Televisions in the A2 Cafeteria 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⚠️ Notice: This information collection may be referencing outdated material.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 3095-0070 can be found here:

Documents and Forms

Document Name Document Type
TVs in the A2 Cafeteria Survey - Questions.pdf Other-Survey
NA-2023 - TVs in the A2 Cafeteria.pdf NA-2023 - TVs in the A2 Cafeteria IC Document

Information Collection (IC) Details

IC Title:	Televisions in the A2 Cafeteria 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			TVs in the A2 Cafeteria Survey - Questions.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: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NA-2023 - TVs in the A2 Cafeteria	NA-2023 - TVs in the A2 Cafeteria.pdf	04/10/2018

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