Information Collection

Correspondence Match Educator Online Enrollment Form: Educator Sign Up Form

IC 181387 under ICR 201012-0420-001 · OMB 0420-0540.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0540 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PC-DP-969.5 Correspondence Match Educator Online Enrollment Form: Educator Sign Up Form Correspondence Match Educator Online Enrollment Form: Educator Sign Up Form	Form
PC-DP-969.5 Correspondence Match Educator Online Enrollment Form: Ed wws_cm_educ.pdf	Form

IC Title:

Correspondence Match Educator Online Enrollment Form: Educator Sign Up Form

Agency IC Tracking Number:

Is this a Common Form? No

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	PC-DP-969.5				Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	1,667	1,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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