National Evaluation of School Turnaround AmeriCorps

Forms and Documents

Document Name	Status
Form 9 National Evaluation of STAC: Focus Groups Form and Instruction	Modified
Form 2 National Evaluation of STAC: Interviews Form and Instruction	Modified
Form 1 National Survey of STAC: Surveys Form and Instruction	Modified
OMB Memo_School Turnaround Year 2.docx Justification for No Material/Nonsubstantive Change	2015-09-21
Instrument Revisions Tracking Sheet_for OMB.xlsx Justification for No Material/Nonsubstantive Change	2015-09-21
OMB Change Request Form9.21.15.pdf Justification for No Material/Nonsubstantive Change	2015-09-21
Justification Part B_STAC 103014 Clean.docx Supporting Statement B	2014-10-30
Justification Part A_STAC 103014 Clean.docx Supporting Statement A	2014-10-30

IC Document Collections

IC ID	Document Title	Status
213107	National Evaluation of STAC: Focus Groups Form and Instruction	Modified
213104	National Evaluation of STAC: Interviews Form and Instruction	Modified
213103	National Survey of STAC: Surveys Form and Instruction	Modified

ICR Details

OMB Control No: 3045-0164	ICR Reference No: 201509-3045-002
Status: Historical Active	Previous ICR Reference No: 201409-3045-001
Agency/Subagency: CNCS	Agency Tracking No:
Title: National Evaluation of School Turnaround AmeriCorps
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/21/2015
	Date Received in OIRA: 09/21/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	11/30/2017	11/30/2017
Responses	249	0	1,570
Time Burden (Hours)	172	0	2,274
Cost Burden (Dollars)	0	0	0

---

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).

---

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

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

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

---

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

IC Title	Form No.	Form Name
National Survey of STAC: Surveys	1	STAC Grantee Survey
National Evaluation of STAC: Interviews	4, 5, 6, 2, 3, 7, 8	STAC Interview Grantee ,   STAC Interview Member ,   Y2 Principal Interview ,   Y2 Principal Comparison ,   Teacher Treatment ,   Y2 Teacher Comparison ,   Y2 Teacher Protocol
National Evaluation of STAC: Focus Groups	9, 10, 11	Parent Focus Group ,   Member Focus Group ,   Teacher Focus Group

---

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	249	1,570	0	-1,321	0	0
Annual Time Burden (Hours)	172	2,274	0	-2,102	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden has been revised to reflect Year 2 burden only.

---

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

---

Common Form ICR:  No

---

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: 09/21/2015

---