Information Collection

SURF Program Student Application Information

IC 217990 under ICR 201810-0693-002 · OMB 0693-0042.

Documents and Forms

Document Name Document Type
0693-0042 SURF Student Application Form 2018.pdf Other-Application
SORN NIST-1.pdf SORN NIST-1 IC Document
SURF Privacy Act Statement.docx Privacy Act Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SURF Program Student Application Information	Agency IC Tracking Number:	MO

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Application			0693-0042 SURF Student Application Form 2018.pdf		No		Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: SORN NIST-1: NIST Associates	FR Citation: 81 FR 21837

Number of Respondents: 650	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	650	650
Annual IC Time Burden (Hours)	650	650
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SORN NIST-1	SORN NIST-1.pdf	10/03/2018
Privacy Act Statement	SURF Privacy Act Statement.docx	10/03/2018

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