Tech Girls Host FamilySurvey

TechGirls Evaluation

Documents and Forms

Document Name Document Type
Tech Girls Host FamilySurvey Form and Instruction
Tech Girls Host Family Survey DCG_TechGirls Host Family Survey_OMB F.docx Form and Instruction
Tech Girls Host Family Survey DCG_TechGirls Host Family Survey_OMB F.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Tech Girls Host FamilySurvey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 22 CFR 2451

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Tech Girls Host Family Survey	DCG_TechGirls Host Family Survey_OMB F.docx		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: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	15	15
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.