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New Organization Submittal Form

General Information

Use this form to submit updates or corrections to the information about your organization in the Education Resource Organizations Directory (EROD), or to suggest your organization for addition to EROD. To find out if your organization qualifies to be in the Directory, please read our "Criteria for Inclusion" statement. If the information you submit is added to EROD, it will be available to the public at http://www.ed.gov/Programs/EROD/

You don't have to provide information for every item on this collection form, but items with an asterisk (*) are required. If you have any questions, please contact Michael Heeg at erod@ed.gov, or check out our sample form.

OMB # 1800-0012

Location Information
* Service, Program, or Organization Name
* Address 1
Address 2
Address 3
* City
* State
* Zip
Contact Information
* Phone e.g.: (123) 456-7890 x123
Toll-free
Toll-free Restrictions
TTY
Fax
* E-mail Address
E-mail Address 2
WWW Address
Operating Information
Director's Name 1
Honorific First Middle Last Suffix
Dr.
Director's Title 1
Director's Name 2
Honorific First Middle Last Suffix
Dr.
Director's Title 2
Director's Name 3
Honorific First Middle Last Suffix
Dr.
Director's Title 3
Contact's Name
First Last
Contact's Title
Sponsoring Agency (Agency responsible for initiating, funding, and/or managing service, program, or organization)

Characters remaining for Sponsoring Agency Field
* Description (Includes the mission and/or goal(s) of the service, program, or organization. Please describe the program in a clear and "friendly" manner for the general public.)

Characters remaining for Description Field
Days & Hours of Operation e.g., M-F 9:00 a.m.-5:00 p.m.
Time Zone
Indexing Information
To view a list of terms for a category, select the category name link at the left (Audiences, Services, etc.).
Audience(s)
Characters remaining for Audience(s) Field
Service(s)
Characters remaining for Service(s) Field
State(s)/ Territory(ies) Served
Characters remaining for State(s)/ Territory(ies) Served Field
Publication(s)
Characters remaining for Publication(s) Field
Subject(s)
Characters remaining for Subject(s) Field
Special Collections
Characters remaining for Special Collections Field
Submitter Information
Submitter must provide all required fields below for the purpose of validation. The email that you provide below will be the one that will receive the email confirmation.
* First Name
* Last Name
Title
Phone
* Email
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number of this information collection is 1800-0012. The time required to complete this information collection is estimated to average 1 hour per response for a new submission or 10 minutes per response for an update or correction, including the time to review instructions, search existing data sources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate or suggestions for improving this form, please write to: U.S. Department of Education, Washington, D.C. 20202-4651. If you have any comments or concerns regarding the status of your individual submission of this form, write directly to: U.S. Department of Education, Office of the Chief Information Officer, Development Services Group, Attn: EROD, 400 Maryland Avenue, S.W., Washington, D.C. 20202-4760.
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