Information Collection

Evaluation of Full-Service Community Schools: School Surveys and Administrative Data Collection Form

IC 263902 under ICR 202312-1850-001 · OMB 1850-0995.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Evaluation of Full-Service Community Schools: School Surveys and Administrative Data Collection Form	Form and Instruction
FY23 Baseline School Survey Appendix D1. FY 2023 Baseline Partner School Survey.docx	Form and Instruction
FY23 Baseline School Survey Appendix D1. FY 2023 Baseline Partner School Survey.docx	Form and Instruction
FY23 Interim School Survey Appendix D2. FY 2023 Interim Partner School Survey.docx	Form and Instruction
FY23 Interim School Survey Appendix D2. FY 2023 Interim Partner School Survey.docx	Form and Instruction
Administrative Data Collection Form Appendix A. State and District Interim Administrative Data Request Form.docx	Form and Instruction
Administrative Data Collection Form Appendix A. State and District Interim Administrative Data Request Form.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	NA	FY23 Baseline School Survey	Appendix D1. FY 2023 Baseline Partner School Survey.docx	Yes	Yes	Fillable Fileable
Form and Instruction	NA	FY23 Interim School Survey	Appendix D2. FY 2023 Interim Partner School Survey.docx	Yes	Yes	Fillable Fileable
Form and Instruction	NA	Administrative Data Collection Form	Appendix A. State and District Interim Administrative Data Request Form.docx	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 464

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	464	464
Annual IC Time Burden (Hours)	484	484
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.