Requester Feedback form

OJJDP NTTAC User Feedback Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0277 can be found here:

Documents and Forms

Document Name Document Type
Requester Feedback form Form
Requester feedback form requester feedback form.pdf URL will be created after approval Form

Information Collection (IC) Details

IC Title:	Requester Feedback form	Agency IC Tracking Number:	OJJDP

Is this a Common Form? No		IC Status: Unchanged

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	none	Requester feedback form	requester feedback form.pdf	URL will be created after approval	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	139	139

Documents for IC

Title	Document	Date Uploaded
No associated records found

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