US Department of Education

 Teacher Incentive Fund

Grant Performance Report Cover Sheet

TIF 3 Grantee TIF 4 Grantee

General Information

1. PR/Award #:

2. Grantee NCES ID #: 

3. Project Title:

4. Grantee Name:

5. Grantee Address:

6. Project Director Name:

Phone:

Email Address:

7. Reporting Period: From: ______________ To:______________________

Human Subjects (Annual Institutional Review Board (IRB) Certificate)

8. Is the annual certificate in Institutional Review Board (IRB) approval attached? yes___ no___

N/A____

Performance Measures Status and Certification

9. Performance Measure Status

a. Are complete data on performance measures for the current budget period included in the 

Project Status Chart? yes___ no___

b. If no, when will the data be available and submitted to the Department? ___________
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10. To the best of my knowledge and belief, all data in this performance report are true and correct,

and the report fully discloses all known weaknesses concerning the accuracy, reliability, and 

completeness of the data.

_____________________________________________________ Title: _______________________________________

Name of Authorized Representative:

_____________________________________________________ Date: _____/_____/_______

Signature:

Public Burden Statement:

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. Public reporting burden for this collection of information is estimated to average 46 hours 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 required to obtain or retain benefit (Public Law 112-74-4 

Consolidated Appropriations Act, 2012). Send comments regarding the burden estimate or any other aspect of this collection of information, 

including suggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW, Washington, DC 20210-4537 or 

email ICDocketMgr@ed.gov and reference the OMB Control Number 1810-XXXX. Note: Please do not return the completed TIF APR to this 

address.
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TIF 3 and TIF 4 Program-Specific Program Report

TIF 3 and 4 grantees should complete each section. Program-specific instructions will be 

provided in blue for TIF 3 and green for TIF 4 where instructions are different. Please read the 

accompanying submission guidance for detailed instructions. If information varies by LEA or 

district, information must be completed for each district or LEA participating in the grant.

Please copy and paste the charts to collect data for each participating district. 

Part 1: Executive Summary

Please provide a written summary in the space below in response to the focus questions in the submission 

guidance. 

Part 2: TIF Program Objectives and Related Measures (including GPRA Measures)

There are 15 questions in Part 2. All grantees must answer each question unless otherwise noted below.

1. Communicating with and Engaging Stakeholders

How many trainings did you conduct with stakeholders on the educator evaluation or 

compensation systems?

Based on stakeholder feedback, what changes did you make to your communication plan this year? 

Describe the changes below.

In the space below, describe what role stakeholders had in helping to develop, modify, or maintain the 

educator evaluation system.
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2. Data Management System

How many educators (teachers, principals, or other personnel eligible for performancebased compensation) appealed the award process? Please summarize the appeal process 

and the reasons for appeals in the space below.

Did your grant meet its goal for delivering data for computing the final evaluation scores 

or payouts? Please provide specific examples and dates. If not, describe the reasons for 

the delay in the space below.

3. Professional Development Processes

In the space below, describe how teachers access recommendations for professional development based 

on educator evaluation data.

In the space below, describe how principals access recommendations for professional development based 

on educator evaluation data.

In the space below, describe how you are targeting professional development based on data. 

In the space below, describe how you are providing professional development on your evaluation system.
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4. Human Capital Management (TIF 4 GPRA Measure #4)

The District uses educator evaluation systems to inform the following human capital 

decisions. (Please check all that apply.)

a. Recruitment

b. Hiring

c. Placement

d. Retention

e. Dismissal

f. Tenure

g. Promotion

h. Professional Development

i. All of the above
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5. Description of Evaluation Measures

Please provide the weight assigned to each measure along with a detailed description of each measure. 

Please refer to the APR Guidance Document for specific instructions.

Percentage 

Weight

Description

Student Growth Measure

Observation Measure

Other Measure

Other Measure 

6. Description of Student Growth Measures

In the space below, describe your progress toward developing classroom-level student growth measures 

for teachers of traditionally non-tested grades and subjects within your TIF project. 

