Parent Survey-Special Education

DOI Programmatic Clearance for Customer Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Parent Survey-Special Education	Agency IC Tracking Number:	CSS-4

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.