Information Collection Request

Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades

ICR 202306-1850-001 · OMB 1850-0987 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Teacher Instructional Log Form and Instruction New Available
Teacher Pre-Intervention Survey Form and Instruction New Available
Teacher Post-Intervention Survey Form and Instruction New Available
Teacher Math Knowledge for Teaching Assessment Form and Instruction New Available
Teacher End-of-Module Reflection Survey Form and Instruction New Available
Student Survey Form and Instruction New Available
Teacher Consent Form and Instruction New Available
Parent/Guardian Informational Letter (Parent/Guardian Opt-Out) Form and Instruction New Available
Parent/Guardian Informational Letter Form and Instruction New Available
Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades Form and Instruction New Repair queued
NE 5.1.3 MA Supporting Statement B rev.docx Supporting Statement B Uploaded 2023-08-17 Repair queued
Student_Assent REV 2023-08-14.docx Supplementary Document Uploaded 2023-08-17 Repair queued
NE 5.1.3 Supporting Statement A rev3 comments and response.docx Supporting Statement A Uploaded 2023-08-17 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
260489 Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades Form and Instruction NewTeacher Instructional Log
260489 Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades Form and Instruction NewTeacher Pre-Intervention Survey
260489 Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades Form and Instruction NewTeacher Post-Intervention Survey
260489 Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades Form and Instruction NewTeacher Math Knowledge for Teaching Assessment
260489 Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades Form and Instruction NewTeacher End-of-Module Reflection Survey
260489 Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades Form and Instruction NewStudent Survey
260489 Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades Form and Instruction NewTeacher Consent
260489 Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades Form and Instruction NewParent/Guardian Informational Letter (Parent/Guardian Opt-Out)
260489 Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades Form and Instruction NewParent/Guardian Informational Letter
260489 Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades Form and Instruction New
260489 Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades Other-Burden Statement New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2026 36 Months From Approved
9,630 0 0
3,106 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A ,   ,   ,   ,   ,   ,   ,   ,  

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 9,630 0 0 9,630 0 0
Annual Time Burden (Hours) 3,106 0 0 3,106 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No