Information Collection

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

IC 7142 under ICR 200608-0920-001 · OMB 0920-0674.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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

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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 %

table that charts list of burden
	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

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