Experimental Sites Annual Reporting Tool

Experimental Sites Initiative - Data Collection Instrument (JH)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0066 can be found here:

Documents and Forms

Document Name Document Type
Experimental Sites Annual Reporting Tool Form
Demographics Worksheet Experimental Sites Initiative.htm Form

Information Collection (IC) Details

IC Title:	Experimental Sites Annual Reporting Tool	Agency IC Tracking Number:	3674

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Demographics Worksheet	Experimental Sites Initiative.htm		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 109	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	109	109
Annual IC Time Burden (Hours)	1,650	1,650
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.