Surveys and Administrative Records Collection

National Study of the Implementation of Adult Education under the Workforce Innovation and Opportunity Act

Documents and Forms

Document Name Document Type
Surveys and Administrative Records Collection Form and Instruction
App A State Survey Appendix A State Survey.docx Form and Instruction
App B Provider Survey Appendix B Provider Survey.docx Form and Instruction
App C Provider List Appendix C Provider List Final.docx Form and Instruction
Appendix D Contact Materials Final.docx App D Contact Materials IC Document

Information Collection (IC) Details

IC Title:	Surveys and Administrative Records Collection	Agency IC Tracking Number:	ED-2019-ICCD-0011

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	App A State Survey	Appendix A State Survey.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	App B Provider Survey	Appendix B Provider Survey.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	App C Provider List	Appendix C Provider List Final.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: 1,859	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	620	620
Annual IC Time Burden (Hours)	310	310
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
App D Contact Materials	Appendix D Contact Materials Final.docx	05/30/2019

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