ESI6 Blank Reporting Tool

Experimental Sites Data Collection Instrument

Documents and Forms

Document Name Document Type
ESI6 Blank Reporting Tool Form and Instruction
ES16Blank 1845-0118 ESI6Blank.xls expeirmentalsites.ed.gov Form and Instruction

Information Collection (IC) Details

IC Title:	ESI6 Blank Reporting Tool	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 1094a (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	ES16Blank	1845-0118 ESI6Blank.xls	https://expeirmentalsites.ed.gov	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4	0	-5	9
Annual IC Time Burden (Hours)	12	6	-48	54
Annual IC Cost Burden (Dollars)	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.