Information Collection

ELI 6 Survey

IC 198498 under ICR 201107-3135-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ELI 6 Survey	Form and Instruction
ELI 6 Survey ELI 6 postsurvey.docx	Form and Instruction

IC Title:

ELI 6 Survey

Agency IC Tracking Number:

Is this a Common Form? No

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	ELI 6 Survey	ELI 6 postsurvey.docx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Exhibition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	3,000	3,000

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.