CSP Data Collection Form - Replication and Expansion (R&

Expanding Opportunity through Quality Charter Schools Program: Technical Assistance to Support Monitoring, Evaluation, Data Collection, and Dissemination of Best Practices

1855-0016_CSPDataCollectionForm_CMO_FY20 Grants copy.xlsx

OMB: 1855-0016

Document [xlsx]
Download: xlsx | pdf

Overview

Instruction Sheet
Part A-CSP Grant Award
Part B-CSP Schools Funded
Summary Sheet


Sheet 1: Instruction Sheet

Charter Schools Program (CSP)
Office of Elementary and Secondary Education
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 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 from each Budget Period that receive 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.
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.
Paperwork Burden Statement: 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. Public reporting burden for this collection of information is estimated to average two hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is required to obtain or retain benefit in accordance with the Education Department General Administrative Regulations (EDGAR) 34 CFR 75.253. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this individual collection, or if you have comments or concerns regarding the status of your individual form, application or survey, please contact the Charter Schools Program c/o Nicoisa Jones, 400 Maryland Avenue SW, Washington, DC 20202, [email protected] directly.
OMB Number: 1855-0016 Approval Expires 7/31/2021

Sheet 2: Part A-CSP Grant Award



Data Collection Form: Part A – Grant Award Information
Organization Name:


Contact Person:


Title of Contact Person:


PR/Award #: S282M20XXXX

Project Period Begin Date: 4/1/2020

Project Period End Date: 3/31/2025 (except Pioneer Charter is 3/31/2024)

Total Award Amount Obligated: $0



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 Budget Periods below.

Please list the number of schools from each Budget Period that received CSP funds within your project period. On the following worksheets, you will provide information for each of these schools.
Number of new schools funded per Budget Period
Budget Period 1 - FY 2020
(10/1/20-9/30/21)





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 7/31/2021 (Version 04/2021)

Sheet 3: Part B-CSP Schools Funded

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. 3) School Award Information. Please provide the breakdown of funds awarded to schools from each Budget Period. 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.
4) Charter School Operation. Please indicate the school status, the school year in which the charter school first enrolled 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. Additional Comments.



























Total award amount obligated from ED (from Part A)--> $0 $0 <--Budget Period award amount from ED (from Part A)






































Total school funding amount (sum of column AC)--> $0 $0 <--Total spent on schools (sum of column AD)






































Total award amount remaining from ED (from Part A)--> $0 $0 <--Total remaining













Charter School Information





LEA/District Information







Authorized Public Chartering Agency








Budget Period 1 - F Y 2 0 2 0 F U N D S (10/1/20-9/30/21)














Charter school name School
NCES ID
address line 1 address line 2 city state zipcode LEA/District name LEA/District 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? Authorizer Type
(choose one)
Authorizer Name address line 1 address line 2 city state zipcode Replication or Expansion CSP Funding Period
Begin Date
CSP Funding Period
End Date
Total CSP Funding Amount
(DO NOT enter a value in this column. Total will be calculated from amounts provided in each year to the right)
Dollar amount of CSP Funding Beginning date of budget period End date of budget period Grades Served in 2020-21
(if not opened, enter "0")
School enrollment in 2020-21
(if not opened, enter "0")
School Status School year in which the school first enrolled students or planned opening date Grades served prior to expenditure of CSP funds
(if not opened, enter "0")
School enrollment prior to expenditure of CSP funds
(if not opened, enter "0")
Planned Grades Planned Enrollment Previous CSP Grant (Project Grade Levels) Previous CSP Grant (Funding 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.
School 1

























