Information Collection

Parent Survey-Special Education

IC 233626 under ICR 201807-1040-001 · OMB 1040-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1040-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
BIA CSS-4 OMB Approved Parent Survey.docx	Other-Survey Tool
BIA CSS-4 DI-4010 Parent Survey-Special Education Renewal.pdf Justification for Submission	IC Document

IC Title:

Parent Survey-Special Education

Agency IC Tracking Number:

2018-BIA-CS2

IC Status: New

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 Tool			BIA CSS-4 OMB Approved Parent Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,200

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,200	4,200
Annual IC Time Burden (Hours)	1,050	1,050
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Submission	BIA CSS-4 DI-4010 Parent Survey-Special Education Renewal.pdf	10/18/2018

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