Information Collection

SSS TA Needs Assessment

IC 199216 under ICR 201106-1800-002 · OMB 1800-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1800-0011 can be found here:

Documents and Forms

Document Name Document Type
SSS TA Needs Assessment Form
S3 Needs Assessment S3_Grantees_LEA_Needs_Assessment_Summary_2011_OMB21 (2).docx Form
Att_Generic_Clearance_OMB_Template_Instrument_NEEDS_ASSESSMENTSK2.docx Generic Customer Survey Template IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SSS TA Needs Assessment	Agency IC Tracking Number:	4719

IC Status: New

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
Form	N/A	S3 Needs Assessment	S3_Grantees_LEA_Needs_Assessment_Summary_2011_OMB21 (2).docx		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: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Customer Survey Template	Att_Generic_Clearance_OMB_Template_Instrument_NEEDS_ASSESSMENTSK2.docx	09/14/2011

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