OCR Technical Assistance Evaluation Form

Master Generic Plan for Customer Surveys and Focus Groups

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1800-0011 can be found here:

Documents and Forms

Document Name Document Type
OCR Technical Assistance Evaluation Form Form
OCR Technical Assistance Evaluation Form TA EVALUATION FORM.doc Form
Survey Form.doc Documentation for the Generic Clearance of Customer Service Satisfaction Collections IC Document

Information Collection (IC) Details

IC Title:	OCR Technical Assistance Evaluation Form	Agency IC Tracking Number:	03922

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	N/A	OCR Technical Assistance Evaluation Form	TA EVALUATION FORM.doc		No		Paper Only

Line of Business: Education

Subfunction: Higher 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: 0 %

	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	0	0	0	0
Annual IC Time Burden (Hours)	58	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Documentation for the Generic Clearance of Customer Service Satisfaction Collections	Survey Form.doc	12/17/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.