Parent Survey-Special Education

DOI Programmatic Clearance for Customer Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.