Louis Stokes Alliance for Minority Participation Program (LSAMP) Evaluation - LSAMP Director

Request for Clearance of Data Collection for the Evaluation of the National Science Foundation Administered Program: Louis Stokes Alliance for Minority Participation (LSAMP)

Documents and Forms

Document Name Document Type
AppendixStaffandDirectorInterviewProtocol.docx Other-Interview Protocol
LSAMP.StaffInterviewParticipationEmailText.docx LSAMP Email IC Document
LSAMP - Director and StaffInterviewConsentForm.docx LSAMP Consent IC Document

Information Collection (IC) Details

IC Title:	Louis Stokes Alliance for Minority Participation Program (LSAMP) Evaluation - LSAMP Director	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview Protocol			AppendixStaffandDirectorInterviewProtocol.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	98	98
Annual IC Cost Burden (Dollars)	4,810	4,810

Documents for IC

Title	Document	Date Uploaded
LSAMP Email	LSAMP.StaffInterviewParticipationEmailText.docx	05/12/2025
LSAMP Consent	LSAMP - Director and StaffInterviewConsentForm.docx	05/12/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.