Information Collection

National Evaluation of STAC: Interviews

IC 213104 under ICR 201409-3045-001 · OMB 3045-0164.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0164 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5 National Evaluation of STAC: Interviews	Form and Instruction
5 STAC Interview Grantee Interview_Grantee_30day.docx www.nationalservice.gov	Form and Instruction
6 STAC Interview Member Interview_Member_30day.docx www.nationalservice.gov	Form and Instruction
7 STAC Parent Interview Interview_Parent_30day.docx www.nationalservice.gov	Form and Instruction
8 STAC School Leader Interview Interview_SchoolLeader_30day.docx www.nationalservice.gov	Form and Instruction
9 STAC Teacher Interview Interview_Teacher_30day.docx www.nationalservice.gov	Form and Instruction
10 STAC Interview Comparison Teacher Interview_ComparisonTeacher_30day (rev sept 5 2014).docx www.nationalservice.gov	Form and Instruction

IC Title:

National Evaluation of STAC: Interviews

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	5	STAC Interview Grantee	Interview_Grantee_30day.docx	www.nationalservice.gov	Yes	Yes	Printable Only
Form and Instruction	6	STAC Interview Member	Interview_Member_30day.docx	www.nationalservice.gov	Yes	Yes	Printable Only
Form and Instruction	7	STAC Parent Interview	Interview_Parent_30day.docx	www.nationalservice.gov	Yes	Yes	Printable Only
Form and Instruction	8	STAC School Leader Interview	Interview_SchoolLeader_30day.docx	www.nationalservice.gov	Yes	Yes	Printable Only
Form and Instruction	9	STAC Teacher Interview	Interview_Teacher_30day.docx	www.nationalservice.gov	Yes	Yes	Printable Only
Form and Instruction	10	STAC Interview Comparison Teacher	Interview_ComparisonTeacher_30day (rev sept 5 2014).docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 193

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	193	193
Annual IC Time Burden (Hours)	129	129
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.