1820-NEW Website Use Data Collection Form

Appendix G

Project Website Use Data Collection Form

OMB Number:

Expiration Date:

Pathways to Partnerships

Project Website Use Data

February 5, 2025

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 1820-NEW. 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 any comments concerning the accuracy of the time estimate, suggestions for improving this individual collection, or if you have comments or concerns regarding the status of your individual form, application or survey, please contact Diandrea Bailey, PhD, U.S. Department of Education, Office of Special Education and Rehabilitative Services, Rehabilitation Services Administration, 400 Maryland Avenue SW, Washington, DC 20202 directly.

Guidance for completing this form

As part of the National Evaluation of the Pathways to Partnerships Program, Mathematica is measuring the extent to which the project websites were utilized. This information will help in understanding the reach of the projects’ websites and the information needs of youth with disabilities, their families, and the youth service professionals that serve them.

What information do I need to complete this form? You will need user statistics from the website developed or enhanced as part of your Pathways to Partnerships project.

Who should complete the form? A person familiar with your project and the website maintenance should be the main person to complete the form. This person can consult with other people to gather information to address some questions.

What do I do after I complete the form? Please complete the form by [DEADLINE]. After you submit it, a Mathematica team member will review your information and may follow up with you to clarify details.

How will you keep my information private and secure? The personally identifiable information (PII) requested on this form is collected as authorized by Consolidated Appropriations Act, 2022, P.L. 117-103 Rehabilitation Services, March 15, 2022. The researchers conducting this study follow the confidentiality and data protection requirements, as required by law. All your responses will be kept private and used only for research purposes. Your responses will be combined with the responses of other respondents and no individual names will be reported. While there are no direct benefits to participants and participation is voluntary, your participation will help us learn how states can better provide services to youth with disabilities. While your information will not be disclosed outside of the Department, there may be circumstances where information may be shared with a third party, such as a Freedom of Information Act request, court orders or subpoena, or if a breach or security incident affects the data management system.

What should I do if I have any other questions? Please contact the Mathematica study team at XXX-XXX-XXXX or FFY23DIF@mathematica-mpr.com.

[RESPONDENT CLICKS “NEXT” TO ADVANCE TO NEXT PAGE OF FORM]

1. Contact information

Please provide contact information for the person we should reach out to with follow-up questions.

Contact information
Name
Title
Email
Phone

[RESPONDENT CLICKS “NEXT” TO ADVANCE TO NEXT PAGE OF FORM]

2. Website user statistics

For the prior quarter, [START DATE] to [END DATE], please provide data on the following metrics for the website developed for your Pathways to Partnerships project.

Metrics	Number
Total number of users
Number of unique users
Average time spent on site per visit
Total number of users of the top 3 pages visited most frequently (specify the topic or content of the pages; should not include the home or landing page) 1. 2. 3.

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