2014-15 Title II, Part A Grants OMB # 

Survey on the Use of Funds Under 

Title II, Part A 

(Improving Teacher Quality State Grants)

Form completed by:

Name: Phone:

Position: E-mail:

Purpose of this survey:

The Elementary and Secondary Education Act of 1965, as amended, provides funds to states and 

districts to improve the quality of their teaching and principal force and raise student achievement. 

These funds are provided to states and districts through Title II, Part A (“Improving Teacher Quality State 

Grants – Subgrants to LEAs”). The purpose of this survey is for the U.S. Department of Education to have 

a better understanding of how states are allocating their funds to their districts. Please provide your 

assistance by completing this survey.

Instructions:

All respondents should complete Questions 1 and 2. You may complete and submit this survey online at 

[URL of system], by e-mail to shenlee@westat.com, by fax to (301) 294-4475, or use the enclosed 

envelope to send the hard copy to:

Shen Lee

Westat

1650 Research Blvd, Room RA 1245

Rockville, MD 20850

Alternatively, you may fax the completed survey to (301) 294-4475.

Proceed to Question 1 

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

displays a valid OMB control number. The valid OMB control number for this information collection is 1810-0618. Public reporting burden for 

this collection of information is estimated to average 1 hour per response, including time for reviewing instructions, searching existing data 

sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to 

this collection is voluntary. If you have comments or concerns regarding the status of your individual submission of this survey, please contact 

Daphne Kaplan directly (U.S. Department of Education, 400 Maryland Ave. SW, Rm 3E106, Washington, DC 20202, Daphne.Kaplan@ed.gov). 

[Note: Please do not return the completed survey to this address.]
2014-15 Title II, Part A Grants OMB # 

Question 1: The districts below are being surveyed about their use of funds under Title II, Part A. In 

order to verify the amount of these funds used by each district, please provide the dollar amount of Title 

II, Part A funds allocated to each of these districts in federal fiscal year 2014-15. Do not include 

carryover funds.

District, City (NCESID) Title II, Part A 

Funds Allocated

BARBOUR COUNTY, CLAYTON (0100300) $ _________________

COFFEE COUNTY, ELBA (0100810) $ _________________

COLBERT COUNTY, TUSCUMBIA (0100840) $ _________________

CULLMAN COUNTY, CULLMAN (0101020) $ _________________

DOTHAN CITY, DOTHAN (0101230) $ _________________

ELMORE COUNTY, WETUMPKA (0101290) $ _________________

JASPER CITY, JASPER (0101890) $ _________________

LAUDERDALE COUNTY, FLORENCE (0102010) $ _________________

LAWRENCE COUNTY, MOULTON (0102040) $ _________________

MACON COUNTY, TUSKEGEE (0102190) $ _________________

MADISON COUNTY, HUNTSVILLE (0102220) $ _________________

MONTGOMERY COUNTY, MONTGOMERY (0102430) $ _________________

OZARK CITY, OZARK (0102640) $ _________________

SELMA CITY, SELMA (0102970) $ _________________
2014-15 Title II, Part A Grants OMB # 

District, City (NCESID) Title II, Part A 

Funds Allocated

TARRANT CITY, TARRANT (0103270) $ _________________

VESTAVIA HILLS CITY, VESTAVIA HILLS (0103430) $ _________________

Proceed to Question 2 

Question 2: Please provide the total Title II, Part A funds allocated to 

your state in federal fiscal year 2014-15.

$ ______________________