Customer Survey

Evaluation of the Technology-Based Learning Grants

Documents and Forms

Document Name Document Type
Technology Based Learning Eval - Customer Survey, Hardcopy FINAL.doc Other-survey
Technology Based Learning Eval Cover Letter Hardcopy Survey FINAL.doc cover letter, hard copy survey IC Document
Technology Based Learning Eval Cover Page Online Survey FINAL.doc cover page, online survey IC Document
Technology Based Learning Eval PreNotification Letter FINAL.doc pre-notification letter for survey IC Document

Information Collection (IC) Details

IC Title:	Customer Survey	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			Technology Based Learning Eval - Customer Survey, Hardcopy FINAL.doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,050	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,050	1,050
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
cover letter, hard copy survey	Technology Based Learning Eval Cover Letter Hardcopy Survey FINAL.doc	01/05/2011
cover page, online survey	Technology Based Learning Eval Cover Page Online Survey FINAL.doc	01/05/2011
pre-notification letter for survey	Technology Based Learning Eval PreNotification Letter FINAL.doc	01/05/2011

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