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Instrument 3: Plan, Do, Study, Act (PDSA) Form & Tracker

ICR 202212-0970-007 · OMB 0970-0605 · Object 127354701.

This document may belong to an older filing. More recent activity for OMB 0970-0605:

2025-06-02 · No material or nonsubstantive change to a currently approved collection
2025-03-28 · No material or nonsubstantive change to a currently approved collection

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File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title	Instrument 3: Plan, Do, Study, Act (PDSA) Form & Tracker
Author	Anne Partika
Last Modified By	Writer
File Modified	2022-12-09
File Created	2026-10-12
Conversion State	complete

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	Instrument 3: Plan, Do, Study, Act (PDSA) Form & Tracker

Culture of Continuous Learning Project: A Breakthrough Series Collaborative for Improving Child Care and Head Start Quality
	





Note: The PDSA Form and Tracker was pulled from CCL Phase I instruments and has been adapted to meet the needs of the current project; we anticipate it will take BSC Teams no longer than 15 minutes to complete.