Statewide AT Customer Satisfaction Survey

Annual Performance Report for the State Grant for Assistive Technology Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0042 can be found here:

Documents and Forms

Document Name Document Type
Statewide AT Customer Satisfaction Survey Form and Instruction
SGAT Customer Survey 1820-0572 SGAT_572_Customer_Survey.doc rsa.ed.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Statewide AT Customer Satisfaction Survey	Agency IC Tracking Number:	1140.19

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 76

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	SGAT Customer Survey	1820-0572 SGAT_572_Customer_Survey.doc	rsa.ed.gov	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: 95,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	95,200	95,200
Annual IC Time Burden (Hours)	3,967	3,967
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.