Information Collection

Grantee, Contractor, and Local Evaluator Protocol

IC 200121 under ICR 201109-1875-001 · OMB 1875-0264.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att_1875-NEW 4647 Protocol Instrument.docx	Other-protocol

IC Title:

Agency IC Tracking Number:

4647

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
Other-protocol					No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 491

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	491	491
Annual IC Time Burden (Hours)	486	486
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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