Information Collection

Professional Development Experience Host Survey

IC 238630 under ICR 201911-1405-001 · OMB 1405-0235.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MWF Survey 4_PDE Hosts_Final 02-25-2020.docx	Other-Survey
PDE Survey Screenshots.docx	Other-Survey Screenshots

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Other-Survey Screenshots			PDE Survey Screenshots.docx		Yes	Yes	Fillable Fileable
Other-Survey			MWF Survey 4_PDE Hosts_Final 02-25-2020.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 407

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	122	122
Annual IC Time Burden (Hours)	61	61
Annual IC Cost Burden (Dollars)	0	0

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.