Self-Evaluation Indicator System (SEIS) Historical Black Colleges and Universities Undergraduate Program (HBCU-UP) for Awardees

EHR Generic Clearance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3145-0136 can be found here:

Documents and Forms

Document Name Document Type
shuSEIS2007.xls Other-Survey
SupportingStatement.doc SEIS HBCU-UP Supporting Statement IC Document
Task_Crosswalk_for_OMB_3145.pdf SEIS HBCU-UP Crosswalk IC Document
Release Form OMB approved.pdf SEIS HBCU-UP Release Form IC Document

Information Collection (IC) Details

IC Title:	Self-Evaluation Indicator System (SEIS) Historical Black Colleges and Universities Undergraduate Program (HBCU-UP) for Awardees	Agency IC Tracking Number:

IC Status: Unchanged

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			shuSEIS2007.xls		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 112	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	112	112
Annual IC Time Burden (Hours)	2,016	2,016
Annual IC Cost Burden (Dollars)	4,816	4,816

Documents for IC

Title	Document	Date Uploaded
SEIS HBCU-UP Supporting Statement	SupportingStatement.doc	12/10/2007
SEIS HBCU-UP Crosswalk	Task_Crosswalk_for_OMB_3145.pdf	12/10/2007
SEIS HBCU-UP Release Form	Release Form OMB approved.pdf	12/10/2007

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