Teacher Brochure/Enrollment Form

ICR 199806-0420-001

OMB: 0420-0513

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
918
Migrated
ICR Details
0420-0513 199806-0420-001
Historical Active 199405-0420-002
PEACE
Teacher Brochure/Enrollment Form
Reinstatement without change of a previously approved collection   No
Emergency 07/01/1998
Approved without change 07/21/1998
Retrieve Notice of Action (NOA) 06/30/1998
  Inventory as of this Action Requested Previously Approved
01/31/1999 01/31/1999
5,000 0 0
500 0 0
0 0 0

The enrollment form will be mailed to teachers requesting participation in the WWS program. The questions serve to better determine which populations we are serving, as well as which teachers have access to alternative information channels.

None
None


No

1
IC Title Form No. Form Name
Teacher Brochure/Enrollment Form

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,000 0 0 5,000 0 0
Annual Time Burden (Hours) 500 0 0 500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/30/1998


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