Information Collection

National Evaluation of STAC: Interviews

IC 213104 under ICR 201509-3045-002 · OMB 3045-0164.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 National Evaluation of STAC: Interviews	Form and Instruction
2 STAC Interview Grantee Y2 Revisions_Grantee Interview.docx www.nationalservice.gov	Form and Instruction
3 STAC Interview Member Y2 Revisions_Member Interview.docx www.nationalservice.gov	Form and Instruction
4 Y2 Principal Interview Y2 Revisions_Principals_Treatment.docx www.nationalservice.gov	Form and Instruction
5 Y2 Principal Comparison Y2 Revisions_Principals_Comparison.docx www.nationalservice.gov	Form and Instruction
6 Teacher Treatment Y2 Revisions_Teacher_Treatment.docx www.nationalservice.gov	Form and Instruction
7 Y2 Teacher Comparison Y2 Revisions_Teacher_Comparison.docx www.nationalservice.gov	Form and Instruction
8 Y2 Teacher Protocol Y2 Revisions_Teacher_SIGexiter.docx www.nationalservice.gov	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	2	STAC Interview Grantee	Y2 Revisions_Grantee Interview.docx	www.nationalservice.gov	Yes	Yes	Printable Only
Form and Instruction	3	STAC Interview Member	Y2 Revisions_Member Interview.docx	www.nationalservice.gov	Yes	Yes	Printable Only
Form and Instruction	4	Y2 Principal Interview	Y2 Revisions_Principals_Treatment.docx	www.nationalservice.gov	Yes	Yes	Printable Only
Form and Instruction	5	Y2 Principal Comparison	Y2 Revisions_Principals_Comparison.docx	www.nationalservice.gov	Yes	Yes	Printable Only
Form and Instruction	6	Teacher Treatment	Y2 Revisions_Teacher_Treatment.docx	www.nationalservice.gov	Yes	Yes	Paper Only
Form and Instruction	7	Y2 Teacher Comparison	Y2 Revisions_Teacher_Comparison.docx	www.nationalservice.gov	Yes	Yes	Printable Only
Form and Instruction	8	Y2 Teacher Protocol	Y2 Revisions_Teacher_SIGexiter.docx	www.nationalservice.gov	Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 134

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	Previously Approved
Annual Number of Responses for this IC	134	-59	193
Annual IC Time Burden (Hours)	74	-55	129
Annual IC Cost Burden (Dollars)	0	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.