Evaluation of State Expanded Learning Time

Documents and Forms

Document Name Document Type
Form 1 Evaluation of State Expanded Learning Time Form and Instruction
1 21st CCLC State Coordinator Interview Protocol ELT OMB Appendix A 21st CCLC State Coordinator Interview Protocol.docx Form and Instruction
ELT_OMB_Appendix_B_Letter_StateCCLCInterview.docx Advance Notification Letter IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Evaluation of State Expanded Learning Time	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	21st CCLC State Coordinator Interview Protocol	ELT OMB Appendix A 21st CCLC State Coordinator Interview Protocol.docx		No	No	Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Advance Notification Letter	ELT_OMB_Appendix_B_Letter_StateCCLCInterview.docx	04/05/2013

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