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Appendix A1 Teacher Data Form (2008)
Adult ESL Explicit Literacy Impact Study (KI)
OMB: 1850-0811
IC ID: 22574
OMB.report
ED/IES
OMB 1850-0811
ICR 200804-1850-002
IC 22574
( )
Documents and Forms
Document Name
Document Type
Appendix A1 Teacher Data Form (2008)
Form
Teacher Data Form
Appendix A1 Teacher Data Form (2008).doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Appendix A1 Teacher Data Form (2008)
Agency IC Tracking Number:
3580
Is this a Common Form?
No
IC Status:
Modified
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
Form
N/A
Teacher Data Form
Appendix A1 Teacher Data Form (2008).doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Elementary, Secondary, and Vocational Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
13
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
13
0
13
0
0
0
Annual IC Time Burden (Hours)
3
0
3
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.