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

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. 

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.

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.

 For Grantees: The CSP Data Collection Form has two parts:

OMB Number: 1855-0016 Approval Expires 2/28/2015

 Form Submission:

 4665 Lampson Ave.

 Los Alamitos, CA 90720

Please be sure to make a copy of the completed form for your own records.

 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., LBJ4W227, Washington D.C. 20202-2800.

 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.

 Attn: CSP Data Collection

 WestEd

If an electronic copy cannot be sent, please send a paper copy of the completed CSP Data Collection 

Form to the following address:

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 organization's name. Please be 

sure to save a copy of the completed form for your own records.
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 

Amount

Supplemental 

Award Amount

Administrative 

Expenditures Number of schools funded per Fiscal Year

FY 2010

FY 2011

FY 2012

FY 2013

FY 2014

Total Number of Schools Funded: 0

Please turn to Part B to provide data for each school

OMB Number: 1855-0016 Approval Expires 2/28/2015

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. 
Data Collection Form: Part B – School Award Information

Total 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 <--Minimum FY 2010 award amount

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 <--Maximumt FY 2010 award amount

Average total award amount (average of column AI)--> #DIV/0! #DIV/0! <--Average FY 2014 award amount #DIV/0! <--Average FY 2013 award amount #DIV/0! <--Average FY 2012 award amount #DIV/0! <--Average FY 2011 award amount #DIV/0! <--Average FY 2010 award amount

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 <--Number of total schools FY 2010

LEA Information F 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 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? Authorizer Type (choose one) Authorizer Name address line 1 address line 2 city state zipcode Replication or Expansion

CSP Funding Period Begin 

Date CSP Funding Period End Date Total CSP Funding Amount 

Dollar amount of 

CSP Funding

Beginning date of 

budget period 

End date of 

budget period

Grades Served in 

2014-15 (if not 

opened, enter "0")

School enrollment 

in 2014-15 (if not 

opened, enter "0")

Dollar amount of 

CSP Funding

Beginning date of 

budget period 

End date of 

budget period

Grades Served in 

2013-14 (if not 

opened, enter "0")

School enrollment 

in 2013-14 (if not 

opened, enter "0")

Dollar amount of 

CSP Funding

Beginning date of 

budget period 

End date of 

budget period

Grades Served in 

2012-13 (if not 

opened, enter "0")

School enrollment 

in 2012-13 (if not 

opened, enter "0")

Dollar amount of 

CSP Funding

Beginning date of 

budget period 

End date of 

budget period

Grades Served in 

2011-12 (if not 

opened, enter "0")

School enrollment 

in 2011-12 (if not 

opened, enter "0")

Dollar amount of 

CSP Funding

Beginning date of 

budget period 

End date of 

budget period

Grades Served in 

2010-11 (if not 

opened, enter "0")

School enrollment 

in 2010-11 (if not 

opened, enter "0") School Status

School year in 

which the school 

first enrolled 

students or 

planned opening 

date

Grades served 

prior to 

expenditure of 

CSP funds (if not 

opened, enter "0")

School enrollment 

prior to 

expenditure of 

CSP funds (if not 

opened, enter "0") Planned Grades

Planned 

Enrollment

Previous CSP 

Grant (Project 

Grade Levels)

Previous CSP 

Grant (Funding 

amount)

School 1

School 2

School 3

School 4

School 5

School 6

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.

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.

Charter School Information Authorized Public Chartering Agency

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.
Data Collection Form: Part B – School Award Information

School 1

School 2

School 3

School 4

School 5

School 6

Additional Comments.

 If you need to provide any additional information regarding this school, please use the box below. You may also direct 

comments to us at CSPdatacollection@Wested.org or call toll-free 866-902-4887. 
Data Collection Form: Summary Sheet

 Check your data:

Organization Name: 0

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 A------------| |------------Summarized from Part B------------|

Breakdown of Obligated Funds 

per Fiscal Year:

Grant Award 

Amount

Supplemental 

Award Amount

Number of new 

school awards

Minimum Award 

Amount per 

fiscal year

Maximum Award 

Amount per 

fiscal year

Average Award 

Amount per 

fiscal year

FY 2010 $0 $0 0 $0 $0 #DIV/0!

FY 2011 $0 $0 0 $0 $0 #DIV/0!

FY 2012 $0 $0 0 $0 $0 #DIV/0!

FY 2013 $0 $0 0 $0 $0 #DIV/0!

FY 2014 $0 $0 0 $0 $0 #DIV/0!

Total Number of Current Active School Awards: 0 $0 $0 #DIV/0!

Comments or questions? Please contact us at CSPdatacollection@Wested.org, or call toll-free 866-902-4887. 

OMB Number: 1855-0016 Approval Expires 2/28/2015

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.