Information Collection

Interview Protocol and Data Tables

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Interview Protocol and Data Tables	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:

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 %

	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

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.