Information Collection

Security Plan Form

IC 260211 under ICR 202305-3145-002 · OMB 3145-0278.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3145-0278 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NCSES Security Plan Form	Form and Instruction
NCSES License Application Affidavit Form.pdf	Other-Affidavit
NCSES License Application Affidavit Form.pdf	Other-Affidavit
NCSES License Application_05082023.pdf	Other-NCSES License Application
NCSES License Application_05082023.pdf	Other-NCSES License Application
NCSES Security Plan Form NCSES License Application Security Form.pdf	Form and Instruction
NCSES Security Plan Form NCSES License Application Security Form.pdf	Form and Instruction
NCSES License Application_05082023.pdf NSF/NCSES Restricted-Use Data Procedures Guide	IC Document
NCSES License Application_05082023.pdf NSF/NCSES Restricted-Use Data Procedures Guide	IC Document

IC Title:

Security Plan Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NCSES	Security Plan Form	NCSES License Application Security Form.pdf	Yes	Yes	Fillable Printable
Other-Affidavit			NCSES License Application Affidavit Form.pdf	Yes	Yes	Fillable Printable
Other-NCSES License Application			NCSES License Application_05082023.pdf	Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	1,400	1,400

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NSF/NCSES Restricted-Use Data Procedures Guide	NCSES License Application_05082023.pdf	05/15/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.