National Summer Teacher Institute

Forms and Documents

Document Name	Status
Form NSTI001 Summer Teach Institute Application Form	New
NTSI Emergency Clearance Req 0651.jpg Supplementary Document	2014-06-18
Supporting Statement_National Teachers' Summer Institute_June_19.doc Supporting Statement A	2014-06-19

IC Document Collections

IC ID	Document Title	Status
211963	Summer Teach Institute Application Form	New

ICR Details

OMB Control No: 0651-0077	ICR Reference No: 201406-0651-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOC/PTO	Agency Tracking No:
Title: National Summer Teacher Institute
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 06/20/2014
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/19/2014
	Date Received in OIRA: 06/18/2014
Terms of Clearance: This collection must go through the full standard PRA process for its next renewal.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2014	6 Months From Approved
Responses	500	0	0
Time Burden (Hours)	250	0	0
Cost Burden (Dollars)	6,903	0	0

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Abstract: This program would receive information from applicants, who would be requesting to participate in the program and certifying that they are educators with at least 3 years' experience and who 1) have taught in STEM related fields last year; 2) plan to teach in a STEM related field this upcoming year; and 3) are acknowledging their commitment to incorporate the learnings from the Teacher Summer Institute into their curriculum, where applicable, and cooperate with sharing lessons/outcomes with teachers and PTO.

Emergency Justfication: The Obama Administration has announced this program and the USPTO is seeking to collect this information in June of 2014 with a program start date in August of 2014. The collection of information is needed prior to the expiration of the time period established by 5 C.F.R. 1320. Use of the normal clearance procedures is likely to prevent or disrupt the collection of the information and the start of the program.

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Authorizing Statute(s): US Code: 35 USC 2(a)(2) Name of Law: null
  

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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Summer Teach Institute Application	NSTI001	Summer Teacher Institute Application

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ICR Summary 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	500	0	0	500	0	0
Annual Time Burden (Hours)	250	0	0	250	0	0
Annual Cost Burden (Dollars)	6,903	0	0	6,903	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: The collection of information is needed prior to expiration of the time period established by 5 C.F.R. 1320. The importance of STEM initiatives to the Obama Administration is well known. This is in support of a new pilot program; National Summer Teacher Institute.

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Annual Cost to Federal Government: $5,001

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 06/18/2014

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