Louis Stokes Alliances for Minority Participation Bridge to the Doctorate Monitoring System (LSAMP BD)

EHR Generic Clearance

Documents and Forms

Document Name Document Type
2011_LSAMP BD_AppendixA_Screenshots_20110705.doc Other-Survey
2011_LSAMP BD_AppendixB_Crosswalk_20110101.doc LSAMP BD Monitoring System Crosswalk IC Document
2011_LSAMP BD_AppendixC_SampleCorrespondence_20110101.doc LSAMP BD Sample Correspondence IC Document
2011_LSAMP BD_SupportingStatement.doc LSAMP-BD Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Louis Stokes Alliances for Minority Participation Bridge to the Doctorate Monitoring System (LSAMP BD)	Agency IC Tracking Number:

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
Other-Survey			2011_LSAMP BD_AppendixA_Screenshots_20110705.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	3,456	3,456
Annual IC Cost Burden (Dollars)	864	864

Documents for IC

Title	Document	Date Uploaded
LSAMP BD Monitoring System Crosswalk	2011_LSAMP BD_AppendixB_Crosswalk_20110101.doc	03/03/2011
LSAMP BD Sample Correspondence	2011_LSAMP BD_AppendixC_SampleCorrespondence_20110101.doc	03/03/2011
LSAMP-BD Supporting Statement	2011_LSAMP BD_SupportingStatement.doc	07/08/2011

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