Information Collection

SEA Needs Assessment Survey, Title IV, Part A

IC 266985 under ICR 202309-1800-005 · OMB 1800-0011.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1800-0011 T4PA Needs Assessmnt Survey Customer Feedback form 2024 4.16.docx	Other-Survey
1800-0011 Generic Template of T4PA Needs Assess Survey (5).docx Generic Template	IC Document

IC Title:

Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey					Yes	Yes	Fillable Fileable Signable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 57

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
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Template		04/17/2024

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

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