Information Collection

Interview Protocol and Data Tables

IC 234114 under ICR 201811-1875-001 · OMB 1875-0291.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Interview Protocol and Data Tables	Form
USCO Table Appendix B USCO Tables.docx	Form
Appendix C USCO Consent and Notification.docx Consent Forms	IC Document
Appendix A USCO Interview_6Feb19.docx USCO Interview	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	USCO Table	Appendix B USCO Tables.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

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	56	56
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Consent Forms	Appendix C USCO Consent and Notification.docx	11/21/2018
USCO Interview	Appendix A USCO Interview_6Feb19.docx	02/06/2019

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