Information Collection

Tech Girls Job Shadow Host Survey

IC 246677 under ICR 202104-1405-001 · OMB 1405-0243.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Tech Girls Job Shadow Host Survey	Form and Instruction
Tech Girls Job Shadow Host Survey DCG_TechGirls Job Shadow Host Survey_OMB F.docx	Form and Instruction
Tech Girls Job Shadow Host Survey DCG_TechGirls Job Shadow Host Survey_OMB F.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: 22 CFR 2451

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	NA	Tech Girls Job Shadow Host Survey	DCG_TechGirls Job Shadow Host Survey_OMB F.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: 21

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	21	21
Annual IC Time Burden (Hours)	6	6
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.