NeRAED Provider & Dropout Surveys

Nebraska Rural Area Eligibility Determination Pilot

Documents and Forms

Document Name Document Type
NeRAED Provider Survey.doc Other-Survey
NeRAED Dropout Survey.doc Other-Survey

Information Collection (IC) Details

IC Title:	NeRAED Provider & Dropout Surveys	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-Survey			NeRAED Provider Survey.doc		Yes	Yes	Fillable Fileable
Other-Survey			NeRAED Dropout Survey.doc		No		Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 632	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 40 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	632	632
Annual IC Time Burden (Hours)	405	405
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.