SEA CSP Form

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Overview

Instruction Sheet
Part A-CSP Grant Award
Part B-CSP Subgrant Awards
Summary Sheet

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Sheet 1: Instruction Sheet

Charter Schools Program (CSP)
Office of Innovation and Improvement
U.S. Department of Education
CSP Data Collection Form
Instructions
Purpose of Data Collection:										The new data collection will collect CSP grant award information from grantees (State Educational Agencies (SEAs) and non-SEAs) to create a new database of data from current applicants receiving a CSP grants. 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. The data collection will assist in carrying out the purpose of the Charter School Program Section 5201 of the ESEA, which is to expand the number of high quality charter schools and increase the national understanding of the charter school model.
For SEAs:										The CSP Data Collection Form has two parts:
										Part A asks for CSP SEA award information. The state name, the state contact person, and the department in which the contact person works 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 CSP subgrants for each Federal Fiscal Year that are still receiving CSP funds within the State's 36 month 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 subgrant award information. Beginning in 2011, we are asking grantees to indicate if the subgrant is operated by a management organization, and to provide information on the charter school authorizer. Charter developer information is no longer required. In all, grantees will provide the following information for each active subgrant within the State's 36 month project period: 1) the name and contact information for the charter school and LEA; 2) the charter school's management organization (CMO, EMO or freestanding); 3) the charter authorizing agency; 4) the total amount of funding an applicant received to start a charter school, along with the beginning and end date of the grant project period and budget periods; 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 state or school name. Please be sure to save a copy of the completed form for your own records.
										If an electronic copy cannot be sent, please send a paper copy of the completed CSP Data Collection Form to the following address:
										WestEd
										Attn: CSP Data Collection
										4665 Lampson Ave.
										Los Alamitos, CA 90720
										Please be sure to make 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:										Public 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. Public reporting burden for this collection of information is estimated to average 2.5 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 (ESEA Section 5205). Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW, Washington, DC 20210-4537 or email ICDocketMgr@ed.gov and reference the OMB Control Number 1855-0016.
OMB Number: 1855-0016 Approval Expires 12/31/201X

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Sheet 2: Part A-CSP Grant Award

		Data Collection Form: Part A: SEA CSP Grant Award Information
State:
State Contact Person:
Department of Contact Person:
PR/Award #:
Project Period Begin Date:
Project Period End Date:
Total Award Amount Obligated:
			The award amount includes the total amount obligated to your state - both the original Grant Awards and any Supplemental Grant Awards - during the current project period. See the breakdown of funds across years below.
			Please list the number of subgrants for each Fiscal Year that are still receiving CSP funds within the State's 36 month project period. On the following worksheets, you will provide grant award information for each of these subgrantees.
			Number of subgrant awards per Fiscal Year
FY 2008
FY 2009
FY 2010
FY 2011
		Total Number of Current Active Subgrants:	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 subgrant
		OMB Number: 1855-0016 Approval Expires 12/31/2011	12/31/201X

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Sheet 3: Part B-CSP Subgrant Awards

