Information Collection

Work Plan Request/Intensive TA Participant Feedback form

IC 205703 under ICR 201907-1121-001 · OMB 1121-0341.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1121-0341 can be found here:

Documents and Forms

Document Name Document Type
Work Plan Request/Intensive TA Participant Feedback form Form
Work Plan participant Feedback form WPR&IntensiveTAParticipant_toOMB.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Work Plan Request/Intensive TA Participant Feedback form	Agency IC Tracking Number:	OVC

Is this a Common Form? No		IC Status: Unchanged

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
Form	none	Work Plan participant Feedback form	WPR&IntensiveTAParticipant_toOMB.docx	n/a	Yes	No	Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	2,082	2,082

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.