Information Collection

Work Plan Request/Intensive TA Participant Feedback form

IC 205703 under ICR 202210-1121-004 · OMB 1121-0341.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Work Plan Request/Intensive TA Participant Feedback form	Form and Instruction
The Work Plan request participant feedback form WPRParticipant_Final.pdf	Form and Instruction
The Work Plan request participant feedback form WPRParticipant_Final.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

OVC

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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 and Instruction	none	The Work Plan request participant feedback form	WPRParticipant_Final.pdf	none	Yes	No	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	300	-300	600
Annual IC Time Burden (Hours)	75	-25	100
Annual IC Cost Burden (Dollars)	1,041	-1,041	2,082

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.