CSP SEA Data Collection Form

Expanding Opportunity through Quality Charter Schools Program: Technical Assistance to Support Monitoring, Evaluation, Data Collection, and Dissemination of Best Practices

18550016 CSPDataCollectionForm_SEA17.xlsx

Expanding Opportunity through Quality Charter Schools Program: Technical Assistance to Support Monitoring, Evaluation, Data Collection, and Dissemination of Best Practices

OMB: 1855-0016

Document [xlsx]
Download: xlsx | pdf

Overview

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


Sheet 1: Instruction Sheet

Charter Schools Program (CSP)
Office of Innovation and Improvement
U.S. Department of Education
CSP Data Collection Form - State Education Agency (SEA) Grantees
Instructions
Purpose of Data Collection: The new data collection will collect CSP grant award information from SEA grantees to create a new database of subgrant award data. 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 grantee award information. The state name, the state 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 CSP subgrantees for each Federal Fiscal Year that still receive 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 the name of the authorized public chartering agency. 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 authorized public chartering 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 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: 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. The time required to complete this information collection is estimated to average 127 hours per response, including the time to review instructions, search existing data resources, gather the data needed and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, D.C. 20202-4537. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: U.S. Department of Education, Office of Innovation and Improvement 400 Maryland Avenue, S.W., LBJ-4W227, Washington D.C. 20202-2800.
OMB Number: 1855-0016 Approval Expires 5/31/2018

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: $0



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 project period. On the following worksheets, you will provide grant award information for each of these subgrantees.
Number of new subgrant awards per Fiscal Year
FY 2013


FY 2014


FY 2015


FY 2016


FY 2017




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 5/31/2018

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) Authorized Public Chartering Agency. Please identify the charter authorizer by type and name. 4) Subgrant Award Information. Please provide the breakdown of funds obligated to subgrantees within each Federal Fiscal Year. The total amount obligated across one or more years will equal the Total Subgrant Award Amount Obligated (column AI) for that subgrantee. The Total Subgrant Payments (column AJ) should equal the total amount dispersed to each subgrantee to date. Projected Subgrant Commitments (column AK) are future obligations and payments anticipated over the grant project period. 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. When providing the status of the charter school, please explain the circumstances surrounding schools that have "Closed" or are expected to open in the "Future" (e.g., a charter was not approved or revoked, or the opening was delayed due to facilities issues, etc.).
Additional Comments.


Charter School Information








Charter School Management Organization




Authorized Public Chartering Agency





Total award amount obligated from ED (from Part A)--> $0
Projected Grant Commitments $0 <--Total FY 2017 award amount from ED (from Part A)

$0 <--Total FY 2016 award amount from ED (from Part A)

$0 <--Total FY 2015 award amount from ED (from Part A)

$0 <--Total FY 2014 award amount from ED (from Part A)

$0 <--Total FY 2013 award amount from ED (from Part A)






































Total subgrant award amount (sum of column AI)--> $0 Grant Payments $0 <--Total FY 2017 dollars allocated (sum of column AL)

$0 <--Total FY 2016 dollars allocated (sum of column AP)

$0 <--Total FY 2015 dollars allocated (sum of column AT)

$0 <--Total FY 2014 dollars allocated (sum of column AX)

$0 <--Total FY 2013 dollars allocated (sum of column BB)






































Total award amount remaining from ED (from Part A)--> $0 $0 $0 $0 <--Total remaining

$0 <--Total remaining

$0 <--Total remaining

$0 <--Total remaining

$0 <--Total remaining


















LEA Information






















F Y 2 0 1 7 F U N D S (8/1/17-7/31/18)


F Y 2 0 1 6 F U N D S (8/1/16-7/31/17)


F Y 2 0 1 5 F U N D S (8/1/15-7/31/16)


F Y 2 0 1 4 F U N D S (8/1/14-7/31/15)


F Y 2 0 1 3 F U N D S (8/1/13-7/31/14)



















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 (calculated from amounts provided in each FY) Total Subgrant Payments Total Projected Subgrant Commitments 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) 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 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 enrollment in 2012-13 (if not opened, enter "0") School enrollment in 2013-14 (if not opened, enter "0") School enrollment in 2014-15 (if not opened, enter "0") School enrollment in 2015-16 (if not opened, enter "0") School enrollment in 2016-17 (if not opened, enter "0") School enrollment in 2017-18 (if not opened, enter "0") School status (if "Closed" or "Future" please explain in next column) School status explained 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.
Subgrant 1































$0.00




































Subgrant 2































$0.00




































Subgrant 3































$0.00




































Subgrant 4































$0.00




































Subgrant 5































$0.00




































Subgrant 6































$0.00




































Subgrant 7































$0.00




































Subgrant 8































$0.00




































Subgrant 9































$0.00




































Subgrant 10































$0.00




































Subgrant 11































$0.00




































Subgrant 12































$0.00




































Subgrant 13































$0.00




































Subgrant 14































$0.00




































Subgrant 15































$0.00




































Subgrant 16































$0.00




































Subgrant 17































$0.00




































Subgrant 18































$0.00




































Subgrant 19































$0.00




































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$0.00




































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$0.00




































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$0.00




































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$0.00




































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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 2013 $0 $0 0 $0 $0 $0
FY 2014 $0 $0 0 $0 $0 $0
FY 2015 $0 $0 0 $0 $0 $0
FY 2016 $0 $0 0 $0 $0 $0
FY 2017 $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 5/31/2018



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