Information Collection

WHIAAPI Customer Surveys

IC 211212 under ICR 201107-1880-001 · OMB 1880-0542.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
WHIAAPI Customer Surveys	Form
Overall Evaluation Questions for roundtables and summits FINAL.docx	Form
Pre and Post Survey FINAL.docx	Form
Technology Platform Evaluation FINAL.docx	Form
WHIAAPI Overall Evaluation Clearance Form.docx WHIAAPI Overall Evaluation Clearance Form	IC Document
WHIAAPI Pre and Post Survey Clearance Form.docx WHIAAPI Pre and Post Survey Clearance Form	IC Document
WHIAAPI Technology Access Evaluation Clearance Form.docx WHIAAPI Technology Access Evaluation Clearance Form	IC Document

IC Title:

WHIAAPI Customer Surveys

Agency IC Tracking Number:

1795.68

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	N/A	Overall Evaluation Questions for roundtables and summits FINAL.docx	Yes	Yes	Fillable Fileable
Form	N/A	N/A	Pre and Post Survey FINAL.docx	Yes	Yes	Fillable Fileable
Form	N/A	N/A	Technology Platform Evaluation FINAL.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: 120

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	120	120
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
WHIAAPI Overall Evaluation Clearance Form	WHIAAPI Overall Evaluation Clearance Form.docx	04/10/2014
WHIAAPI Pre and Post Survey Clearance Form	WHIAAPI Pre and Post Survey Clearance Form.docx	04/10/2014
WHIAAPI Technology Access Evaluation Clearance Form	WHIAAPI Technology Access Evaluation Clearance Form.docx	04/10/2014

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