Information Collection

Student Data Collection

IC 178472 under ICR 200701-1850-004 · OMB 1850-0825.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0825 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Student Data Collection	Form and Instruction
Student Background Survey Att_PBE_Student Background Survey.doc	Form and Instruction
Student End of Semester Survey (SESS), Form B1 Att_PBE_Student End of Semester Survey (Control).doc	Form and Instruction
Student End of Semester Survey (SESS), Form A1 Att_PBE_Student End of Semester Survey (Treatment).doc	Form and Instruction

IC Title:

Student Data Collection

Agency IC Tracking Number:

3221

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Student Background Survey	Att_PBE_Student Background Survey.doc	No		Fillable Fileable
Form and Instruction	N/A	Student End of Semester Survey (SESS), Form B1	Att_PBE_Student End of Semester Survey (Control).doc	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Student End of Semester Survey (SESS), Form A1	Att_PBE_Student End of Semester Survey (Treatment).doc	No		Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 14,400

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 4 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	14,400	14,400
Annual IC Time Burden (Hours)	18,000	18,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.