Evaluation of the Early Warning and Intervention Monitoring System (EWIMS)

Evaluation of the Early Warning and Intervention Monitoring System

Documents and Forms

Document Name Document Type
I-1 Draft School Survey.pdf Other-School Survey
I-2 Draft School Data Culture Survey.pdf Other-Culture Survey
I-3 EWS tool Data Collection Protocol.pdf Other-Protocol
I-4 Survey Consent.pdf Other-Consent
I-5 Interview Consent.pdf Other-Interview Consent
I-6 Draft EWIMS Interview Protocol.pdf Other-Interview
I-7 Draft EWIMS Team Meeting Log.pdf Other-Meeting Log
R-2 Study Overview IN.pdf Other-Overview IN
R-2 Study Overview MI.pdf Other-Overview MI
R-2 Study Overview OH.pdf Other-Overview OH
R-5 School Screening.pdf Other-Screening
R-4 Follow Up Email.pdf Other-Follow-up email
R-6 District Screening.pdf Other-Screening
R-7 School MOU.pdf Other-MOU
R-8 District MOU.pdf Other-MOU
R-9 State MOU.pdf Other-MOU

Information Collection (IC) Details

IC Title:	Evaluation of the Early Warning and Intervention Monitoring System (EWIMS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-School Survey	I-1 Draft School Survey.pdf	Yes	Yes	Paper Only
Other-Culture Survey	I-2 Draft School Data Culture Survey.pdf	Yes	Yes	Paper Only
Other-Protocol	I-3 EWS tool Data Collection Protocol.pdf	Yes	Yes	Paper Only
Other-Consent	I-4 Survey Consent.pdf	Yes	Yes	Fillable Fileable
Other-Interview Consent	I-5 Interview Consent.pdf	Yes	Yes	Fillable Fileable
Other-Interview	I-6 Draft EWIMS Interview Protocol.pdf	No		Paper Only
Other-Meeting Log	I-7 Draft EWIMS Team Meeting Log.pdf	Yes	Yes	Fillable Fileable
Other-Overview IN	R-2 Study Overview IN.pdf	Yes	Yes	Fillable Fileable
Other-Overview MI	R-2 Study Overview MI.pdf	Yes	Yes	Fillable Fileable
Other-Overview OH	R-2 Study Overview OH.pdf	Yes	Yes	Fillable Fileable
Other-Screening	R-5 School Screening.pdf	Yes	Yes	Fillable Fileable
Other-Follow-up email	R-4 Follow Up Email.pdf	Yes	Yes	Fillable Fileable
Other-Screening	R-6 District Screening.pdf	Yes	Yes	Fillable Fileable
Other-MOU	R-7 School MOU.pdf	Yes	Yes	Fillable Fileable
Other-MOU	R-8 District MOU.pdf	Yes	Yes	Fillable Fileable
Other-MOU	R-9 State MOU.pdf	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: 702	Number of Respondents for Small Entity: 230

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	839	839
Annual IC Time Burden (Hours)	1,772	1,772
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.