Information Collection

E-Complaint Form

IC 213261 under ICR 201409-1880-002 · OMB 1880-0544.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1880-0544 can be found here:

Documents and Forms

Document Name Document Type
E-Complaint Form Form and Instruction
E-Complaint Form ED.EMVC.001.1. (v4).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	E-Complaint Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 34 CFR 99

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	E-Complaint Form	ED.EMVC.001.1. (v4).pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: Privacy Act of 1974; Systems of Records Family Educational Rights and Privacy Act (FERPA) and Protection of Pupil Rights Amendment (PPRA) Record Systems	FR Citation: 64 FR 30107

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.