Information Collection

Collection of Student Demographics for Teacher Survey (EDI)

IC 220621 under ICR 201603-0970-009 · OMB 0970-0373.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0373 can be found here:

Documents and Forms

Document Name Document Type
Attachment U_Teacher Survey (EDI) Demographic Data Export Form.xls Other-Data export form
Attachment T_Teacher Survey (EDI) Demographic Data Export Instructions.docx Teacher Survey (EDI) Dem Data Export Instructions IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Collection of Student Demographics for Teacher Survey (EDI)	Agency IC Tracking Number:

Is this a Common Form? No		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-Data export form			Attachment U_Teacher Survey (EDI) Demographic Data Export Form.xls		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Teacher Survey (EDI) Dem Data Export Instructions	Attachment T_Teacher Survey (EDI) Demographic Data Export Instructions.docx	03/15/2016

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