National Data Exchange (N-DEx) Distance Learning Feedback

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0117 can be found here:

Documents and Forms

Document Name Document Type
Form 1103-0117 National Data Exchange (N-DEx) Distance Learning Feedback Form and Instruction
1103-0117 National Data Exchange (N-DEx) Distance Learning Feedbac N-Dex Distance Learning Feedback Survey.pdf Form and Instruction
Fast Track Request - N-Dex Distance Learning Feedback Survey.doc National Data Exchange (N-DEx) Distance Learning Feedback GEN IC Template IC Document

Information Collection (IC) Details

IC Title:	National Data Exchange (N-DEx) Distance Learning Feedback	Agency IC Tracking Number:	1103-0117

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	1103-0117	National Data Exchange (N-DEx) Distance Learning Feedback	N-Dex Distance Learning Feedback Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	267	267
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
National Data Exchange (N-DEx) Distance Learning Feedback GEN IC Template	Fast Track Request - N-Dex Distance Learning Feedback Survey.doc	11/13/2019

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