Information Collection

Grant Opportunities for Academic Liaison with Industry (GOALI) Survey

IC 214876 under ICR 201804-3145-001 · OMB 3145-0238.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey Questions for GOALI_April2018.pdf	Other-Survey
2015-1-22 FINAL Appendix 2 GOALI Logic Model.pdf GOALI Logic Model	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-Survey			Survey Questions for GOALI_April2018.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	200	0	200
Annual IC Time Burden (Hours)	200	-200	400
Annual IC Cost Burden (Dollars)	9,600	-6,800	16,400

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GOALI Logic Model	2015-1-22 FINAL Appendix 2 GOALI Logic Model.pdf	02/05/2015

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