Information Collection

Primary Caregiver Report (Appendix V)

IC 46530 under ICR 200612-1850-004 · OMB 1850-0792.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SACD Appendix V_Primary Caregiver Report_fin.doc	Other-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: New

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-report			SACD Appendix V_Primary Caregiver 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: 4,545

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
Annual Number of Responses for this IC	4,545	4,545
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	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.