Experimental Sites Annual Reporting Tool

Experimental Sites Initiative

Documents and Forms

Document Name Document Type
Experimental Sites Annual Reporting Tool Form
Att_PRA Burden Statement.doc Other-Burden Statement
Demographics Worksheet Att_All_Worksheets.pdf Form

Information Collection (IC) Details

IC Title:	Experimental Sites Annual Reporting Tool	Agency IC Tracking Number:	4524

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	Demographics Worksheet	Att_All_Worksheets.pdf		Yes	Yes	Fillable Fileable
Other-Burden Statement			Att_PRA Burden Statement.doc		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 85	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 New Statute	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	85	-14	-10	109
Annual IC Time Burden (Hours)	935	-605	-110	1,650
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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