Child Assent Form and Parent Waiver of Consent Form

The Effects of Odyssey Math Software on the Mathematics Achievement of Selected Fourth Grade Students

Documents and Forms

Document Name Document Type
Att_Exhibit H Parent Waiver.doc Other-waiver form
Att_Exhibit I Student Assent.doc Other-Student Assent Form

Information Collection (IC) Details

IC Title:	Child Assent Form and Parent Waiver of Consent Form	Agency IC Tracking Number:	3272

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-waiver form			Att_Exhibit H Parent Waiver.doc		No		Paper Only
Other-Student Assent Form			Att_Exhibit I Student Assent.doc		No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,480	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,480	2,480
Annual IC Time Burden (Hours)	413	413
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.