Information Collection

OCR Technical Assistance Evaluation Form

IC 187563 under ICR 200911-1800-001 · OMB 1800-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1800-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OCR Technical Assistance Evaluation Form	Form
OCR Technical Assistance Evaluation Form TA EVALUATION FORM.doc	Form
Survey Form.doc Documentation for the Generic Clearance of Customer Service Satisfaction Collections	IC Document

IC Title:

OCR Technical Assistance Evaluation Form

Agency IC Tracking Number:

03922

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	OCR Technical Assistance Evaluation Form	TA EVALUATION FORM.doc		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 700

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Documentation for the Generic Clearance of Customer Service Satisfaction Collections	Survey Form.doc	12/17/2008

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