RSN Evaluation Expert Form

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1880-0542 can be found here:

Documents and Forms

Document Name Document Type
RSN Evaluation Expert Form Form
RSN Expert Convening-meeting feedback form 7-29-13.docx Form
Generic Template for RSN Evaluation Expert Form 7-29-13.docx Generic Customer Survey Template IC Document

Information Collection (IC) Details

IC Title:	RSN Evaluation Expert Form	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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	N/A	RSN Expert Convening-meeting feedback form 7-29-13.docx		No	No	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	120	0	0	0	0	0
Annual IC Time Burden (Hours)	10	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Customer Survey Template	Generic Template for RSN Evaluation Expert Form 7-29-13.docx	11/04/2013

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