### Cover Form for **OMB Clearance**  **Package (rev. 01.24**  **.12)**

**Instructions:** If you w ish to upload or delete files fr om EDICS for your OMB package, please complete this form and submit it along with the files you would lik e to upload to Tina ( Tina.Love@ed.gov ). Once you receive confirmation from Tina that the requested actions are complete, please wait 24 hours and then go to http://edicsweb.ed.gov to verify that everything looks correct. If you experience technical issues with EDICS, please contact Stephanie ( Stephanie.Valentine@ed.gov ). This form is for internal NCEE use only and should not be uploaded to EDICS.
**COR : __** 
**_______**

**_________ __________________** **___ Date: __** 

**__________ ___________** **________ Title of**  **OMB Package:** 

**___________________________________________________________________ ________**  **Please c** **heck 1**  **only one**  **box :**  I want to create a new package 2 I want to cre ate a new version of a package 3 I want to modify an existing version of a package 4 **If you want to create a**  **new package :**  List on page 2 each file name you would like to upload **If you want to create a new vers** **ion of a package :**  What is the 5
- digit EDICS Number? _____________________ What is the OMB Control Number (XXXX
- XXXX)? _____________________ What version of the package do you want to create ? 5

v. 2 v. 3 v. 4 other : _____________

___ When a new version is created, all files from the prior ver sion are automatically copied to the new version L ist on page 2 each filename from the prior version that you would like to delete f rom the new version. 6 If you want to delete all prior files from the new version, then check the “delete all files” box on page 2 . List on page 2 each filename you would lik e to upload to the new version **If you want to modify an existing**  **version of a pac** **kage :**  What is the 5
- digit EDICS Number? _____________________ What is the OMB Control Number? _____________________ **IMPORTANT: L**  **ist the full OMB Control Number, including which version of the**  **package you would like to modify. For instance, if y**  **ou want to modify version 2, then you should list XXXX -**  **XXXX -** **v.2** L ist on page 2 each filename you wou ld like to delete 7 L ist on page 2 each filename you wou ld like to upload

1 To check or uncheck : right
- click on box, select “properties” and then select “checked” or “not checked.” 2 Alth ough there are exceptions, i f you check this box , your study should generally have no existing OMB package of any type . 3 For instance, check this box if you already have a n approved recruitment package and you now want to create a new data collection pack age for the same study. RIMS actually refer s to this as a “revised package, ” which can cause confusion. 4 For instance, check this box if you already have a recruitment package but now need to add more files or delete existing files from that same recruitm ent package (perhaps in response to comments from OMB or RIMS) . 5 I f you want to create version 3 (v.3), you must already have a version 2 (v.2). Likewise, if you want to create version 4 (v.4 ), you must already have a version 2 (v.2) and a version 3 (v.3) . 6 You can see which files are in the prior version by going to http://edicsweb.ed.gov 7 You can see which files are currently in the package by going to http://edicsweb.ed.gov Daphne Garcia 12/11/12

A Study of Implementation and Outcomes in Upward Bound and Other TRIO Programs

1**Filename Attachment 8** 

**If you want**  **to delete any files, please check only**  **one box**  **:**

I would like to delete all files I would like to delete only the files listed below **Filename to be DELETED (include file extension, such as .pdf, .xls, .doc):**  **Filename to be UPLOADED (include file extension, such as .p**  **df, .xls, .doc): File Type:**  **9** TRIO_OMB_Draft_Part_A_120312 .docx Supporting Statement Part A TRIO_OMB_Draft_Part_B_120312 .docx Supporting Statement Part B icdataform_TRIO_20121113 .docx IC Form Part 1 IC Form Part 2 IC Form Part 2 addendum TRIO _icburdentable_20121112 .xlsx Burden Estimates Table Certification form signed Certification for PRA Submissions TRIO_OMB_Draft_Appendix A_Authorizing_Leg .docx Appendix A TRIO_OMB_Draft_Appendix_B_Letter .docx Appendix B TRIO_OMB_Draft_PD_Survey_Inst rument .docx Appendix C Appendix Appendix Appendix Appendix Appendix Appendix Other Other Other Other Other

8 Please make sure you type in the exact filename in the table above. **IMPORTANT:** File names **must not** contain any special characters, such as “~!@#$%^&*()” , or two or more space between characters. If you viol ate these rules, your files can be uploaded to ED ICS but they will not open or download properly. Stick to letters and numbers with single spaces in your filenames to avoid problems. 9 This column lists the types of files that are typically included in an OMB package. Please list the files you want to de lete or upload in the row that corresponds to the appropriate file type. If you don’t have any files of a particular type listed, then leave those rows blank. 2