Information Collection

State Survey on Activities Supported on Student Support and Academic Enrichment Grants (Title IV, Part A)

IC 233211 under ICR 201809-1875-001 · OMB 1875-0290.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
State Survey on Activities Supported on Student Support and Academic Enrichment Grants (Title IV, Part A)	Form
State Survey PPSS_SSAE_State_Survey_Instrument_rev_2-19-19.docx.doc	Form
PPSS_SSAE State Survey- Appendix A Notification letters_rev_2-19-19.docx Notification Letters	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form	N/A	State Survey	PPSS_SSAE_State_Survey_Instrument_rev_2-19-19.docx.doc		No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	17	17
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Notification Letters	PPSS_SSAE State Survey- Appendix A Notification letters_rev_2-19-19.docx	02/20/2019

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