Information Collection

State Level Participants

IC 212943 under ICR 201409-1875-001 · OMB 1875-0273.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Case studies TO17 OMB Appendix D state protocol (8-21-14).docx	Other-protocol
Case StudiesTO 17 OMB Appendix C (doc review protocol).docx	Other-review protocol

IC Title:

Agency IC Tracking Number:

2028.01

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-protocol			Case studies TO17 OMB Appendix D state protocol (8-21-14).docx		No		Paper Only
Other-review protocol			Case StudiesTO 17 OMB Appendix C (doc review protocol).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: 11

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	11	11
Annual IC Time Burden (Hours)	15	15
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.