Information Collection

Exhibit B. REL Appalachia Task 2C

IC 181958 under ICR 200709-1850-003 · OMB 1850-0848.

Documents and Forms

Document Name Document Type
Exhibit B. REL Appalachia Task 2C Form and Instruction
MCS PreK Program Teacher Questionnaire Att_Exhibit B.23 July 2007.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Exhibit B. REL Appalachia Task 2C	Agency IC Tracking Number:	3405

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	MCS PreK Program Teacher Questionnaire	Att_Exhibit B.23 July 2007.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.