Student Responses

Summer Reading Program Study

Summer 2009

Monitoring Postcard

Paperwork Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is XXXX-XXXX (expires XXXX). The time required to complete this information collection is estimated to average 3 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, D.C. 20202-4700. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: Dean Gerdeman, U.S. Department of Education, 555 New Jersey Avenue, N.W., Room 506D, Washington D.C. 20208.

Office Use Only:

ID: _________

You’re a Summer Reading Star!

Answer these questions about the book you just read.

The title of the book: ____________________________________________________

The date you read the book: ______________________________________________

1 ) Did you read this book all by yourself?

 Yes  No, I read with someone else’s help

2) Did you read the whole book?

 Yes (I read it ____times.)

 No, I stopped on page _____

3) Was the book hard to read?

 It was easy.  It was just right.  It was too hard

4) How interesting was this book?

 Very interesting  A little interesting  Not interesting

Have a family member mail this soon!

Parent/Guardian signature and comments _____________________________________

__________________________________________

Responses to this data collection will be used only for statistical purposes. The reports prepared for this study will summarize findings across the sample and will not associate responses with a specific district or individual. We will not provide information that identifies you or your district to anyone outside the study team, except as required by law.