Information Collection

Coordinator Surveys

IC 213317 under ICR 201409-1850-005 · OMB 1850-0916.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0916 can be found here:

Documents and Forms

Document Name Document Type
State 619 Coord Survey_for OMB Additional Items (3-20-15) Final CLEAN.docx Other-State Coordinator Survey
District Coordinator survey_for OMB Additional Items (3-20-15) Final CLEAN.docx Other-District Coordinator Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Coordinator Surveys	Agency IC Tracking Number:

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-District Coordinator Survey			District Coordinator survey_for OMB Additional Items (3-20-15) Final CLEAN.docx		Yes	Yes	Fillable Fileable
Other-State Coordinator Survey			State 619 Coord Survey_for OMB Additional Items (3-20-15) Final CLEAN.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: 1,251	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	1,251	1,251
Annual IC Time Burden (Hours)	1,226	1,226
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.