View Information Collection (IC)

View Information Collection (IC)

IC Title:	Self-Evaluation Indicator System (SEIS) Historical Black Colleges and Universities Undergraduate Program (HBCU-UP) for Awardees	Agency IC Tracking Number:

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
Other-Survey			shuSEIS2007.xls		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 112	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	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	112	0	0	0	0	0
Annual IC Time Burden (Hours)	2,016	0	0	0	0	0
Annual IC Cost Burden (Dollars)	4,816	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
SEIS HBCU-UP Supporting Statement	SupportingStatement.doc	12/10/2007
SEIS HBCU-UP Crosswalk	Task_Crosswalk_for_OMB_3145.pdf	12/10/2007
SEIS HBCU-UP Release Form	Release Form OMB approved.pdf	12/10/2007

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