Information Collection

CAP Assessor Feedback Form

IC 246450 under ICR 202103-3137-002 · OMB 3137-0126.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0126 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CAP Assessor Feedb CAP Assessor Feedback Form	Form and Instruction
Form CAP Assessor Feedb CAP Assessor Feedback Form CAP Assessor Feedback Form	Form and Instruction
CAP Assessor Feedb CAP Assessor Feedback Form CAP Assessor Feedback Form-20210308.docx	Form and Instruction
CAP Assessor Feedb CAP Assessor Feedback Form CAP Assessor Feedback Form-20210308.docx	Form and Instruction

IC Title:

CAP Assessor Feedback Form

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	CAP Assessor Feedback Form 1	CAP Assessor Feedback Form	CAP Assessor Feedback Form-20210308.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 160

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	200	200
Annual IC Time Burden (Hours)	66	66
Annual IC Cost Burden (Dollars)	1,876	1,876

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.