Information Collection

NA-IM Student Feedback Survey

IC 249107 under ICR 202602-1910-005 · OMB 1910-5160.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NA-IM Student Feedback Survey.dotx	Other-Survey
NA-IM Student Feedback Survey.dotx	Other-Survey
Generic Clearance Submission Template_NA-IM Submission-Final.docx Generic Clearance Submission Template_NA-IM Submission-Final	IC Document
Generic Clearance Submission Template_NA-IM Submission-Final.docx Generic Clearance Submission Template_NA-IM Submission-Final	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: Unchanged

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

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 933

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	933	933
Annual IC Time Burden (Hours)	78	78
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Submission Template_NA-IM Submission-Final		08/31/2021

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

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