National Summer Teacher Institute

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NSTI 003 Teacher's Summer Institute Webinar Participant	Form and Instruction	Unchanged	Available
Form NSTI 002 Teacher Summer Institute Participant Survey	Form	Unchanged	Available
Form NSTI 001 Summer Teach Institute Application	Form and Instruction	Unchanged	Available
0651-0077 Supporting Statement Part A March 2018.doc	Supporting Statement A	Uploaded 2018-03-27	Available
0651-0077 Supporting Statement Part B March 2018.docx	Supporting Statement B	Uploaded 2018-03-23	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
214262	Teacher's Summer Institute Webinar Participant	Form and Instruction	Unchanged
214261	Teacher Summer Institute Participant Survey	Form	Unchanged
211963	Summer Teach Institute Application	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0651-0077	ICR Reference No: 201803-0651-001
Status: Active	Previous ICR Reference No: 201408-0651-004
Agency/Subagency: DOC/PTO	Agency Tracking No:
Title: National Summer Teacher Institute
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/24/2018
	Date Received in OIRA: 03/30/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2021	36 Months From Approved	05/31/2018
Responses	900	0	900
Time Burden (Hours)	292	0	292
Cost Burden (Dollars)	0	0	0

---

Abstract: This program receives information from applicants, who request to participate in the program and certify that they are educators with at least 3 years' experience and who 1) have taught in STEM related fields last year; 2) plan to teach in a STEM related field this upcoming year; and 3) are acknowledging their commitment to incorporate the learnings from the Teacher Summer Institute into their curriculum, where applicable, and cooperate with sharing lessons/outcomes with teachers and PTO.

---

Authorizing Statute(s): US Code: 35 USC 2(a)(2) Name of Law: null
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 1242	01/10/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 12344	03/21/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Teacher Summer Institute Participant Survey	NSTI 002	National Summer Teacher Institute Survey
Teacher's Summer Institute Webinar Participant	NSTI 003	NSTI Webinar Survey
Summer Teach Institute Application	NSTI 001	Summer Teacher Institue Application

---

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	900	900	0	0	0	0
Annual Time Burden (Hours)	292	292	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $1,356

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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

---

Common Form ICR:  No

---

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: 03/30/2018

---