Exhibit B. REL Appalachia Task 2C

An Impact Evaluation of Early Literacy Programs

Documents and Forms

Document Name Document Type
Exhibit B. REL Appalachia Task 2C Form and Instruction
MCS PreK Program Teacher Questionnaire Att_Exhibit B.23 July 2007.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Exhibit B. REL Appalachia Task 2C	Agency IC Tracking Number:	3405

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	MCS PreK Program Teacher Questionnaire	Att_Exhibit B.23 July 2007.doc		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: 24	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	24	24
Annual IC Time Burden (Hours)	5	5
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.