Information Collection

Technical Assistance and Dissemination Survey

IC 198617 under ICR 201107-1850-001 · OMB 1850-0887.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0887 can be found here:

Documents and Forms

Document Name Document Type
TAD Appendix A (Part B survey) 072711.docx Other-Survey
TAD Appendix B (Part C survey) 072711.docx Other-Survey
TAD Appendix C (Grantee quesionnaire+interview) 072711.docx Other-Grantee Questionnaire/Intervie

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Technical Assistance and Dissemination Survey	Agency IC Tracking Number:	4615

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	TAD Appendix A (Part B survey) 072711.docx	Yes	Yes	Fillable Fileable
Other-Survey	TAD Appendix B (Part C survey) 072711.docx	Yes	Yes	Fillable Fileable
Other-Grantee Questionnaire/Interview	TAD Appendix C (Grantee quesionnaire+interview) 072711.docx	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: 1,035	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,035	1,035
Annual IC Time Burden (Hours)	1,028	1,028
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.