Information Collection

State 619 Coordinator Survey

IC 186674 under ICR 200809-1850-002 · OMB 1850-0863.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0863 can be found here:

Documents and Forms

Document Name Document Type
Att_Appendix C.State 619 Survey 9.09.doc Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State 619 Coordinator Survey	Agency IC Tracking Number:	3753

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
Other-Survey			Att_Appendix C.State 619 Survey 9.09.doc		No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 21	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	21	21
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.