Information Collection

CLSD Request for Student Achievement Data

IC 232855 under ICR 202007-1850-001 · OMB 1850-0945.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0945 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CLSD Request for Student Achievement Data	Form
CLSD State Achievement Data Request CLSD_State Achievement Data Request Appendix_FINAL.docx	Form
CLSD State Achievement Data Request CLSD_State Achievement Data Request Appendix_FINAL.docx	Form

IC Title:

CLSD Request for Student Achievement Data

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form	N/A	CLSD State Achievement Data Request	CLSD_State Achievement Data Request Appendix_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: 7

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7	-4	11
Annual IC Time Burden (Hours)	31	-101	132
Annual IC Cost Burden (Dollars)	0	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.