Information Collection

Experimental Sites Data Collection Instrument

IC 207181 under ICR 201306-1845-002 · OMB 1845-0118.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0118 can be found here:

Documents and Forms

Document Name Document Type
Form 99 Experimental Sites Data Collection Instrument Form and Instruction
99 ESI Data Collection Instrument ESI Reporting Templates Exp 3-8 to OMB.xlsx expeirmentalsites.ed.gov Form and Instruction
PRA_Burden_Statement[1].doc PRA_Burden_Statement[1] IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Experimental Sites Data Collection Instrument	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 1094a (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	99	ESI Data Collection Instrument	ESI Reporting Templates Exp 3-8 to OMB.xlsx	https://expeirmentalsites.ed.gov	No	No	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	275	275
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PRA_Burden_Statement[1]	PRA_Burden_Statement[1].doc	05/29/2013

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