Information Collection Request

2016 Poetry Out Loud Evaluation

ICR 201803-3135-001 · OMB 3135-0139 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form H Poetry Out Loud Student Focus Group Protocol Form and Instruction New Available
Form G Poetry Out Loud State Arts Agency Administrator Interview Form and Instruction New Available
Form F Poetry Out Loud Teacher Interview Protocol Form and Instruction New Available
Form E Poetry Out Loud Student Interview Protocol Form and Instruction New Available
Form D Poetry Out Loud Pre- Post- Survey Form and Instruction New Available
POL Evaluation Plan_073018_FINAL.pdf Supplementary Document Uploaded 2018-08-03 Available
IRB Approval.pdf Supplementary Document Uploaded 2018-06-21 Available
Attch I_Cognitive Testing Report.pdf Supplementary Document Uploaded 2018-03-26 Available
Attch C_Data Sharing Agreement.pdf Supplementary Document Uploaded 2018-03-26 Available
Attch B_Principal and District Superintendent LOS_rev.pdf Supplementary Document Uploaded 2018-03-26 Available
Attch A_Consent and Assent Forms.pdf Supplementary Document Uploaded 2018-03-26 Available
Part B Supporting Statement Final_080218.pdf Supporting Statement B Uploaded 2018-08-03 Available
Part A Supporting Statement Final_080118.pdf Supporting Statement A Uploaded 2018-08-03 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
230820 Poetry Out Loud Student Focus Group Form and Instruction NewPoetry Out Loud Student Focus Group Protocol
230819 Poetry Out Loud State Arts Agency Administrator Interview Form and Instruction NewPoetry Out Loud State Arts Agency Administrator Interview
230818 Poetry Out Loud Teacher Interview Form and Instruction NewPoetry Out Loud Teacher Interview Protocol
230817 Poetry Out Loud Student Interview Form and Instruction NewPoetry Out Loud Student Interview Protocol
230816 Poetry Out Loud Pre- Post- Survey Form and Instruction NewPoetry Out Loud Pre- Post- Survey

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2021 36 Months From Approved
32,530 0 0
8,210 0 0
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Poetry Out Loud Pre- Post- Survey D
Poetry Out Loud State Arts Agency Administrator Interview G
Poetry Out Loud Student Focus Group H
Poetry Out Loud Student Interview E
Poetry Out Loud Teacher Interview F

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 32,530 0 0 32,530 0 0
Annual Time Burden (Hours) 8,210 0 0 8,210 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No