Information Collection

Case Site Interviews

IC 203000 under ICR 201207-1875-001 · OMB 1875-0271.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
App B1-Adm Interview protocol 9-12-12.docx	Other-interview
App B2-Provider Interview protocol 9-12-12.docx	Other-interview
App C-Interview Info Sheet 9-12-12.docx	Other-interview

IC Title:

Agency IC Tracking Number:

4831

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	Instrument File	Available Electronically?	Electronic Capability
Other-interview	App B1-Adm Interview protocol 9-12-12.docx	No	Paper Only
Other-interview	App B2-Provider Interview protocol 9-12-12.docx	No	Paper Only
Other-interview	App C-Interview Info Sheet 9-12-12.docx	No	Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 126

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	126	126
Annual IC Time Burden (Hours)	258	258
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.