Information Collection

Louis Stokes Alliances for Minority Participation Monitoring System (LSAMP)

IC 196659 under ICR 201102-3145-001 · OMB 3145-0136.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2011_LSAMP_AppendixA_Screenshots_20110705.doc	Other-Survey
2011_LSAMP_AppendixB_Crosswalk_20110107.doc LSAMP Monitoring System Crosswalk	IC Document
2011_LSAMP_AppendixC_SampleCorrespondence_20110107.doc LSAMP Monitoring System Sample Correspondence	IC Document
2011_LSAMP_SupportingStatement.doc LSAMP Supporting Statement	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

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
Other-Survey			2011_LSAMP_AppendixA_Screenshots_20110705.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 529

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	529	529
Annual IC Time Burden (Hours)	13,754	13,754
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
LSAMP Monitoring System Crosswalk	2011_LSAMP_AppendixB_Crosswalk_20110107.doc	03/03/2011
LSAMP Monitoring System Sample Correspondence	2011_LSAMP_AppendixC_SampleCorrespondence_20110107.doc	03/03/2011
LSAMP Supporting Statement	2011_LSAMP_SupportingStatement.doc	07/08/2011

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