Information Collection

Survey for Center (Site) Coordinators (Grades Preschool-Grade 3)

IC 194805 under ICR 201103-1810-002 · OMB 1810-0707.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey for Center (Site) Coordinators (Grades Preschool-Grade 3)	Form and Instruction
Survey for Center (Site) Coordinators Att_EC_Site_Coordinator_Survey 10 05 2010.doc	Form and Instruction
Att_Permission form for Site Coordinator survey 10 05 10.doc Permission Form for Site Coordinator Survey	IC Document

IC Title:

Agency IC Tracking Number:

4547

Is this a Common Form? No

IC Status: Modified

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 and Instruction	N/A	Survey for Center (Site) Coordinators	Att_EC_Site_Coordinator_Survey 10 05 2010.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 82 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Permission Form for Site Coordinator Survey	Att_Permission form for Site Coordinator survey 10 05 10.doc	03/11/2011

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