Information Collection

Potential Adult Student On-line Survey

IC 221902 under ICR 201510-1845-012 · OMB 1845-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0045 can be found here:

Documents and Forms

Document Name Document Type
Potential Adult Student On-line Survey Form and Instruction
Potential Adult College Student Online Survey 2016-06-03.docx Form and Instruction
OMB Clearance Form Potential Adult College Students Online Survey 6 10 16.doc Generic Template IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Potential Adult Student On-line Survey	Agency IC Tracking Number:

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
Form and Instruction	NA	NA	Potential Adult College Student Online Survey 2016-06-03.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	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	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Template	OMB Clearance Form Potential Adult College Students Online Survey 6 10 16.doc	06/13/2016

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