Information Collection

E-Complaint Form

IC 213261 under ICR 201710-1880-002 · OMB 1880-0544.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1880-0544 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
E-Complaint Form	Form and Instruction
E-Complaint Form EComplaint form FERPA_01192017fm.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

E-Complaint Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 34 CFR 99

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	NA	E-Complaint Form	EComplaint form FERPA_01192017fm.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title: Privacy Act of 1974; Systems of Records Family Educational Rights and Privacy Act (FERPA) and Protection of Pupil Rights Amendment (PPRA) Record Systems

FR Citation: 64 FR 30107

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

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.