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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.