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

Documents and Forms

Document Name Document Type
Form Do not use, not th Evaluation of a Concussion Tool Kit - Heads Up: Concussion in High School Sports Form and Instruction
Do not use, not th Do not use, not the original document. 0920-0674 Heads Up OMB package 05 10 06 submitted to OMB 8.22.06.doc Form and Instruction

Information Collection (IC) Details

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IC Title:	Evaluation of a Concussion Tool Kit - Heads Up: Concussion in High School Sports	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	Do not use, not the original document.	Do not use, not the original document.	0920-0674 Heads Up OMB package 05 10 06 submitted to OMB 8.22.06.doc		Yes	Yes	Printable Only

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,045	4,045
Annual IC Time Burden (Hours)	301	301
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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