Information Collection

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

IC 217359 under ICR 201707-1850-005 · OMB 1850-0921.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OMB_Y3_Appendix A_Site Visit Interview Protocols Administrator_9.14.17.docx	Other-interview protocol
1850-0921 OMB_Y3_Appendix C_Site Visit Interview Protocols Student.docx	Other-interview protocol
OMB_Y3_Appendix D_Site Visit Interview Protocols Staff 9.14.17.docx	Other-interview protocol
OMB_Y3_Appendix B_Site Visit Interview Protocols Behav Team Leader 9.14.17.docx	Other-interview protocols
1850-0921 OMB_Y3_Appendix L_Year 1 Data Request Template.docx	Other-data request

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 protocols	OMB_Y3_Appendix B_Site Visit Interview Protocols Behav Team Leader 9.14.17.docx	No		Paper Only
Other-data request	1850-0921 OMB_Y3_Appendix L_Year 1 Data Request Template.docx	Yes	Yes	Fillable Fileable
Other-interview protocol	OMB_Y3_Appendix A_Site Visit Interview Protocols Administrator_9.14.17.docx	No		Paper Only
Other-interview protocol	1850-0921 OMB_Y3_Appendix C_Site Visit Interview Protocols Student.docx	No		Paper Only
Other-interview protocol	OMB_Y3_Appendix D_Site Visit Interview Protocols Staff 9.14.17.docx	No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title: Impact Evaluation of Training in MTSSB

FR Citation: 80 FR 33015

Number of Respondents: 2,568

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,568	-9,775	12,343
Annual IC Time Burden (Hours)	457	-5,452	5,909
Annual IC Cost Burden (Dollars)	0	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.