National Evaluation of School Turnaround AmeriCorps

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 11 Focus Group Protocol	Form and Instruction	New	Available
Form 10 STAC Interview Comparison Teacher	Form and Instruction	New	Available
Form 9 STAC Teacher Interview	Form and Instruction	New	Available
Form 8 STAC School Leader Interview	Form and Instruction	New	Available
Form 7 STAC Parent Interview	Form and Instruction	New	Available
Form 6 STAC Interview Member	Form and Instruction	New	Available
Form 5 STAC Interview Grantee	Form and Instruction	New	Available
Form 4 STAC Teacher Counselor Survey	Form and Instruction	New	Available
Form 3 STAC School Leader Survey	Form and Instruction	New	Available
Form 2 STAC Member Survey	Form and Instruction	New	Available
Form 1 STAC Grantee Survey	Form and Instruction	New	Available
Justification Part B_STAC 103014 Clean.docx	Supporting Statement B	Uploaded 2014-10-30	Available
Justification Part A_STAC 103014 Clean.docx	Supporting Statement A	Uploaded 2014-10-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
213107	National Evaluation of STAC: Focus Groups	Form and Instruction	New	Focus Group Protocol
213104	National Evaluation of STAC: Interviews	Form and Instruction	New	STAC Interview Comparison Teacher
213104	National Evaluation of STAC: Interviews	Form and Instruction	New	STAC Teacher Interview
213104	National Evaluation of STAC: Interviews	Form and Instruction	New	STAC School Leader Interview
213104	National Evaluation of STAC: Interviews	Form and Instruction	New	STAC Parent Interview
213104	National Evaluation of STAC: Interviews	Form and Instruction	New	STAC Interview Member
213104	National Evaluation of STAC: Interviews	Form and Instruction	New	STAC Interview Grantee
213103	National Survey of STAC: Surveys	Form and Instruction	New	STAC Teacher Counselor Survey
213103	National Survey of STAC: Surveys	Form and Instruction	New	STAC School Leader Survey
213103	National Survey of STAC: Surveys	Form and Instruction	New	STAC Member Survey
213103	National Survey of STAC: Surveys	Form and Instruction	New	STAC Grantee Survey

ICR Details

OMB Control No: 3045-0164	ICR Reference No: 201409-3045-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: CNCS	Agency Tracking No:
Title: National Evaluation of School Turnaround AmeriCorps
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: 11/03/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/12/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	36 Months From Approved
Responses	1,570	0	0
Time Burden (Hours)	2,274	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The national evaluation of School Turnaround AmeriCorps will use a quasi-experimental design that compares schools affected by School Turnaround AmeriCorps (i.e., the treatment group) to a matched comparison group of low performing schools without the School Turnaround AmeriCorps initiative (i.e., the comparison group).

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Authorizing Statute(s): US Code: 42 USC 12501 et seq Name of Law: National Community Service Act of 1995, 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:
	79 FR 36478	06/27/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 54684	09/12/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
National Evaluation of STAC: Focus Groups	11	Focus Group Protocol
National Evaluation of STAC: Interviews	5, 6, 7, 8, 9, 10	STAC Interview Grantee ,   STAC Interview Member ,   STAC Parent Interview ,   STAC School Leader Interview ,   STAC Teacher Interview ,   STAC Interview Comparison Teacher
National Survey of STAC: Surveys	3, 4, 2, 1	STAC Grantee Survey ,   STAC Member Survey ,   STAC School Leader Survey ,   STAC Teacher Counselor 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	1,570	0	0	1,570	0	0
Annual Time Burden (Hours)	2,274	0	0	2,274	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: The burden has increased because this is a new information collection.

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Annual Cost to Federal Government:

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: 09/12/2014

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