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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

IC Title:

SSS TA Needs Assessment

Agency IC Tracking Number:

4719

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
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 %

table that charts list of burden
	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

table that charts IC Documents
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.