Information Collection

Regional Educational Laboratory (REL) Southwest Write to Succeed Evaluation

IC 262931 under ICR 202310-1850-003 · OMB 1850-0994.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Teacher Survey Regional Educational Laboratory (REL) Southwest Write to Succeed Evaluation	Form
REL SW 5.1.1 SWELL OMB Appendix A1_ Coach Log.docx	Other-Coach Log
REL SW 5.1.1 SWELL OMB Appendix A1_ Coach Log.docx	Other-Coach Log
REL SW 5.1.1 SWELL OMB Appendix A3_Administrator Interview.docx	Other-Administrator Interview Protoc
REL SW 5.1.1 SWELL OMB Appendix A3_Administrator Interview.docx	Other-Administrator Interview Protoc
REL SW 5.1.1 SWELL OMB Appendix A4_Coach Interview.docx	Other-Coach Interview Protocol
REL SW 5.1.1 SWELL OMB Appendix A4_Coach Interview.docx	Other-Coach Interview Protocol
REL SW 5.1.1 SWELL OMB Appendix A5_Teacher Interview.docx	Other-Teacher Interview Protocol
REL SW 5.1.1 SWELL OMB Appendix A5_Teacher Interview.docx	Other-Teacher Interview Protocol
REL SW 5.1.1 SWELL OMB Appendix A7_Classroom Observation Rubric.docx	Other-Classroom Observation Rubric
REL SW 5.1.1 SWELL OMB Appendix A7_Classroom Observation Rubric.docx	Other-Classroom Observation Rubric
REL SW 5.1.1 SWELL OMB Appendix A8_Instructions for Video.docx	Other-Instructions for Video
REL SW 5.1.1 SWELL OMB Appendix A8_Instructions for Video.docx	Other-Instructions for Video
Teacher Survey REL SW 5.1.1 SWELL OMB Appendix A6_Teacher Survey.docx	Form
Teacher Survey REL SW 5.1.1 SWELL OMB Appendix A6_Teacher Survey.docx	Form

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.	Available Electronically?	Electronic Capability
Other-Coach Log		No	Fillable Fileable
Other-Administrator Interview Protocol		No	Fillable Fileable
Other-Coach Interview Protocol		No	Fillable Fileable
Other-Teacher Interview Protocol		No	Fillable Fileable
Form	N/A	No	Fillable Fileable
Other-Classroom Observation Rubric		No	Fillable Fileable
Other-Instructions for Video		No	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,226

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,453	2,453
Annual IC Time Burden (Hours)	366	366
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.

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