Information Collection

Significant Disproportionality State Survey

IC 236028 under ICR 201905-1820-003 · OMB 1820-0697.

Documents and Forms

Document Name Document Type
Significant Disproportionality State Survey Form
SDSS Survey Questions 11-22-2019.OMB edits CLEAN 03-12-20.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Significant Disproportionality State Survey	Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	N/A	SDSS Survey Questions 11-22-2019.OMB edits CLEAN 03-12-20.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: 50	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	50	50
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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