In the space below, describe your progress towards measuring student growth for students with 

disabilities and English learners within your TIF project. 
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7. Description of Observation Measures

In the space below, please describe your method for ensuring inter-rater reliability, including any 

trainings and your method for calculating it.

Based on your method for calculating inter-rater reliability, what level of inter-rater 

reliability did you achieve? Please report the numeric value calculated using your metric of 

inter-rater reliability (e.g., Cohen’s kappa).

Provide a total for each of the following:

a. How many trained observers conducted formal observations of teachers?

b. How many trained observers conducted formal observations of principals?

c. Give the total number of formal observations of teachers that trained observers performed.

d. Give the total number of formal observations of principals that trained observers performed.

e. In total, how many hours did trained observers spend conducting formal observations?
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8. Teacher Evaluation System

Which of the following do you use in your grant’s teacher 

evaluation system?

All: Used for 

All TIFEligible 

Teachers 

Some: Used 

Only for 

Some TIFEligible 

Teachers 

None: Not 

Used for any 

TIF-Eligible 

Teachers

Live observations of classroom teaching

Videos of classroom teaching

Portfolios, lesson plans, student work samples, other artifacts

Parent surveys

Student surveys

Growth or gain of the students taught by individual teachers 

Growth or gain of the students taught by teams of teachers 

School-level student growth or gain 

Grade-level student growth or gain

Proficiency level attained by the individual teacher’s students

School-level student proficiency or attainment 

Grade-level student proficiency or attainment

Other (Please describe)

If you entered “other” measures above, please describe those measures in the space below.
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9. Principal Evaluation System

Which of the following do you use in your grant’s 

principal evaluation system?

All: Used for 

All TIFEligible 

Principals

Some: Used 

Only for 

Some TIFEligible 

Principals

None: Not 

Used for TIFEligible 

Principals

Observations of leadership practice

Portfolios, records, documents, or other artifacts representing 

leadership practice

Student growth

School makes Adequate Yearly Progress or meets other stateset measurable objectives for student proficiency

Other school-wide measures such as graduation rates or 

student attendance

Parent surveys

Student surveys

Teacher/staff surveys

VAL-ED 360° feedback survey

Other (describe) 

If you entered “other” measures above, please describe those measures to them in the space below.
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10. Description of Evaluation System

Does every district or school in your grant use the same teacher evaluation system? If not, please 

describe the difference(s) between the evaluation systems in the space below.

Does every district or school in your grant have the same principal evaluation system? If not, please describe the 

difference(s) between the evaluation systems in the space below. 

Do you have different teacher and principal evaluation systems?

Describe your performance categories, how many levels you include, and how they are labeled (e.g., proficient, needs 

improvement, etc.) by completing the chart below. Indicate how many levels you include in your evaluation system and 

how these levels are labeled (where #1 represents the lowest category), and how they align with the TIF categories of 

Not Effective, Effective, and Highest Level of Effectiveness. TIF 3 Grantees: If you have fewer than three levels of 

effectiveness, indicate how your categories align with Not Effective and Effective.

(Note: All questions from this point will ask you to report your responses in terms of the TIF categories.)

Level The Label for Your Level 

(Category)

Align your categories with the following TIF categories by checking which 

TIF category applies to your category

Not Effective Effective Highest Level 

1 (Lowest 

Level)

2

3

4

5 
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11. Type of Performance Rating

Do you have an overall performance rating? yes___ no___ 

If yes, please answer “a” below. If no, answer “b-d” (all questions below)

12. Performance Ratings

For the current reporting period, please provide the total number of teachers and principals within each 

aggregate performance category of not effective, effective, and highest level of effectiveness. Note that 

you will only complete the “overall performance rating” evaluation table (12a) if you answered 

“yes” to question 11. If each measure has a distinct rating, then please complete Tables 12b-12d.

TIF 4 Grantees: TIF 4 grantees are only required to complete the table for the overall 

performance rating (12a). Provide the total number of teachers and principals in each rating 

based on the overall performance rating. Note that the performance categories align to the 

description of your performance categories in question 10. 

