CSP Data Collection Form - Replication and Expansion (R&

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Overview

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

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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 CSPdatacollection@wested.org. 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 CSPdatacollection@Wested.org, 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, Nicoisa.Jones@ed.gov directly.
OMB Number: 1855-0016 Approval Expires 7/31/2021

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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 CSPdatacollection@Wested.org, 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)

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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 CSPdatacollection@Wested.org 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
School	112																											$0.00
School	113																											$0.00
School	114																											$0.00
School	115																											$0.00
School	116																											$0.00
School	117																											$0.00
School	118																											$0.00
School	119																											$0.00
School	120																											$0.00
School	121																											$0.00
School	122																											$0.00
School	123																											$0.00
School	124																											$0.00
School	125																											$0.00
School	126																											$0.00
School	127																											$0.00
School	128																											$0.00
School	129																											$0.00
School	130																											$0.00
School	131																											$0.00
School	132																											$0.00
School	133																											$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
School	140																											$0.00
School	141																											$0.00
School	142																											$0.00
School	143																											$0.00
School	144																											$0.00
School	145																											$0.00
School	146																											$0.00
School	147																											$0.00
School	148																											$0.00
School	149																											$0.00
School	150																											$0.00
School	151																											$0.00
School	152																											$0.00
School	153																											$0.00
School	154																											$0.00
School	155																											$0.00
School	156																											$0.00
School	157																											$0.00
School	158																											$0.00
School	159																											$0.00
School	160																											$0.00
School	161																											$0.00
School	162																											$0.00
School	163																											$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
School	178																											$0.00
School	179																											$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
School	186																											$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
School	227																											$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
School	238																											$0.00
School	239																											$0.00
School	240																											$0.00
School	241																											$0.00
School	242																											$0.00
School	243																											$0.00
School	244																											$0.00
School	245																											$0.00
School	246																											$0.00
School	247																											$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

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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 CSPdatacollection@Wested.org, or call toll-free 866-902-4887.
		OMB Number: 1855-0016 Approval Expires 7/31/2021