Information Collection

Department of Defense Dependents Schools (DoDDS) Professional Evaluation

IC 259142 under ICR 202303-0704-002 · OMB 0704-0370.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DoDEA Form 5011 Department of Defense Dependents Schools (DoDDS) Professional Evaluation	Form
DoDEA Form 5011 Department of Defense Dependents Schools (DoDDS) Profess DoDEA Form 5011, Professional Evaluation (Draft).PDF	Form
DoDEA Form 5011 Department of Defense Dependents Schools (DoDDS) Profess DoDEA Form 5011, Professional Evaluation (Draft).PDF	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	DoDEA Form 5011	Department of Defense Dependents Schools (DoDDS) Professional Evaluation	DoDEA Form 5011, Professional Evaluation (Draft).PDF		Yes	No	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18,000	18,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	147,600	147,600

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.