Annual Survey for RETA Projects

OMB # 3145-0199

Expires: XX-XX-XXXX

Math and Science Partnership Program

Annual Survey for RETA Projects

For the [INSERT SCHOOL YEAR] School

Sponsored by the

National Science Foundation

Conducted by

Westat

1650 Research Boulevard

Rockville, Maryland 20850

Privacy Notice

Information from this monitoring system will be retained by the National Science Foundation, a federal agency, and will be an integral part of its Privacy Act System of Records in accordance with the Privacy Act of 1974 and maintained in the Education and Training System of Records 63 Fed. Reg. 264, 272 (January 5, 1998). These are confidential files accessible only to appropriate National Science Foundation (NSF) officials, their staffs, and their contractors responsible for monitoring, assessing, and evaluating NSF programs. Only data in highly aggregated form, or data explicitly requested as "for general use," will be made available to anyone outside of the National Science Foundation for research purposes. Data submitted will be used in accordance with criteria established by NSF for monitoring research and education grants, and in response to Public Law 99-383 and 42 USC 1885c.

Public Burden

Paperwork Reduction Act Notice. The Paperwork Reduction Act of 1995 says we must tell you why we are collecting this information, how we will use it and whether you have to give it to us. The reasons and purpose of this survey are described in the introduction and instructions for this survey and your response is voluntary. Failure to provide full and complete information, however, may reduce the possibility of NSF continuing support for the award or project subject to this monitoring survey. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The OMB control number for this survey is 3145-0199.  The estimated average burden associated with this collection of information is 0.50 hours per response, depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing the burden should be sent to Suzanne Plimpton, Reports Clearance Officer for OMB 3145-0199, NSF/DAS, 4201Wilson Boulevard, Arlington, VA 22230.

National Science Foundation

Math and Science Partnership Program

INSTRUCTIONS FOR COMPLETING THE SURVEY

The National Science Foundation (NSF) is conducting a survey of its Math and Science Partnership (MSP) Research, Evaluation, and Technical Assistance (RETA) projects. The purpose is to assess the overall implementation of the RETA program and to monitor the progress of individual RETA grants.

IF YOU HAVE ANY QUESTIONS, CONTACT:

Glenn Nyre

1-800-937-8281, ext. 2244

GlennNyre@Westat.com

Westat

1550 Research Boulevard

Rockville, Maryland 20850

Contact Information

1. Lead organization name:¹ _________________________________________________________

2. Please review and update the following contact information for the Principal Investigator:²

Name: _________________________________________________________________

Title: _________________________________________________________________

Address: _________________________________________________________________

City: _________________________________________________________________

State: _________________________________________________________________

Zip code: _________________________________________________________________

Phone number: _________________________________________________________________

Fax number: _________________________________________________________________

E-mail: _________________________________________________________________

Web address: _________________________________________________________________

Program Information

3. Please indicate the approximate percentage of time your RETA devoted to each of the following types of activities in the past year:

Activity	Percent
Research	_____ %
Evaluation	_____ %
Technical Assistance	_____ %
Total	100%

4. Please indicate the approximate percentage of time that your RETA is devoting to each of the following key features:

Key Feature	Percent
Teacher quantity, quality, and diversity	_____ %
Challenging courses and curricula	_____ %
Institutional change and sustainability	_____ %
Partnership-driven	_____ %
Evidence-based design and outcomes	_____ %
Total	100%

5. Which MSPs were involved with your RETA during the [INSERT SCHOOL YEAR] school year? (check all that apply)

• All of them³

• None of them

• Each funded MSP project will be listed individually for this item⁴

6. Please indicate below—in the aggregate across all MSPs—how many institutions and people within each of the categories presented were involved in the three types of RETA activities listed:

	Research/Evaluation Activities	Technical Assistance Workshops/Institutes/ Meetings	Other Types of Technical Assistance
K-12 districts
Number of districts involved
Number of schools involved
Number of teachers involved
Number of administrators involved
IHEs
Number of IHEs
Number of IHE faculty
Number of administrators
Other types of institutions (please specify): ____________________________________
Number of other types of institutions
Number of people involved from these institutions

6. If you collected data from students, please indicate the aggregate number from whom you collected any data: ________

6. Did you develop an assessment instrument this year to assess any of the following: (check all that apply)

• Teachers’ mathematical knowledge or pedagogy

• Teachers’ scientific knowledge or pedagogy

• Students’ mathematical knowledge

• Students’ scientific knowledge

For each checked response, the respondent will be asked:

1. Topic/description:

2. Specific grade or grade span (e.g., elementary, middle school, high school, all grades):

3. Is this assessment available for distribution?

• Yes

• No

4. Did you develop more than one assessment?

• Yes (If yes, repeat Q1-4)

• No

9. Did you develop any other types of instruments this year? (check all that apply)

• Classroom observation instruments.

• Instruments for evaluating the success of RETA activities

• Partnership assessment instruments.

• Motivation instruments

• Other (specify): __________________________________________________

For each checked response, the respondent will be asked to provide details—e.g., subject area, type/nature of instrument, etc.

9. Did your RETA make collaborative connections and/or exchanges with any State-funded MSPs—i.e., recipients of U.S. Department of Education MSP funds given in block grants to the states)?

• Yes (answer Q10a-c)

• No (skip to Q11)

10a. Names of institutions/districts/organizations:

10b. Nature of the connection/exchange: (check all that apply)

• Discussions

• Materials exchange

• Participation in RETA activities

• Other (specify): ___________________________________________

10c. Duration of the connection/exchange:

9. Did your RETA make collaborative connections and/or exchanges with schools, districts, IHEs, or organizations other than NSF or State-funded MSPs?

• Yes (answer Q11a-c)

• No (skip to Q12)

11a. Names of institutions/districts/organizations:

11b. Nature of the connection/exchange: (check all that apply)

• Discussions

• Materials exchange

• Participation in RETA activities

• Other (specify): ___________________________________________

11c. Duration of the connection/exchange:

9. Were you involved with any of the other RETAs (other than at NSF-sponsored meetings)?

• Yes (answer Q12a-c)

• No (skip to Q13)

12a. Names of institutions/organizations:

12b. Nature of the connection/exchange:

12c. Duration of the connection/exchange:

9. Please list any publications or presentations regarding your RETA activities that were produced during the past year:

1 NOTE—this item will be pre-filled. Projects will not be able to change this information.

2 NOTE—this item will be pre-filled from previous year’s submission.

3 NOTE: if box is checked, the respondent will be asked to: Briefly explain the nature of your interaction with the MSP projects.

4 NOTE: for each checked box, the respondent will be asked to: Briefly explain the nature of your interaction with this MSP.

8