Information Collection

Social and Character Development (SACD) Child Self Report (Appendix ll)

IC 41474 under ICR 200612-1850-004 · OMB 1850-0792.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SACD Appendix II - Child Self-Report_fin.doc	Other-Child Self Report
SACD OMB_memo_spring07changes_dec2006_r.doc OMB Memorandum to Rachel Potter	IC Document

IC Title:

Agency IC Tracking Number:

3214

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
Other-Child Self Report			SACD Appendix II - Child Self-Report_fin.doc		No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,227

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,227	-17,360	22,587
Annual IC Time Burden (Hours)	4,338	-11,294	15,632
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memorandum to Rachel Potter	SACD OMB_memo_spring07changes_dec2006_r.doc	12/22/2006

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