Expanding Opportunity through Quality Charter Schools Program: Technical Assistance to Support Monitoring, Evaluation, Data Coll

Status: The document is viewable through fallback artifacts while conversion repair continues in the background.

Queue: A repair attempt failed. The document remains flagged for retry and verification. (priority 90 · attempts 1 · next 2026-07-15 18:54:40)

Missing: html

Download: Source copy (xlsx) | pdf

Charter Schools Program (CSP)
Office of Innovation and Improvement
U.S. Department of Education
CSP Data Collection Form - Replication and Expansion (R&E) for High-Quality Charter Schools Grantees
Instructions

Purpose of Data Collection:

The new data collection will collect grant award information from grantees funded under the
Replication and Expansion for High-Quality Charter Schools competition. The CSP Data
Collection Form will allow the U.S Department of Education (ED) to monitor CSP grant
performance and analyze data related to accountability for academic performance and financial
integrity. It will also allow the CSP to track the number of schools receiving financial support
under this competition. The data collection will assist in carrying out the purpose of the Charter
School Program Section 5201 of the ESEA, which is to expand the number of high quality
charter schools and increase the national understanding of the charter school model.

For Grantees:

The CSP Data Collection Form has two parts:
Part A asks for CSP grantee award information. The name, the contact person, and the contact
person's department has already been entered in the form. If this information is incorrect, please
contact the data collection administrators (see "Contact Information" below). In the gray boxes,
please enter the number of schools for each Federal Fiscal Year that are still receiving CSP
funds within the grantee's project period. Keep in mind that your Grant Award Notification (GAN)
provides the beginning and end date for your current project period.
Part B asks for CSP school award information. In all, grantees will provide the following
information for each school receiving CSP funds: 1) the name and contact information for the
charter school and LEA; 2) the authorized public chartering agency; 3) the total amount of
funding an applicant received to replicate or expand a charter school, along with the beginning
and end date of when funds were received; 4) the grades served and number of available seats
per school; and 5) other charter school information (e.g., enrollment) as needed.

Form Submission:

The completed CSP Data Collection Form should be sent to [email protected].
In the subject heading please include "CSP Data Collection" followed by your organization's
name. Please be sure to save a copy of the completed form for your own records.
If an electronic copy cannot be sent, please send a paper copy of the completed CSP Data
Collection Form to the following address:
WestEd
Attn: CSP Data Collection
4665 Lampson Ave.
Los Alamitos, CA 90720
Please be sure to make a copy of the completed form for your own records.

Contact Information:

If you have any questions or concerns regarding the completion of the CSP Data Collection
Form, please contact WestEd. You can email us at [email protected], or call
toll-free 866-902-4887.

According to the Paperwork reduction Act of 1995, no persons are required to respond to a
collection of information unless such collection displays a valid OMB control number. The valid
OMB control number for this information collection is 1855-0016. The time required to complete
this information collection is estimated to average 127 hours per response, including the time to
review instructions, search existing data resources, gather the data needed and complete and
Paperwork Burden Statement: review the information collection. If you have any comments concerning the accuracy of the time
estimate(s) or suggestions for improving this form, please write to: U.S. Department of
Education, Washington, D.C. 20202-4537. If you have comments or concerns regarding the
status of your individual submission of this form, write directly to: U.S. Department of Education,
Office of Innovation and Improvement 400 Maryland Avenue, S.W., LBJ-4W227, Washington
D.C. 20202-2800.
OMB Number: 1855-0016

Approval Expires 5/31/2018

Data Collection Form: Part A – Grant Award Information

Organization Name:
Contact Person:
Department of Contact Person:

PR/Award #:
Project Period Begin Date:
Project Period End Date:

Total Award Amount Obligated:
The award amount includes the total amount
obligated to your organization - both the original
Grant Awards and any Supplemental Grant Awards
- during the current project period. See the
breakdown of funds across years below.
Please list the number of schools for each Fiscal
Year that are still receiving CSP funds within your
project period. On the following worksheets, you will
provide information for each of these schools.
Breakdown of Obligated Funds Grant Award
per Fiscal Year:
Amount

Supplemental
Award Amount

Number of new schools funded per Fiscal Year

FY 2013
FY 2014
FY 2015
FY 2016
FY 2017
Total Number of Schools Funded:

0

Comments? If any of the above information is incorrect, or if you need to provide any additional information
regarding your CSP grant, please use the box below. You may also direct comments to us at
[email protected], or call toll-free 866-902-4887.

Please turn to Part B to provide data for each school
OMB Number: 1855-0016

Approval Expires 5/31/2018

Data Collection Form: Part B – School Award Information
1) Charter School Contact Information. For each school funded, please identify: 1) the name and contact
information for the charter school; and 2) the district/LEA information, including whether or not the school acts as its own
LEA.

2) Charter School Authorizer. Please identify the charter authorizer by type and name.

Charter school name

LEA Information

School NCES
ID

address line 1 address line 2

city

state

zipcode

LEA name

LEA NCES ID address line 1 address line 2

city

state

zipcode

Does the
charter school
act as its own
LEA?

Is it an LEA
with only
charter
schools?

