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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

IC Title:

FY2018 OSHS Grantee Needs Assessment Form

Agency IC Tracking Number:

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
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 %

table that charts list of burden
	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

table that charts IC Documents
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.