Information Collection

Blacks Students in Higher Education: Facilitators and Barriers to Completion

IC 256012 under ICR 202207-3170-001 · OMB 3170-0036.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Blacks Students in Higher Education: Facilitators and Barriers to Completion Form
CFPB RDHE Revised Study Design.docx Other-research plan
CFPB RDHE Revised Study Design.docx Other-research plan
Former Postsecondary Student Virtual Focus Group Protoco
Facilitators+Barriers to Completion_Former Student Protocol.docx
Form
Former Postsecondary Student Virtual Focus Group Protoco
Facilitators+Barriers to Completion_Former Student Protocol.docx
Form
Postsecondary Staff Virtual Focus Group Protocol
Facilitators+Barriers to Completion_PostsecStaff Protocol.docx
Form
Postsecondary Staff Virtual Focus Group Protocol
Facilitators+Barriers to Completion_PostsecStaff Protocol.docx
Form
Postsecondary Education Staff Recruitment Screener
Facilitators+Barriers to Completion_StaffRecruitmentScreener.docx
Form
Postsecondary Education Staff Recruitment Screener
Facilitators+Barriers to Completion_StaffRecruitmentScreener.docx
Form
Former Postsecondary Student Protocol Intro Questionnair
Facilitators+Barriers to Completion_StudentParticipantIntroQuestionnaire.docx
Form
Former Postsecondary Student Protocol Intro Questionnair
Facilitators+Barriers to Completion_StudentParticipantIntroQuestionnaire.docx
Form
Former Postsecondary Student Protocol Recruitment Screen
Facilitators+Barriers to Completion_StudentRecruitmentScreener.docx
Form
Former Postsecondary Student Protocol Recruitment Screen
Facilitators+Barriers to Completion_StudentRecruitmentScreener.docx
Form
Adult Interview/Focus Group Consent form
Adult Interview-Focus Group Consent.docx
Form
Adult Interview/Focus Group Consent form
Adult Interview-Focus Group Consent.docx
Form
20220324 Racial Disparities Higher Ed PN.pdf
Racial Disparities Higher Ed privacy notice
IC Document
20220324 Racial Disparities Higher Ed PN.pdf
Racial Disparities Higher Ed privacy notice
IC Document
20220324 Racial Disparities Higher Ed Staff DIRECT Recruit PAS.pdf
Racial Disparities Higher Ed Staff DIRECT Recruit Privacy Act statement
IC Document
20220324 Racial Disparities Higher Ed Staff DIRECT Recruit PAS.pdf
Racial Disparities Higher Ed Staff DIRECT Recruit Privacy Act statement
IC Document
20220324 Racial Disparities in Higher Ed Staff Recruitment PAS.pdf
Racial Disparities in Higher Ed Staff Recruitment Privacy Act statement
IC Document
20220324 Racial Disparities in Higher Ed Staff Recruitment PAS.pdf
Racial Disparities in Higher Ed Staff Recruitment Privacy Act statement
IC Document
20220324 Racial Disparities in Higher Ed Student Recruitment PAS.pdf
Racial Disparities in Higher Ed Student Recruitment Privacy Act statement
IC Document
20220324 Racial Disparities in Higher Ed Student Recruitment PAS.pdf
Racial Disparities in Higher Ed Student Recruitment Privacy Act statement
IC Document
3170-0036 (Black Students in Higher Education - Facilitators and Barriers to Completion) supporting statement.docx
3170-0036 (Black Students in Higher Education - Facilitators and Barriers to Completion) supporting statement
IC Document
3170-0036 (Black Students in Higher Education - Facilitators and Barriers to Completion) supporting statement.docx
3170-0036 (Black Students in Higher Education - Facilitators and Barriers to Completion) supporting statement
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 N/A Former Postsecondary Student Virtual Focus Group Protocol Facilitators+Barriers to Completion_Former Student Protocol.docx Yes Yes Fillable Fileable
Form N/A Postsecondary Staff Virtual Focus Group Protocol Facilitators+Barriers to Completion_PostsecStaff Protocol.docx Yes Yes Fillable Fileable
Form N/A Postsecondary Education Staff Recruitment Screener Facilitators+Barriers to Completion_StaffRecruitmentScreener.docx Yes Yes Fillable Fileable
Form N/A Former Postsecondary Student Protocol Intro Questionnaire Facilitators+Barriers to Completion_StudentParticipantIntroQuestionnaire.docx Yes Yes Fillable Fileable
Form N/A Former Postsecondary Student Protocol Recruitment Screener Facilitators+Barriers to Completion_StudentRecruitmentScreener.docx Yes Yes Fillable Fileable
Other-research plan CFPB RDHE Revised Study Design.docx Yes No Printable Only
Form N/A Adult Interview/Focus Group Consent form Adult Interview-Focus Group Consent.docx No   Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,566 0 1,566 0 0 0
Annual IC Time Burden (Hours) 436 0 436 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Racial Disparities Higher Ed privacy notice 20220324 Racial Disparities Higher Ed PN.pdf 09/20/2022
Racial Disparities Higher Ed Staff DIRECT Recruit Privacy Act statement 20220324 Racial Disparities Higher Ed Staff DIRECT Recruit PAS.pdf 09/20/2022
Racial Disparities in Higher Ed Staff Recruitment Privacy Act statement 20220324 Racial Disparities in Higher Ed Staff Recruitment PAS.pdf 09/20/2022
Racial Disparities in Higher Ed Student Recruitment Privacy Act statement 20220324 Racial Disparities in Higher Ed Student Recruitment PAS.pdf 09/20/2022
3170-0036 (Black Students in Higher Education - Facilitators and Barriers to Completion) supporting statement 3170-0036 (Black Students in Higher Education - Facilitators and Barriers to Completion) supporting statement.docx 09/20/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.