Information Collection

Requester Feedback form

IC 207553 under ICR 202109-1121-004 · OMB 1121-0277.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Requester Feedback form	Form
Requester feedback form requester feedback form.pdf URL will be created after approval	Form
Requester feedback form requester feedback form.pdf URL will be created after approval	Form

IC Title:

Agency IC Tracking Number:

OJJDP

Is this a Common Form? No

IC Status: Removed

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	none	Requester feedback form	requester feedback form.pdf	URL will be created after approval	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-40	40
Annual IC Time Burden (Hours)	-3	3
Annual IC Cost Burden (Dollars)	-139	139

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.