Information Collection

Evaluation of State Expanded Learning Time

IC 206475 under ICR 201304-1850-003 · OMB 1850-0898.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.