Information Collection

State Report Card

IC 22049 under ICR 202303-1840-002 · OMB 1840-0744.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
State Report Card	Form
SRC State REport Card (SRC) 2023 (003)(8-3-23).docx	Form
SRC State REport Card (SRC) 2023 (003)(8-3-23).docx	Form

IC Title:

State Report Card

Agency IC Tracking Number:

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	N/A	SRC	State REport Card (SRC) 2023 (003)(8-3-23).docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 59

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	59	0	59
Annual IC Time Burden (Hours)	7,080	-7,198	14,278
Annual IC Cost Burden (Dollars)	0	0	0

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.