hours did you spend on "one-time activities" related to PE?
	Examples include: Professional Development for PE, Fitness Assessments, and Student Recognition activites may be considered one-time activities if they are not part of a typical school week, but are performed as needed.
	If you spent 8 hours on Professional Development for PE at the start of the semester, you would enter 8 hours. Please include the total for ALL one-time activites in your estimate below.
	TOTAL NUMBER OF HOURS SPENT ON ONE-TIME ACTIVITIES FOR PE PER SEMESTER
	0
CURRENT ACADEMIC YEAR
6.	In a typical or average week, how many hours do you currently work on the PYFP-related tasks and activities (e.g., planning, assessments, training, etc.)?
	Examples of what to include: Professional development for the PYFP, teaching fitness concepts, assessing students with FitnessGram®, student recognition, fitness assessment data entry and other technical tasks, and general administrative work.
	Please think about all the PYFP work you do, in and outside the classroom. If you find it easier to think in terms of the percentage of your time spent, you can report it that way as well. For example, if you work 40 hours a week, and spend 1 day per week on the PYFP, you can enter 8 hours or 20% below.
	TOTAL NUMBER OF HOURS WORKED PER WEEK (OR % OF TIME SPENT) ON PYFP
	0
7.	How many hours do you spend on "one-time activities" related to the PYFP?
	Examples include: Professional Development for the PYFP, Fitness Assessments, and Student Recognition activites may be considered one-time activities if they are not part of a typical school week, but are performed as needed.
	If you spent 8 hours on Professional Development for the PYFP at the start of the semester, you would enter 8 hours. Please include the total for ALL one-time activites in your estimate below.
	TOTAL NUMBER OF HOURS SPENT ON ONE-TIME ACTIVITIES FOR PYFP PER SEMESTER
	0

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Sheet 4: Program Activities Instructions

The “PYFP Activities” Worksheet on the following page is used to further separate the time spent with the PYFP into the following program activities:
A.	Professional Development
B.	Physical Education Program
C.	Classroom Instruction
D.	Fitness Assessment
E.	Student Recognition
F.	Technical Support
G.	General Administration & Operations
For each component, the worksheet provides examples of each program activity. The goal of the worksheet is to identify the proportion of time spent in each activity.

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Sheet 5: PE and PYFP Activities

5.	Program Activities Worksheet		School Name	School Name
			PRIOR TO IMPLEMENTATION OF PYFP	THIS SCHOOL YEAR
	Program Areas	Types of Activities	Percentage	Percentage
	A. Professional Development	Professional development (i.e., for PYFP, webinars provided through PYFP)	0%	0%
		Any other trainings
		Study materials
		Other
	B. Physical Education Program	Develop lesson plan	0%	0%
		Ensure curricular focus on health enhancing physical activity and fitness education based on objective data
		Any additional time teaching/tutoring students outside of classroom instruction time
		Other
	C. Classroom Instruction	Class time dedicated to PE instruction	0%	0%
		Physical activity during class time or breaks
		Other
	D. Fitness Assessment	Conduct fitness assesment	0%	0%
		Provide instruction about assessment, as needed
		Analyze data from fitness assessment
		Communicate with students and/or parents regarding results of assessment
		Other
	E. Student Recognition	Recognize student goal setting and achievement for fitness and physical activity behaviors and/or outcomes	0%	0%
		Other
	F. Technical Support	Provide technical support (i.e., for PYFP, FitnessGram, training modules, etc.)	0%	0%
		Other
	G.	Communication with school staff (i.e., for PYFP, regarding PYFP implementation)	0%	0%
	Communication with key stakeholders	Other
	H. General Administrative and Operations	Allocate resources to support PYFP/PE programming at the school level (e.g., time to work on PYFP tasks during the school day)	0%	0%
		Create awareness among school staff and administrators of the need for quality physical education that includes a comprehensive approach to fitness education
		Communication with school staff and adminstrators to justify policies, practices, and services to support fitness education and promote healthy behaviors among children
		Communication with school staff and adminstrators to justify policies, practices, and services to support fitness education and promote healthy behaviors among children
		Other
	TOTAL (Should add to 100%)		0%	0%