Information Collection

Experimental Sites Annual Reporting Tool

IC 185558 under ICR 201106-1845-001 · OMB 1845-0066.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.