Small, Rural School Achievement Application Customer Feedback Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.