Information Collection

National Data Exchange (N-DEx) Distance Learning Feedback

IC 238534 under ICR 201606-1103-003 · OMB 1103-0117.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0117 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1103-0117 National Data Exchange (N-DEx) Distance Learning Feedback	Form and Instruction
1103-0117 National Data Exchange (N-DEx) Distance Learning Feedbac N-Dex Distance Learning Feedback Survey.pdf	Form and Instruction
Fast Track Request - N-Dex Distance Learning Feedback Survey.doc National Data Exchange (N-DEx) Distance Learning Feedback GEN IC Template	IC Document

IC Title:

National Data Exchange (N-DEx) Distance Learning Feedback

Agency IC Tracking Number:

1103-0117

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	1103-0117	National Data Exchange (N-DEx) Distance Learning Feedback	N-Dex Distance Learning Feedback Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	4,000	4,000
Annual IC Time Burden (Hours)	267	267
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
National Data Exchange (N-DEx) Distance Learning Feedback GEN IC Template	Fast Track Request - N-Dex Distance Learning Feedback Survey.doc	11/13/2019

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