Information Collection

21st CCLC facilitator interview

IC 227155 under ICR 201706-3137-001 · OMB 3137-0108.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0108 can be found here:

Documents and Forms

Document Name Document Type
Form 21st CCLC facilita 21st CCLC facilitator interview Form and Instruction
21st CCLC facilita 21st CCLC facilitator interview form 1 Maker STEM Ed Support for 21st CCLC evaluation_5 17 17 - 21st CCLC facilitator interview protocol Final 20170602.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	21st CCLC facilitator interview	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	21st CCLC facilitator interview form 1	21st CCLC facilitator interview form 1	Maker STEM Ed Support for 21st CCLC evaluation_5 17 17 - 21st CCLC facilitator interview protocol Final 20170602.docx		No		Paper Only

Line of Business: Education

Subfunction: Cultural and Historic Exhibition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	219	219

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.