School-Level Screening Checklist and Mature School List

Evaluation of Response to Intervention Practices for Elementary School Reading (Site Recruitment)

Documents and Forms

Document Name Document Type
Appendix 4a Mature School Screening Checklist IES Evaluation RtI Practices.doc Other-Screening Checklist
Appendix 4b Mature School List of Reading Tests IES Evaluation RtI Practices.doc Other-Mature School List

Information Collection (IC) Details

IC Title:	School-Level Screening Checklist and Mature School List	Agency IC Tracking Number:	4223

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-Screening Checklist			Appendix 4a Mature School Screening Checklist IES Evaluation RtI Practices.doc		No		Paper Only
Other-Mature School List			Appendix 4b Mature School List of Reading Tests IES Evaluation RtI Practices.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 170	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	170	170
Annual IC Time Burden (Hours)	213	213
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.