Information Collection

Toolkit Audience Survey

IC 246298 under ICR 202103-3137-001 · OMB 3137-0128.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Audience Survey Fo Toolkit Audience Survey	Form and Instruction
Form Audience Survey Fo Audience Survey Toolkit Audience Survey	Form and Instruction
Audience Survey Fo Audience Survey REALM Evaluation Part B 20210312.docx	Form and Instruction
Audience Survey Fo Audience Survey REALM Evaluation Part B 20210312.docx	Form and Instruction

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
Form and Instruction	Audience Survey Form 1				Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,000

Number of Respondents for Small Entity: 3,200

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	120,000	120,000

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.

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