National Evaluation of i3 (NEi3) Data Collection Survey

National Evaluation of the Investing in Innovation (i3) Program

Documents and Forms

Document Name Document Type
Appendix_A_NEi3_Data_Collection_Instrument_updated 10-25-2017.docx Other-survey
Appendix B_Evaluator Correspondence.docx Evaluator Correspondence IC Document

Information Collection (IC) Details

IC Title:	National Evaluation of i3 (NEi3) Data Collection Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			Appendix_A_NEi3_Data_Collection_Instrument_updated 10-25-2017.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: 23	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	Previously Approved
Annual Number of Responses for this IC	23	-20	43
Annual IC Time Burden (Hours)	343	-137	480
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Evaluator Correspondence	Appendix B_Evaluator Correspondence.docx	01/04/2018

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