SRC Chairperson Questionnaire

Assessing the Needs of State Vocational Rehabilitation Agencies and State Rehabilitation Councils for Technical Assistance

Documents and Forms

Document Name Document Type
SRC Chairperson Questionnaire Form and Instruction
SRC Chairperson Questionnaire Att_Questionnaire2SRCchairperson.doc Form and Instruction

Information Collection (IC) Details

IC Title:	SRC Chairperson Questionnaire	Agency IC Tracking Number:	3256

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
Form and Instruction	N/A	SRC Chairperson Questionnaire	Att_Questionnaire2SRCchairperson.doc		Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 79	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	79	79
Annual IC Time Burden (Hours)	158	158
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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