Teacher School Year/After School Quarterly Implementation Log Form

Summer of Innovation - 2012

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0150 can be found here:

Documents and Forms

Document Name Document Type
Teacher School Year/After School Quarterly Implementation Log Form Form and Instruction
Teacher School Year Quarterly Implementation Log Form A14 teacher quarterly implementation log.docx Form and Instruction
Teacher After School Quarterly Implementation Log Form A15 after-school instructor quarterly implementation log.docx Form and Instruction
A16 pi interview consent script.docx PI Interview Consent Script IC Document
A17 pi planning interview protocol.docx PI Planning Interview Protocol IC Document
A18 pi post summer interview protocol.doc PI Post-Summer Interview Protocol IC Document
A19 pi post-schyr interview protocol.docx PI Post Interview Protocol IC Document

Information Collection (IC) Details

IC Title:	Teacher School Year/After School Quarterly Implementation Log Form	Agency IC Tracking Number:

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
Form and Instruction	n/a	Teacher School Year Quarterly Implementation Log Form	A14 teacher quarterly implementation log.docx		No		Paper Only
Form and Instruction	n/a	Teacher After School Quarterly Implementation Log Form	A15 after-school instructor quarterly implementation log.docx		No		Paper Only

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,800	4,800
Annual IC Time Burden (Hours)	14,400	14,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PI Interview Consent Script	A16 pi interview consent script.docx	12/27/2011
PI Planning Interview Protocol	A17 pi planning interview protocol.docx	12/27/2011
PI Post-Summer Interview Protocol	A18 pi post summer interview protocol.doc	12/27/2011
PI Post Interview Protocol	A19 pi post-schyr interview protocol.docx	12/27/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.