IC Title |
Affected Public |
Reporting Requirement |
Available Electronically |
Can be Submitted Electronically |
Percent Reporting Electronically |
Electronic Capability |
Obligation to Respond |
# of Respondents |
# of Responses |
Hrs/Resp |
Total Hours |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Program Manager Phone Screen |
Individuals or Households |
Reporting |
No |
No |
0% |
Paper Only |
Voluntary |
50 |
50 |
0.75 |
37.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Program Manager Site Visit Interview Protocol |
Individuals or Households |
Reporting |
No |
No |
0% |
Paper Only |
Voluntary |
15 |
15 |
5 |
75 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Principal/Assistant-Other School Administrator Site Visit Interview Protocol |
Individuals or Households |
Reporting |
No |
No |
0% |
Paper Only |
Voluntary |
30 |
30 |
1 |
30 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Teacher/Program Staff Site Visit Interview Protocol |
Individuals or Households |
Reporting |
No |
No |
0% |
Paper Only |
Voluntary |
90 |
90 |
1 |
90 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Counselor/Social Worker Site Visit Interview Protocol |
Individuals or Households |
Reporting |
No |
No |
0% |
Paper Only |
Voluntary |
30 |
30 |
1 |
30 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
District Administrator Site Visit Interview Protocol |
Individuals or Households |
Reporting |
No |
No |
0% |
Paper Only |
Voluntary |
45 |
45 |
1 |
45 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Partner Organization Staff Site Visit Interview Protocol |
Individuals or Households |
Reporting |
No |
No |
0% |
Paper Only |
Voluntary |
60 |
60 |
1 |
60 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Parent Focus Group Protocol |
Individuals or Households |
Reporting |
No |
No |
0% |
Paper Only |
Voluntary |
75 |
75 |
0.5 |
37.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0% |
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Subtotal |
|
|
|
|
|
|
|
395 |
395 |
|
405 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Annual Total (may not add up due to rounding) |
|
|
|
|
|
|
|
132 |
132 |
|
135 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CURRENT INVENTORY |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current # of Respondents |
|
|
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current # of Responses |
|
|
|
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current Inventory of Hours |
|
|
|
|
|
|
|
|
|
|
0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Difference Between Annual Total and Current Inventory |
|
|
|
|
|
|
|
132 |
132 |
|
135 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IC Title |
|
|
Instrument Filename |
|
|
|
Frequency |
Number of Respondents |
Cost Per Respondent |
Total Cost Per Respondent |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Program Manager Phone Screen |
Program Manager Phone Screen |
Once |
50 |
$34 |
$1,688 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Program Manager Site Visit Interview Protocol |
Program Manager Site Visit Interview Protocol |
Once |
15 |
$225 |
$3,375 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Principal/Assistant/Other School Administrator Site Visit Interview Protocol |
Principal-Assistant-Other School Administrator Site Visit Interview Protocol |
Once |
30 |
$45 |
$1,350 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Teacher/Program Staff Site Visit Interview Protocol |
Teacher-Program Staff Site Visit Interview Protocol |
Once |
90 |
$28 |
$2,520 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Counselor/Social Worker Site Visit Interview Protocol |
Counselor-Social Worker Site Visit Interview Protocol |
Once |
30 |
$28 |
$840 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
District Administrator Site Visit Interview Protocol |
District Administrator Site Visit Interview Protocol |
Once |
45 |
$45 |
$2,025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Partner Organization Staff Site Visit Interview Protocol |
Partner Organization Staff Site Visit Interview Protocol |
Once |
60 |
$31 |
$1,871 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Parent Focus Group Protocol |
Parent Focus Group Protocol |
Once |
75 |
$11 |
$801 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Costs |
|
|
|
|
|
|
|
|
|
$14,469 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|