Information Collection

FY2018 OSHS Grantee Needs Assessment Form

IC 229569 under ICR 201706-1800-001 · OMB 1800-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1800-0011 can be found here:

Documents and Forms

Document Name Document Type
OSHSDiscGrantee_NeedsAssessmentForm_11.2017_Streamlinedversion_to ED.docx Other-P2PR Needs Assessment
1880-0542 Template Routine Customer Feedback 1880-0542_NCSSLENAP2PSR2017.._ (2).docx Generic Template IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FY2018 OSHS Grantee Needs Assessment Form	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-P2PR Needs Assessment			OSHSDiscGrantee_NeedsAssessmentForm_11.2017_Streamlinedversion_to ED.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Template	1880-0542 Template Routine Customer Feedback 1880-0542_NCSSLENAP2PSR2017.._ (2).docx	12/26/2017

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