Information Collection

Parent Survey-Special Education

IC 220180 under ICR 201503-1040-001 · OMB 1040-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1040-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OMB Approved Parent Survey CURRENT.doc	Other-Survey
Justification Form-2015-BIE Parent Survey for 1040-0001revision 02162016.docx Justification Document	IC Document

IC Title:

Parent Survey-Special Education

Agency IC Tracking Number:

CSS-4

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-Survey			OMB Approved Parent Survey CURRENT.doc		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: 4,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,899	4,899
Annual IC Time Burden (Hours)	1,633	1,633
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Document	Justification Form-2015-BIE Parent Survey for 1040-0001revision 02162016.docx	02/19/2016

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