Information Collection

2016-17 Campus Ambassadors Program Feedback

IC 226556 under ICR 201606-0420-006 · OMB 0420-0545.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0545 can be found here:

Documents and Forms

Document Name Document Type
Form PC-2169 2016-17 Campus Ambassadors Program Feedback Form and Instruction
PC-2169 2016-17 CA Feedback Survey 2016-17 CA Feedback Survey Updated3.pdf Form and Instruction
Campus Ambassador Feedback Survey.docx Fast Track request form IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2016-17 Campus Ambassadors Program Feedback	Agency IC Tracking Number:	PC-2169

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	PC-2169	2016-17 CA Feedback Survey	2016-17 CA Feedback Survey Updated3.pdf		Yes	Yes	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 470	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	470	470
Annual IC Time Burden (Hours)	39	39
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track request form	Campus Ambassador Feedback Survey.docx	05/04/2017

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