National Summer Teacher Institute

Forms and Documents

Document Name	Status
Form NSTI 003 Teacher's Summer Institute Webinar Participant Form and Instruction	New
Form NSTI 002 Teacher Summer Institute Participant Survey Form	New
Form NSTI 001 Summer Teach Institute Application Form and Instruction	Modified
Supporting Statement B 0651-0077 Summer Teacher Institute.docx Supporting Statement B	2014-12-30
Supporting Statement_National TeachersSummer Institute_Dec_2014.doc Supporting Statement A	2014-12-30

IC Document Collections

IC ID	Document Title	Status
214262	Teacher's Summer Institute Webinar Participant Form and Instruction	New
214261	Teacher Summer Institute Participant Survey Form	New
211963	Summer Teach Institute Application Form and Instruction	Modified

ICR Details

OMB Control No: 0651-0077	ICR Reference No: 201408-0651-004
Status: Historical Active	Previous ICR Reference No: 201406-0651-003
Agency/Subagency: DOC/PTO	Agency Tracking No:
Title: National Summer Teacher Institute
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/25/2015
	Date Received in OIRA: 01/02/2015
Terms of Clearance: Docket updated.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2018	36 Months From Approved
Responses	900	0	0
Time Burden (Hours)	292	0	0
Cost Burden (Dollars)	0	0	0

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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.

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

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 62944	10/21/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 31	01/02/2015
Did the Agency receive public comments on this ICR? No

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

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

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ICR Summary 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	0	0	400	0	500
Annual Time Burden (Hours)	292	0	0	42	0	250
Annual Cost Burden (Dollars)	0	0	0	-6,903	0	6,903

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Program is seeking to add a customer satisfaction survey to help guide the development of the Institute program.

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Annual Cost to Federal Government: $1,130

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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

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Common Form ICR:  No

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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: 01/02/2015

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