Information Collection

Defaulted Questionnaire

IC 190706 under ICR 201004-1845-002 · OMB 1845-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0045 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Defaulted Questionnaire	Form and Instruction
Default Survey Att_FSA default Survey - 2009 - final final.doc	Form and Instruction
Att_Generic Clearance Template.doc Customer Survey Template	IC Document

IC Title:

Defaulted Questionnaire

Agency IC Tracking Number:

4136

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 and Instruction	N/A	Default Survey	Att_FSA default Survey - 2009 - final final.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Customer Survey Template	Att_Generic Clearance Template.doc	09/17/2009

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