Information Collection

Class Evaluation

IC 44187 under ICR 201310-3095-002 · OMB 3095-0023.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
combined catalog master 02Aug10.doc	Instruction
NA 2019 Evaluation EXAMPLE 1.doc	Form
NA 2019 Evaluation EXAMPLE 2.docx	Form
MA 2019 Evaluation EXAMPLE 3.doc	Form
slightburdenincrease2013.docx slightburdenincrease2013	IC Document

IC Title:

Class Evaluation

Agency IC Tracking Number:

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	Available Electronically?	Electronic Capability
Form	NA 2019	Evaluation	EXAMPLE 1.doc	No	Fillable Printable
Form	NA 2019	Evaluation	EXAMPLE 2.docx	No	Fillable Printable
Form	MA 2019	Evaluation	EXAMPLE 3.doc	No	Fillable Printable
Instruction			combined catalog master 02Aug10.doc	No	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	7,000	170	6,830
Annual IC Time Burden (Hours)	583	14	569
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
slightburdenincrease2013	slightburdenincrease2013.docx	10/31/2013

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