CSP_Monitoring_-_CMO_CSP_Form.xlsx

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Data Collection and Grant Monitoring for State Educational Agency and Charter School Management Organization Grantees
Solicitation number
ED-OII-15-R-0014
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CMO Data Collection Form

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Instruction Sheet

Charter Schools Program (CSP)
Office of Innovation and Improvement
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 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 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 for each Federal Fiscal Year that are still receiving 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 XXX 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.
If an electronic copy cannot be sent, please send a paper copy of the completed CSP Data Collection Form to the following address:
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 XXX or call toll-free XXX.
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

Part A-CSP Grant Award

Data Collection Form: Part A – Grant Award Information
Organization Name:
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 organization - 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 schools for each Fiscal Year that are still receiving CSP funds within your project period. On the following worksheets, you will provide information for each of these schools.
Breakdown of Obligated Funds per Fiscal Year:Grant Award AmountSupplemental Award AmountAdministrative ExpendituresNumber of schools funded per Fiscal Year
FY 2010
FY 2011
FY 2012
FY 2013
FY 2014
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 XXXX or call toll-free XXXX.
Please turn to Part B to provide data for each school
OMB Number: 1855-0016 Approval Expires 5/31/2018

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 Federal Fiscal Year. 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, the grades served, enrollment data, 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.
Charter School InformationAuthorized Public Chartering AgencyTotal award amount obligated from ED (from Part A)-->$0$0<--Total FY 2014 award amount from ED (from Part A)$0<--Total FY 2013 award amount from ED (from Part A)$0<--Total FY 2012 award amount from ED (from Part A)$0<--Total FY 2011 award amount from ED (from Part A)$0<--Total FY 2010 award amount from ED (from Part A)
Total administrative expenditures (from Parrt A)-->$0$0<--Total FY 2014 administrative expenditures (from Part A)$0<--Total FY 2013 administrative expenditures (from Part A)$0<--Total FY 2012 administrative expenditures (from Part A)$0<--Total FY 2011 administrative expenditures (from Part A)$0<--Total FY 2010 administrative expenditures (from Part A)
Total school funding amount (sum of column AC)-->$0$0<--Total FY 2014 dollars allocated (sum of column AD)$0<--Total FY 2013 dollars allocated (sum of column AI)$0<--Total FY 2012 dollars allocated (sum of column AN)$0<--Total FY 2011 dollars allocated (sum of column AS)$0<--Total FY 2010 dollars allocated (sum of column AX)
Total award amount remaining from ED (from Part A)-->$0$0<--Total remaining$0<--Total remaining$0<--Total remaining$0<--Total remaining$0<--Total remaining
Minimum total award amount (mininum of column AI)-->$0$0<--Minimum FY 2014 award amount$0<--Minimum FY 2013 award amount$0<--Minimum FY 2012 award amount$0<--Minimum FY 2011 award amount$0
Maximum total award amount (maximum of column AI)-->$0$0<--Maximumt FY 2014 award amount$0<--Maximumt FY 2013 award amount$0<--Maximumt FY 2012 award amount$0<--Maximumt FY 2011 award amount$0
Average total award amount (average of column AI)-->ERROR:#DIV/0!ERROR:#DIV/0!<--Average FY 2014 award amountERROR:#DIV/0!<--Average FY 2013 award amountERROR:#DIV/0!<--Average FY 2012 award amountERROR:#DIV/0!<--Average FY 2011 award amountERROR:#DIV/0!
Number of schools (count of column AI)-->$0$0<--Number of total schools FY 2014$0<--Number of total schools FY 2013$0<--Number of total schools FY 2012$0<--Number of total schools FY 2011$0
LEA InformationF Y 2 0 1 4 F U N D S (10/1/14-9/30/15)F Y 2 0 1 3 F U N D S (10/1/13-9/30/14)F Y 2 0 1 2 F U N D S (10/1/12-9/30/13)F Y 2 0 1 1 F U N D S (10/1/11-9/30/12)F Y 2 0 1 0 F U N D S (10/1/10-9/30/11)
