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National Survey of STAC: Surveys
National Evaluation of School Turnaround AmeriCorps
OMB: 3045-0164
IC ID: 213103
OMB.report
CNCS
OMB 3045-0164
ICR 201409-3045-001
IC 213103
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0164 can be found here:
2015-09-21 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
National Survey of STAC: Surveys
Form and Instruction
1 STAC Grantee Survey
Survey_Grantee_30day.docx
www.nationalservice.gov
Form and Instruction
2 STAC Member Survey
Survey_Member_30day.docx
www.nationalservice.gov
Form and Instruction
3 STAC School Leader Survey
Survey_SchoolLeader_30day.docx
www.nationalservice.gov
Form and Instruction
4 STAC Teacher Counselor Survey
Survey_TeacherCounselor_30day.docx
www.nationalservice.gov
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Survey of STAC: Surveys
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
STAC Grantee Survey
Survey_Grantee_30day.docx
www.nationalservice.gov
Yes
Yes
Fillable Fileable
Form and Instruction
2
STAC Member Survey
Survey_Member_30day.docx
www.nationalservice.gov
Yes
Yes
Fillable Fileable
Form and Instruction
3
STAC School Leader Survey
Survey_SchoolLeader_30day.docx
www.nationalservice.gov
Yes
Yes
Fillable Fileable
Form and Instruction
4
STAC Teacher Counselor Survey
Survey_TeacherCounselor_30day.docx
www.nationalservice.gov
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,273
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,273
0
1,273
0
0
0
Annual IC Time Burden (Hours)
2,093
0
2,093
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.