Education Resource Organizations Directory (EROD)

General Information

Use this form to suggest your organization for addition in the Education Resource Organizations Directory (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 us, 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

	Please input either the phone number or the toll free number, or both.
* Phone	ex: (123) 456-7890 x12345 or 123-456-7890 x12345
* Toll-free	ex: (123) 456-7890 x12345 or 123-456-7890 x12345
Toll-free Restrictions
TTY
Fax	ex: (123) 456-7890 x12345 or 123-456-7890 x12345
* 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

Honorific	First	Last	Suffix
Dr.

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.

Honorific	Dr.
* First Name
* Last Name
Suffix
Title
* Phone	ex: (123) 456-7890 x12345 or 123-456-7890 x12345
* 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.

New Organization Submittal Form