Distance Monitoring Data Collection in Support of the Computer & Information Science & Engineerings Pathways to a Revitalized Undergraduate Computing Education Program (CPATH)

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⚠️ Notice: This information collection may be referencing outdated material.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
CPATH Generic OMB Package_Appendix A_Data Collection Form.doc Other-Survey
CPATH Generic OMB Package_Appendix B_Screen Shots.doc Other-Screen shots for the survey
CPATH Generic OMB Package_Appendix C_Survey Emails.doc Other-Emails to PIs
Appendix A_2011 Monitoring Survey.docx Other-Revised Survey
Appendix B_2011 Monitoring Survey-Screen Shots.docx Other-Screen shots
Appendix C_2011 Monitoring Survey_EHR Generic Crosswalk.docx Other-Crosswalk
Appendix D_2011 Monitoring Survey_Survey Emails.docx Other-Survey emails
CPATH Generic OMB Package_Statement A_09-16-09.doc Supporting Statement, Section A IC Document
CPATH Generic OMB Package_Statement B_09-16-09.doc Supporting Statement, Section B IC Document
CPATH Generic OMB Package_Statement A.docx Revised Supporting Statement, Section A IC Document
CPATH Generic OMB Package_Statement B.docx Revised Supporting Statement, Section B IC Document

Information Collection (IC) Details

IC Title:	Distance Monitoring Data Collection in Support of the Computer & Information Science & Engineerings Pathways to a Revitalized Undergraduate Computing Education Program (CPATH)	Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	CPATH Generic OMB Package_Appendix A_Data Collection Form.doc	Yes	Yes	Fillable Fileable
Other-Screen shots for the survey	CPATH Generic OMB Package_Appendix B_Screen Shots.doc	Yes	Yes	Fillable Fileable
Other-Emails to PIs	CPATH Generic OMB Package_Appendix C_Survey Emails.doc	Yes	No	Printable Only
Other-Screen shots	Appendix B_2011 Monitoring Survey-Screen Shots.docx	No		Paper Only
Other-Crosswalk	Appendix C_2011 Monitoring Survey_EHR Generic Crosswalk.docx	No		Paper Only
Other-Survey emails	Appendix D_2011 Monitoring Survey_Survey Emails.docx	No		Paper Only
Other-Revised Survey	Appendix A_2011 Monitoring Survey.docx	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 76	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	76	16	60
Annual IC Time Burden (Hours)	228	48	180
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement, Section A	CPATH Generic OMB Package_Statement A_09-16-09.doc	11/04/2009
Supporting Statement, Section B	CPATH Generic OMB Package_Statement B_09-16-09.doc	11/04/2009
Revised Supporting Statement, Section A	CPATH Generic OMB Package_Statement A.docx	01/20/2011
Revised Supporting Statement, Section B	CPATH Generic OMB Package_Statement B.docx	01/20/2011

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