Statewide AT Customer Satisfaction Survey

Annual Performance Report for the State Grant for Assistive Technology Program

Documents and Forms

Document Name Document Type
Statewide AT Customer Satisfaction Survey Form and Instruction
SGAT Customer Survey 1820-0572 SGAT_572_Customer_Survey.doc rsa.ed.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Statewide AT Customer Satisfaction Survey	Agency IC Tracking Number:	1140.19

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 76

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	SGAT Customer Survey	1820-0572 SGAT_572_Customer_Survey.doc	rsa.ed.gov	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: 95,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	95,200	95,200
Annual IC Time Burden (Hours)	3,967	3,967
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.