OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Evaluation of the Early Warning and Intervention Monitoring System (EWIMS)

IC 209355 under ICR 201311-1850-002 · OMB 1850-0904.

Documents and Forms
Document Name
Document Type
Other-School Survey
Other-Culture Survey
Other-Protocol
Other-Consent
Other-Interview Consent
Other-Interview
Other-Meeting Log
Other-Overview IN
Other-Overview MI
Other-Overview OH
Other-Screening
Other-Follow-up email
Other-Screening
Other-MOU
Other-MOU
Other-MOU
Information Collection (IC) Details

View Information Collection (IC)

Evaluation of the Early Warning and Intervention Monitoring System (EWIMS)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-School Survey I-1 Draft School Survey.pdf Yes Yes Paper Only
Other-Culture Survey I-2 Draft School Data Culture Survey.pdf Yes Yes Paper Only
Other-Protocol I-3 EWS tool Data Collection Protocol.pdf Yes Yes Paper Only
Other-Consent I-4 Survey Consent.pdf Yes Yes Fillable Fileable
Other-Interview Consent I-5 Interview Consent.pdf Yes Yes Fillable Fileable
Other-Interview I-6 Draft EWIMS Interview Protocol.pdf No   Paper Only
Other-Meeting Log I-7 Draft EWIMS Team Meeting Log.pdf Yes Yes Fillable Fileable
Other-Overview IN R-2 Study Overview IN.pdf Yes Yes Fillable Fileable
Other-Overview MI R-2 Study Overview MI.pdf Yes Yes Fillable Fileable
Other-Overview OH R-2 Study Overview OH.pdf Yes Yes Fillable Fileable
Other-Screening R-5 School Screening.pdf Yes Yes Fillable Fileable
Other-Follow-up email R-4 Follow Up Email.pdf Yes Yes Fillable Fileable
Other-Screening R-6 District Screening.pdf Yes Yes Fillable Fileable
Other-MOU R-7 School MOU.pdf Yes Yes Fillable Fileable
Other-MOU R-8 District MOU.pdf Yes Yes Fillable Fileable
Other-MOU R-9 State MOU.pdf Yes Yes Fillable Fileable

Education Elementary, Secondary, and Vocational Education

 

702 230
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 839 0 839 0 0 0
Annual IC Time Burden (Hours) 1,772 0 1,772 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.