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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.