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State Survey and District Survey
National Evaluation of Title III Implementation
OMB: 1850-0977
IC ID: 256586
OMB.report
ED/IES
OMB 1850-0977
ICR 202210-1850-005
IC 256586
( )
Documents and Forms
Document Name
Document Type
State Survey and District Survey
Form
Title III State Survey
Title III State Survey.docx
Form
Title III State Survey
Title III State Survey.docx
Form
Title III District Survey
Appendix B Title III District survey 02-28-2023.docx
Form
Title III District Survey
Appendix B Title III District survey 02-28-2023.docx
Form
Notification Materials.docx
Notification Materials
IC Document
Notification Materials.docx
Notification Materials
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State Survey and District Survey
Agency IC Tracking Number:
Is this a Common Form?
No
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
N/A
Title III State Survey
Title III State Survey.docx
Yes
Yes
Fillable Fileable
Form
N/A
Title III District Survey
Appendix B Title III District survey 02-28-2023.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Elementary, Secondary, and Vocational Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,267
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
422
0
422
0
0
0
Annual IC Time Burden (Hours)
317
0
317
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Notification Materials
Notification Materials.docx
02/27/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.