Information Collection

Postsecondary Education Complaint Intake System

IC 206946 under ICR 201305-0704-004 · OMB 0704-0501.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0501 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD 2961 Student Complaint Intake Postsecondary Education Complaint Intake System	Form
DoD_Postsecondary_Education_Complaint_System_Management_Process.pdf	Other-Case Mgmt Screen Shot
DoD Postsecondary Eduction Complaint Intake Images_4 3 13.pdf	Other-Intake Screen Shot
PRA_Agency Disclosure Notice_revised11Apr2013.doc	Other-ADN
DRAFT DoD PECS user guide.pdf	Other-User Guide
DD 2961 Student Complaint Intake ddx640_initial draft complaint form.pdf	Form

IC Title:

Postsecondary Education Complaint Intake System

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 32 CFR 68

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD 2961	Yes	Yes	Fillable Fileable
Other-Case Mgmt Screen Shot		Yes	Yes	Fillable Fileable
Other-Intake Screen Shot		Yes	Yes	Fillable Fileable
Other-ADN		Yes	Yes	Fillable Fileable
Other-User Guide		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

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 New Statute
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	450	450

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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