Information Collection

Educator Outcome Survey (Follow-up)

IC 203501 under ICR 201207-0920-010 · OMB 0920-0941.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0941 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Educator Outcome Survey (Follow-up)	Form and Instruction
Attachment F Educator Outcome Survey (Follow-up) Atmt_F_Educator_ Outcome_Survey_Follow-Up.docx	Form and Instruction
Atmt RRR Screen Shots Educator Survey_11-22-11 BT.doc Atmt RRR Screen Shots Educator Survey_11-22-11 BT	IC Document

IC Title:

Educator Outcome Survey (Follow-up)

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	None	Attachment F Educator Outcome Survey (Follow-up)	Atmt_F_Educator_ Outcome_Survey_Follow-Up.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,584

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,584	1,584
Annual IC Time Burden (Hours)	792	792
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Atmt RRR Screen Shots Educator Survey_11-22-11 BT	Atmt RRR Screen Shots Educator Survey_11-22-11 BT.doc	02/27/2012

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