Information Collection

Technical Assistance and Dissemination Survey

IC 198617 under ICR 201107-1850-001 · OMB 1850-0887.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0887 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TAD Appendix A (Part B survey) 072711.docx	Other-Survey
TAD Appendix B (Part C survey) 072711.docx	Other-Survey
TAD Appendix C (Grantee quesionnaire+interview) 072711.docx	Other-Grantee Questionnaire/Intervie

IC Title:

Technical Assistance and Dissemination Survey

Agency IC Tracking Number:

4615

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Yes	Yes	Fillable Fileable
Other-Survey	Yes	Yes	Fillable Fileable
Other-Grantee Questionnaire/Interview	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: 1,035

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	1,035	1,035
Annual IC Time Burden (Hours)	1,028	1,028
Annual IC Cost Burden (Dollars)	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.

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