Information Collection

MSURSD Contact Information Survey Request

IC 225172 under ICR 201605-1845-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
MSURSD Contact Information Survey Request	Form and Instruction
Contact Information Request FINAL.pdf	Form and Instruction
Template for Contact Information Survey FINAL.doc Generic Template	IC Document

IC Title:

MSURSD Contact Information Survey Request

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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
Form and Instruction	N/A	N/A	Contact Information Request FINAL.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 700

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	700	700
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Template	Template for Contact Information Survey FINAL.doc	01/17/2017

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