Regional Educational Laboratory (REL) Southwest Write to Succeed Evaluation

Documents and Forms

Document Name Document Type
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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Regional Educational Laboratory (REL) Southwest Write to Succeed Evaluation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Other-Coach Log			REL SW 5.1.1 SWELL OMB Appendix A1_ Coach Log.docx	No	Fillable Fileable
Other-Administrator Interview Protocol			REL SW 5.1.1 SWELL OMB Appendix A3_Administrator Interview.docx	No	Fillable Fileable
Other-Coach Interview Protocol			REL SW 5.1.1 SWELL OMB Appendix A4_Coach Interview.docx	No	Fillable Fileable
Other-Teacher Interview Protocol			REL SW 5.1.1 SWELL OMB Appendix A5_Teacher Interview.docx	No	Fillable Fileable
Form	N/A	Teacher Survey	REL SW 5.1.1 SWELL OMB Appendix A6_Teacher Survey.docx	No	Fillable Fileable
Other-Classroom Observation Rubric			REL SW 5.1.1 SWELL OMB Appendix A7_Classroom Observation Rubric.docx	No	Fillable Fileable
Other-Instructions for Video			REL SW 5.1.1 SWELL OMB Appendix A8_Instructions for Video.docx	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 %

	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

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.