Information Collection

TA Provider Survey

IC 207562 under ICR 201701-1121-002 · OMB 1121-0277.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TA Provider Survey	Form
TA provider survey TA provider survey.pdf URL will be created after approval	Form

IC Title:

TA Provider Survey

Agency IC Tracking Number:

IOJJDP

Is this a Common Form? No

IC Status: Unchanged

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	none	TA provider survey	TA provider survey.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: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	347	347

Documents for IC

table that charts IC Documents
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.