Evaluation of the Carol M. White Physical Education Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Att_Carol_White_PEP_OMB_Clearance_Request_Revised_05-03-2011.docx	Supplementary Document	Uploaded 2011-05-03	Available
Carol_White_PEP_Contact_Letters_Emails_Revised_4-01-2011.docx	Supplementary Document	Uploaded 2011-04-01	Available
Carol_White_PEP_Contact_Letters_Emails_Revised_3-17-2011.docx	Supplementary Document	Uploaded 2011-03-22	Available
Att_Carol_White_PEP_Contact_Letters_Emails_Revised_2-10-2011.docx	Supplementary Document	Uploaded 2011-02-11	Available
Att_Carol_White_PEP_OMB_Clearance_Request_Revised_12-15-2010.docx	Supplementary Document	Uploaded 2011-02-02	Available
Carol_White_PEP_Supporting_Statement_Part_B_Revised_4-01-2011.docx	Supporting Statement B	Uploaded 2011-04-01	Available
Carol_White_PEP_Supporting_Statement_Part_A_4-01-2011.docx	Supporting Statement A	Uploaded 2011-04-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
196161	LEA - Carol M. White Physical Education Program Survey	Other-Survey	New
196128	CBO - Carol M. White Physical Education Program Survey	Other-Survey	New

ICR Details

OMB Control No: 1875-0258	ICR Reference No: 201102-1875-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: ED/OPEPD	Agency Tracking No: 4458
Title: Evaluation of the Carol M. White Physical Education Program
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: Approved with change	Conclusion Date: 05/20/2011
	Date Received in OIRA: 02/15/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2014	36 Months From Approved
Responses	77	0	0
Time Burden (Hours)	77	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: To answer the evaluation questions put forth by U.S. Department of Education (ED) regarding program implementation, partnerships, data use, and student outcomes, American Institutes for Research proposes a two-phase research design, drawing on survey data to be collected from administrators at Carol M. White Physical Education Program (PEP) projects and analysis of extant student outcome data pertinent to physical activity levels, fitness, and nutrition intake. Findings from this study will provide feedback to both ED and grantees with regard to the performance of the PEP, and will inform future improvements to the program.

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Authorizing Statute(s): US Code: 20 USC 7261-7261f Name of Law: Elementary and Secondary Act, as amended
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 75462	12/03/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 8722	02/15/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
CBO - Carol M. White Physical Education Program Survey
LEA - Carol M. White Physical Education Program Survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	77	0	0	77	0	0
Annual Time Burden (Hours)	77	0	0	77	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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 program, thus all burden is considered new.

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Annual Cost to Federal Government: $407,597

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

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Common Form ICR:  No

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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: 02/15/2011

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