Information Collection

SEA NA 2019 T4 PA Center Customer Survey

IC 236176 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⚠️ Notice: This information collection may be referencing outdated material.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
SEA NA 2019 T4 PA Center Customer Survey	Form
SEA NA 2019 T4 PA Center Customer Survey 1880-0011 survey for SEA NA 2019 T4PACenter 05202019.docx	Form
1800-0011 cust survey Seldin.docx Generic Template	IC Document

IC Title:

SEA NA 2019 T4 PA Center Customer Survey

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
Form	N/A	SEA NA 2019 T4 PA Center Customer Survey	1880-0011 survey for SEA NA 2019 T4PACenter 05202019.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: 52

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	52	52
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Template	1800-0011 cust survey Seldin.docx	05/23/2019

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