Information Collection

National Evaluation of the 2019 Comprehensive Centers Program Grantees

IC 249266 under ICR 202109-1850-004 · OMB 1850-0970.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National Evaluation of the 2019 Comprehensive Centers Program Grantees	Form and Instruction
Data Collection Email Notification Templates_CC Eval.docx	Other-Notification letters
Data Collection Email Notification Templates_CC Eval.docx	Other-Notification letters
Letter from the Director.docx	Other-Notification letters
Letter from the Director.docx	Other-Notification letters
TA Recipient Survey TA Recipient Survey_CC Eval.docx	Form and Instruction
TA Recipient Survey TA Recipient Survey_CC Eval_220420.docx	Form and Instruction
REL Director Interview REL Interview_CC eval.docx	Form and Instruction
REL Director Interview REL Interview_CC eval.docx	Form and Instruction
National Center Interview National Center Interview_CC eval.docx	Form and Instruction
National Center Interview National Center Interview_CC eval.docx	Form and Instruction
Regional Center PreInterview Survey Regional Center Pre-interview Survey_CC Eval.docx	Form and Instruction
Regional Center PreInterview Survey Regional Center Pre-interview Survey_CC Eval.docx	Form and Instruction
Regional Center Interview Regional Center Interview_CC eval.docx	Form and Instruction
Regional Center Interview Regional Center Interview_CC eval.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	TA Recipient Survey	TA Recipient Survey_CC Eval_220420.docx	Yes	Yes	Fillable Printable
Form and Instruction	N/A	REL Director Interview	REL Interview_CC eval.docx	Yes	Yes	Fillable Printable
Form and Instruction	N/A	National Center Interview	National Center Interview_CC eval.docx	Yes	Yes	Fillable Printable
Form and Instruction	N/A	Regional Center PreInterview Survey	Regional Center Pre-interview Survey_CC Eval.docx	Yes	Yes	Fillable Printable
Form and Instruction	N/A	Regional Center Interview	Regional Center Interview_CC eval.docx	Yes	Yes	Fillable Printable
Other-Notification letters			Data Collection Email Notification Templates_CC Eval.docx	Yes	Yes	Fillable Printable
Other-Notification letters			Letter from the Director.docx	Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 259

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	259	259
Annual IC Time Burden (Hours)	106	106
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.