Information Collection

CUVA baseline survey

IC 179468 under ICR 200703-1024-001 · OMB 1024-0253.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AttachK_CUVA_Baseline_Student.doc	Other-survey
K.1_CUVA_IRB_ParentalConsent.doc CUVA Parental Consent & IRB	IC Document

IC Title:

Agency IC Tracking Number:

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-survey			AttachK_CUVA_Baseline_Student.doc		No		Paper Only

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 585

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	585	585
Annual IC Time Burden (Hours)	146	146
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CUVA Parental Consent & IRB	K.1_CUVA_IRB_ParentalConsent.doc	05/22/2007

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