Information Collection

21st Century Community Learning Centers Study

IC 201027 under ICR 201201-1875-001 · OMB 1875-0265.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att_1875-NEW 4763 add_materials_2.8.12.docx	Other-Additional Materials
Att_1850-0877 v3 4754 Appendix A - SEA survey 2-7-12.docx	Other-survey
Manhattan Strategy 21st CCLC Lessons Learned guides Deliverable 7.3 - Final CTE Protocol 4.27.12 (Revised for OMB).docx	Other-intreview
Manhattan Strategy 21st CCLC Lessons Learned Guides Deliverable 6.3 - Final EL Protocol 4.27.12 (Revised for OMB).docx	Other-interview
Att_1875-NEW 4763 Final observe_protocols_2.8.12.docx	Other-protocols
Manhattan Strategy 21st CCLC Lessons Learned Guides Deliverable 8.3 - Final ILT Protocol 4.27.12 (Revised for OMB).docx	Other-interview
Att_1875-NEW 4763 sea_interview_2.8.12.docx	Other-interview
Manhattan Strategy 21st CCLC Lessons Learned Guides Deliverable 5 3 - Final STEM Protocol 4 27 12 (Revised for OMB).docx	Other-interview

IC Title:

Agency IC Tracking Number:

4763

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Additional Materials	Att_1875-NEW 4763 add_materials_2.8.12.docx	No		Fillable Fileable
Other-survey	Att_1850-0877 v3 4754 Appendix A - SEA survey 2-7-12.docx	Yes	Yes	Fillable Fileable
Other-protocols	Att_1875-NEW 4763 Final observe_protocols_2.8.12.docx	No		Paper Only
Other-interview	Att_1875-NEW 4763 sea_interview_2.8.12.docx	No		Paper Only
Other-intreview	Manhattan Strategy 21st CCLC Lessons Learned guides Deliverable 7.3 - Final CTE Protocol 4.27.12 (Revised for OMB).docx	No		Paper Only
Other-interview	Manhattan Strategy 21st CCLC Lessons Learned Guides Deliverable 5 3 - Final STEM Protocol 4 27 12 (Revised for OMB).docx	No		Paper Only
Other-interview	Manhattan Strategy 21st CCLC Lessons Learned Guides Deliverable 6.3 - Final EL Protocol 4.27.12 (Revised for OMB).docx	No		Paper Only
Other-interview	Manhattan Strategy 21st CCLC Lessons Learned Guides Deliverable 8.3 - Final ILT Protocol 4.27.12 (Revised for OMB).docx	No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 960

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 15 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	960	960
Annual IC Time Burden (Hours)	780	780
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.