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Information Collection

Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades

IC 260489 under ICR 202306-1850-001 · OMB 1850-0987.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Burden Statement
Other-Burden Statement
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Efficacy Evaluation of the Mathematics Intervention Toolkit for the Elementary Grades
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A Parent/Guardian Informational Letter Parent_ConsentForm - Active 2023-08-14 ac_09-18-23.docx Yes Yes Fillable Fileable
Form and Instruction N/A Parent/Guardian Informational Letter (Parent/Guardian Opt-Out) Parent_OptOut rev 2023-08-14 ac_09-18-23.docx Yes Yes Fillable Fileable
Form and Instruction N/A Teacher Consent Teacher_Consent ac_09-18-23.docx Yes Yes Fillable Fileable
Form and Instruction N/A Student Survey Student Survey rev2_09-18-23.docx Yes Yes Fillable Fileable
Form and Instruction N/A Teacher End-of-Module Reflection Survey Teacher End of Module Reflection Survey rev2.docx Yes Yes Fillable Fileable
Form and Instruction N/A Teacher Math Knowledge for Teaching Assessment Teacher Math Knowledge for Teaching Assessment rev2.docx Yes Yes Fillable Fileable
Form and Instruction N/A Teacher Post-Intervention Survey Teacher Post Intervention Survey rev2 ac_09-18-23.docx Yes Yes Fillable Fileable
Form and Instruction N/A Teacher Pre-Intervention Survey Teacher Pre Intervention Survey rev2 ac_09-18-23.docx Yes Yes Fillable Fileable
Form and Instruction N/A Teacher Instructional Log Teacher Instructional Log.docx Yes Yes Fillable Fileable
Other-Burden Statement NE 5.1.3 MA Public Burden Statement.docx No   Paper Only

Education Elementary, Secondary, and Vocational Education

 

9,495 0
   
Individuals or Households
 
   100 %

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

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