Information Collection

Coordinator Surveys

IC 213317 under ICR 201409-1850-005 · OMB 1850-0916.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0916 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
State 619 Coord Survey_for OMB Additional Items (3-20-15) Final CLEAN.docx	Other-State Coordinator Survey
District Coordinator survey_for OMB Additional Items (3-20-15) Final CLEAN.docx	Other-District Coordinator Survey

IC Title:

Coordinator Surveys

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-District Coordinator Survey			District Coordinator survey_for OMB Additional Items (3-20-15) Final CLEAN.docx		Yes	Yes	Fillable Fileable
Other-State Coordinator Survey			State 619 Coord Survey_for OMB Additional Items (3-20-15) Final CLEAN.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,251

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,251	1,251
Annual IC Time Burden (Hours)	1,226	1,226
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.