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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.