District Administrator Interview Protocol and Consent Form

Study of Schools Targeted for Improvement Using Title I Section 1003(g) Funds Provided Under ARRA (Study of School Turnaround)

Documents and Forms

Document Name Document Type
Appendix C-2_District Administrator Interview Protocol and Consent Form rev1.docx Other-Interview and Consent form

Information Collection (IC) Details

IC Title:	District Administrator Interview Protocol and Consent Form	Agency IC Tracking Number:	4446

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-Interview and Consent form			Appendix C-2_District Administrator Interview Protocol and Consent Form rev1.docx		Yes	No	Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	104	104
Annual IC Time Burden (Hours)	104	104
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.