TIF 3 Grantees: If your agency issues separate payouts for each measure in the evaluation 

system, then you do not have to complete Table 12a. Instead, complete only Tables 12b 

(observation measure), 12c (student growth measure), and 12d (other measure/s). Provide 

the total number of teachers and principals in each rating category for each measure. If you 

make payouts based on an overall performance rating, then you are only required to provide 

the number of teachers and principals in each rating category for the overall performance

rating (Table 12a). Note that the performance categories align to the description of your 

performance categories in question 10. In addition, if you do not have data for non-TIF schools, 

then report data for all high-need schools with a PBCS. 
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12a. Overall Performance Rating (TIF 4 GPRA Measure #1) 

Not Effective Effective Highest Level Not Rated

Teacher

High-need schools with 

a PBCS

High-need schools 

without a PBCS

Non-high-need schools

Total

Principal

High-need schools with 

a PBCS

High-need schools 

without a PBCS

Non-high-need schools

Total
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12b. Observation Measure (TIF 3 GPRA Measure #1)

Not Effective Effective Highest Level Not Rated

Teacher

High-need schools 

with a PBCS

High-need schools 

without a PBCS

Non-high-need 

schools

Total

Principal

High-need schools 

with a PBCS

High-need schools 

without a PBCS

Non-high-need 

schools

Total
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12c. Growth Score Measure (TIF 3 GPRA Measure #1)

Not Effective Effective Highest Level Not Rated

Teacher

High-need schools 

with a PBCS

High-need schools 

without a PBCS

Non-high-need 

schools

Total

Principal

High-need schools 

with a PBCS

High-need schools 

without a PBCS

Non-high-need 

schools

Total
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12d. Other Measure(s): Describe the additional measure in the space below

(TIF 3 (GPRA Measure #1)

Not Effective Effective Highest Level Not Rated

Teacher

High-need schools with 

a PBCS

High-need schools 

without a PBCS

Non-high-need schools

Total

Principal

High-need schools with 

a PBCS

High-need schools 

without a PBCS

Non-high-need schools

Total

13. Performance Ratings for Newly Hired Teachers and Principals

Please provide the number of teachers and principals categorized as newly hired during the reporting 

period who are rated as not effective, effective, or highest level of effectiveness. Note that you will only 

complete the “overall performance rating” evaluation table (13a) if you answered yes to 

question 11. If each measure has a distinct rating, then please complete Tables 13b -13d and include the 

number of teachers and principals that fall into each category for each measure in the system. For the 

purposes of this survey, newly hired is defined as any teacher or principal working in the current reporting 

period hired within the past three school years.
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TIF 4 Grantees: TIF 4 grantees are only required to complete the table for the overall 

performance rating (13a). Provide the total number of teachers and principals in each rating 

based on the overall performance rating. Note that the performance categories align to the 

description of your performance categories in question 10. 

TIF 3 Grantees: If your agency issues separate payouts for each measure in the evaluation 

system, then you do not have to complete Table 13a. Instead, complete only Tables 13b 

(observation measure), 13c (student growth measure), and 13d (other measure/s). Provide 

the total number of teachers and principals in each rating category for each measure. If you 

make payouts based on an overall performance rating, then you are only required to provide 

the number of teachers and principals in each rating category for the overall performance 

rating (Table 13a). Note that the performance categories align to the description of your 

performance categories in question 10. In addition, if you do not have data for non-TIF schools, 

then report data for all high-need schools with a PBCS. 
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13a. Overall Performance Rating

Not Effective Effective

Highest 

Level Not Rated

New Teacher

High-need schools with a 

PBCS

High-need schools without a 

PBCS

Non-high-need schools

Total

New Principal

High-need schools with a 

PBCS

High-need schools without a 

PBCS

Non-high-need schools

Total
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13b. Observation Measure

Not Effective Effective

Highest 

Level Not Rated

New Teacher

High-need schools with a 

PBCS

High-need schools without a 

PBCS

Non-high-need schools

Total

New Principal

High-need schools with a 

PBCS

High-need schools without a 

PBCS

Non-high-need schools

Total
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13c. Student Growth Measure

