21st Century Community Learning Centers (21st CCLC): Early Childhood Best Practices Project

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Leadership Interview (Grades Preschool-Grade 3)	Form and Instruction	New	Available
Staff Survey (Grades Preschool-Grade 3)	Form and Instruction	New	Available
Parent/Guardian Survey (Grades Preschool-Grade 3)	Form and Instruction	New	Available
Survey for Center (Site) Coordinators	Form and Instruction	New	Available
OMB clearance supporting justification 10 05 10 RAW Part A.doc	Supporting Statement A	Uploaded 2010-10-06	Available
OMB clearance supporting justification 10 05 10 RAW B.doc	Supporting Statement B	Uploaded 2010-10-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194808	Leadership Interview (Grades Preschool-Grade 3)	Form and Instruction	New	Leadership Interview (Grades Preschool-Grade 3)
194807	Staff Survey (Grades Preschool-Grade 3)	Form and Instruction	New	Staff Survey (Grades Preschool-Grade 3)
194806	Parent/Guardian Survey	Form and Instruction	New	Parent/Guardian Survey (Grades Preschool-Grade 3)
194805	Survey for Center (Site) Coordinators (Grades Preschool-Grade 3)	Form and Instruction	New	Survey for Center (Site) Coordinators

ICR Details

OMB Control No: 1810-0707	ICR Reference No: 201010-1810-002
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: ED/OESE	Agency Tracking No: 4362
Title: 21st Century Community Learning Centers (21st CCLC): Early Childhood Best Practices Project
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 02/08/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/06/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The 21st Century Community Learning Centers (21st CCLC) program provides services to preschool through third grade children through its after school program, but has little to no knowledge about how these programs function--i.e. activities, staffing patterns, curriculum, and other elements that may impact program quality. This survey will provide broad descriptive information on the range and quality of service provided to children participating in 21st CCLC programs.

---

Authorizing Statute(s): PL: Pub.L. 107 - 110 4201 Name of Law: Elementary and Secondary Act, as amended
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 42725	07/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 57741	09/22/2010
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Leadership Interview (Grades Preschool-Grade 3)	N/A	Leadership Interview (Grades Preschool-Grade 3)
Parent/Guardian Survey	N/A	Parent/Guardian Survey (Grades Preschool-Grade 3)
Staff Survey (Grades Preschool-Grade 3)	N/A	Staff Survey (Grades Preschool-Grade 3)
Survey for Center (Site) Coordinators (Grades Preschool-Grade 3)	N/A	Survey for Center (Site) Coordinators

---

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection.

---

Annual Cost to Federal Government: $624,221

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/06/2010

---