Information Collection

Small, Rural School Achievement Application Customer Feedback Survey

IC 238708 under ICR 201706-1880-001 · OMB 1880-0542.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1880-0542 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SRSA Application Customer Service Survey w Burden St.docx	Other-Survey
SRSA Application Customer Service Survey Template (1).docx Generic Template	IC Document

IC Title:

Small, Rural School Achievement Application Customer Feedback 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
Other-Survey			SRSA Application Customer Service Survey w Burden St.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: 4,500

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	4,500	4,500
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Template	SRSA Application Customer Service Survey Template (1).docx	11/27/2019

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