Not Effective Effective

Highest 

Level Not Rated

New Teacher

High-need schools with a 

PBCS

High-need schools without a 

PBCS

Non-high-need schools

Total

New Principal

High-need schools with a 

PBCS

High-need schools without a 

PBCS

Non-high-need schools

Total
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13d. Other Measure(s): Describe the additional measure in the space below

Not Effective Effective

Highest 

Level Not Rated

New Teacher

High-need schools with a 

PBCS

High-need schools without a 

PBCS

Non-high-need schools

Total

New Principal

High-need schools with a 

PBCS

High-need schools without a 

PBCS

Non-high-need schools

Total
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14. Performance Ratings for Teachers and Principals Retained in the Same School

Please provide the number of teachers and principals who were not effective, effective, or at the highest 

level in the last reporting period and who were retained in the same school for the current school year. 

Note that you will only complete the “overall performance rating” evaluation table if your 

evaluation system includes a final overall evaluation score. If each measure has a distinct rating, 

then please include the number of teachers and principals that fall into each category for each measure in 

the system (14b – 14d). 

TIF 4 Grantees: TIF 4 grantees are only required to complete the table for the overall 

performance rating (14a). Provide the total number of teachers and principals in each rating 

based on the overall performance rating. Note that the performance categories align to the 

description of your performance categories in question 10. 

TIF 3 Grantees are not required to complete this item.

14a. Overall Performance Rating (TIF 4 GPRA Measure #3)

Not Effective Effective Highest Level Not Rated

Retained Teacher

High-need schools with a PBCS

High-need schools without a PBCS

Non-high-need schools

Total

Retained Principal

High-need schools with a PBCS

High-need schools without a PBCS

Non-high-need schools

Total
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14b. Observation Measure 

Not Effective Effective Highest Level Not Rated

Retained Teacher

High-need schools with a PBCS

High-need schools without a PBCS

Non-high-need schools

Total

Retained Principal

High-need schools with a PBCS

High-need schools without a PBCS

Non-high-need schools

Total

14c. Student Growth Measure

Not Effective Effective Highest Level Not Rated

Retained Teacher

High-need schools with a PBCS

High-need schools without a PBCS

Non-high-need schools

Total

Retained Principal

High-need schools with a PBCS

High-need schools without a PBCS

Non-high-need schools

Total
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14d. Other Measure(s): Describe the additional measure in the space below

Not Effective Effective Highest Level Not Rated

Retained Teacher

High-need schools with a PBCS

High-need schools without a PBCS

Non-high-need schools

Total

Retained Principal

High-need schools with a PBCS

High-need schools without a PBCS

Non-high-need schools

Total

15. Performance Ratings for Teachers of High-Need Subjects

Please provide the number of teachers who fell into each performance category during the reporting 

period that taught in a high-need subject. Note that you will only complete the “overall 

performance rating” evaluation table (15a) below if you answered yes to question 11. If each 

measure has a distinct rating, then please include the number of teachers that fall into each category for 

each measure in the system (15 b – 15d). For the purpose of this report, high-need subjects may include, 

but are not limited to, Science, Technology, Engineering, and Math (STEM); courses for students with 

disabilities (SWDs); and courses for English learners (EL). 

TIF 4 Grantees: TIF 4 grantees are only required to complete the table for the overall 

performance rating (15a). Provide the total number of teachers and principals in each rating 

based on the overall performance rating. Note that the performance categories align to the 

description of your performance categories in question 10. 
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TIF 3 Grantees: TIF 3 grantees are not required to complete item #15a. 

15a. Description of High-Need Subjects

In the space below, please list all subjects the district defines as high-need. 

