Information Collection

Impact Evaluation of Training in Multi-Tiered Systems of Support for Reading in Early Elementary School

IC 241450 under ICR 202108-1850-004 · OMB 1850-0953.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A MTSS-R_Parent Consent_Forms_06_25_clean.docx	Other-Consent Form
Appendix A MTSS-R_Parent Consent_Forms_06_25_clean.docx	Other-Consent Form
Appendix B MTSS-R_District Cost Interview with Consent Script_06_25_clean.docx	Other-Interview Script
Appendix B MTSS-R_District Cost Interview with Consent Script_06_25_clean.docx	Other-Interview Script
Appendix C R_District_Records_Request_06_25_clean (002).docx	Other-District Records Request
Appendix C R_District_Records_Request_06_25_clean (002).docx	Other-District Records Request

IC Title:

Agency IC Tracking Number:

ED-2020-SCC-0062

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Consent Form	Appendix A MTSS-R_Parent Consent_Forms_06_25_clean.docx	No	Paper Only
Other-Interview Script	Appendix B MTSS-R_District Cost Interview with Consent Script_06_25_clean.docx	No	Paper Only
Other-District Records Request	Appendix C R_District_Records_Request_06_25_clean (002).docx	No	Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22,560

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	Previously Approved
Annual Number of Responses for this IC	22,560	22,560
Annual IC Time Burden (Hours)	4,660	4,660
Annual IC Cost Burden (Dollars)	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.