Information Collection

Study of the ESEA Title VI Indian Education LEA Grants Program

IC 227117 under ICR 201802-1875-001 · OMB 1875-0288.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
App B Title VI Study_Consent Form_12-6-17.docx	Other-consent forms
App C Title VI Grantee Survey-final 2-27-18.docx	Other-survey
App D Title VI Coordinator Interview__ 12-6-17.docx	Other-interview protocol
App E Title VI Grantee Staff Interview__12-6-17.docx	Other-interview protocol
App F Title VI Tribal Leader Interview_12-6-17.docx	Other-interview protocol
App G Title VI Parent-Family Focus Group__12-6-17.docx	Other-interview protocol
App H Title VI Superintendent-Leader Interview__12-6-17.docx	Other-interview protocol

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-consent forms	App B Title VI Study_Consent Form_12-6-17.docx	Yes	Yes	Fillable Fileable Signable
Other-survey	App C Title VI Grantee Survey-final 2-27-18.docx	Yes	Yes	Fillable Fileable
Other-interview protocol	App D Title VI Coordinator Interview__ 12-6-17.docx	No		Paper Only
Other-interview protocol	App E Title VI Grantee Staff Interview__12-6-17.docx	No		Paper Only
Other-interview protocol	App F Title VI Tribal Leader Interview_12-6-17.docx	No		Paper Only
Other-interview protocol	App G Title VI Parent-Family Focus Group__12-6-17.docx	No		Paper Only
Other-interview protocol	App H Title VI Superintendent-Leader Interview__12-6-17.docx	No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 434

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	434	434
Annual IC Time Burden (Hours)	295	295
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.