Information Collection

Web Survey Instrument

IC 267365 under ICR 202405-3135-001 · OMB 3135-0147.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Instrument 1 Web Survey Instrument	Form and Instruction
Form Instrument 1 HBCU Research Study Web Survey Web Survey Instrument	Form and Instruction
Instrument 1 HBCU Research Study Web Survey Attachment B - HBCU Research Study Web Survey.pdf	Form and Instruction
Instrument 1 HBCU Research Study Web Survey Attachment B - HBCU Research Study Web Survey.pdf	Form and Instruction

IC Title:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Instrument 1				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 206

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

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	206	206
Annual IC Time Burden (Hours)	68	68
Annual IC Cost Burden (Dollars)	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.

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