$0.00













School 2

























$0.00













School 3

























$0.00













School 4

























$0.00













School 5

























$0.00













School 6

























$0.00













School 7

























$0.00













School 8

























$0.00













School 9

























$0.00













School 10

























$0.00













School 11

























$0.00













School 12

























$0.00













School 13

























$0.00













School 14

























$0.00













School 15

























$0.00













School 16

























$0.00













School 17

























$0.00













School 18

























$0.00













School 19

























$0.00













School 20

























$0.00













School 21

























$0.00













School 22

























$0.00













School 23

























$0.00













School 24

























$0.00













School 25

























$0.00













School 26

























$0.00













School 27

























$0.00













School 28

























$0.00













School 29

























$0.00













School 30

























$0.00













School 31

























$0.00













School 32

























$0.00













School 33

























$0.00













School 34

























$0.00













School 35

























$0.00













School 36

























$0.00













School 37

























$0.00













School 38

























$0.00













School 39

























$0.00













School 40

























$0.00













School 41

























$0.00













School 42

























$0.00













School 43

























$0.00













School 44

























$0.00













School 45

























$0.00













School 46

























$0.00













School 47

























$0.00













School 48

























$0.00













School 49

























$0.00













School 50

























$0.00













School 51

























$0.00













School 52

























$0.00













School 53

























$0.00













School 54

























$0.00













School 55

























$0.00













School 56

























$0.00













School 57

























$0.00













School 58

























$0.00













School 59

























$0.00













School 60

























$0.00













School 61

























$0.00













School 62

























$0.00













School 63

























$0.00













School 64

























$0.00













School 65

























$0.00













School 66

























$0.00













School 67

























$0.00













School 68

























$0.00













School 69

























$0.00













School 70

























$0.00













School 71

























$0.00













School 72

























$0.00













School 73

























$0.00













School 74

























$0.00













School 75

























$0.00













School 76

























$0.00













School 77

























$0.00













School 78

























$0.00













School 79

























$0.00













School 80

























$0.00













School 81

























$0.00













School 82

























$0.00













School 83

























$0.00













School 84

























$0.00













School 85

























$0.00













School 86

























$0.00













School 87

























$0.00













School 88

























$0.00













School 89

























$0.00













School 90

























$0.00













School 91

























$0.00













School 92

























$0.00













School 93

























$0.00













School 94

























$0.00













School 95

























$0.00













School 96

























$0.00













School 97

























$0.00













School 98

























$0.00













School 99

























$0.00













School 100

























$0.00













School 101

























$0.00













School 102

























$0.00













School 103

























$0.00













School 104

























$0.00













School 105

























$0.00













School 106

























$0.00













School 107

























$0.00













School 108

























$0.00













School 109

























$0.00













School 110

























$0.00













School 111

























$0.00













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$0.00













School 113

























$0.00













School 114

























$0.00













School 115

























$0.00













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$0.00













School 117

























$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













School 130

























$0.00













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$0.00













School 132

























$0.00













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$0.00













School 134

























$0.00













School 135

























$0.00













School 136

























$0.00













School 137

























$0.00













School 138

























$0.00













School 139

























$0.00













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$0.00













School 141

























$0.00













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$0.00













School 143

























$0.00













School 144

























$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













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$0.00













School 164

























$0.00













School 165

























$0.00













School 166

























$0.00













School 167

























$0.00













School 168

























$0.00













School 169

























$0.00













School 170

























$0.00













School 171

























$0.00













School 172

























$0.00













School 173

























$0.00













School 174

























$0.00













School 175

























$0.00













School 176

























$0.00













School 177

























$0.00













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$0.00













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$0.00













School 180

























$0.00













School 181

























$0.00













School 182

























$0.00













School 183

























$0.00













School 184

























$0.00













School 185

























$0.00













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$0.00













School 187

























$0.00













School 188

























$0.00













School 189

























$0.00













School 190

























$0.00













School 191

























$0.00













School 192

























$0.00













School 193

























$0.00













School 194

























$0.00













School 195

























$0.00













School 196

























$0.00













School 197

























$0.00













School 198

























$0.00













School 199

























$0.00













School 200

























$0.00













School 201

























$0.00













School 202

























$0.00













School 203

























$0.00













School 204

























$0.00













School 205

























$0.00













School 206

























$0.00













School 207

























$0.00













School 208

























$0.00













School 209

























$0.00













School 210

























$0.00













School 211

























$0.00













School 212

























$0.00













School 213

























$0.00













School 214

























$0.00













School 215

























$0.00













School 216

























$0.00













School 217

























$0.00













School 218

























$0.00













School 219

























$0.00













School 220

























$0.00













School 221

























$0.00













School 222

























$0.00













School 223

























$0.00













School 224

























$0.00













School 225

























$0.00













School 226

























$0.00













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$0.00













School 228

























$0.00













School 229

























$0.00













School 230

























$0.00













School 231

























$0.00













School 232

























$0.00













School 233

























$0.00













School 234

























$0.00













School 235

























$0.00













School 236

























$0.00













School 237

























$0.00













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$0.00













School 239

























$0.00













School 240

























$0.00













School 241

























$0.00













School 242

























$0.00













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$0.00













School 244

























$0.00













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$0.00













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$0.00













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$0.00













School 248

























$0.00













School 249

























$0.00













School 250

























$0.00













School 251

























$0.00













School 252

























$0.00













School 253

























$0.00













School 254

























$0.00













School 255

























$0.00













School 256

























$0.00













School 257

























$0.00













School 258

























$0.00













School 259

























$0.00













School 260

























$0.00













School 261

























$0.00













School 262

























$0.00













School 263

























$0.00













School 264

























$0.00













School 265

























$0.00













School 266

























$0.00













School 267

























$0.00













School 268

























$0.00













School 269

























$0.00













School 270

























$0.00













School 271

























$0.00













School 272

























$0.00













School 273

























$0.00













School 274

























$0.00













School 275

























$0.00













School 276

























$0.00













School 277

























$0.00













School 278

























$0.00













School 279

























$0.00













School 280

























$0.00













School 281

























$0.00













School 282

























$0.00













School 283

























$0.00













School 284

























$0.00













School 285

























$0.00













School 286

























$0.00













School 287

























$0.00













School 288

























$0.00













School 289

























$0.00













School 290

























$0.00













School 291

























$0.00













School 292

























$0.00













School 293

























$0.00













School 294

























$0.00













School 295

























$0.00













School 296

























$0.00













School 297

























$0.00













School 298

























$0.00













School 299

























$0.00













School 300

























$0.00














Sheet 4: Summary Sheet



Data Collection Form: Summary Sheet



Check your data: 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.
Organization Name: 0




Contact Person: 0




Title of Contact Person: 0




PR/Award #: S282M20XXXX




Project Period Begin Date: 4/1/2020




Project Period End Date: 3/31/2025 (except Pioneer Charter is 3/31/2024)




Total Award Amount Obligated: $0


















|------------Summarized from Part B------------|
Supplemental Amount Number of school awards per Budget Period Total award amount from ED per Budget Period Total CSP Funding Spent on Schools Total remaining
Budget Period 1 - FY 2020 (10/1/2020-9/30/2021) $0 $0 0 $0 $0 $0


Totals: 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 7/31/2021



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