Information Collection

BIE Distance Learning Household Survey

IC 247637 under ICR 202105-1076-004 · OMB 1076-0198.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
BIE Distance Learning Household Survey	Form and Instruction
BIE Distance Learning Household Survey - Paper Version BIE Distance Learning HH Survey_questionniare (paper version).docx	Form and Instruction
BIE Distance Learning Household Survey - Paper Version BIE Distance Learning HH Survey_questionniare (paper version).docx	Form and Instruction
BIE Distance Learning Household Survey - Online Version BIE Distance Learning HH survey_questionnaire (online version).docx	Form and Instruction
BIE Distance Learning Household Survey - Online Version BIE Distance Learning HH survey_questionnaire (online version).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: 25 CFR 32.3

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	N/A	BIE Distance Learning Household Survey - Paper Version	BIE Distance Learning HH Survey_questionniare (paper version).docx		No		Paper Only
Form and Instruction	N/A	BIE Distance Learning Household Survey - Online Version	BIE Distance Learning HH survey_questionnaire (online version).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: 1,300

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	1,300	1,300
Annual IC Time Burden (Hours)	325	325
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.