$0

Total school funding amount (sum of column AC)-->

$0

Total award amount remaining from ED (from Part A)-->

$0

<--Total FY 2017 award amount from ED (from Part A)

$0

<--Total FY 2017 dollars allocated (sum of column AD)
<--Total remaining

F Y 2 0 1 7 F U N D S (10/1/17-9/30/18)

Authorizer Type (choose
one)

Dollar amount Beginning date
of CSP
of budget
End date of
Funding
period
budget period

Authorizer Name

address line 1 address line 2

city

state

zipcode

Replication or Expansion

CSP Funding Period Begin CSP Funding Period End
Date
Date

Total CSP Funding
Amount

School

1

$0.00

2

$0.00

3

$0

$0

Authorized Public Chartering Agency

School
School

4) Charter School Operation. Please indicate the school status, the school year in which the charter school first enrolled Additional Comments.
students, planned grades, planned enrollment, grades served and enrollment prior to CSP funding, and prior CSP awards. While
we can access some of this information in EDFacts, it is not always available for charter schools, so we must also request it here.

3) School Award Information. Please provide the breakdown of funds awarded to schools from each
Federal Fiscal Year. The total amount awarded across one or more years should equal the Total CSP Funding
Amount for that school. In addition to providing the breakdown of funds awarded, please list the budget period
for the time the funds were awarded.
Total award amount obligated from ED (from Part A)-->

Charter School
Information

$0.00

School

4

$0.00

School

5

$0.00

School

6

$0.00

$0

<--Total FY 2016 award amount from ED (from Part A)

$0

<--Total FY 2016 dollars allocated (sum of column AI)

$0

<--Total remaining

F Y 2 0 1 6 F U N D S (10/1/16-9/30/17)

School
Grades Served enrollment in
in 2017-18 (if 2017-18 (if not
not opened,
opened, enter
enter "0")
"0")

Dollar amount Beginning date
of CSP
of budget
End date of
Funding
period
budget period

$0

<--Total FY 2015 award amount from ED (from Part A)

$0

<--Total FY 2015 dollars allocated (sum of column AN)

$0

<--Total remaining

F Y 2 0 1 5 F U N D S (10/1/15-9/30/16)

School
Grades Served enrollment in
in 2016-17 (if 2016-17 (if not
not opened,
opened, enter
enter "0")
"0")

Dollar amount Beginning date
of CSP
of budget
End date of
Funding
period
budget period

$0

<--Total FY 2014 award amount from ED (from Part A)

$0

<--Total FY 2014 dollars allocated (sum of column AS)

$0

<--Total remaining

F Y 2 0 1 4 F U N D S (10/1/14-9/30/15)

School
Grades Served enrollment in
in 2015-16 (if 2015-16 (if not
not opened,
opened, enter
enter "0")
"0")

Dollar amount Beginning date
of CSP
of budget
End date of
Funding
period
budget period

$0

<--Total FY 2013 award amount from ED (from Part A)

$0

<--Total FY 2013 dollars allocated (sum of column AX)

$0

<--Total remaining

F Y 2 0 1 3 F U N D S (10/1/13-9/30/14)

School
Grades Served enrollment in
in 2014-15 (if 2014-15 (if not
not opened,
opened, enter
enter "0")
"0")

Dollar amount Beginning date
of CSP
of budget
End date of
Funding
period
budget period

School
Grades Served enrollment in
in 2013-14 (if 2013-14 (if not
not opened,
opened, enter
enter "0")
"0")

School Status

School year in
which the
Grades served
School
school first
prior to
enrollment prior
enrolled
expenditure of to expenditure
students or
CSP funds (if of CSP funds
planned
not opened, (if not opened,
opening date
enter "0")
enter "0")

Planned
Grades

Planned
Enrollment

Previous CSP Previous CSP
Grant (Project Grant (Funding
Grade Levels)
amount)

If you need to provide any additional information regarding this school, please use the box below. You may also
direct comments to us at [email protected] or call toll-free 866-902-4887.

Data Collection Form: Summary Sheet
This sheet summarizes the CSP Grant Award Data already provided in Part A
and the CSP School Award data you entered in Part B. If there are discrepancies
in the amount of funds obligated and awarded in each Federal Fiscal Year,
please use the gray space below to explain.

Check your data:

Organization Name: 0
Contact Person: 0
Department of Contact Person: 0

PR/Award #: 0
Project Period Begin Date: 1/1/1904
Project Period End Date: 1/1/1904

Total Award Amount Obligated:

$0

|------------Summarized from Part A------------||------------Summarized from Part B------------|
Breakdown of Obligated Funds Grant Award
per Fiscal Year:
Amount
FY 2013
FY 2014
FY 2015
FY 2016
FY 2017

Number of
Supplemental
school awards
Award Amount
per Fiscal Year

$0
$0
$0
$0
$0

$0
$0
$0
$0
$0

Total Number of Current Active School Awards:

Total award
amount from
ED per fiscal
year

Total school
award amount Total remaining
per fiscal year

0
0
0
0
0

$0
$0
$0
$0
$0

$0
$0
$0
$0
$0

$0
$0
$0
$0
$0

0

$0

$0

$0

Comments or questions? Please contact us at [email protected], or call toll-free 866-902-4887.

OMB Number: 1855-0016

Approval Expires 5/31/2018