Survey For Division Of Undergraduate Outreach Activities

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3145-0215 can be found here:

Documents and Forms

Document Name Document Type
Outreach Survey DUE V5.docx Other-Customer Satisfaction Survey
Clearance Submission EHR DUE Outreach 2018.docx Supporting Statement for EHR/DUE Outreach Feedback IC Document

Information Collection (IC) Details

IC Title:	SURVEY FOR DIVISION OF UNDERGRADUATE OUTREACH ACTIVITIES	Agency IC Tracking Number:

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
Other-Customer Satisfaction Survey			Outreach Survey DUE V5.docx		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement for EHR/DUE Outreach Feedback	Clearance Submission EHR DUE Outreach 2018.docx	02/12/2018

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