Cover Form for OMB Clearance Package (rev. 01.24.12)

Instructions: If you wish to upload or delete files from EDICS for your OMB package, please complete this form and 

submit it along with the files you would like to upload to Tina (Tina.Love@ed.gov). Once you receive confirmation 

from Tina that the requested actions are complete, please wait 24 hours and then go to http://edicsweb.ed.gov to 

verify that everything looks correct. If you experience technical issues with EDICS, please contact Stephanie 

(Stephanie.Valentine@ed.gov). This form is for internal NCEE use only and should not be uploaded to EDICS.

COR: _______________________________________ Date: _______________________________

Title of OMB Package: ___________________________________________________________________________

Please check1only one box:

 I want to create a new package2

 I want to create a new version of a package3

 I want to modify an existing version of a package4

If you want to create a new package:

 List on page 2 each filename you would like to upload

If you want to create a new version of a package:

 What is the 5-digit EDICS Number? _____________________

 What is the OMB Control Number (XXXX-XXXX)? _____________________

 What version of the package do you want to create?

5

v.2 v.3 v.4 other: ________________

When a new version is created, all files from the prior version are automatically copied to the new version

List on page 2 each filename from the prior version that you would like to delete from the new version.6If you 

want to delete all prior files from the new version, then check the “delete all files” box on page 2.

List on page 2 each filename you would like to upload to the new version

If you want to modify an existing version of a package:

 What is the 5-digit EDICS Number? _____________________

 What is the OMB Control Number? _____________________

IMPORTANT: List the full OMB Control Number, including which version of the package you would like 

to modify. For instance, if you want to modify version 2, then you should list XXXX-XXXX-v.2

List on page 2 each filename you would like to delete7

List on page 2 each filename you would like to upload

 

1

To check or uncheck: right-click on box, select “properties” and then select “checked” or “not checked.”

2

Although there are exceptions, if you check this box, your study should generally have no existing OMB package of any type.

3

For instance, check this box if you already have an approved recruitment package and you now want to create a new data collection package 

for the same study. RIMS actually refers to this as a “revised package,” which can cause confusion.

4

For instance, check this box if you already have a recruitment package but now need to add more files or delete existing files from that same 

recruitment package (perhaps in response to comments from OMB or RIMS).

5

If you want to create version 3 (v.3), you must already have a version 2 (v.2). Likewise, if you want to create version 4 (v.4), you must already 

have a version 2 (v.2) and a version 3 (v.3).

6

You can see which files are in the prior version by going to http://edicsweb.ed.gov

7

You can see which files are currently in the package by going to http://edicsweb.ed.gov

Daphne Garcia 12/11/12

A Study of Implementation and Outcomes in Upward Bound and Other TRIO Programs

1
Filename Attachment8

If you want to delete any files, please check only one box:

I would like to delete all files

I would like to delete only the files listed below

Filename to be DELETED (include file 

extension, such as .pdf, .xls, .doc):

Filename to be UPLOADED (include file 

extension, such as .pdf, .xls, .doc):

File Type: 9

TRIO_OMB_Draft_Part_A_120312.docx Supporting Statement Part A

TRIO_OMB_Draft_Part_B_120312.docx Supporting Statement Part B

icdataform_TRIO_20121113.docx IC Form Part 1

IC Form Part 2

IC Form Part 2 addendum

TRIO_icburdentable_20121112.xlsx Burden Estimates Table

Certification form signed Certification for PRA Submissions

TRIO_OMB_Draft_Appendix 

A_Authorizing_Leg.docx

Appendix A

TRIO_OMB_Draft_Appendix_B_Letter.docx Appendix B

TRIO_OMB_Draft_PD_Survey_Instrument.docx Appendix C

Appendix

Appendix

Appendix

Appendix

Appendix

Appendix

Other

Other

Other

Other

Other

 

8

Please make sure you type in the exact filename in the table above. IMPORTANT: Filenames must not contain any special characters, such as 

“~!@#$%^&*()”, or two or more space between characters. If you violate these rules, your files can be uploaded to EDICS but they will not 

open or download properly. Stick to letters and numbers with single spaces in your filenames to avoid problems.

9

This column lists the types of files that are typically included in an OMB package. Please list the files you want to delete or upload in the row 

that corresponds to the appropriate file type. If you don’t have any files of a particular type listed, then leave those rows blank.

2