APPENDIX E

PRINCIPAL AND TEACHE R ADMINISTRATIVE DAT A REQUEST LETTERAn Affirmative Action/Equal Opportunity Employer P.O. Box 2393

Princeton, NJ 08543

- 2393

Telephone (609) 799

- 3535

Fax (609) 799

- 0005

www.mathematica

- mpr.com

[DATE]

Dear [ DISTRICT CONTACT ]:

We would like to thank your district for participating in the National Evaluation of the

Teache r Incentive Fund (TIF) conducted by Mathematica Policy Research for the U.S. Department

of Education . This study will produce valuable information on the impact of performance

- based

incentive programs on student achievement and educator mobility and retent ion. We greatly

appreciate your assistance with this important study.

As part of the study, we are collecting information from district records about the participating

principals and teachers in the study schools. We will be making the same data request in fall 2012,

2013, 2014, and 2015. These data will be used to document the hiring, movement between schools,

and attrition of principals and teachers participating in the study. We also want to obtain

information on principals and teachers measured effect iveness and actual payouts to staff in

recognition of their accomplishments. Finally, we are requesting any demographic or background

characteristics available in your district files. Please note that cooperation with these activities is a

condition of you r grant ( Office of Elementary and Secondary Education: Overview Information;

Teacher Incentive Fund: Notice Inviting Applications for New Awards for Fiscal Year (FY) 2010,

75 FR 28740

- 28749 (May 21, 2010) )

.

The attached table indicates the specific items that we are requesting for the current school

year. Also attached are instructions for returning the data to us. You can choose among three ways

of returning the data: (1) posting the files to our secure website; (2) emailing the password

protected files t o us; or (3) sending the hard copy lists to us via Federal Express.

Thank you very much for your assistance. A member of our study team will contact you in the

next week to determine if you have any questions. You can reach me at (202) 484

- 4820 or

mgride r@mathematica

- mpr.com

.

Sincerely,

Mary Grider

Senior Systems Analyst PRINCIPAL/TEACHER DATA REQUESTNotice of Confidentiality

Responses to this data collection will be used only for st atistical purposes. The reports prepared for this

study will summarize findings across the sample and will not associate responses with a specific district or Item # Data Item

Background and Demographic Information for Educators (Teachers and Principals)

1 Last and first name

2 S ex

3 D istrict ID number

4 Date of birth (mm/dd/yy)

5 Ethnicity (Hispanic or Latino origin)

6 Race

7 Highest degree held

8 Certification status

9 Score on licensure or certification test ( include name of test and date administered)

Year

- S pecific Information (2010

– 2011)

10 School ID

1 1 School name

1 2 Date started at school (mm/dd/yy)

1 3 Date of Departure (if applicable) (mm/dd/yy)

14 Part

- time/Full

- time status

15 Itinerant indicator (splits time between multiple buildings)

16 Transfer during the year indicator

1 7 Number of years teaching experi ence (including current year)

1 8 Employment Category

— principal or teacher

1 9 Grade taught (if teacher)

20 Self

- contained of subject

- area teacher (if teacher)

21 Subject taught (if applicable)

22 Number of days absent during the year

23 Eligible for p erformance pay (yes/no)

24 Maximum amount for which eligible

25 Actual amount of performance pay received

Information on Performance Measures (2010

– 2011)

2 6 First criterion used (type of measure and name)

2 7 Date first criterion administered or collec ted

2 8 Score on first criterion ( include information on type of score, possible range,

passing score, etc. )

2 9 Second criterion used (type of measure and name)

30 Date second criterion administered or collected

3 1 Score on second criterion (same detail s as in #22)

32 Third criterion used (type of measure and name)

33 Date third criterion administered or collected

34 Score on third criterion (same details as in #22)individual. We will not provide information that identifies you or your district to anyone outsid e the study

team, except as required by law. Additionally, no one at your school or in your district will see your

responses. Participation or cooperation with this activity is a condition of your grant (EDGAR: part 75.591,

Authority: 20 U.S.C. 1221e

– 3 and 3474).

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a

valid OMB control number. The valid OMB control number for this information collection is xxxx

- xxxx . The time required to complete this

information collection is estimated to average 8 hours per year, including the time to review instructions, gather the data needed, and

complete and review the information collected. If you have any comments concerning the accurac y of the time estimate(s) or suggestions

for improving this form, please write to: U.S. Department of Education, Washington, DC 20202. If you have comments or conce rns regarding the status of your individual submission of this form, write directly to: U .S. Department of Education, Institute of Education

Sciences, 555 New Jersey Avenue, NW, Washington, DC 20208.