Heads Up: Concussions in High School Sports

Evaluation of a Concussion Tool Kit - Heads Up: Concussion in High School Sports

Documents and Forms

Document Name Document Type
Form Appendix D and App Heads Up: Concussions in High School Sports Form and Instruction
Appendix D and App Heads Up: Concussions in High School Sports 0920-0674 Heads Up OMB package 05 10 06 submitted to OMB 8.22.06.doc Form and Instruction
0920-0674 Heads Up OMB package 05 10 06 submitted to OMB 8.22.06.doc Heads Up: Concussions in High School Sports IC Document

Information Collection (IC) Details

IC Title:	Heads Up: Concussions in High School Sports	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Appendix D and Appendix E	Heads Up: Concussions in High School Sports	0920-0674 Heads Up OMB package 05 10 06 submitted to OMB 8.22.06.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,400	1,400
Annual IC Time Burden (Hours)	233	233
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Heads Up: Concussions in High School Sports	0920-0674 Heads Up OMB package 05 10 06 submitted to OMB 8.22.06.doc	08/22/2006

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