Evaluation of the Science Education Partnership Award (SEPA) Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 13 Attachment 9 Evaluator Interview Protocol	Form and Instruction	New	Available
Form 12 Attachment 7 Key Staff Interview Protocol	Form and Instruction	New	Available
Form 11 Attachment 27 Telephone Script to Schedule the Site Visit Interview	Form and Instruction	New	Available
Form 10 Attachment 6 Partner Site Visit Interview Protocol	Form and Instruction	New	Available
Form 9 Attachment 27 Telephone Script to Schedule the Site Visit Interview	Form and Instruction	New	Available
Form 8 Attachment 5 Partner Telephone Interview Protocol	Form and Instruction	New	Available
Form 7 Attachment 4 PI Site Visit Interview Protocol	Form and Instruction	New	Available
Form 6 Attachment 25 Telephone Script to Schedule the Interview	Form and Instruction	New	Available
Form 5 Attachment 2 Partner Web Survey	Form and Instruction	New	Available
Form 4 Attachment 27 Telephone Script to Schedule the Site Visit Interview	Form and Instruction	New	Available
Form 3 Attachment 3 PI interview Protocol	Form and Instruction	New	Available
Form 2 Attachment 25 Telephone script to schedule the interview	Form and Instruction	New	Available
Form 1 Attachment 1 PI Web Survey	Form and Instruction	New	Available
Supporting Statement A - final.docx	Supporting Statement A	Uploaded 2015-11-16	Available
30 day SEPA 2015-28601.pdf	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 30. E-Mail Confirmation for Telephone Interview.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 29. E-Mail Follow-up Reminder to Schedule Telephone Interview.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 28. Privacy Act System of Records.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 25. Telephone Reminder Partner Interview.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 24. Telephone Reminder PI Interview.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 23. E-Mail Reminder Partner Interview.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 22. E-Mail Reminder PI Interview.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 21. E-Mail Invitation Letter Partner Telephone Interview.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 20. E-Mail Invitation Letter PI Telephone Interview.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 19. IRB Approval Letter.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 18. Interview Consent Form.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 17. Telephone Reminder Partner Web Survey.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 16. Telephone Reminder PI Web Survey.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 15. E-Mail Reminder Partner Web Survey.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 14. E-Mail Reminder PI Web Survey.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 13. E-Mail Invitation Letter Partner Survey.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 12. E-Mail Invitation Letter PI Web Survey.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 11. E-Mail Announcement to Site Visit Participants.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 10. E-Mail Announcement to Partners.docx	Supplementary Document	Uploaded 2015-11-13	Available
Attachment 9. E-Mail Announcement to PIs.docx	Supplementary Document	Uploaded 2015-11-13	Available
Supporting Statement B - Revised.docx	Supporting Statement B	Uploaded 2015-11-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218982	Other Key Staff Site Visit Interview	Form and Instruction	New	Attachment 9 Evaluator Interview Protocol
218982	Other Key Staff Site Visit Interview	Form and Instruction	New	Attachment 7 Key Staff Interview Protocol
218980	Other Key Staff Telephone Script to schedule site visit	Form and Instruction	New	Attachment 27 Telephone Script to Schedule the Site Visit Interview
218979	Project Partner Site Visit Interview	Form and Instruction	New	Attachment 6 Partner Site Visit Interview Protocol
218978	Project Partner Telephone script to schedule site visit	Form and Instruction	New	Attachment 27 Telephone Script to Schedule the Site Visit Interview
218977	Project Partner Telephone interview	Form and Instruction	New	Attachment 5 Partner Telephone Interview Protocol
218976	Pi Site visit interview	Form and Instruction	New	Attachment 4 PI Site Visit Interview Protocol
218974	Project Partnew Telephone script to schedule interview	Form and Instruction	New	Attachment 25 Telephone Script to Schedule the Interview
218973	Project Partner Web survey	Form and Instruction	New	Attachment 2 Partner Web Survey
218956	PI Telephone script to schedule Site Visit	Form and Instruction	New	Attachment 27 Telephone Script to Schedule the Site Visit Interview
218955	PI Telephone interview	Form and Instruction	New	Attachment 3 PI interview Protocol
218954	PI Telephone script to schedule interview	Form and Instruction	New	Attachment 25 Telephone script to schedule the interview
218951	PI Web Survey	Form and Instruction	New	Attachment 1 PI Web Survey

ICR Details

OMB Control No: 0925-0734	ICR Reference No: 201511-0925-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Evaluation of the Science Education Partnership Award (SEPA) Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/04/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/16/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved
Responses	984	0	0
Time Burden (Hours)	521	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The NIH SEPA Program provides 5-year grants for PK-12 educational projects, science centers, and museum exhibits to increase students’ interest in pursuing science-related careers, deliver topical and interactive information about NIH-funded medical research, and cultivate an understanding about healthy living habits among the general public. The program was founded in 1991 in response to the six National Education Goals set forth by President George H.W. Bush. These goals challenged educators to improve the quality of education in the United States based on the philosophy that every child can learn and that learning is a lifelong process. The SEPA Program is currently NIH’s premier investment in PK-12 education and provides a pathway for translating medical and biomedical advancements into practice.

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Authorizing Statute(s): PL: Pub.L. 112 - 74 div.F, title II, sect. 221(b) Name of Law: Consolidated Appropriations Act
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 31610	06/03/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 69688	11/10/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
Other Key Staff Site Visit Interview	12, 13	Attachment 7 Key Staff Interview Protocol ,   Attachment 9 Evaluator Interview Protocol
Other Key Staff Telephone Script to schedule site visit	11	Attachment 27 Telephone Script to Schedule the Site Visit Interview
PI Telephone interview	3	Attachment 3 PI interview Protocol
PI Telephone script to schedule Site Visit	4	Attachment 27 Telephone Script to Schedule the Site Visit Interview
PI Telephone script to schedule interview	2	Attachment 25 Telephone script to schedule the interview
PI Web Survey	1	Attachment 1 PI Web Survey
Pi Site visit interview	7	Attachment 4 PI Site Visit Interview Protocol
Project Partner Site Visit Interview	10	Attachment 6 Partner Site Visit Interview Protocol
Project Partner Telephone interview	8	Attachment 5 Partner Telephone Interview Protocol
Project Partner Telephone script to schedule site visit	9	Attachment 27 Telephone Script to Schedule the Site Visit Interview
Project Partner Web survey	5	Attachment 2 Partner Web Survey
Project Partnew Telephone script to schedule interview	6	Attachment 25 Telephone Script to Schedule the Interview

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ICR Summary of Burden

table that charts list 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	984	0	0	984	0	0
Annual Time Burden (Hours)	521	0	0	521	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new submission.

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Annual Cost to Federal Government: $733,081

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

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Common Form ICR:  No

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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: 11/16/2015

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