Information Collection

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

IC 248816 under ICR 202108-1850-004 · OMB 1850-0953.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Impact Evaluation of Training in Multi-Tiered Systems of Support for Reading in Early Elementary School	Form and Instruction
Appendix D MTSS-R Team Leader Interview 12.20.2021-Clean.docx	Instruction
Appendix D MTSS-R Team Leader Interview 12.20.2021-Clean.docx	Instruction
Appendix E MTSS-R Tier I and II Post-Observation Interview 12.20.2021-Clean.docx	Instruction
Appendix E MTSS-R Tier I and II Post-Observation Interview 12.20.2021-Clean.docx	Instruction
Appendix A MTSS-R Teacher Survey Appendix A MTSS-R Teacher Survey 12.20.2021-Clean.docx	Form and Instruction
Appendix A MTSS-R Teacher Survey Appendix A MTSS-R Teacher Survey 12.20.2021-Clean.docx	Form and Instruction
Appendix B MTSS-R Interventionist Survey Appendix B MTSS-R Interventionist Survey 12.20.2021-Clean.docx	Form and Instruction
Appendix B MTSS-R Interventionist Survey Appendix B MTSS-R Interventionist Survey 12.20.2021-Clean.docx	Form and Instruction
Appendix C MTSS-R Team Leader Survey Appendix C MTSS-R Team Leader Survey 12.20.2021-Clean.docx	Form and Instruction
Appendix C MTSS-R Team Leader Survey Appendix C MTSS-R Team Leader Survey 12.20.2021-Clean.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Appendix A MTSS-R Teacher Survey	Appendix A MTSS-R Teacher Survey 12.20.2021-Clean.docx	Yes	Yes	Fillable Fileable
Form and Instruction	NA	Appendix B MTSS-R Interventionist Survey	Appendix B MTSS-R Interventionist Survey 12.20.2021-Clean.docx	Yes	Yes	Fillable Fileable
Form and Instruction	NA	Appendix C MTSS-R Team Leader Survey	Appendix C MTSS-R Team Leader Survey 12.20.2021-Clean.docx	Yes	Yes	Fillable Fileable
Instruction			Appendix D MTSS-R Team Leader Interview 12.20.2021-Clean.docx	No		Paper Only
Instruction			Appendix E MTSS-R Tier I and II Post-Observation Interview 12.20.2021-Clean.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: 2,117

Number of Respondents for Small Entity: 17

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,905	1,905
Annual IC Time Burden (Hours)	641	641
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.