Information Collection

Contact Us Forms

IC 179427 under ICR 201206-1850-001 · OMB 1850-0788.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0788 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1850-0788 4867 Attachment 01-03 Contact Us Forms.pdf	Other-forms,etc

IC Title:

Agency IC Tracking Number:

4867

Is this a Common Form? No

IC Status: Modified

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-forms,etc			1850-0788 4867 Attachment 01-03 Contact Us Forms.pdf		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: 350

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	350	50	0	300
Annual IC Time Burden (Hours)	18	0	3	15
Annual IC Cost Burden (Dollars)	0	0	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.