Information Collection

School Associated Violent Deaths Surveillance System

IC 7069 under ICR 200611-0920-002 · OMB 0920-0604.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0604 can be found here:

Documents and Forms

Document Name Document Type
OMB SAVD Att 10_Parental Consent Form 11-14-06 (2).doc Other-Other
OMB SAVD Att 9_Telephone Consent Script 11-14-06 (2).doc Other-Other
None assigned Att 5 - Data Collection Instrument OMB SAVD Att 5_Data Collection Instrument 11-14-06 (2).doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	School Associated Violent Deaths Surveillance System	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Other			OMB SAVD Att 10_Parental Consent Form 11-14-06 (2).doc	Yes	Yes	Printable Only
Form and Instruction	None assigned	Att 5 - Data Collection Instrument	OMB SAVD Att 5_Data Collection Instrument 11-14-06 (2).doc	Yes	Yes	Printable Only
Other-Other			OMB SAVD Att 9_Telephone Consent Script 11-14-06 (2).doc	Yes	Yes	Printable Only

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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