Information Collection

Impact Evaluation of Training in Multi-Tiered Systems of Support for Reading in Early Elementary School

IC 248816 under ICR 202108-1850-004 · OMB 1850-0953.

Documents and Forms

Document Name Document Type
Impact Evaluation of Training in Multi-Tiered Systems of Support for Reading in Early Elementary School Form and Instruction
Appendix D MTSS-R Team Leader Interview 12.20.2021-Clean.docx Instruction
Appendix D MTSS-R Team Leader Interview 12.20.2021-Clean.docx Instruction
Appendix E MTSS-R Tier I and II Post-Observation Interview 12.20.2021-Clean.docx Instruction
Appendix E MTSS-R Tier I and II Post-Observation Interview 12.20.2021-Clean.docx Instruction
Appendix A MTSS-R Teacher Survey Appendix A MTSS-R Teacher Survey 12.20.2021-Clean.docx Form and Instruction
Appendix A MTSS-R Teacher Survey Appendix A MTSS-R Teacher Survey 12.20.2021-Clean.docx Form and Instruction
Appendix B MTSS-R Interventionist Survey Appendix B MTSS-R Interventionist Survey 12.20.2021-Clean.docx Form and Instruction
Appendix B MTSS-R Interventionist Survey Appendix B MTSS-R Interventionist Survey 12.20.2021-Clean.docx Form and Instruction
Appendix C MTSS-R Team Leader Survey Appendix C MTSS-R Team Leader Survey 12.20.2021-Clean.docx Form and Instruction
Appendix C MTSS-R Team Leader Survey Appendix C MTSS-R Team Leader Survey 12.20.2021-Clean.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Impact Evaluation of Training in Multi-Tiered Systems of Support for Reading in Early Elementary School	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?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Appendix A MTSS-R Teacher Survey	Appendix A MTSS-R Teacher Survey 12.20.2021-Clean.docx	Yes	Yes	Fillable Fileable
Form and Instruction	NA	Appendix B MTSS-R Interventionist Survey	Appendix B MTSS-R Interventionist Survey 12.20.2021-Clean.docx	Yes	Yes	Fillable Fileable
Form and Instruction	NA	Appendix C MTSS-R Team Leader Survey	Appendix C MTSS-R Team Leader Survey 12.20.2021-Clean.docx	Yes	Yes	Fillable Fileable
Instruction			Appendix D MTSS-R Team Leader Interview 12.20.2021-Clean.docx	No		Paper Only
Instruction			Appendix E MTSS-R Tier I and II Post-Observation Interview 12.20.2021-Clean.docx	No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,117	Number of Respondents for Small Entity: 17

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,905	1,905
Annual IC Time Burden (Hours)	641	641
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.