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State-level survey
Midwest Regional Educational Laboratory Needs Assessment and Focus Groups
OMB: 1850-0828
IC ID: 178800
OMB.report
ED/IES
OMB 1850-0828
ICR 200702-1850-004
IC 178800
( )
Documents and Forms
Document Name
Document Type
State-level survey
Form and Instruction
Quantitative Needs-Sensing Survey
Quantitative questionnaire final_rev5-18-2007.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State-level survey
Agency IC Tracking Number:
3213
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
Quantitative Needs-Sensing Survey
Quantitative questionnaire final_rev5-18-2007.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Elementary, Secondary, and Vocational Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
700
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
75 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
700
0
700
0
0
0
Annual IC Time Burden (Hours)
175
0
175
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.