Information Collection

Grantee Survey, District Administrative Records Request

IC 247865 under ICR 202106-1850-004 · OMB 1850-0965.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A. Email Notifications 9 27 2021.docx	Other-Notification Email Letters
Appendix A. Email Notifications 9 27 2021.docx	Other-Notification Email Letters
Appendix E. Data Request Memo 9 27 2021.docx	Other-Administrative data request me
Appendix E. Data Request Memo 9 27 2021.docx	Other-Administrative data request me
Current Grantee Survey Appendix B. PN Survey Current Grantees 9 27 2021.docx	Form and Instruction
Current Grantee Survey Appendix B. PN Survey Current Grantees 9 27 2021.docx	Form and Instruction
Excel Tool for Current Grantees Appendix C. PN Excel Workbook Current Grantees 9 27 2021.xlsx	Form and Instruction
Excel Tool for Current Grantees Appendix C. PN Excel Workbook Current Grantees 9 27 2021.xlsx	Form and Instruction
Previous Grantee Survey Appendix D. PN Survey Previous Grantees 9 27 2021.docx	Form and Instruction
Previous Grantee Survey Appendix D. PN Survey Previous Grantees 9 27 2021.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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Notification Email Letters			Appendix A. Email Notifications 9 27 2021.docx	Yes	No	Paper Only
Form and Instruction	NA	Current Grantee Survey	Appendix B. PN Survey Current Grantees 9 27 2021.docx	Yes	Yes	Fillable Fileable
Form and Instruction	NA	Excel Tool for Current Grantees	Appendix C. PN Excel Workbook Current Grantees 9 27 2021.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	NA	Previous Grantee Survey	Appendix D. PN Survey Previous Grantees 9 27 2021.docx	Yes	Yes	Fillable Fileable
Other-Administrative data request memo			Appendix E. Data Request Memo 9 27 2021.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: 23

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	23	23
Annual IC Time Burden (Hours)	165	165
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.