Information Collection

CAP Follow-up Survey Form

IC 246452 under ICR 202404-3137-001 · OMB 3137-0126.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CAP Follow-up Surv CAP Follow-up Survey Form	Form and Instruction
CAP Follow-up Surv CAP Follow-up Survey Form 3137-0126 CAP Participant One Year Follow-Up Survey_20240417.docx	Form and Instruction
CAP Follow-up Surv CAP Follow-up Survey Form 3137-0126 CAP Participant One Year Follow-Up Survey_20240417.docx	Form and Instruction
CAP Follow-Up Survey Form-20210309.docx FY21 CAP Follow-up Survey Form	IC Document
CAP Follow-Up Survey Form-20210309.docx FY21 CAP Follow-up Survey Form	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	CAP Follow-up Survey Form 1	CAP Follow-up Survey Form	3137-0126 CAP Participant One Year Follow-Up Survey_20240417.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 80

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	100	0	100
Annual IC Time Burden (Hours)	25	0	25
Annual IC Cost Burden (Dollars)	811	100	711

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FY21 CAP Follow-up Survey Form	CAP Follow-Up Survey Form-20210309.docx	04/17/2024

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