Information Collection Request

National Evaluation of Title III Implementation

ICR 202210-1850-005 · OMB 1850-0977 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Title III District Survey Form New Available
Title III State Survey Form New Available
State Survey and District Survey Form New Repair queued
Title III OMB Part B 02-28-2023.docx Supporting Statement B Uploaded 2023-03-01 Repair queued
Title III OMB Part A 02-28-2023.docx Supporting Statement A Uploaded 2023-03-01 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
256586 State Survey and District Survey Form NewTitle III District Survey
256586 State Survey and District Survey Form NewTitle III State Survey
256586 State Survey and District Survey Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2026 36 Months From Approved
422 0 0
317 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
State Survey and District Survey N/A, N/A ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 422 0 0 422 0 0
Annual Time Burden (Hours) 317 0 0 317 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No