Information Collection

Digital Inclusion PrePost End of Project Surveys

IC 227369 under ICR 201707-3137-001 · OMB 3137-0109.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0109 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Digital Inclusion Digital Inclusion PrePost End of Project Surveys	Form and Instruction
Digital Inclusion Digital Inclusion Pilot Project Survey 3117 Appendix A OMB Clearance Request NDIA PAST Digital Inclusion PrePost End of Project Surveys FINAL.pdf	Form and Instruction

IC Title:

Digital Inclusion PrePost End of Project Surveys

Agency IC Tracking Number:

Is this a Common Form? No

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 and Instruction	Digital Inclusion Pilot Project Form 1	Digital Inclusion Pilot Project Survey	3117 Appendix A OMB Clearance Request NDIA PAST Digital Inclusion PrePost End of Project Surveys FINAL.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

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	30	30
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	509	509

Documents for IC

table that charts IC Documents
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.