Surveys, Administrative Data Requests, and Consent Form

Evaluation of Strategies to Address Unfinished Learning in Math (ReSolve Math Study)

Documents and Forms

Document Name Document Type
Survey Notifications.pdf Instruction
Survey Notifications.pdf Instruction
Baseline Teacher Survey Baseline Teacher Survey.pdf Form and Instruction
Baseline Teacher Survey Baseline Teacher Survey.pdf Form and Instruction
Follow-up Teacher Survey Follow-up Teacher Survey.pdf Form and Instruction
Follow-up Teacher Survey Follow-up Teacher Survey.pdf Form and Instruction
School Leader Survey School Survey.pdf Form and Instruction
School Leader Survey School Survey.pdf Form and Instruction
Staff Directory Information Request Staff Directory Request.pdf Form and Instruction
Staff Directory Information Request Staff Directory Request.pdf Form and Instruction
Administrative Data Request Admin Data Request.pdf Form and Instruction
Administrative Data Request Admin Data Request.pdf Form and Instruction
Consent Form for Records Release Consent Form.pdf Form and Instruction
Consent Form for Records Release Consent Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Surveys, Administrative Data Requests, and Consent 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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Survey Notifications.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Baseline Teacher Survey	Baseline Teacher Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Follow-up Teacher Survey	Follow-up Teacher Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	School Leader Survey	School Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Staff Directory Information Request	Staff Directory Request.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Administrative Data Request	Admin Data Request.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Consent Form for Records Release	Consent Form.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: 38,933	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,640	12,640
Annual IC Time Burden (Hours)	2,559	2,559
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.