15b. Overall Performance Rating (TIF 4 GPRA Measure #2)

Not Effective Effective Highest Level Not Rated

High-Need Subject Teacher

High-need schools with a PBCS

High-need schools without a PBCS

Non-high-need schools

Total

15c. Observation Measure

Not Effective Effective Highest Level Not Rated

High-Need Subject Teacher

High-need schools with a PBCS

High-need schools without a PBCS

Non-high-need schools

Total
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15d. Student Growth Measure

Not Effective Effective Highest Level Not Rated

High-Need Subject Teacher

High-need schools with a PBCS

High-need schools without a PBCS

Non-high-need schools

Total

15e. Other Measure(s)

Not Effective Effective Highest Level Not Rated

High-Need Subject Teacher

High-need schools with a PBCS

High-need schools without a PBCS

Non-high-need schools

Total
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Part 3: Budget Information 

16a. Current Year Budget Expenditures (To be completed by the Business Office)

Cost 

Categories 

Current Year

Budget 

Expended 

Through 

5/31/14

Anticipated

Additional 

Expenditures 

from

6/1/14 to 

9/30/14

Unexpended 

Funds

Funds 

Requested to 

Carry Over 

Into Next 

Budget Year

Personnel 

Fringe

Benefits Travel

Equipment

Supplies

Contractual

Other 

Subtotal

direct costs Indirect costs

Total

16b. Budget Narrative

Please provide a narrative description of the Budget Information, item # 16a, in the space below.
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17. Expenditures on Performance Awards by Funding Source

TIF State Local

Non-TIF

Federal

Please provide the amount of TIF funds expended on 

performance-based awards for the current reporting year.

18. Performance-Based Payments

Cost Categories Initially Budgeted Previous Year 

Performance-Based Payment 

Expenditures

Actual Performance-Based Payment 

Expenditures 

Personnel

Fringe 

Other

Total Costs

TIF 4 Grantees are not required to complete item #19 below.

19. Increasing Share of Non-TIF Performance-Based Compensation

Total Incentive Payments 

Awarded (Year 3)

Total Non-TIF Funds Used 

(Year 3) 

Increasing Share for Year 3 (%)
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TIF 4 Grantees are not required to complete item #20 below.

20. Additional Cost Share/Matching Costs 

Cost 

Categories

Current Year Budget 

Match

Actual Match Through 

5/31/14

Expected Match Through 

9/30/14

Personnel

Fringe Benefits

Travel

Equipment

Supplies

Contractual

Other

Total
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TIF 3 Main Grantees who are not participating in the TIF3 National Evaluation and TIF 4 

Grantees are not required to complete item #21 below.

21. TIF 3 National Evaluation Grantees Break-Out of “Other” Funds 

Cost Categories Current Year Budget Funds Expended Through 5/31/14

Personnel

Fringe Benefits

Travel

Equipment

Supplies

Contractual

Other

Subtotal Direct 

Costs

Indirect Costs

Total

TIF 4 Grantees are not required to complete item #22 below.

22. Percentage of Personnel Budget Expended on Performance Awards (TIF 3 GPRA Measure #2)

Actual

Total amount expended on all performance awards

Total District Personnel Budget 

Percentage of personnel budget expended on performance awards 
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23. Number of Teachers and Principals Who Received an Award

Teachers Principals Other 

Personnel

Please provide the number of teachers and principals who received a 

performance-based award for the current reporting year.

24a. Please provide the lowest, median, and highest teacher award amount for each of the 

following: (where applicable)

Lowest Median Highest

Total Payout

Observations

Student Growth

Other 

Measure(s):

24b. Please provide the lowest, median, and highest principal award amount for each of the 

following: (where applicable)

Lowest Median Highest

Total Payout

Observations

Student Growth

Other 

Measure(s):
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25. Payouts by Performance Category

Please provide your total payouts by performance categories by completing the chart below.

Level The Label for Your Level 

(Category)

Provide payout for each categories with the following TIF categories by 

checking which TIF category applies to your category

Not Effective Effective Highest Level 

1 (Lowest 

Level)

2

3

4

5 

Part 4: Individual Project Objectives and Measures

All grantees must complete a table and explanation for each approved project objective and 

measure.

Project Objective 1: 

1a. Performance Measure Quantitative Data

Target

Actual Performance 

Data
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1b. Performance Measure Quantitative Data

Target

Actual Performance 

Data

1c. Explanation of Progress (Include Qualitative Data and Data Collection Information):

Part 5: Additional Information