Information Collection

Requester Feedback form

IC 220508 under ICR 201907-1121-001 · OMB 1121-0341.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0341 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Requester Feedback form	Form
Requester Feedback form RequesterFeedback_toOMB.docx	Form

IC Title:

Requester Feedback form

Agency IC Tracking Number:

OVC

Is this a Common Form? No

IC Status: Unchanged

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	none	Requester Feedback form	RequesterFeedback_toOMB.docx	n/a	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

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	Previously Approved
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	260	260

Documents for IC

table that charts IC Documents
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.