Information Collection

RSN October Convening Customer Survey

IC 204011 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⚠️ Notice: This information collection may be referencing outdated material.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
RSN October Convening Customer Survey	Form
October 2012 Convening - draft eval form 9-11-12.docx	Form
Generic Customer Survey Template.doc Generic Customer Survey Template	IC Document

IC Title:

RSN October Convening Customer Survey

Agency IC Tracking Number:

4932

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	N/A	October 2012 Convening - draft eval form 9-11-12.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: 180

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	180	180
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Customer Survey Template	Generic Customer Survey Template.doc	09/11/2012

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