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

Evaluation of Full-Service Community Schools

Documents and Forms

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

Information Collection (IC) Details

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

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 %

	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

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.