Information Collection

Impact Evaluation of Departmentalized Instruction in Elementary Schools

IC 229630 under ICR 202103-1850-008 · OMB 1850-0942.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Impact Evaluation of Departmentalized Instruction in Elementary Schools	Form
Administrative Records Data Request Appendix A Admin Data Request.docx	Form
Administrative Records Data Request Appendix A Admin Data Request.docx	Form

IC Title:

Agency IC Tracking Number:

ED-2021-SCC-0050

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	Administrative Records Data Request	Appendix A Admin Data Request.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title: Impact Evaluation of Departmentalized Instruction in Elementary Schools (18-13-44)

FR Citation: 83 FR 28209

Number of Respondents: 12

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4	-8,527	8,531
Annual IC Time Burden (Hours)	80	-3,122	3,202
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.