CLSD School Leader and Teacher Surveys and Roster

Comprehensive Literacy Program Evaluation: Comprehensive Literacy State Development (CLSD) Program Evaluation

Documents and Forms

Document Name Document Type
CLSD School Leader and Teacher Surveys and Roster Form
CLSD School Leader Survey CLSD_School Leader Survey Appendix_FINAL.docx Form
CLSD School Leader Survey CLSD_School Leader Survey Appendix_FINAL.docx Form
CLSD Teacher Survey CLSD_Teacher Survey Appendix_FINAL.docx Form
CLSD Teacher Survey CLSD_Teacher Survey Appendix_FINAL.docx Form
CLSD Teacher Roster Request CLSD_Teacher Roster Request Appendix_FINAL.docx Form and Instruction
CLSD Teacher Roster Request CLSD_Teacher Roster Request Appendix_FINAL.docx Form and Instruction

Information Collection (IC) Details

IC Title:	CLSD School Leader and Teacher Surveys and Roster	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form	N/A	CLSD School Leader Survey	CLSD_School Leader Survey Appendix_FINAL.docx	Yes	Yes	Fillable Fileable
Form	N/A	CLSD Teacher Survey	CLSD_Teacher Survey Appendix_FINAL.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	CLSD Teacher Roster Request	CLSD_Teacher Roster Request Appendix_FINAL.docx	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: 412	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	Previously Approved
Annual Number of Responses for this IC	412	375	37
Annual IC Time Burden (Hours)	168	153	15
Annual IC Cost Burden (Dollars)	0	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.