21st CCLC facilitator interview

Maker/STEM Education Support for 21st Century Community Learning Centers Program Evaluation

Documents and Forms

Document Name Document Type
Form 21st CCLC facilita 21st CCLC facilitator interview Form and Instruction
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
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

IC Title:	21st CCLC facilitator interview	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	Change Due to Potential Violation of the PRA
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.