Charter school nameSchool NCES IDaddress line 1address line 2citystatezipcodeLEA nameLEA NCES IDaddress line 1address line 2citystatezipcodeDoes the charter school act as its own LEA?Is it an LEA with only charter schools?Authorizer Type (choose one)Authorizer Nameaddress line 1address line 2citystatezipcodeReplication or ExpansionCSP Funding Period Begin DateCSP Funding Period End DateTotal CSP Funding AmountDollar amount of CSP FundingBeginning date of budget periodEnd date of budget periodGrades Served in 2014-15 (if not opened, enter "0")School enrollment in 2014-15 (if not opened, enter "0")Dollar amount of CSP FundingBeginning date of budget periodEnd date of budget periodGrades Served in 2013-14 (if not opened, enter "0")School enrollment in 2013-14 (if not opened, enter "0")Dollar amount of CSP FundingBeginning date of budget periodEnd date of budget periodGrades Served in 2012-13 (if not opened, enter "0")School enrollment in 2012-13 (if not opened, enter "0")Dollar amount of CSP FundingBeginning date of budget periodEnd date of budget periodGrades Served in 2011-12 (if not opened, enter "0")School enrollment in 2011-12 (if not opened, enter "0")Dollar amount of CSP Funding
School1
School2
School3
School4
School5
School6
School7
School8
School9
School10
School11
School12
School13
School14
School15
School16
School17
School18
School19
School20
School21
School22
School23
School24
School25
School26
School27
School28
School29
School30
School31
School32
School33
School34
School35
School36
School37
School38
School39
School40
School41
School42
School43
School44
School45
School46
School47
School48
School49
School50
School51
School52
School53
School54
School55
School56
School57
School58
School59
School60
School61
School62
School63
School64
School65
School66
School67
School68
School69
School70
School71
School72
School73
School74
School75
School76
School77
School78
School79
School80
School81
School82
School83
School84
School85
School86
School87
School88
School89
School90
School91
School92
School93
School94
School95
School96
School97
School98
School99
School100
School101
School102
School103
School104
School105
School106
School107
School108
School109
School110
School111
School112
School113
School114
School115
School116
School117
School118
School119
School120
School121
School122
School123
School124
School125
School126
School127
School128
School129
School130
School131
School132
School133
School134
School135
School136
School137
School138
School139
School140
School141
School142
School143
School144
School145
School146
School147
School148
School149
School150
School151
School152
School153
School154
School155
School156
School157
School158
School159
School160
School161
School162
School163
School164
School165
School166
School167
School168
School169
School170
School171
School172
School173
School174
School175
School176
School177
School178
School179
School180
School181
School182
School183
School184
School185
School186
School187
School188
School189
School190
School191
School192
School193
School194
School195
School196
School197
School198
School199
School200
School201
School202
School203
School204
School205
School206
School207
School208
School209
School210
School211
School212
School213
School214
School215
School216
School217
School218
School219
School220
School221
School222
School223
School224
School225
School226
School227
School228
School229
School230
School231
School232
School233
School234
School235
School236
School237
School238
School239
School240
School241
School242
School243
School244
School245
School246
School247
School248
School249
School250
School251
School252
School253
School254
School255
School256
School257
School258
School259
School260
School261
School262
School263
School264
School265
School266
School267
School268
School269
School270
School271
School272
School273
School274
School275
School276
School277
School278
School279
School280
School281
School282
School283
School284
School285
School286
School287
School288
School289
School290
School291
School292
School293
School294
School295
School296
School297
School298
School299
School300

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
Department of Contact Person:0
PR/Award #:0
Project Period Begin Date:12/31/99
Project Period End Date:12/31/99
Total Award Amount Obligated:$0
|------------Summarized from Part A------------||------------Summarized from Part B------------|
Breakdown of Obligated Funds per Fiscal Year:Grant Award AmountSupplemental Award AmountNumber of new school awardsMinimum Award Amount per fiscal yearMaximum Award Amount per fiscal yearAverage Award Amount per fiscal year
FY 2010$0$00$0$0ERROR:#DIV/0!
FY 2011$0$00$0$0ERROR:#DIV/0!
FY 2012$0$00$0$0ERROR:#DIV/0!
FY 2013$0$00$0$0ERROR:#DIV/0!
FY 2014$0$00$0$0ERROR:#DIV/0!
Total Number of Current Active School Awards:0$0$0ERROR:#DIV/0!
Comments or questions? Please contact us at XXX or call toll-free XXXX

OMB Number: 1855-0016 Approval Expires 5/31/2018

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