Information Collection

Study of the ESEA Title VI Indian Education LEA Grants Program

IC 227117 under ICR 201706-1875-001 · OMB 1875-0288.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1875-0288 can be found here:

Documents and Forms

Document Name Document Type
App B Title VI Study_Consent Form_12-6-17.docx Other-consent forms
App C Title VI Grantee Survey__12-6-17.docx Other-survey
App D Title VI Coordinator Interview__ 12-6-17.docx Other-interview protocol
App E Title VI Grantee Staff Interview__12-6-17.docx Other-interview protocol
App F Title VI Tribal Leader Interview_12-6-17.docx Other-interview protocol
App G Title VI Parent-Family Focus Group__12-6-17.docx Other-interview protocol
App H Title VI Superintendent-Leader Interview__12-6-17.docx Other-interview protocol

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Study of the ESEA Title VI Indian Education LEA Grants Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-consent forms	App B Title VI Study_Consent Form_12-6-17.docx	Yes	Yes	Fillable Fileable Signable
Other-survey	App C Title VI Grantee Survey__12-6-17.docx	Yes	Yes	Fillable Fileable
Other-interview protocol	App D Title VI Coordinator Interview__ 12-6-17.docx	No		Paper Only
Other-interview protocol	App E Title VI Grantee Staff Interview__12-6-17.docx	No		Paper Only
Other-interview protocol	App F Title VI Tribal Leader Interview_12-6-17.docx	No		Paper Only
Other-interview protocol	App G Title VI Parent-Family Focus Group__12-6-17.docx	No		Paper Only
Other-interview protocol	App H Title VI Superintendent-Leader Interview__12-6-17.docx	No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 434	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	434	434
Annual IC Time Burden (Hours)	295	295
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.