Information Collection Request

Impact Evaluation of Departmentalized Instruction in Elementary Schools

ICR 201801-1850-001 · OMB 1850-0942 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
School Agreement Form Form New Available
Active and Passive Parent Permission Form Form New Available
Class Schedule and Roster Request Letter Form New Available
Admin Records Data Request Form New Available
Teacher Survey with Initiave Letter Form New Available
Monitoring Forms and Principal Interview Protocol Form New Available
Appendix H Confidentiality_Pledge.pdf Supplementary Document Uploaded 2018-03-08 Available
DI OMB Part B.pdf Supporting Statement B Uploaded 2018-03-07 Available
DI OMB Part A.PDF Supporting Statement A Uploaded 2018-03-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
229630 Impact Evaluation of Departmentalized Instruction in Elementary Schools Form NewSchool Agreement Form
229630 Impact Evaluation of Departmentalized Instruction in Elementary Schools Form NewActive and Passive Parent Permission Form
229630 Impact Evaluation of Departmentalized Instruction in Elementary Schools Form NewClass Schedule and Roster Request Letter
229630 Impact Evaluation of Departmentalized Instruction in Elementary Schools Form NewAdmin Records Data Request
229630 Impact Evaluation of Departmentalized Instruction in Elementary Schools Form NewTeacher Survey with Initiave Letter
229630 Impact Evaluation of Departmentalized Instruction in Elementary Schools Form NewMonitoring Forms and Principal Interview Protocol
229630 Impact Evaluation of Departmentalized Instruction in Elementary Schools Other-District Recruitment Letter New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2021 36 Months From Approved
8,531 0 0
3,202 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Impact Evaluation of Departmentalized Instruction in Elementary Schools N/A, N/A, N/A, N/A, N/A, N/A ,   ,   ,   ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,531 0 0 8,531 0 0
Annual Time Burden (Hours) 3,202 0 0 3,202 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No