Data Collection Form: Part B: SEA CSP Subgrant Award Information
		1) Charter School Contact Information. For each active subgrant, 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 Management. Please indicate if the charter school is operated by a non-profit Charter Management Organization (CMO), a for-profit Education Management Organization (EMO), or is "freestanding" (operated by neither). If operated by a CMO or EMO, please provide the name and contact information.							3) Charter School Authorizer. Please identify the charter authorizer by type and name.							4) Subgrant Award Information. Please provide the breakdown of funds obligated to subgrantees from each Federal Fiscal Year. The total amount obligated across one or more years should equal the Total Subgrant Award Amount for that subgrantee. In addition to providing the breakdown of funds obligated, please list the budget period for the time the funds were obligated, and whether the awards were used for preplanning, planning, implementation or dissemination purposes.																			5) Charter School Operation. Please indicate the school year in which the charter school first enrolled students, and the yearly enrollment data. 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.
		Charter School Information																Charter School Management Organization							Charter School Authorizer								Total award amount obligated from ED (from Part A)-->	$0	$0	<--Total FY 2011 award amount from ED (from Part A)			$0	<--Total FY 2010 award amount from ED (from Part A)			$0	<--Total FY 2009 award amount from ED (from Part A)			$0	<--Total FY 2008 award amount from ED (from Part A)
																																	Total subgrant award amount (sum of column AA)-->	$0	$0	<--Total FY 2011 dollars allocated (sum of column AJ)			$0	<--Total FY 2010 dollars allocated (sum of column AN)			$0	<--Total FY 2009 dollars allocated (sum of column AR)			$0	<--Total FY 2008 dollars allocated (sum of column AV)
																																	Total award amount obligated from ED (from Part A)-->	$0	$0	<--Total remaining			$0	<--Total remaining			$0	<--Total remaining			$0	<--Total remaining
									LEA Information																										F Y 2 0 1 1 F U N D S (8/1/11-7/31/12)				F Y 2 0 1 0 F U N D S (8/1/10-7/31/11)				F Y 2 0 0 9 F U N D S (8/1/09-7/31/10)				F Y 2 0 0 8 F U N D S (8/1/08-7/31/09)
		Charter school name	School NCES ID	address line 1	address line 2	city	state	zipcode	LEA name	LEA 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?	Management Organization Type (choose one)	Management Organization Name ("NA" if Freestanding)	address line 1	address line 2	city	state	zipcode	Authorizer Type (choose one)	Authorizer Name	address line 1	address line 2	city	state	zipcode	Project Period Begin Date	Project Period End Date	Total Subgrant Award Amount Obligated	Dollar amount of subgrant award	Beginning date of subgrant budget period	End date of subgrant budget period	Type of subgrant (choose one)	Dollar amount of subgrant award	Beginning date of subgrant budget period	End date of subgrant budget period	Type of subgrant (choose one)	Dollar amount of subgrant award	Beginning date of subgrant budget period	End date of subgrant budget period	Type of subgrant (choose one)	Dollar amount of subgrant award	Beginning date of subgrant budget period	End date of subgrant budget period	Type of subgrant (choose one)	School year in which the school first enrolled students	School enrollment in 2004-05 (if not opened, enter "0")	School enrollment in 2005-06 (if not opened, enter "0")	School enrollment in 2006-07 (if not opened, enter "0")	School enrollment in 2007-08 (if not opened, enter "0")	School enrollment in 2008-09 (if not opened, enter "0")	School enrollment in 2009-10 (if not opened, enter "0")	School enrollment in 2010-11 (if not opened, enter "0")	School enrollment in 2011-12 (if not opened, enter "0")	School status	If you need to provide any additional information regarding this CSP subgrant, please use the box below. You may also direct comments to us at CSPdatacollection@Wested.org or call toll-free 866-902-4887.
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Sheet 4: Summary Sheet

		Data Collection Form: SEA Summary Sheet
Check your data:	This sheet summarizes the CSP Grant Award Data already provided in Part A and the CSP Subgrant 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.
State:	0
State Contact Person:	0
Department of Contact Person:	0
PR/Award #:	0
Project Period Begin Date:	1/1/1904
Project Period End Date:	1/1/1904
Total Award Amount Obligated:	$0
					|------------Summarized from Part B------------|
		Supplemental Award Amount	Number of subgrant awards per Fiscal Year	Total award amount from ED per fiscal year	Total subgrant award amount per fiscal year	Total remaining
FY 2008	$0	$0	0	$0	$0	$0
FY 2009	$0	$0	0	$0	$0	$0
FY 2010	$0	$0	0	$0	$0	$0
FY 2011	$0	$0	0	$0	$0	$0
		Total Number of Current Active Subgrants:	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 12/31/2011		12/31/201X