Information Collection

Art For The Parks Program Evaluation

IC 221091 under ICR 201503-1090-001 · OMB 1090-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1090-0011 - Survey Instrument - AK Art for Parks Eval 04062016.docx	Other-Survey
1090-0011 - Submission Template - AK Art For Parks Eval 03082016.docx Justification Document	IC Document
1090-0011 - Initial Contact Email - AK Art For Parks Eval 03082016.docx Introductory E-mail	IC Document
1090-0011 - Reminder Email - AK Art For Parks Eval 03082016.docx Reminder E-mail	IC Document

IC Title:

Art For The Parks Program Evaluation

Agency IC Tracking Number:

FT - 33

IC Status: New

Obligation to Respond: Mandatory

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			1090-0011 - Survey Instrument - AK Art for Parks Eval 04062016.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: 25

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	25	25
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Document	1090-0011 - Submission Template - AK Art For Parks Eval 03082016.docx	04/14/2016
Introductory E-mail	1090-0011 - Initial Contact Email - AK Art For Parks Eval 03082016.docx	04/14/2016
Reminder E-mail	1090-0011 - Reminder Email - AK Art For Parks Eval 03082016.docx	04/14/2016

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