Information Collection

National Evaluation of STAC: Focus Groups

IC 213107 under ICR 201509-3045-002 · OMB 3045-0164.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9 Parent Focus Group National Evaluation of STAC: Focus Groups	Form and Instruction
Form 10 Member Focus Group National Evaluation of STAC: Focus Groups	Form and Instruction
Form 11 Teacher Focus Group National Evaluation of STAC: Focus Groups	Form and Instruction
9 Parent Focus Group Y2 Revisions_Parent Focus Group.docx	Form and Instruction
10 Member Focus Group Y2 Revisions_Member Focus Group.docx	Form and Instruction
11 Teacher Focus Group Y2 Revisions_Teacher Focus Group.docx	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.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	9	www.nationalservice.gov	Yes	Yes	Printable Only
Form and Instruction	10	www.nationalservice.gov	Yes	Yes	Printable Only
Form and Instruction	11	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: 42

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	42	-62	104
Annual IC Time Burden (Hours)	32	-20	52
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.

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